Görüntüleme
30
İndirme
2
Çalışmamızda intramedüller çivi (İMÇ) uygulanan tibia kırığı vakalarında dinamik kilitleme ve kaynama gecikmesi nedeniyle ikincil dinamizasyon uygulanan vakaları kaynama süreleri yönünden karşılaştırmak amaçlanmıştır. Mayıs 2002 ile Eylül 2019 tarihleri arasında tibia kırığı nedeniyle İMÇ kullanılarak kapalı redüksiyon internal fiksasyon uygulanan 95 hasta çalışmaya alındı. Hastalar dinamizasyon tekniklerine göre 3 gruba ayrıldı. Birinci grup dinamik kilitleme yapılan hastalar, ikinci grup dinamizasyon amacıyla sadece statik vida çıkarılan hastalar, 3. grup dinamizasyon amacıyla dinamik ve statik tüm vidalar çıkarılan hastalardı. Gruplar; demografik bilgiler, sigara kullanımı, kırık tipi ve kaynama süresi açısından karşılaştırmalı olarak değerlendirildi. Çalışmaya dahil edilen 95 hastanın 61’i erkek, 34’ü kadındı. Hastaların yaş ortalaması 35 (19 – 63) idi. Hastaların ortalama takip süresi 21,3 (12 – 30) hafta idi. Grup 2’de kaynama süresinin diğer gruplara göre daha uzun olduğu görüldü. Tüm hastalar ve ayrı ayrı gruplar arasında yaş ve cinsiyet ile kırık kaynama süresi arasında anlamlı istatistiksel bir ilişki saptanmamıştır (p>0.05). Tüm gruplar için sigara kullanan hastalarda kırık kaynama süresinin daha uzun olduğu saptanmıştır (p<0.05). Kırık tipine göre kırık kaynama süreleri arasında istatistiksel olarak anlamlı bir fark saptanmadı (p>0.05). Gruplar, 12. haftadan tam kaynama gerçekleşene kadar geçen süreler açısından incelendiğinde grup 2’de istatistiksel olarak grup 3’ten daha uzun bir kaynama süresi olduğu saptandı (p<0.05). Çalışmamızın sonucunda; İMÇ uygulanan ve kaynama problemi olan vakalarda en etkili dinamizasyonun, kırık hattına uzak olan noktadan tüm vidaların çıkarılarak çivinin aksiyel yönde hareketine izin vererek sağlandığı görülmüştür.
In our study, intramedular nails (IMC) are intended to compare the cases applied by secondary dynamization due to dynamic lock and welding delay in cases of tibia fractures applied in the direction of welding times. Between May 2002 and September 2019, 95 patients were taken to the study for closed reduction internal fixation using IMC due to tibia break. Patients were divided into 3 groups according to dynamization techniques. The first group of patients with dynamic lock, the second group of patients with static lock, the third group of patients with dynamic lock, the second group of patients with static lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock, the second group of patients with dynamic lock. The groups were comparable in terms of demographic information, smoking use, broken type and cooking time. Of the 95 patients involved in the study, 61 were men and 34 women. The average age of patients was 35 (19-63). The average tracking time for patients was 21.3 (12 - 30) weeks. In Group 2, the cooking time was seen to be longer than in other groups. There is no significant statistical relationship between all patients and separate groups between age and gender and the broken cooking period (p>0.05). For all groups of smoking patients, the break-up cooking period has been found to be longer (p<0.05). There is no statistically significant difference between the broken cooking periods according to the broken type (p>0.05). When the groups were studied in terms of the periods passing from week 12 to full cooking occurred, the group 2 statistically found that the cooking period was longer than the group 3 (p<0.05). As a result of our study, it has been shown that in cases with IMC applied and cooking problems, effective dynamization is provided by removing all the waves from the point that is far from the broken line, allowing the nail to move in the action direction.
Our aim is to compare dynamic locking and secondary dynamization technics which were applied for fracture healing problems after intramedullary nail (IMN) operation for tibia fracture. Ninety-five patients who were operated with IMN for tibia fracture between May 2002 - September 2019 were included. Patients divided into three groups. Group 1 was dynamic locked, group 2 was static screws removed patients for dynamization and group 3 was all screws removed patients for dynamizations. Groups were compared according to demographics, smoking, fracture type and fracture union time. Sixty-one patients were male and 34 were female. Mean age of the patients was 35 (19-63). Mean follow-up was 21,3 (12 – 30) weeks. According to comparative analysis between group 1 and 2 and group 2 and 3 showed that fracture union time was longer in group 2 than others. There was no any statically significant relation between age, sex, fracture type and fracture union time (p>0.05). For all groups, fracture union time was longer in smoking patients than other patients (p<0.05). Analysis of groups according to interval between 12th week and fracture union time showed that group 2 had longer fracture union time than group 3(p<0.05). As a result of this study, removal of the all locking screws of IMN at the side far from fracture is most effective dynamization method for fracture healing problems after IMN operations.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
Makale Detay 
Benzer Makaleler
PDF Görüntüle
Dergi Bilgisi
Eseri Dinleyin
Alıntı Yap
Bu Sayfayı Yazdırın
Paylaş
Mendeley
