Tibia plato kırıklarının cerrahi tedavisinde sonuçları etkileyen faktörler
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Tarih
2000
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Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Tibia plato kırıklarının cerrahi tedavisinde sonuçları etkileyen faktörleri incelemek. Çalışma planı: Tibia plato kırığı nedeniyle cerrahi tedavi gören 28 hastanın (23 erkek, 5 kadın; ort. yaş 41.53; yaş dağılımı 15-68) 28 dizi retrospektif olarak değerlendirildi. Kırıklar ve klinik sonuçlar Hohl sınıflandırma sistemine ve kriterlerine göre değerlendirildi. Sonuçlar: Ortalama izleme süresi 22.14 ay (dağılım 5-80 ay) idi. Hohl kriterlerine göre dokuz hastada çok iyi (%32.2), 13 hastada iyi (%46.2), iki hastada orta (%7.1) ve dört hastada kötü (% 14.3) sonuç alındı. Orta ve kötü sonuç alınan altı hastanın ikisinde tip 3, birinde tip 4, üçünde ise tip 7 kırık vardı. Postoperatif dönemde 4-6 hafta alçı tespiti uygulanan 18 hastanın ikisinde (%11.1); 7-10 hafta uygulanan 10 hastanın dördünde (%40) orta ve kötü sonuç görüldü. Kontrol grafilerinde 0-3 mm çökme saptanan 13 hastanın yedisinde çok iyi, altısında iyi sonuç alındı. Tibia platosunda 4-10 mm çökme olan 15 hastanın altısında tatmin edici olmayan sonuçlar görüldü. Kontrol grafilerinde 0-9 mm kondiler genişleme olan 26 hastanın dördünde orta ve kötü sonuç elde edilirken, 9 mm üzerinde kondiler genişleme olan iki hastada kötü sonuç saptandı. Beraberinde fibula kırığı görülen 10 hastanın dördünde (%40) tatminkar olmayan sonuçlar elde edildi. Bu hastaların üçünde beş derecenin üzerinde angülasyon vardı. Çıkarımlar: Tibia plato kırığı olan hastalarda kırık tipi, anatomik redüksiyonun sağlanması, postoperatif tespit süresi ve beraberinde fibula kırığının bulunmasının klinik sonuçları etkileyen faktörler olduğu görüldü.
Objectives: To investigate the factors affecting the results of surgical treatment of tibial plateau fractures. Methods: Twenty-eight patients (23 males, 5 females; mean age 41.53 years; range 15-68 years) who underwent surgery for tibial plateau fractures (28 knees) were retrospectively evaluated. Fractures and clinical results were evaluated according to the Hohl classification and criteria, respectively. Results: Mean follow-up was 22.14 months (range 5-80 months). According to Hohl criteria, there were nine excellent (32.2%), 13 good (46.2%), two fair (7.1%) and four poor (14.3%) results. Of six patients with fair and poor results, two, one, and three patients had type 3, type 4, and type 7 fractures, respectively. Of 18 patients with 4-6 weeks immobilization, and of 10 patients with 7-10 weeks immobilization two (11.1%) and four (40%) patients had poor results, respectively. Concerning the size of depression detected in control radiograms, patients who exhibited a depression between 0 and 3 mm had excellent (7/13) and good (6/13) results, while in six patients with 4 to 10 mm depression (n=15) the results were not satisfactory. Of 26 patients with a condylar widening of 0-9 mm, four patients had fair and poor results; two patients with a condylar widening above 9 mm exhibited poor results. Four patients (40%) with concomitant fibula fractures (n=10) had unsatisfactory results. Of these, three patients exhibited an angulation of more than five degrees. Conclusion:Fracture type, achievement of an anatomic reduction, duration of postoperative immobilization, and concomitant fibula fractures were found to affect surgical outcome in patients with tibial plateau fractures
Objectives: To investigate the factors affecting the results of surgical treatment of tibial plateau fractures. Methods: Twenty-eight patients (23 males, 5 females; mean age 41.53 years; range 15-68 years) who underwent surgery for tibial plateau fractures (28 knees) were retrospectively evaluated. Fractures and clinical results were evaluated according to the Hohl classification and criteria, respectively. Results: Mean follow-up was 22.14 months (range 5-80 months). According to Hohl criteria, there were nine excellent (32.2%), 13 good (46.2%), two fair (7.1%) and four poor (14.3%) results. Of six patients with fair and poor results, two, one, and three patients had type 3, type 4, and type 7 fractures, respectively. Of 18 patients with 4-6 weeks immobilization, and of 10 patients with 7-10 weeks immobilization two (11.1%) and four (40%) patients had poor results, respectively. Concerning the size of depression detected in control radiograms, patients who exhibited a depression between 0 and 3 mm had excellent (7/13) and good (6/13) results, while in six patients with 4 to 10 mm depression (n=15) the results were not satisfactory. Of 26 patients with a condylar widening of 0-9 mm, four patients had fair and poor results; two patients with a condylar widening above 9 mm exhibited poor results. Four patients (40%) with concomitant fibula fractures (n=10) had unsatisfactory results. Of these, three patients exhibited an angulation of more than five degrees. Conclusion:Fracture type, achievement of an anatomic reduction, duration of postoperative immobilization, and concomitant fibula fractures were found to affect surgical outcome in patients with tibial plateau fractures
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Tıbbi Araştırmalar Deneysel, Ortopedi, Pediatri, Periferik Damar Hastalıkları, Cerrahi
Kaynak
Acta Orthopaedica et Traumatologica Turcica
WoS Q Değeri
Scopus Q Değeri
Cilt
34
Sayı
1
