Şükrü DEMİR, Erhan YILMAZ, Murat GÜRGER, Sefa KEY, Gökhan ÖNCE, Mustafa Ümit GÜRBÜZ

Skafoid Kırıklarında Perkütan ve Açık Cerrahi Sonuçlarının Değerlendirilmesi

Amaç: Kliniğimizde farklı endikasyonlar ile skafoid kırıkları için uygulanan operasyonların sonuçlarının değerlendirilmesi amaçlandı. Gereç ve Yöntem: Çalışmaya Ortopedi ve Travmatoloji kliniğinde skafoid kırığı nedeni ile opere edilmiş 47 hasta dahil edildi. Cerrahi teknik, kırık lokalizasyonu ve sigara kullanımının kaynama ve el bileği klinik skoru üzerine etkileri değerlendirildi. Bulgular: Kırık anatomik lokalizasyonlarına göre 5 (%10,6) hastada distal kutup kırığı, 32 (%68,1) hastada bel kırığı, 10 (%21,3) hastada proksimal kutup kırığı mevcuttu. Kırığın anatomik bölgelerine göre MAYO skorları incelendiğinde distal kutup bölge kırıkları mükemmel-iyi, bel bölgesi kırıkları iyi, proksimal kutup kırıkları ise iyi-orta olarak değerlendirildi. Sigara içen hastaların MAYO skorlarında düşüş görüldü. p

Evaluation of Percutaneous and Open Surgery Results in Scaphoid Fractures

Objective: We aimed to evaluate the results of operations performed for scaphoid fractures with different indications in our clinic. Material and Method: Forty-seven patients who were operated for scaphoid fractures in the orthopedics and traumatology clinic were included in the study. The effects of surgical technique, fracture location and smoking on union and wrist clinical score were evaluated. Results: Looking at the anatomical locations of the fracture; 5 (10.6%) patients had distal pole fractures, 32 (68.1%) patients had lumbar fractures, 10 (21.3%) patients had proximal pole fractures. When the MAYO scores were examined according to the anatomical regions of the fracture, distal pole fractures were evaluated as excellent-good, lumbar region fractures as good, and proximal pole fractures as good-fair. There was a decrease in MAYO scores of smoking p

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