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    Öğe
    Clavicle hook plate technique and functional results in the treatment of acromioclavicular joint dislocation
    (Alanya Alaaddin Keykubat Üniversitesi, 2019) Etli, İbrahim; Kılıçaslan, Ömer Faruk
    Aim: The aim of this study was to evaluate the functional results of patients with acromioclavicular joint (ACJ) dislocation and who were treated surgically with Hook plate (HP) . Patients and Methods:Patients with ACE dislocation between the years of 2016- 2018 and treated surgically with clavicle KP technique were included in the study. Of the 19 patients, 17 were male and 2 were female. 13 patients had Rockwood Type IV joint dislocation and 6 patients had Rockwood Type V joint dislocation. Functional results were evaluated with modified Constant-Murley shoulder score and standard test protocol. Descriptive statistics were used for data analysis. Results: The plate was removed at 10 months after the operation due to severe pain and limitation of movement in 1 patient. Two of the patients had plate dislocation. Other patients had no complaints. Degenerative changes were detected in direct radiography in 2 patients. The mean Modified Constant-Murley Shoulder Score of the patients was 65 (min: 26, max: 84). The mean pain score of the patients was 7. Ten (53%) patients had moderate and severe pain. Four of the patients had pain at the severity of 8, 4 of the patients had pain at the severity of 10, and 2 of the patients had pain at the severity of 12. The mean daily life activity score of the patients was 12 (min: 6-max: 20). The flexion and abduction score of the patients were lower than the external rotation and internal rotation. The mean total motion score of the patients was calculated as 27 (min: 8-max: 36). Conclusion: The HP method in the treatment of ACJ dislocation is early movement and load can be given, surgery is short and easy to apply as a method. However, it causes moderate and severe pain. This may affect functional results.
  • [ X ]
    Öğe
    Hangi skapula kırıklarını opere etmeliyiz ve fonksiyonel sonuçları nelerdir?
    (Alanya Alaaddin Keykubat Üniversitesi, 2023) Etli, İbrahim
    Amaç: Bu çalışmada, skapula kırığı nedeniyle, açık redüksiyon ve internal tespit yapılan hastaların fonksiyonel sonuçlarını ve komplikasyonları araştırdık. Yöntem: Çalışma, Eylül 2015 ile mart 2022 arasında skapula kırığı olan açık redüksiyon ve internal tespit (ARIF) ile tedavi edilen 16 hasta değerlendirildi.Radyolojik inceleme skapular planda AP,lateral,aksiller grafi ve bilgisayarlı tomografi (BT) ile yapıldı.Kırıklar revize edilmiş (AO/OTA) sınıflandırma sistemine göre sınıflandırıldı.Hastalara cerrahi teknik olarak deltopektoral ve Judet tarafından tarif edilen posterior yaklaşım uygulandı.Fonksiyonel sonuçlar, Constant-Murley skorları kullanılarak değerlendirildi. Bulgular: On hastada skapula boyun kırığı,glenoid fossa kırığı, beş hastada glenohumeral eklemi etkileyen skapular gövde kırığı ve bir hastada skapula proçes kırığı vardı.Ayrıca beş hastada klavıkula cisim kırığı varidi.Takip süresi ortalama 42 ay (6-92 ay).Omuz Constant-Murley skoru(CMS)ortalama93.8(±8.93)di. Sonuç:Yer değiştirmiş skapular kırıkların açık redüksiyonu ve internal fiksasyonu , kaynama oranı ve fonksiyonel sonuç açısından etkili bir tedavi seçeneğidir. Anahtar Kelimeler: