Distal tibia kırıklarında yeni dizayn edilmiş intramedüller çivi ve distal kilit sistemi ile tedavinin klinik ve radyolojik sonuçları

Yıl 2018, Cilt: 5 Sayı: 3, 151 - 156, 28.09.2018

Ramazan Atiç , Abdulkadir Aydın

Öz

Amaç : Bu çalışmanın amacı distal tibia kırıklarında yeni
dizayn edilmiş intramedüller çivi ve distal kilit sistemi ile tedavinin klinik
ve radyolojik sonuçlarını değerlendirmektir.

Materyal Metod: Nisan 2011 ile Haziran 2017 tarihleri arasında distal
tibia  kırığı nedeniyle distal rijit
kilitleme sistemli intramedüller çivi ile tedavi edilen 22 hasta retrospektif
olarak değerlendirdi. Hastaların 17 (%77,2)’si erkek 5(%22.7)’ i kadındı.
Kırıkların 16(%72.7)’sı açık 6 (%27.2)’sı kapalı kırıktı. Açık kırıklarda yaygın
olarak kabul gören Gustillo-Anderson sınıflaması kullanıldı. 2 hasta Tip I, 12
hasta tip II, 2 hasta tip IIIA açık kırıktı. Kırık tiplerini belirlemek için
OTA/AO  sınıflama sistemi kullanıldı.
Hastaların fonksiyonel sonuçları AOFAS skorlama sistemi kullanılarak
değerlendirildi.

Bulgular: Hastaların ortalama kaynama süresi 25.3 hafta (16-36
hafta)’idi. Ortalama tam yük verme süresi 9 hafta (6-16 hafta) idi. Tüm
hastalarımızda tam kaynama elde edildi. Hastaların ortalama yaşı 32.5
(18-74)’idi. Hastaların 3 (%13.6)’ üne cilt problemleri nedeniyle ilk olarak
eksternal fiksatör uygulandı. Tip II açık kırıklı bir (%5) hastamızda yüzeyel
enfeksiyon gelişti.  3 (%15) hastamızda
AP planda 5 dereceden fazla açılanma görüldü. Hastaların ortalama AOFAS skoru
92.25 (63-100) idi.

Sonuç: Distal tibia kırıklarında
yeni dizayn edilmiş bu çivi ve kilitleme sistemi yüksek kaynama oranı, düşük
floroskopi ihtiyacı gibi avantajları dolayısıyla güvenle uygulanabilir.

Anahtar Kelimeler

Distal, Tibia, İntramedüller, Kırık

Kaynakça

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