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The mid-term results of treatment for tibial pilon fractures

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429 Turkish Journal of Trauma & Emergency Surgery Original Article .OLQLN dDO×üPD Ulus Travma Acil Cerrahi Derg 2012;18 (5):429-435 1 VW 'HSDUWPHQW RI 2UWKRSHGLFV DQG 7UDXPDWRORJ\ 'U /WÀ .×UGDU .DUWDO Education and Research Hospital, Istanbul; 2 Department of Orthopaedics and Traumatology, Bezmi Alem University, Istanbul; 3 Department of Orthopaedics and Traumatology, Memorial Hospital, Istanbul, Turkey. 1 'U /WÀ .×UGDU .DUWDO (ùLWLP YH $UDüW×UPD +DVWDQHVL 2UWRSHGL YH 7UDYPDWRORML .OLQLùL úVWDQEXO 2 Bezmi Alem Üniversitesi, 2UWRSHGL YH 7UDYPDWRORML .OLQLùL úVWDQEXO 3 Memorial Hastanesi, 2UWRSHGL YH 7UDYPDWRORML .OLQLùL úVWDQEXO Correspondence úOHWLüLP 'HQL] *XODEL 0' &DIHUDùD 0DK +DF× ûNU 6RN 6OQ $SW 1R .DG×N|\ úVWDQEXO 7XUNH\ 7HO HPDLO HSRVWD [email protected] AMAÇ %X \D]ÕGD GLVWDO WLELD SLORQ NÕUÕNODUÕQÕQ FHUUDKL WHGDYL VR- QXoODUÕ UDG\RORMLN YH NOLQLN RODUDN DUDúWÕUÕOGÕ GEREÇ VE YÖNTEM WDULKOHUL DUDVÕQGD FHUUDKL RODUDN WHGDYL HGLOHQ KDVWDQÕQ HUNHN NDGÕQ RUWDODPD \Dú GD÷ÕOÕP \Dú D\D÷Õ GH÷HUOHQGLULOGL %X NÕUÕNODUÕQ ¶QH DoÕN UHGNVL\RQ YH LQWHUQDO ¿NVDV\RQ ¶LQH HNVWHUQDO ¿N- VDV\RQ \DSÕOGÕ +DVWDODU RUWDODPD D\ WDNLS HGLOGL +DV- WDODU 7HHQ\:LVV IRQNVL\RQHO D\DNELOH÷L VNRUODPDVÕQD J|UH GH÷HUOHQGLULOGL 5DG\RORMLN RODUDN NÕUÕN UHGNVL\RQ VNRUOD- PDVÕ 2YDGLD YH %HDOV NULWHUOHULQH J|UH \DSÕOGÕ BULGULAR 7LS NÕUÕNODUÕQ ¶XQGD WLS NÕUÕNODUÕQ ¶LQGH YH WLS NÕUÕNODUÕQ ¶LQGH PNHPPHO VR- QXo HOGH HGLOGL 7LS NÕUÕNODUÕQ ¶XQGD N|W VRQXo HOGH HGLOPLúNHQ WLS YH WLS NÕUÕNODUÕQ ¶VLQGH N|W VRQXo HOGH HGLOGL (NVWHUQDO ¿NVDW|U X\JXODPDVÕ LOH NDUúÕODúWÕUÕOGÕ÷ÕQGD oRN L\L YH L\L VRQXoODU DQODPOÕ GHUH- FHGH \NVHN VD\ÕGD DoÕN UHGNVL\RQ LQWHUQDO ¿NVDV\RQ X\JXODPDVÕ LOH HOGH HGLOGL VÕUDVÕ\OD Q YH Q S SONUÇ 3LORQ NÕUÕNODUÕQÕQ FHUUDKL WHGDYLVLQGH DWUDYPDWLN \XPXúDN GRNX GLVHNVL\RQX