Eksternal Fiksasyon Pediatrik Femur Kırıklarında Etkili Bir Tedavi Metodu mudur?

Amaç: Pediatrik femur kırıkları acil servislerde karşılaşılan kırıkların önemli bir bölümünü oluşturmaktadır. Tedavi seçenekleri arasında konservatif yöntemler ve cerrahi yöntemler bulunmaktadır. Açılanma, malrotasyon ve kısalık gibi farklı sorunlar her iki tedavi yönteminde de görülebilir. Metot: Bu çalışmada son beş yıl içinde eksternal fiksasyonla tedavi edilen 22 pediatrik femur kırıklı hasta retrospektif olarak değerlendirilip, eksternal fiksatör tedavisinin avantajları ve dezavantajları incelenmiştir. Bulgular: Çalışmada elde edilen sonuçlar tatmin edici idi. Eksternal fiksatör uygulaması kolay ve hızlı bir yöntemdir. Sonuç: Bazı dezavantajlarına rağmen, hastanede kalış süresinin kısa olması, erken mobilizasyon, aile bakımı, çocuk ve aile uyumu, kısa sürede okula geri dönebilme ve maliyet etkin bir yöntem olması gibi nedenlerle çocuk femur kırıklarında ilk planda uygulanabilir bir tedavi yöntemi olabilir. 

Is External Fixation Effective in Pediatric Femur Fractures?

Backgrounds: Pediatric femur fractures comprise a major portion of fractures that are repaired in emergency rooms. Treatment options include conservative methods, and surgical methods. Different problems such as angulation, malrotation and shortening may be observed both treatment methods. Methods: In this study twenty-two pediatric femoral fractures which treated with external fixators in past five years were evaluated retrospectively. Advantages, and disadvantages of external fixation were investigated. Results: Results were satisfactory. In conclusion, external fixator application is an easy to perform and quick method. Conclusions: Despite some disadvantages, it may be one of the treatment methods that should be considered in the first plan in pediatric femoral fractures due to reasons such as short length of hospital stay, early mobilization, ease of family care, rapid child and family compliance, early return to school, and reduced treatment costs. 

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Harran Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 1304-9623
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2004
  • Yayıncı: Harran Üniversitesi Tıp Fakültesi Dekanlığı
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