TRAKS�YON VE PELV�PEDAL AL�I �LE TEDAV� ED�LEN �OCUK FEMUR C�S�M KIRIKLARINDA SONU�LAR

Keskin, Davut; Ezirmik, Naci; Tatl�, L�tf�

Cilt : 6 Say� : 3 Y�l : 2024

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TRAKS�YON VE PELV�PEDAL AL�I �LE TEDAV� ED�LEN �OCUK FEMUR C�S�M KIRIKLARINDA SONU�LAR [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2000; 6(3): 202-206

TRAKS�YON VE PELV�PEDAL AL�I �LE TEDAV� ED�LEN �OCUK FEMUR C�S�M KIRIKLARINDA SONU�LAR

Davut Keskin¹, Naci Ezirmik¹, L�tf� Tatl�¹
Atat�rk �. T�p Fak. Ortopedi ve Travmatoloji Ad

�ocuk femur cisim k�r�klar� �o�unlukla konservatif olarak tedavi edilmektedir. Traksiyon ve pelvipedal al�� uygulamas� da bu y�ntemlerden biridir. Bu �al��mada 1992-1999 y�llar� aras�nda, Atat�rk �niversitesi T�p Fak�ltesi Ortopedi ve Travmatoloji Anabilim Dal�'nda, fraksiyon ve pelvipedal al�� ile konservatif olarak tedavi edilen femur �aft k�r�kl� 82 �ocuktan kontrolleri yap�labilen ve tek tarafl� k�r�k olan 50'sinin sonu�lar� de�erlendirilmi�tir. Ya�lan 4 g�n 13y�l (ortalama 4.2 y�l) olan olgular�n 11'i (%22) kad�n, 39'u (%78) erkektir. Traksiyonda kalma s�resi 10-25 (ortalama 18.1) g�n, al��da kalma s�resi ise 20 g�n ile 12 hafta aras�nda, ortalama 8.4 haftad�r. Olgular 5 ay ile 6y�l aras�nda, ortalama 3.5 y�l takip edilmi�lerdir. Olgular�n %94'�nde ba�ar�l� sonu� elde edilmi�tir. �al��man�n sonucunda, �ocuk femur cisim k�r�klar�n�n fraksiyon ve pelvipedal al�� ile tedavisinin iyi sonu� veren bir y�ntem oldu�u kanaatine var�lm��t�r.

Anahtar Kelimeler: �OCUK FEMUR C�S�M KIRIKLARI, TRAKS�YON, PELV�PEDAL AL�I

THE RESULTS OF THE TREATMENT WITH TRACTION AND SPICA CAST IN CHILDREN'S FEMORAL SHAFT FRACTURES

Davut Keskin¹, Naci Ezirmik¹, L�tf� Tatl�¹
Atat�rk �. T�p Fak. Ortopedi ve Travmatoloji Ad

Children's femoral shaft fractures are usually treated conservatively. One of the conservative methods is the treatment with traction and spica cast. In The Department of Orthopaedics and Traumatology of Atat�rk University Medical School, between 1992-1999 years, 82 children with femoral shaft fractures were treated with traction and spica cast, and of the cases, 50 with unilateral fracture could be done control. Of 50 cases, 11 (22%) were females and 39 (78%) males. The average age was 4.2 years, ranging from 4 days to 13 years. The traction period was 10-25 (average 18.1) days, and the cast period was from 20 days to 12 weeks (average 8.4 weeks). The cases were followed up with an average period 3.5 years (5 months-6 years). The satisfactory outcomes were showed in 47 (94%) cases. In the result of this study, it was concluded that the treatment with traction and then a spica cast after stabilization of the fracture by callus was the successful method.

Keywords: CHIDREN'S FEMORAL SHAFT FRACTURES, TRACTION, SPICA CAST

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