HNOHP \]QQ DQDWRPLN UHGNVL\RQX VWDELO ELU WHVSLW HUNHQ KDUHNHW YH KDVWDQÕQ PRELOL]DV\RQX LONHOHULQH X\XOGX÷XQGD EDúDUÕOÕ VRQXoODU DOÕQDELOPHNWHGLU DQFDN EX SUHQVLSOHUH X\XOPDVÕQD UD÷PHQ WLS NÕUÕNODUGD WUDYPD VRQUDVÕ DUWULW NDoÕQÕOPD]GÕU Anahtar Sözcükler: 5HGL$OOJRZHU VÕQÕÀDPDVÕ FHUUDKL WHGDYL SLORQ WLELD NÕUÕNODUÕ BACKGROUND ,Q WKLV UHSRUW WKH VXUJLFDO WUHDWPHQW UHVXOWV RI GLVWDO WLELD SLORQ IUDFWXUHV DUH DQDO\]HG UDGLRORJLFDOO\ DQG FOLQLFDOO\ METHODS %HWZHHQ DQG IHHW RI SDWLHQWV PDOHV IHPDOHV PHDQ DJH \HDUV UDQJH WR \HDUV ZKR ZHUH WUHDWHG VXUJLFDOO\ IRU WLELDO SLORQ IUDFWXUHV ZHUH HYDOX- DWHG 2SHQ UHGXFWLRQ DQG LQWHUQDO ¿[DWLRQ ZHUH DSSOLHG WR DQG H[WHUQDO ¿[DWLRQ WR IUDFWXUHV 7KH SDWLHQWV ZHUH HYDOXDWHG DFFRUGLQJ WR WKH 7HHQ\:LVV IXQFWLRQDO DQNOH VFRUH DQG RYHUDOO DVVHVVPHQW RI UHGXFWLRQ ZDV FDOFXODWHG UDGLRJUDSKLFDOO\ DFFRUGLQJ WR WKH FULWHULD RI 2YDGLD DQG %HDOV RESULTS :KLOH H[FHOOHQW UHVXOWV ZHUH DFKLHYHG LQ W\SH W\SH DQG W\SH IUDFWXUHV IDLU SRRU RXWFRPHV ZHUH REWDLQHG LQ W\SH DQG LQ W\SHV DQG IUDFWXUHV HDFK S &RPSDUHG WR WKH H[WHUQDO ¿[DWLRQ DSSOLFDWLRQ D VWDWLVWLFDOO\ VLJQL¿- FDQWO\ KLJKHU QXPEHU RI H[FHOOHQW DQG JRRG RXWFRPHV ZHUH REWDLQHG ZLWK RSHQ UHGXFWLRQ LQWHUQDO ¿[DWLRQ DSSOLFDWLRQ Q YV Q UHVSHFWLYHO\ S CONCLUSION ,I WKH SULQFLSOHV RI DWUDXPDWLF VRIW WLVVXH GLVVHFWLRQ DQD- WRPLF UHGXFWLRQ RI WKH MRLQW IDFH VWDEOH ¿[DWLRQ DQG HDUO\ PRELOL]DWLRQ RI WKH SDWLHQW DUH FRPSOLHG ZLWK LQ WKH VXUJL- FDO WUHDWPHQW RI SLORQ IUDFWXUHV VXFFHVVIXO UHVXOWV FDQ EH DFKLHYHG +RZHYHU LQ W\SH IUDFWXUHV HYHQ LI WKHVH SULQFL- SOHV DUH FRPSOLHG ZLWK SRVWWUDXPDWLF DUWKULWLV LV LQHYLWDEOH Key Words: 5HGL$OOJ|ZHU FODVVL¿FDWLRQ VXUJLFDO WUHDWPHQW WLELDO SLORQ IUDFWXUHV doi: 10.5505/tjtes.2012.86094 The mid-term results of treatment for tibial pilon fractures 7LELD SLORQ NÕUÕNODUÕQGD RUWD G|QHP FHUUDKL VRQXoODUÕPÕ] 'HQL] *h/$%ø 1 g]JU 7235$. 1 &HQJL] ù(1 2 &HP &RúNXQ $9&, 1 (UNDO %ø/(1 3 )HY]L 6$ö/$0 1
Transcript

