Ulus Travma Acil Cerrahi Derg. 2001; 7(1): 52-55

NEVIASER YÖNTEMÝ ÝLE TEDAVÝ EDÝLEN AKUT GRADE III AKROMÝOKLAVÝKULAR ÇIKIKLARDA SONUÇLAR

Davut Keskin¹, Naci Ezirmik¹, Recep Çelik¹
Atatürk Ü. Týp Fak. Ortopedi ve Travmatoloji Ad, Erzurum

Akut grade III akromioklavikular çýkýklarýn tedavisinde kullanýlan yöntemler ve sonuçlarý üzerinde farklý görüþler vardýr. Bu çalýþmada Atatürk Üniversitesi Týp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalý'nda Neviaser yöntemi ile cerrahi olarak tedavi edilen ve takip edilebilen 10 hastanýn sonuçlarý deðerlendirilmiþtir. Hastalarýn hepsi erkek olup, yaþlarý 25 - 44 (ortalama 36.5) yýldýr. Çýkýk 5 olguda (%50) omuz üzerine düþme, 4 olguda (9640) trafik kazasý, 1 olguda (%W) ise direk omuz travmasý sonucu oluþmuþtur. Çýkýk oluþmasý ile ameliyat zamaný arasýnda geçen süre 5 20 (ortalama 10.2) gündür.6 ay 2 yýl (ortalama 13.1 ay) takip edilen olgularýn hiç birinde komplikasyon gözlenmemiþ ve 9 olguda (%90) çok iyi ve iyi sonuç elde edilmiþtir. Bu çalýþmanýn sonucunda akut grade III akromioklavikular çýkýklý hastalarda Neviaser yönteminin iyi sonuçlar verdiði kanaatine varýlmýþtýr.

Anahtar Kelimeler: AKROMÝOKLAVÝKULAR ÇIKIK, CERRAHÝ TEDAVÝ, NEVÝASER YÖNTEMÝ

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THE RESULTS IN ACUTE GRADE III ACROMIOCLAVICULAR DISLOCATIONS TREATED WITH NEVIASER'S METHOD

Davut Keskin¹, Naci Ezirmik¹, Recep Çelik¹
Atatürk Ü. Týp Fak. Ortopedi ve Travmatoloji Ad, Erzurum

There are the different opinions on the methods used in the treatment of acute grade III acromioclavicular dislocations and their results. In this study, the results of 10 patients treated with Neviaser's method and followed in The Department Orthopaedics and Traumatology of Atatürk University Medical School were evaluated. All patients were males and the average age was 36.5 (25 to 45) years. The causes of dislocations were falls on the shoulder in 5 cases (50%), traffic accidents in 4 cases (40%) and direct trauma to the shoulder in 1 case (10%). The mean interval between injury and operation time was 10.2 (5 to 20) days. The cases were followed up with an average period of 13.1 months (6 months 2 years). The excellent and good results were obtained in 9 cases (90%) and the complication was observed in not one of the patients. We consider that Neviaser's method is a good alternative in the treatment of acute grade III acromioclavicular dislocations that operation is indicated.

Keywords: ACROMIOCLAVICULAR DISLOCATION, SURGICAL TREATMENT, NEVIASER'S METHOD

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ATIF KOPYALA