Olekranon Kırıklarında Cerrahi Tedavi Sonuçlarımız

Authors : O AYNACI, S KERİMOGLU, M YILDIZ
Pages : 0-0
Doi:10.5835/jecm.v21i3.100
View : 36 | Download : 8
Publication Date : 2009-12-31
Article Type : Other Papers
Abstract :1992-2003 yılları arasında cerrahi tedavi uyguladığımız 29 deplase olekranon kırıklı hasta retrospektif olarak değerlendirildi. 21 hasta erkek, 8 hasta kadındı. Ortalama yaş 35 insert ignore into journalissuearticles values(12-61); idi. Kırık tipleri; 16 transvers, 7 parçalı, 3 transvers impakte, 3 oblik kırık idi. Cerrahi tedavi olarak 21 hastaya Arbeitsgemeinschaft fur osteosynthesefragen insert ignore into journalissuearticles values(AO); gergi bandı tekniği ile tespit, 7 hastaya vida ile tespit ve çok parçalı kırığı olan bir hastaya eksizyon yapıldı. Ortalama takip süremiz 4,5 yıl insert ignore into journalissuearticles values(1-11 yıl); idi. Olguların ağrı, işlev, hareket sınırı ve röntgen bulguları yönünden yapılan değerlendirilmesine göre insert ignore into journalissuearticles values(Murphy`nin puanlaması); % 86 çok iyi ve iyi sonuçlar alındı. Komplikasyon olarak yalnızca bir hastada Kirschner göçü görüldü. İyi netice alınamayan hastalarda neticeye etki eden ek travmalar vardı. AO gergi bandı tekniğinin olekranon kırıklarında en çok uygulanan ve en iyi tespit olduğu sonucuna varıldı The Results of Surgical Treatment of Fractures of the Olecranon Between 1992 and 2003, 29 patients with displaced olecranon fractures who were treated surgically were evaluated retrospectively. Twenty-one patients were male, eight patients were female. The mean age was 35 insert ignore into journalissuearticles values(range, 12 to 61);. There were 16 transverse, 7 comminuted, 3 tranverse-impacted and 3 oblique type of fractures. Twenty-one patients with olecranon fractures were fixated with AO tension band technique, 7 patients were fixated with screw and in one patient with comminuted fracture excision was performed.The average follow-up period was 4,5 years insert ignore into journalissuearticles values(range, 1 to 11 years);. The patients were evaluated according to Murphy criterias which inluded pain, function, range of motion and radiographic appearence, and in 25 insert ignore into journalissuearticles values(86%); patients excellent and good results were obtained. Kirschner wire migration was seen in only one patient as a complication. In patients with poor therapeutic outcome, there were additional traumas affecting the result. In olecranon fractures AO tension band tecnique is the most used technique, an affective treatment method
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