429

Turkish Journal of Trauma & Emergency Surgery

Original Article .OLQLN�dDO×üPD

Ulus Travma Acil Cerrahi Derg 2012;18 (5):429-435

1�VW�'HSDUWPHQW�RI�2UWKRSHGLFV�DQG�7UDXPDWRORJ\��'U��/�WÀ�.×UGDU�.DUWDO�Education and Research Hospital, Istanbul; 2Department of Orthopaedics

and Traumatology, Bezmi Alem University, Istanbul; 3Department of Orthopaedics and Traumatology, Memorial Hospital, Istanbul, Turkey.

1'U��/�WÀ�.×UGDU�.DUWDO�(ùLWLP�YH�$UDüW×UPD�+DVWDQHVL�����2UWRSHGL�YH�7UDYPDWRORML�.OLQLùL��úVWDQEXO��2Bezmi Alem Üniversitesi,

2UWRSHGL�YH�7UDYPDWRORML�.OLQLùL��úVWDQEXO��3Memorial Hastanesi, 2UWRSHGL�YH�7UDYPDWRORML�.OLQLùL��úVWDQEXO�

Correspondence �úOHWLüLP���'HQL]�*XODEL��0�'���&DIHUDùD�0DK���+DF×�û�NU��6RN���6�O�Q�$SW��1R��������.DG×N|\��������úVWDQEXO��7XUNH\�

7HO����������������������������������H�PDLO��H�SRVWD�� [email protected]

AMAÇ%X�\D]ÕGD��GLVWDO�WLELD��SLORQ��NÕUÕNODUÕQÕQ�FHUUDKL�WHGDYL�VR-QXoODUÕ��UDG\RORMLN�YH�NOLQLN�RODUDN�DUDúWÕUÕOGÕ�

GEREÇ VE YÖNTEM���������� WDULKOHUL� DUDVÕQGD� FHUUDKL� RODUDN� WHGDYL� HGLOHQ���� KDVWDQÕQ� ���� HUNHN�� �� NDGÕQ�� RUWDODPD� \Dú� ���� GD÷ÕOÕP������� \Dú�� ��� D\D÷Õ� GH÷HUOHQGLULOGL�� %X� NÕUÕNODUÕQ� ��¶�QH�DoÕN� UHG�NVL\RQ�YH� LQWHUQDO�¿NVDV\RQ���¶LQH� HNVWHUQDO�¿N-VDV\RQ�\DSÕOGÕ��+DVWDODU�RUWDODPD����D\� WDNLS�HGLOGL��+DV-WDODU�7HHQ\�:LVV�IRQNVL\RQHO�D\DNELOH÷L�VNRUODPDVÕQD�J|UH�GH÷HUOHQGLULOGL��5DG\RORMLN�RODUDN�NÕUÕN�UHG�NVL\RQ�VNRUOD-PDVÕ�2YDGLD�YH�%HDOV�NULWHUOHULQH�J|UH�\DSÕOGÕ�

BULGULAR7LS� �� NÕUÕNODUÕQ� �¶XQGD� ��������� WLS� �� NÕUÕNODUÕQ� �¶LQGH���������YH�WLS���NÕUÕNODUÕQ��¶LQGH���������P�NHPPHO�VR-QXo�HOGH�HGLOGL��7LS���NÕUÕNODUÕQ��¶XQGD���������N|W��VRQXo�HOGH�HGLOPLúNHQ�� WLS���YH� WLS���NÕUÕNODUÕQ��¶VLQGH� ��������N|W�� VRQXo� HOGH� HGLOGL�� (NVWHUQDO� ¿NVDW|U� X\JXODPDVÕ� LOH�NDUúÕODúWÕUÕOGÕ÷ÕQGD�� oRN� L\L� YH� L\L� VRQXoODU� DQODPOÕ� GHUH-FHGH� \�NVHN� VD\ÕGD� DoÕN� UHG�NVL\RQ� LQWHUQDO� ¿NVDV\RQ�X\JXODPDVÕ�LOH�HOGH�HGLOGL��VÕUDVÕ\OD��Q ���������YH�Q �����������S�������

SONUÇ3LORQ�NÕUÕNODUÕQÕQ�FHUUDKL�WHGDYLVLQGH��DWUDYPDWLN�\XPXúDN�GRNX�GLVHNVL\RQX��HNOHP�\�]�Q�Q�DQDWRPLN�UHG�NVL\RQX��VWDELO�ELU� WHVSLW�� HUNHQ�KDUHNHW�YH�KDVWDQÕQ�PRELOL]DV\RQX�LONHOHULQH�X\XOGX÷XQGD�EDúDUÕOÕ� VRQXoODU�DOÕQDELOPHNWHGLU��DQFDN� EX� SUHQVLSOHUH� X\XOPDVÕQD� UD÷PHQ� WLS� �� NÕUÕNODUGD�WUDYPD�VRQUDVÕ�DUWULW�NDoÕQÕOPD]GÕU�Anahtar Sözcükler: 5�HGL�$OOJRZHU� VÕQÕÀDPDVÕ�� FHUUDKL� WHGDYL��SLORQ�WLELD�NÕUÕNODUÕ��

