Stabil Olmayan Radius Distal Uç Kiriklarinda Perkütan Çivileme Yöntemi ve Sonuçlarimiz

Abstract

Distal radius kiriklari tüm vücut kiriklari arasinda en sik görülen kirik tipidir. Bu kiriklarin tedavisinde çesitli cerrahi yöntemler tanimlanmis olmasina ragmen standart tedavi yöntemi tartismalidir. Stabil olmayan distal radius kirik tedavisinde kapali redüksiyon ve perkütan çivileme yöntemi önerilmesine ragmen bu yöntemin tedavideki rolü belirsizdir. Bu çalismanin amaci; kapali redüksiyon ve perkütan çivileme yönteminin sonuçlarini prospektif olarak degerlendirmektir. Bu prospektif çalismaya stabil olmayan distal radius kirigi bulunan 30 hastanin 30 el bilegi dahil edildi. Hastalarin 16’si kadin, 14’ü erkekti. Ortalama takip süresi 13,1 ± 3,2 ay (aralik: 6-24 ay) di . Ortalama hasta yasi 49,63 ± 18,66 yil (aralik: 20-85 yil) idi. Kiriklar Frykman siniflamasina göre degerlendirildi. Hastalarin kontrol grafileri Steward kriterlerine göre degerlendirildi. Steward radyolojik kriterlerine göre; olgularimizin 6’sinda mükemmel, 17’sinde iyi, 6’sinda orta, 1’inde kötü sonuç alinmistir. Gartland-Werley klinik degerlendirme kriterlerine göre; 30 hastanin 6’sinda mükemmel, 17’sinde iyi, 6’sinda orta, 1’inde kötü sonuç alinmistir. Distal Radius kiriklarinda kapali redüksiyon ve perkütan çivileme yönteminin uygun redüksiyon saglanabilen her hastaya uygulanabilecegi, klinik ve radyolojik sonuçlarin diger yöntemlere göre kabul edilebilir oldugu düsünülebilir.

Distal radius fractures are the most common type of fracture among all body fractures. Although various surgical methods have been described for the treatment of these fractures, the standard treatment method is controversial. Despite the recommendation of closed reduction and percutaneous pinning for the treatment of unstable distal radius fractures, the role of this method in treatment is uncertain. The aim of this study is to evaluate the results of closed reduction and percutaneous pinning method prospectively. Unstable distal radius fractures were included in this prospective study, involving 30 wrists. Sixteen patients were female and 14 were male. The mean follow-up time was 13.1 ± 3.2 months (range: 6-24 months). The mean patient age was 49.63 ± 18.66 years (range: 20-85 years). The fractures were evaluated according to Frykman classification. Patients follow-up X-rays were evaluated according to Steward criteria. According to Steward radiological criteria; in our cases, 6 were excellent, 17 were good, 6 were fair, and 1 was poor. According to Gartland-Werley clinical evaluation criteria; 6 of the 30 patients were excellent, 17 were good, 6 were fair, and 1 was poor.