Nadir Görülen Tuber Kalkanei Kırığı Kaynamama Sonrası Çift Düğme İmplant ile Revizyon Cerrahisi Olgu Sunumu

Yıl 2020, , 407 - 411, 01.12.2020

Gürdal Nusran , Ali Osman Taşova , Görkem Çıkrıkçıoğlu

https://doi.org/10.32708/uutfd.824483

Öz

Tuber kalkanei kopma kırıkları, genellikle indirekt travma sonrası oluşan ve nadir görülen kırıklardır. Osteoporoz ve diyabet, kırık gelişiminde risk faktörleridir. Bunlar, olası yara sorunları nedeniyle erken cerrahi girişim ile tedavi edilmesi gereken kırıklardır. Bu yazıda, kopma kırığı nedeni ile cerrahi tedavi uygulanan ve vida ile tespiti yapılan, takiplerinde osteoporoz, hasta uyumsuzluğu (erken yük verme), yara yeri problemleri nedeniyle sirküler alçı uygulanamaması gibi problemler nedeniyle erken dönemde implant yetmezliği ve kırık fragmanda redüksiyon kaybı gelişmesi üzerine çift düğme implantı ile revizyon cerrahisi yapılan bir olgu sunuldu.

Anahtar Kelimeler

tüber kalkanei kırığı, çift düğme implant, osteoporoz, travma

A Case Report of Revision Surgery with a Double Button Implant After a Rare Tuber Kalkanei Fracture Non-Union

Öz

Avulsion fractures of tuberositas calcanei are rarely seen fractures which usually occur after an indirect trauma. Osteoporosis and diabetes mellitus are the risk factors for fractures. These are the fractures which should be treated by early surgical intervention due to possible scar problems. In this article, implant failure in the early period and loss of reduction in the fracture fragment due to problems such as osteoporosis, patient incompatibility (early weight-bearing), inability to apply circular plaster due to wound site problems, which were surgically treated for rupture fractures and fixed with screws. A case who underwent revision surgery with a double button implant is presented.

Anahtar Kelimeler

Tuber kalkanei fracture, osteoporosis, trauma, Double Button Implant

Kaynakça

• 1. Gürkan İ, Atalar H, Kınık H, Mergen E. Kalkaneal tuberositasın avulsiyon kırığı (Olgu Sunumu). Eklem Hastalik Cerrahisi 1999;10:211-3.
• 2. Heckman JD. Fractures and dislocations of foot. In: Rockwood C, Gren D, editors. Fractures in adults. Vol 2, Philadelphia: JB Lippincoot Company; 1996. p. 2325-54.
• 3. Radzilani M, D’Alton E, Golele RG. Avulsion fracture of the calcaneal tubosity: A soft tissue complication from delayed treatment. The Foot and Ankle Online Journal 2010.
• 4. Hedlund LJ, Maki DD, Griffiths HJ. Calcaneal fractures in diabetic patients. J Diabetes Complications 1998;12:81-7.
• 5. Robb CA, Davies MB. A new technique for fixation of calcaneal tuberosity avulsion fractures. Foot Ankle Surg 2003;9:221-4.
• 6. Squires B, Allen PE, Livingstone J, Atkins RM. Fractures of the tuberosity of the calcaneus. J Bone Joint Surg [Br] 2001;83:55-61.
• 7. Hess M, Booth B, Laughlin RT. Calcaneal avulsion fractures: complications from delayed treatment. Am J Emerg Med 2008;26:254.e1-4. doi: 10.1016/j.ajem.2007.04.033.
• 8. Beavis RC, Rourke K, Court-Brown C. Avulsion fracture of the calcaneal tuberosity: a case report and literature review. Foot Ankle Int 2008;29:863-6. doi: 10.3113/FAI.2008.0000.
• 9. Lyngstadaas S. Treatment of avulsion fractures of the tuber calcanei. Acta Chir Scand 1971;137:579-81.
• 10. Schepers T, den Hartog D, Ginai AZ, Patka P. Posterior capsular avulsion fracture of the calcaneus: an uncommon avulsion fracture. J Foot Ankle Surg 2007;46:409-10.
• 11. Lowy M. Avulsion fractures of the calcaneus. J Bone Joint Surg [Br] 1969;51:494-7.
• 12. Protheroe K. Avulsion fractures of the calcaneus. J Bone Joint Surg [Br] 1969;51:118-22.