Çocuklarda humerus lateral kondil kırığı tedavi sonuçları
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Lateral kondil kırıkları çocuklarda humerus suprako ndil kırıklarından sonra 2. sırada, humerus distal epifiz kırıkları içerisinde ise en sık görülen kırıklardır. Yanlış kaynam a ve kaynamama gibi önemli komplikasyonları olması nedeniyle özellikle ayrışması fazla olan kırıklarda açık cerrahi ve redüksiyon sonrası fiksasyon ile tedavi edilmesi bu kırıklarda ön plandadır. Çalışmamızda lateral kondil kırığı ile gelen çocuklarda uyguladığımız cerrahi ve konservatif tedavi sonuçlarımızı sunmayı amaçladık. Yöntem: : 2009 Temmuz -2012 Eylül döneminde lateral kondil kırığı tanısı ile tedavi edilen 36 hasta çalışmaya alındı. Bulgular : Hastaların 25’i (%69.4) erkek, 11’i (%30.6) kız çocuğu olup, yaş ortalamaları 5.7 (3,4 -8,1) yıl idi. Hastalar ortalama 25(6 -24ay) ay izlendi. Hiçbir hastada fonksiyon kaybı olmadı. Fakat 14 hastada lateralde spur oluştu. Açık cerrahi yapılanların tümünde spur mevcuttu. Kapalı yapıla nlardan tip II kırıklardan 5’sinde görüldü. Tip III kırık olup kapalı yapılanlarda Tip III kırık olup açık cerrahi yapılanlara göre daha küçük boyutta spur saptandı. Tip I kırıklarda spur yoktu. Hiçbir hastaya lateralde oluşan spur nedeni ile cerrahi eksizyon uygulanmadı. Cerrahi uygulanan hastalardan 1'inde(%2.7) yüzeyel pin dibi enfeksiyonu görüldü. Sonuç : Çocuk humerus lateral kondil kırıklarında 2mm’nin altındaki kırıklar hariç cerrahi tespit gerekmektedir. Çalışm aya dahil ettiğimiz olgularda lateral spurun görülmesi literatürle ben zerlik göstererek başlangıç deplasmanı ile ilişkili olduğu gösterilmiştir. Yine literatürle benzer olarak şupurun oluşması eklem hareketlerinde kısıtlılığa neden olmamıştır.
Objective : In children humerus lateral condyle fractures are second most commo n fractures after supracondyler hume rus fractures and it is the most commen type inside distal humeral epiphyseal fractures. Because of the important complications such as non – union, mal – union, open redu ction and internally fixation is favorable, especially in di splaced fractures. In our study, we aimed to compare the results of surgery or conservative treatments of children with humerus lateral condyle fractures. Method : For our study, we chose 36 patients with humerus lateral condyle fracture that we treated between July 2009 – September 2012. Results : 25 patients (69.4 %) were male, 11(30.6 %) patients were female. Their average age was 5.7 (3.4 – 8.1). Patients were followed up for an average of 25 (6 – 24) months. None of them had function loss. But in 14 patients spur formation was seen on lateral humerus. Spur formation was seen in all patients who were treated by open surgery. Spur formation was seen in 5 patients with type II fractures that treated by close surgery. There was more spur formation in patients with type III fractures that treated by open surgery than patients with type III fractures that trea ted by close surgery. We didn’t re -operate any patient for spur excision. There was a superficial pin – tract infection in 1 patient (2.7 %). Conclusion : In children humerus lateral condyle fra c tures that has displacement 2mm or more, needs surgery. In our cases we find similar results about spur formation co m pared with literature, it was related with the displacement at the beginning as literature says. Similar with literature spur formation didn’t cause any limitation on range of m otion.
Objective : In children humerus lateral condyle fractures are second most commo n fractures after supracondyler hume rus fractures and it is the most commen type inside distal humeral epiphyseal fractures. Because of the important complications such as non – union, mal – union, open redu ction and internally fixation is favorable, especially in di splaced fractures. In our study, we aimed to compare the results of surgery or conservative treatments of children with humerus lateral condyle fractures. Method : For our study, we chose 36 patients with humerus lateral condyle fracture that we treated between July 2009 – September 2012. Results : 25 patients (69.4 %) were male, 11(30.6 %) patients were female. Their average age was 5.7 (3.4 – 8.1). Patients were followed up for an average of 25 (6 – 24) months. None of them had function loss. But in 14 patients spur formation was seen on lateral humerus. Spur formation was seen in all patients who were treated by open surgery. Spur formation was seen in 5 patients with type II fractures that treated by close surgery. There was more spur formation in patients with type III fractures that treated by open surgery than patients with type III fractures that trea ted by close surgery. We didn’t re -operate any patient for spur excision. There was a superficial pin – tract infection in 1 patient (2.7 %). Conclusion : In children humerus lateral condyle fra c tures that has displacement 2mm or more, needs surgery. In our cases we find similar results about spur formation co m pared with literature, it was related with the displacement at the beginning as literature says. Similar with literature spur formation didn’t cause any limitation on range of m otion.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Ortopedi, Pediatri
Kaynak
Abant Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
2
Sayı
3
