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Journals / Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2015 / Cilt: 55 - Sayı: 1

The importance of angle of fracture and the effects of results of the fixation methods in the treatment of isolated fractures of medial malleols

İzole medial malleol kırıklarının tedavisinde, kırık açısının önemi ve fiksasyon yönteminin sonuçlara etkisi

Atilla POLAT
Şevki ERDEM
Mehmet Kerem CANBORA
Hakan Serhat YANIK
Pages
45–49
Publication Date
2022-10-17
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION: we evaluated that thereis no effect of the angle of fracture to thedetermine the type of fixation and there is noeffect of the type of fixation to results.

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Objective & Hypothesis:OBJECTIVE: Whether there is any effectof the angle of fracture to determinethe type of operation method andthe results of this type of surgery.
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Key Findings & Data:METHODS: Patients(30) admitted to hospitalwhich have isolated medial malleol fractures(IMMF) in between 2002 and 2006.Files ofpatients were reviewed for retrospectiveapplication (age,sex, fracture line from X-ray,fixation methods, postoperative X-ray).
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Conclusion & Impact:CONCLUSION: we evaluated that thereis no effect of the angle of fracture to thedetermine the type of fixation and there is noeffect of the type of fixation to results.
🔬Design:Survey & Empirical Study
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: Whether there is any effectof the angle of fracture to determinethe type of operation method andthe results of this type of surgery. METHODS: Patients(30) admitted to hospitalwhich have isolated medial malleol fractures(IMMF) in between 2002 and 2006.Files ofpatients were reviewed for retrospectiveapplication (age,sex, fracture line from X-ray,fixation methods, postoperative X-ray). Statistically analysis questionnaire results. RESULTS: Fractures of IMMF had obliqueof seven, transverse of nineteen, vertical offour.In 3 patients had type 3A open fracture. We applied screw to 17 patients which are5 oblique, 9 transverse, 3 vertical.Meanfollow time 49,7 month, AOFAS score mean97,3 point..We applied osteosythese withzuggurtung to 13 fractures which were 2oblique, 10 transverse and 1 vertical fracture. Mean follow time 37,8 month, AOFAS scoremean 98,1.There was not effect of theangle of fracture to the determine the typeof fixation(p=0,223).There was not effect offixation to posttraumatic arthritis (p=0,550)and ankle function (p=0,867).There were nononunion. CONCLUSION: we evaluated that thereis no effect of the angle of fracture to thedetermine the type of fixation and there is noeffect of the type of fixation to results.

Özet

AMAÇ: Ayak bileği izole medial malleolkırıklarında, kırık açısının fiksasyonyöntemini belirlemede etkisi olup olmadığıve uygulanan cerrahi metodun sonuçlaraetkisi incelendi. YÖNTEMLER: 2006 ve 2011 yılları arasındahastanemize izole medial malleol kırıklı(İMMK) 30 hasta başvurdu.Hasta dosyalarıretrospektif olarak gözden geçirildi (yaş,cinsiyet, kırık açısı, fiksasyon yöntemi). Son kontrollerde hastaların iki yönlüayak bileği grafileri incelendi.Ayak bileğifonksiyonel skorları American OrthopaedicFoot and Ankle Society skorlamasına göre,posttravmatik artrit gelişimi Kellegren- Lawrence skalasına göre incelendi.Sonuçlaristatiksel olarak sorgulanıp analiz edildi(Cochran test, Friedman test, Chi-squaretest). BULGULAR: İMMKnın sekizi oblik,ondokuzu transvers, dördü vertikal idi.Üçhastada tip3A açık kırık vardı.Vida uygulanan17 hastanın 5i oblik, 9u transvers, 3üvertikal kırıkdı, ort. takip süresi 49,7 ay,AOFAS skoru ort. 97,3 puan.Hastalardan9unda grade 1, 7sinde grade 2, 1inde grade3 posttravmatik artrit görüldü.Gergi bandı ileosteosentez uyguladığımız 13 hastanın 2sioblik, 10nu transvers, 1 II vertical kırıkdı,ort. takip süresi 37,8 ay, AOFAS skoru ort.98,1 p.Hastalardan 8inde grade 1, 3ündegrade 2, 2sinde grade 3 posttravmatik artritvardı.Kırık açısının fiksasyon seçimine etkisi görülmedi (p=0,223).Fiksasyon yöntemininposttravmatik artrit gelişimine(p=0,550) veayak bileği fonksiyonlarına (p=0,867) etkisitespit edilmedi.SONUÇ: Kırık açısının fiksasyon yönteminibelirlemede etkisinin olmadığını, uygulananfiksasyon yönteminin sonuçları etkilemediğinigördük.

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Cite This Article

POLAT, A., ERDEM, Ş., CANBORA, M. K., YANIK, H. S. (2022). The importance of angle of fracture and the effects of results of the fixation methods in the treatment of isolated fractures of medial malleols. Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 55 - Sayı: 1, 45–49. https://ajindex.com/articles/535307

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