AO/OTA k�r�k s�n�flamas�na ve yaralanma mekanizmalar�na g�re �ocuk k�r�klar�n�n analizi

Bilge, Onur; Keke�, Ahmet Fevzi; At�lgan, Numan; Yaka, Haluk; Dundar, Zerrin Defne; Karag�ven, Do�a�; Doral, Mahmut Nedim

Cilt : 28 Say� : 10 Y�l : 2024

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AO/OTA k�r�k s�n�flamas�na ve yaralanma mekanizmalar�na g�re �ocuk k�r�klar�n�n analizi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2022; 28(10): 1500-1507 | DOI: 10.14744/tjtes.2021.24469

AO/OTA k�r�k s�n�flamas�na ve yaralanma mekanizmalar�na g�re �ocuk k�r�klar�n�n analizi

Onur Bilge¹, Ahmet Fevzi Keke�¹, Numan At�lgan², Haluk Yaka³, Zerrin Defne Dundar⁴, Do�a� Karag�ven⁵, Mahmut Nedim Doral⁵
¹Necmettin Erbakan �niversitesi Meram T�p Fak�ltesi, Ortopedi ve Travmatoloji Anabilim Dal�, Konya
²Necmettin Erbakan �niversitesi Meram T�p Fak�ltesi, Acil T�p Anabilim Dal�, Konya
³�anl�urfa Mehmet Akif �nan E�itim ve Ara�t�rma Hastanesi, Ortopedi ve Travmatoloji Klini�i, �anl�urfa
⁴Karaman Devlet Hastanesi, Ortopedi ve Travmatoloji Klini�i, Karaman
⁵Ufuk �niversitesi T�p Fak�ltesi, Ortopedi ve Travmatoloji Anabilim Dal�, Ankara

AMA�: Pediatik k�r�klar�n epidemiyolojisi, �ok fakt�rl� bir �ekilde, zamanla de�i�im g�stermektedir. Bu �al��man�n amac�, mevcut AO/OTA k�r�k s�n�flamas�na g�re, yol g�venli�i i�in mevcut on y�ll�k eylem plan� kapsam�nda pediatrik k�r�klar�n son be� y�ll�k epidemiyolojik analizini ortaya koymakt�r. GERE� VE Y�NTEM: Bu geriye d�n�k, epidemiyolojik tan�mlay�c� �al��maya birinci d�zey bir travma merkezinde ortopedi ve travmatoloji ile ili�kili en az bir k�r�k tan�s� alm�� 3261 pediatrik hasta al�nd�. Hastalar ya�lar�na gore; <2, 2�5.9, 6�9.9 ve 10�17.9 olmak �zere d�rt ya� grubunda incelendi. K�r�klar AO/OTA k�r�k s�n�flamas�na g�re de�erlendirildi.
BULGULAR: �� bin iki y�z altm�� bir hastada 3396 k�r�k vard�. Hastalar�n ortalama ya�� 9.8�4.6 (1�17) idi. Ya� gruplar�na g�re k�r�k say�lar� s�ras�yla 28 (%0.008), 735 (%22.53), 863 (%26.47) ve 1635 (%50.99) idi. AO/OTA k�r�k s�n�flamas�na g�re en s�k g�r�len �� k�r�k; 23 (radius/ulna distal %22.9), 13 (humerus distal, %13.3) ve yedi (el/karpal, %12) idi. Hastalar�n %68.8�i ameliyats�z ve %31.2�si ameliyatla tedavi edildi. Toplam �l�m oran� %0.1 idi.
TARTI�MA: Bildi�imiz kadar�yla bu �al��ma, be� y�ll�k bir d�nem boyunca AO/OTA s�n�fland�rmas�na g�re pediatrik k�r�klar� analiz eden ilk �al��mad�r. Gelece�e y�nelik olarak, maj�r travmalar�n �nlenmesi i�in s�rd�r�lebilir bir eylem plan� olu�turmak amac�yla daha fazla �ok merkezli epidemiyolojik �al��ma yap�lmas� gerekmektedir.

Anahtar Kelimeler: AO/OTA s�n�flamas�, epidemiyoloji, pediatrik k�r�klar.

The initial analysis of pediatric fractures according to the AO/OTA fracture classification and mechanisms of injuries

Onur Bilge¹, Ahmet Fevzi Keke�¹, Numan At�lgan², Haluk Yaka³, Zerrin Defne Dundar⁴, Do�a� Karag�ven⁵, Mahmut Nedim Doral⁵
¹Departmant of Orthopedics and Traumatology, Necmettin Erbakan University Meram Faculty of Medicine, Konya-T�rkiye
²Department of Emergency, Necmettin Erbakan University Meram Faculty of Medicine, Konya-T�rkiye
³Departmant of Orthopedics and Traumatology, �anl�urfa Mehmet Akif �nan Training and Research Hospital, �anl�urfa-T�rkiye
⁴Departmant of Orthopedics and Traumatology, Karaman Training and Research Hospital, Karaman-T�rkiye
⁵Department of Orthopaedics and Traumatology, Ufuk University Faculty of Medicine, Ankara-T�rkiye

BACKGROUND: The epidemiology of pediatric fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of pediatric fractures, according to the current AO/OTA fracture classification, in the current decade of action for road safety.
METHODS: A total of 3261 pediatric patients who were diagnosed with at least one fracture related with orthopedics and traumatology in a level-one trauma center were included in this retrospective and epidemiological descriptive study. The patients were grouped according to their ages as follows; <2, 2�5.9, 6�9.9, and 10�17.9. The fractures were examined according to the AO/OTA classification.
RESULTS: A total of 3396 fractures were present in 3261 patients. The mean age of the patients was 9.8�4.6 (1�17). The number of patients according to the age groups was as follows; 28 (0.008%), 735 (22.53%), 863 (26.47%), and 1635 (50.99%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 23 (radius/ulna distal 22.9%), 13 (humerus distal, 13.3%), and 7 (hand/carpal, 12%). About 68.8% and 31.2% of the patients were treated non-surgically and surgically, respectively. Overall mortality rate was 0.1%.
CONCLUSION: To the best of our knowledge, this study represents the first analysis of pediatric fractures according to the AO/OTA classification, over a 5-year period. As a future prospect, further multicentric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.

Keywords: AO/OTA classification, epidemiology, pediatric fractures.

Sorumlu Yazar: Ahmet Fevzi Keke�, T�rkiye
Makale Dili: �ngilizce

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