Ulus Travma Acil Cerrahi Derg. 2013; 19(2): 145-151 | DOI: 10.5505/tjtes.2013.75301

Eklemiçi kalkaneus kýrýklarýnda cerrahi tedavi yöntemimizin orta dönem sonuçlarý

Deniz Gülabi¹, Ferdi Sarý¹, Cengiz Sen², Cem Coskun Avcý¹, Fevzi Saglam¹, Mehmet Erdem¹, Guven Bulut^1
1Dr.lutfi Kýrdar Kartal Eðitim Ve Araþtýrma Hastanesi
²Bezmi Alem Universitesi Týp Fakültesi Ortopedi Ve Travmatoloji Anabilim Dalý

EKLEMÝÇÝ KALKANEUS KIRIKLARINDA CERRAHÝ TEDAVÝ YÖNTEMÝMÝZÝN ORTA DÖNEM SONUÇLARI
AMAÇ: Kalkaneus kýrýklarýnda cerrahi tedavi sonuçlarýmýzý radyolojik ve fonksiyonel açýdan deðerlendirildi.
MATERYAL VE METOD: : Kasým 2003- Mayýs 2009 tarihleri arasýnda kliniðimizde deplase intraartiküler kýrýðý olan 26 hastanýn 27 ayaðý çalýþmaya alýndý.Hastalarýn 21’i erkek(%81), 5’i kadýn(%19) ve opere olduklarýnda ortalama yaþlarý 29,2( 18-61)’ di. Kalkaneus plaðý kullanýlarak açýk redüksiyon ve internal tespit kullanýlmýþtýr.
SONUÇLAR: Hastalar Maryland ve Creighton-Nebraska ayak deðerlendirme skorlarýna göre deðerlendirilmiþtir. Radyolojik deðerlendirme Böhler ve Gissane açýlarýndaki deðiþikliklere göre yapýlmýþtýr. Hastalar ortalama 34.4 ay (6 ay-79 ay) takip edildi. 3 hasta dýþýnda diðer hastalarýmýzda iyi ve çok iyi sonuç elde edilmiþtir.
ÇIKARIMLAR: Sanders tip 4 kýrýðý olan 5 hastamýzda da tatmin edici sonuçlar elde ettiðimiz için, bu tip kýrýklarda bile açýk redüksiyon internal tespit uygulamasýnýn makul bir seçenek olduðu kanýsýndayýz.

Anahtar Kelimeler: Kalkaneus kýrýklarý, Sanders sýnýflamasý, kalkaneus plaklarý, eklemiçi kýrýklar

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Mid-term results of Calcaneal Plating for Displaced Intraarticular Calcaneus Fractures

Deniz Gülabi¹, Ferdi Sarý¹, Cengiz Sen², Cem Coskun Avcý¹, Fevzi Saglam¹, Mehmet Erdem¹, Guven Bulut^1
1Dr.lutfi Kýrdar Kartal Training And Research Hospital
²Bezmi Alem University Medicine Faculty Orthopaedic And Traumatology Department

Ýntroduction: The radiological and functional results of surgical treatment in intraarticular calcaneal fractures are presented in this study.
Method: 27 feet of 26 patients with displaced intraarticular fractures were treated surgically in our clinic between November 2003 and May 2009. 21 patients were male (81%), and 5 were female (19%). The average age was 29.2 (range, 18-61 years) at the time of the surgical treatment. Open reduction internal fixation was performed by using a calcaneal plate.
Results: The results were evaluated according to the Maryland foot score and Creighton-Nebraska scores.The radiological evaluation was made according to the mean value changes of Böhler and Gissena angles. The mean follow-up period was 34.4 months (range, 19 to 85 months). Except for 3 patients with Sanders type-4 fractures, good results were obtained with surgical treatment.
Conclusion: We conclude, open reduction and internal fixation methods yield reasonable outcome, even in patients with Sanders type 4 intraarticular fractures of the calcaneus.

Keywords: Calcaneus fracture, Sanders classification, calcaneal plating, intraarticular fracture.

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