Gökhan TOKER, Fırat OZAN, Osman Arslan BORA

Ters Hill-Sachs lezyonu tedavisinde otogreft rekonstrüksiyonu

Ters Hill-Sachs lezyonu posterior omuz ç›k›¤›nda humerus bafl›n›n anterior yüzünde çökme sonucu oluflan k›r›k sonras› görülen bir defekttir. Çal›flmam›zda, elektrik çarpmas›na ba¤l› düflme sonucu sa¤ omuzda a¤r› ve hareket k›s›tl›l›¤› nedeniyle, travma sonras› ikinci gün poliklini¤imize baflvuran 34 ya- fl›nda bir erkek hasta bildiriyoruz. Omuz radyografileri ve BT incelemelerinde sa¤ omuzda ters Hill- Sachs lezyonu oldu¤u görüldü. Travma sonras› beflinci gün ameliyat edilen hastan›n, humerus bafl›n›n aç›k redüksiyonu, deprese osteokondral yüzeyinin elevasyonu ve otogreft ile rekonstrüksiyonu yap›la- rak, glenohumeral eklem kapsülünün posterior yüzü onar›ld›. Ameliyat sonras› 5 y›l takip edilen olgu Constant skoru ile de¤erlendirildi ve mükemmel sonuç elde edildi.

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