70 YA� �ZER�NDEK� FEMUR BOYUN KIRIKLI HASTALARDA D�Z SAPLI (STRAIGHT STEM) PARS�YEL PROTEZ UYGULAMASI

�en, Cengiz; Akman, �enol; Boynuk, Burak; A��k, Mehmet; T�z�n, Remzi

Cilt : 6 Say� : 3 Y�l : 2024

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70 YA� �ZER�NDEK� FEMUR BOYUN KIRIKLI HASTALARDA D�Z SAPLI (STRAIGHT STEM) PARS�YEL PROTEZ UYGULAMASI [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2000; 6(3): 160-165

70 YA� �ZER�NDEK� FEMUR BOYUN KIRIKLI HASTALARDA D�Z SAPLI (STRAIGHT STEM) PARS�YEL PROTEZ UYGULAMASI

Cengiz �en¹, �enol Akman¹, Burak Boynuk¹, Mehmet A��k¹, Remzi T�z�n¹
Ptt E�itim Hastanesi Ortopedi ve Travmatoloji Klini�i

Ocak 1996-Ocak 1998 y�llar� aras�nda PTT E�itim Hastanesi Ortopedi ve Travmatoloji Klini�i'nde 70 ya� �zerindeki intrakaps�ler femur boyun k�r�kl� 27 hastaya primer olarak Protek'in Protema 90 tipi mod�ler ba�l� ve d�z sapl� (straight stem) protezle sementli hemiartroplasti ameliyat� yap�ld�. En az 1 y�l s�reyle takip edilen 21 hasta de�erlendirmeye al�nd�. Ortalama takip s�resi 15. 1 (en k�sa 12, en uzun 32) ayd�r. Hastalar�m�z�n 14' � kad�n, 7 si erkek olup ortalama ya� 79.6 (en k��k 72- en b�y�k 86) y�ld�r. Hastalar ameliyat sonras� Harris'in fonksiyonel skorlama sistemine g�re de�erlendirildi�inde 17(%80) hastada �ok iyi ve iyi, 4(%20) hastada orta ve k�t� sonu� elde edildi. Kulland��m�z parsiyel protezin mod�ler ba�l� ve d�z sapl� olmas�n�n gerek ameliyat s�ras�nda cerraha kolayl�k sa�lamas� gerekse ameliyat sonras� hastaya daha fazla hareket ve stabilite kazand�rmas� �nemli bir �st�nl��n� olu�turmaktad�r. Hastaya benzer fayday� sa�layan total protez ve bipolar protezlere g�re fiyat�n�n olduk�a ucuz olmas� en �nemli �st�nl��d�r. Bu �al��ma da 70 ya� �zerindeki hastalarda femur boyun k�r�klar�n�n d�z sapl� protezle ba�ar�l� olarak tedavi edildi�i sonucuna var�lm��t�r.

Anahtar Kelimeler: �LER� YA� FEMUR BOYUN KIRI�I, HEM�ARTROPLAST�

HEMIARTHROPLASTY WITH STRAIGHT STEM ENDOPROSTHESIS IN OVER 70 YEARS OLD PATIENTS WHO HAVE FEMORAL NECK FRACTURES

Cengiz �en¹, �enol Akman¹, Burak Boynuk¹, Mehmet A��k¹, Remzi T�z�n¹
Ptt E�itim Hastanesi Ortopedi ve Travmatoloji Klini�i

Between January 1996-January 1998, Department of Orthopaedics and Traumatology of PTT Training Hospital, hemiarthroplasties with Protek's Protema-90 straight stem endoprosthesis were performed in over 70 years old 27 patients who have femoral neck fractures. 21 of them were taken place in the study and mean follow up is 15.1 (ranging between 12-32) months. Of these, 14 were female and 7 were male. Mean age of the cases is 79.6 (72 86). According to Harris Hip Scoring System we obtained excellent, good results in 17 patients (%80) and fair, poor results in 4 (% 20) patients. The prostesis we used have two major advantage. First, it is not only able to be applied easily by surgeon but also patients have been provided more stability and motion by prosthesis. Second, Its price is much cheaper than total endoprosthesis and bipolar prosthesis which intend to achieve same purpose. It was concluded that hemiarthroplasty with straight stem which has moduler head were successfully applied for femoral neck fractures in over 70years old patients.

Keywords: FEMORAL NECK FRACTURES IN OLD PATIENTS, HEMIARTHROPLASTY WITH STRAIGHT STEM PROSTHESIS

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