Lokman KARAKURT, Erhan YILMAZ, Tahir VAROL, Oktay BELHAN, Erhan SERİN

Çocuk Önkol Çift Kemik Açılı Kaynamasında Kapalı Osteoklazi: Yeni Bir Teknik ve İki Olgu Sunumu

Çocuk önkol çift kırıklarında uygun kapalı redüksiyon ve sık kontrollere rağmen açılı kaynama meydana gelebilmektedir. Önkol çift kırığı sonrası erken dönemde açılı kaynama tespit edilen 5 yaşındaki kız ve 4.5 yaşındaki erkek olgularda intramedüller K-telleri yardımı ile kapalı osteoklazi yaptık ve intramedüller K-telleri ile osteosentez uyguladık. İlk 1 ay içinde tespit materyalleri çıkartılan olguların son kontrollerinde kaynama sorunsuzdu ve önkol fonksiyonları normaldi. Bu yeni osteoklazi tekniği erken dönemde saptanan çocuk önkol çift kemik açılı kaynamalarında güvenle uygulanabilir.

Anahtar Kelimeler:

Çocuk, önkol, açılı kaynama, intramedüller K-teli, kapalı osteoklazi

Closed Osteoclasis in Both-bone Forearm Malunions of Children: A New Technique and Report of Two Cases

Displaced fractures of the both-bone forearm in children are often treated conservatively, but there is a relatively high incidence of malunion. We used a new closed osteoclasis technique by assistance of intramedullary K-wires and fracture fixated with intramedullary K-wires in two children with both-bone forearm distal diaphyseal malunions which determined in early period. K-wires were extracted within the 1 month. At the last follow-up, there was no problem in fracture union and forearm function. This new osteoclasia technique can be safely used in both-bone forearm malunions of children which diagnosed in early period.

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Blackburn N, Ziv I, Rang M. Correction of the malunited forearm fracture. Clin Orthop 1984; 188: 54-57.
Herring JA. Upper extremity injuries. In: Herring JA (Editor). Tachdjian’s Pediatric Orthopaedics. 3rd ed. Philadelphia: W.B. Saunders Co. 2002: 2115-2250.
Price CT, Mencio GA. Injuries to the shafts of the radius and ulna. In: Beaty JH, Kasser RJ (Editors). Fractures in children. Philadelphia: Lippincott Williams&Wilkins 2001: 443-482.
Richter D, Ostermann PAW, Ekkernkamp A, et al. Elastic intramedullary nailing: a minimally invasive concept in the treatment of unstable forearm fractures in children. J Pediatr Orthop 1998; 18: 457-461.
Roberts JA. Angulation of the radius in children’s fractures. J Bone Joint Surg 1986; 68-B: 751-754.
Tarr RR, Garfinkel AI, Sarmiento A. The effect of angular and rotational deformities of both bones of the forearm: an in-vitro study. J Bone Joint Surg 1984; 66-A: 65-70.
Trousdale RT, Linscheid RL. Operative treatmant of malunited fractures of the forearm. J Bone Joint Surg 1995; 77-A: 894-902.
Van der Reis WL, Otsuka NY, Moroz P, et al. Intramedullary nailing versus plate fixation for unstable forearm fractures in children. J Pediatr Orthop 1998; 18: 9-13.
Wyrsch B, Mencio GA, Grenn NE. Open reduction and internal fixation of pediatric forearm fractures. J Pediatr Orthop 1996; 16: 644-650.
Kabul Tarihi:21.02.2005