Özet:

Purpose: Closed reduction (KR) and pelvipedal reduction (PPA) are a good option in developmental column dysplasia. The complication rates can reach 79%, and avascular necrosis (AVN) is problematic. The exact cause of AVN is unknown and is multi-factoral. The activity of the thrombocytes is measured as the volume of the thrombocytes, or the average volume of the thrombocytes (OTH). The purpose of the study is to investigate whether the changes in the volume of the thrombocytes have the effects per femur. Method and method: N.E. Patients with KR PPA between 2013 and 2017 were retrospective examined at the University Meram School of Medicine Hospital. After surgery and 1 month full blood count and MPV was examined. Patients were divided into 4 groups according to age; Group 1 was born—6. The moon, Group 2 7–12. Month, Group 3 13–18. Month and Group 4 after 18 months. Results: Patients were followed for an average of 40.5 months (16-66) 43 of 39 patients were treated with KR and PPA. AVN was observed in 8 patients (18.6 percent) and MPV increased in the early postoperative period in AVN patients. The result: MPV, KR and PPA may be useful to predict in patients with GKD. A closer monitoring of the development of AVN is recommended for patients with MPV height in the early postoperative period.

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