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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2008 / Cilt: 19 - Sayı: 2

Erişkin femur cisim kırıklarının hibrid Ilizarov eksternal fiksatör ile tedavisi

The treatment of femoral shaft fractures in adults with hybrid Ilizarov external fixator

Erhan YILMAZ
Ahmet EKİNCİ
Erhan SERİN
Lokman KARAKURT
Oktay BELHAN
Pages
50–54
Publication Date
2022-10-18
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We choose hybrid fixators for their safety and ease of application for femural shaft fractures.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: The aim of this study was to evaluate the results of femoral shaft fractures treated with hybrid Ilizarov external fixator.
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Key Findings & Data:Patients and methods Patients with femoral fractures (n=30) treated by hybrid Ilizarov external fixator were evaluated.
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Conclusion & Impact:We choose hybrid fixators for their safety and ease of application for femural shaft fractures.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: The aim of this study was to evaluate the results of femoral shaft fractures treated with hybrid Ilizarov external fixator. Patients and methods Patients with femoral fractures (n=30) treated by hybrid Ilizarov external fixator were evaluated. There were 8 (26.7%) females and 22 (73.3%) males and the mean age was 34.6 (18-56) years. There were 25 open fractures. According to Gustillo-Anderson classification; 9 were Grade II, 7 were Grade III A and 9 were Grade III B. In all cases, while two rings were placed distal to the fracture line using connectors and different numbers of 90º-120º femoral arches, these rings were fixed to the proximal segment by using the half pins.Results: All patients were evaluated in accordance with functional and radiographic results; 43.3% were excellent, 33.3% good, 16.6% intermediate and 6.6% poor.Conclusion: Applying a standart frame configuration may not be possible in proximal femur fractures due to the complex anatomical structure and rich neurovascular configuration. While using K-wires, there will be a risk of introducing K-wires to crucial neurovascular areas, so hybrid external fixators are preferred. We choose hybrid fixators for their safety and ease of application for femural shaft fractures.

Özet

Amaç: Bu çalışmanın amacı; hibrid İlizarov eksternal fiksatörü ile tedavi edilen femur isim kırıklarının sonuçlarını değerlendirmektir.Hastalar ve yöntemler: Hibrid İlizarov eksternal fiksatörü ile tedavi edilmiş femur kırıklı hastalar (n=30) değerlendirildi. Olguların 8’i kadın ve 22’si erkekti. Ortalama yaş 34.6 (18-56) idi. Olguların 25’i açık kırıktı ve Gustillo-Anderson sınıflamasına göre; 9 olgu Tip II, 7 olgu Tip III A ve 9 olgu Tip III B idi. Olguların tümünde kırık hattının distaline 2 adet halka yerleştirilirken değişik sayılardaki 90º-120º’lik femoral ark ve konnektörler yarım yivli çiviler ile proksimal segmente tespit edildi.Bulgular: Hastaların tümü, radyolojik ve fonksiyonel sonuçlara göre değerlendirildi. % 43.3 mükemmel, %33.3 iyi, %16.6 orta ve %6.6 kötü sonuç elde edildi. Çıkarım: Standart çerçeve sistemi uygulaması, femur proksimalinin kompleks anatomik yapısından ve zengin damar-sinir ağından dolayı mümkün olmayabilir. K-teli uygulanırken önemli damar-sinir bölgelerinde giriş riskli olabilir. Bu nedenle hibrid eksternal fiksatörler tercih edilir. Biz femur şaft kırıklarında uygulama kolaylığı ve daha güvenli olması nedeniyle hibrid fiksatörleri tercih ettik.

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Cite This Article

YILMAZ, E., EKİNCİ, A., SERİN, E., KARAKURT, L., BELHAN, O. (2022). Erişkin femur cisim kırıklarının hibrid Ilizarov eksternal fiksatör ile tedavisi. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 19 - Sayı: 2, 50–54. https://ajindex.com/articles/498784

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