BACKGROUND,Q� WKLV�UHSRUW�� WKH�VXUJLFDO� WUHDWPHQW�UHVXOWV�RI�GLVWDO� WLELD��SLORQ��IUDFWXUHV�DUH�DQDO\]HG�UDGLRORJLFDOO\�DQG�FOLQLFDOO\��

METHODS%HWZHHQ������DQG����������IHHW�RI����SDWLHQWV�����PDOHV����IHPDOHV��PHDQ�DJH����\HDUV��UDQJH����WR����\HDUV��ZKR�ZHUH�WUHDWHG�VXUJLFDOO\�IRU�WLELDO�SLORQ�IUDFWXUHV�ZHUH�HYDOX-DWHG��2SHQ�UHGXFWLRQ�DQG�LQWHUQDO�¿[DWLRQ�ZHUH�DSSOLHG�WR����DQG�H[WHUQDO�¿[DWLRQ� WR��� IUDFWXUHV��7KH�SDWLHQWV�ZHUH�HYDOXDWHG� DFFRUGLQJ� WR� WKH� 7HHQ\�:LVV� IXQFWLRQDO� DQNOH�VFRUH��DQG�RYHUDOO�DVVHVVPHQW�RI�UHGXFWLRQ�ZDV�FDOFXODWHG�UDGLRJUDSKLFDOO\� DFFRUGLQJ� WR� WKH� FULWHULD� RI� 2YDGLD� DQG�%HDOV�

RESULTS:KLOH� H[FHOOHQW� UHVXOWV�ZHUH� DFKLHYHG� LQ� �� �������� W\SH������W\SH������������DQG�����������W\SH���IUDFWXUHV��IDLU�SRRU�RXWFRPHV�ZHUH�REWDLQHG�LQ�����������W\SH���DQG�LQ�����������W\SHV���DQG���IUDFWXUHV�HDFK��S���������&RPSDUHG�WR� WKH� H[WHUQDO� ¿[DWLRQ� DSSOLFDWLRQ�� D� VWDWLVWLFDOO\� VLJQL¿-FDQWO\�KLJKHU�QXPEHU�RI�H[FHOOHQW�DQG�JRRG�RXWFRPHV�ZHUH�REWDLQHG�ZLWK�RSHQ�UHGXFWLRQ�LQWHUQDO�¿[DWLRQ�DSSOLFDWLRQ��Q ���������YV�Q �����������UHVSHFWLYHO\��S�������

CONCLUSION,I� WKH� SULQFLSOHV� RI� DWUDXPDWLF� VRIW� WLVVXH� GLVVHFWLRQ�� DQD-WRPLF�UHGXFWLRQ�RI�WKH�MRLQW�IDFH��VWDEOH�¿[DWLRQ��DQG�HDUO\�PRELOL]DWLRQ�RI�WKH�SDWLHQW�DUH�FRPSOLHG�ZLWK�LQ�WKH�VXUJL-FDO� WUHDWPHQW� RI� SLORQ� IUDFWXUHV�� VXFFHVVIXO� UHVXOWV� FDQ� EH�DFKLHYHG��+RZHYHU��LQ�W\SH���IUDFWXUHV��HYHQ�LI�WKHVH�SULQFL-SOHV�DUH�FRPSOLHG�ZLWK��SRVW�WUDXPDWLF�DUWKULWLV�LV�LQHYLWDEOH�Key Words:� 5�HGL�$OOJ|ZHU� FODVVL¿FDWLRQ�� VXUJLFDO� WUHDWPHQW��WLELDO�SLORQ�IUDFWXUHV��

doi: 10.5505/tjtes.2012.86094

The mid-term results of treatment for tibial pilon fractures

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The mid-term results of treatment for tibial pilon fractures

Cilt - Vol.�����6D\���No. 5 435


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