Kalkaneus Kırıklarında Tedavi Yöntemi Klinik Sonuçları Etkiler Mi? Retrospektif Karşılaştırmalı Çalışma.

Amaç: Deplase intraartiküler kalkaneus kırıklarında konservatif ve cerrahi tedaviler arasında fonksiyonel sonuçlar açısından herhangi bir fark olup olmadığını belirlemek.Yöntemler: Çalışmamızda 2012-2014 yılları arasında farklı merkezlerde konservatif ve cerrahi olarak tedavi edilmiş ve en az 2 yıl takibi olan 27 (13 konservatif ve 14 cerrahi tedavi) kalkaneus kırıklı hasta (22 erkek, 5 kadın) geriye dönük olarak incelendi. Hastaların fonksiyonel sonuçları AOFAS skorlarına göre karşılaştırıldı.Bulgular: Yaş ve cinsiyet açısından gruplar arasında anlamlı fark olmadığını bulduk.(p>0,05). AOFAS skorları konservatif tedavi uygulanan hastalarda 69,15 (56-82) ve cerrahi tedavi uygulanan hastalarda 84,3 (56-96) puan idi. Her iki tedavi grubunun AOFAS skorları karşılaştırıldığında (Mann Whitney-U Test) cerrahi tedavi uygulanan grupta fonksiyonel sonuçların istatistiksel anlamlı olarak daha iyi olduğunu bulduk. (p<0,05). Sonuç: Çalışmamızdan literatürdeki mevcut bilgileri destekleyecek şekilde çıkan sonuç, cerrahi tedavilerin sonuçlarının özellikle eklem içi kalkaneus kırıklarının tedavisinde, klinik ve fonksiyonel sonuçlar açısından konservatif tedaviden daha etkin olduğudur.

Anahtar Kelimeler:

Kalkaneus, Cerrahi, Konservatif

Does Treatment Modality Affect Clinical Results of Calcaneal Fractures: A Retrospective Comparative Study

Aim: To determine if there is any difference in functional results between surgical and conservative treatments in displaced intra-articular fractures of the calcaneum. Methods: 27 patients (22 males, 5 females, who were treated with surgical or conservative modalities (13 conservative and 14 surgical) due to displaced calcaneal fractures in different hospitals, were evaluated in this study between the years of 2012 and 2014. All patients were followed up at least for 2 years. All patients were compared using the AOFAS questionnaire.Results: There was no significant difference in terms of ages and sexes of the patients. (p>0, 05) The mean AOFAS score was 69, 15 (56-82) in conservative group, and 84, 3 (56-96) in surgical group. When these AOFAS scores were compared (Mann Whitney-U Test), the functional scores were significantly higher in surgical group (p<0, 05). Conclusion: Our study showed – as the existing literature also supports– that surgical treatment of intraarticular calcaneal fractures is functionally and clinically more effective than conservative treatment.

Keywords:

Calcaneus, Surgery, conservative,

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