PATELLA KIRIKLARINDA CERRAHÝ TEDAVÝ SONUÇLARIMIZ

Saðlýk Bakanlýðý Taksim Hastanesi, Ortopedi ve Travmatoloji Kliniðine Ocak 1993- Mart 1998 tarihleri arasýnda baþvuran ve cerrahi tedavi uygulanan 25 hastanýn 27 patellasýnda yapýlan fonksiyonel ve radyolojik deðerlendirmede 5 hasta mükemmel (%18.5), 7 hasta iyi (%26), 10 hasta orta (%37) ve 5 hasta kötü (% 18.5) olarak deðerlendirilmiþtir. Gergi bandý uygulanan 15 hastadan 2 hasta mükemmel (% 13.33),4 hasta iyi (%26.6), 7 hasta orta (%47), 2 hasta kötü sonuç (13.3) olarak deðerlendirilmiþtir. Magnuson tekniði uygulanan 2 hastanýn sonuçlarý iyi, bir hastanýn sonucu orta,bir hastanýn sonucu kötü olarak deðerlendirilmiþtir. Modifiye gergi bandý uygulanan 7 hastadan üçü mükemmel (% 43), bir hasta (14.2) iyi, bir hasta orta (%14.2) ve 2 hasta da kötü (%28.4) olarak deðerlendirilmiþtir. Hiçbir hastada kaynama gecikmesi veya kaynamama meydana gelmedi.Sonuç olarak çok parçalý kýrýklarda uygulanabilirliði, rijit fiksasyon saðlamasý ve erken harekete izin vermesi, vida veya ilave tekniklerle kombine edilebilmesi gibi özellikleri nedeniyle modifiye AO germe bandý tekniði patella kýrýklarýnýn cerrahi tedavisinde öncelikli olarak düþünülebilir.

RESULTS OF SURGICAL TREATMENT IN PATELLAR FRACTURES

A total of 25 patients underwent 27 operations due to patellar fracture of the Department of Orthopaedic and Traumatology, Taksim State Hospital between January 1993andMarch 1998. The results were evaluated based on radiological and functional criteria. According to Böstman criteria, consequently.5 patients were classified as "excellent", 7 patients as "good", 10 patients as "moderate", 5 patients as poor. On the other hand, among the 15 patients who had "tension band" as the treatment alternative, 2 patients were graded as "excellent", 4 patients were "good", 7patients "moderate", 2 patients "poor". Four patients underwent surgery using Magnuson Tecnique.Among them 2 showed good, 1 showed moderate and the other one showed poor result. 7 patients had modified tension band. Three patients had "excellent", one patients had good, one patient had moderate and 2 patients had poor results, respectively. There was no delayed union or nonunion in any case. In conclusion, considering the applicability in multiple fractures and combinations with other technique such as screw application technique, modified tension band should be considered as a primary treatment approach. It also provide rigid fixation and early mobilization of the patient.