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Dergiler / Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2026 / Cilt: 50 Sayı: 2

GARTLAND TİP 3 SUPRAKONDİLER HUMERUS KIRIKLARINDA CERRAHİ YÖNETİM STRATEJİLERİ

SURGICAL MANAGEMENT STRATEGIES IN GARTLAND TYPE 3 SUPRACONDYLAR HUMERAL FRACTURES

Gökhun Arıcan(Ankara Eğtim ve Araştırma Hastanesi)
Özay Subaşı
Ahmet Özmeriç
Özgür Şahin
Kadir Bahadır Alemdaroğlu
Serkan İltar
Sayfa
74–80
Yayın Tarihi
2017-12-01
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

BULGULAR: Hastaların 30’ u erkek 23’si kadındı.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:GİRİŞ Çocuklarda humerus alt uç kırıkları ikinci en sık g ö rülen kırıklardır.
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Temel Bulgular & Veri:Gartland tip 3 kırıklarının tedavisinde tam bir fikir birliği yoktur.
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Sonuç & Katkı:BULGULAR: Hastaların 30’ u erkek 23’si kadındı.
🔬Tür:Araştırma Makalesi
📍Kapsam:2015 · 53 hasta
⚙️Değişkenler:Flynn kriterleri · suprakondiler kırıklar · açık redüksiyon

Özet

GİRİŞ Çocuklarda humerus alt uç kırıkları ikinci en sık g ö rülen kırıklardır. Gartland tip 3 kırıklarının tedavisinde tam bir fikir birliği yoktur. Bu ç alışmanın amacı , suprakondiler humerus kırıklarında cerrahi yönetim stratejisi belirlemektir. HASTALAR ve YÖ NTEM: Ocak 2015 - Aralık 2016 tarihleri arasında kliniğimizde opere edilen humerus suprakondiler Gartland tip III k ırıklı 53 hasta çalışmaya dahil edildi. Çalışmada hastaların demografik verileri, kırığın oluş nedenleri, kırık tipleri, komplikasyonlar, radyolojik parametreler, kozmetik ve fonksiyonel sonu ç lar deg ̆erlendirildi. BULGULAR: Hastaların 30’ u erkek 23’si kadındı. Yaş ortalaması 6,5 olarak bulundu. Hastalar ortalama 4-24 ay takip edildi. Ortalama yatış süresi 3,15 gün olarak g ö zlendi. 3 hastada pseudovarus g ö zlendi. Flynn kriterlerine g ö re a çık redüksiyon yapılmış hastalar ile kapalı redüksiyon yapılmış hastalar arasında fonksiyonel ve yatış süresi açısından anlamlı fark bulunamazken kozmetik olarak kapalı redüksiyon tedavisi açık redüksiyona g ö re daha başarılı olarak g ö zlendi. Çapraz K teli uygulanan hastalar ile izole lateral K teli uygulanan hastalar arasında da fonksiyonel ve yatış süresi açısından istatistiksel anlamlı fark bulunamadı. Açık veya kapalı redüksiyon K teli ile fiksasyon yapılmış hastalarda ilk 6 saatte opere edilenler ile 12.saatten sonra opere edilenler arasında yatış süreleri, flynn fonksiyonel sonu ç ları açısından anlamlı fark g ö zlenmedi. SONU Ç Kozmetik olarak daha avantajlı olması, komplikasyon oranlarının açık redüksiyona g ö re anlamlı olmaması nedeniyle kapalı redüksiyonun ö ncelikli tercih edilmesi kanaatindeyiz. K teli konfigürasyonları arasında fonksiyonel olarak fark olmaması nedeniyle 2 adet lateral K teli ile redüksiyonun kalitesinin ve fiksasyonun stabilitesinin yeterli olduğunu düşündüğümüz vakalarda medialden K teli uygulaması gerekli değildir. Cerrahi riski yüksek hastalar i ç in en uygun cerrahi zaman beklenebilir.

Abstract

OBJECTIVE: Humeral lower extremity fractures are the second most common fractures in children. There is no consensus on the treatment of Gartland type 3 fractures. The purpose of this study is to determine the surgical management strategy for supracondylar humerus fractures. MATERIAL AND METHODS: Between January 2015 and December 2016, 53 patients with humeral supracondylar Gartland type III fractures were included in our study. Demographic data, causes of fractures, fracture types, complications, radiological parameters, cosmetic and functional outcomes were evaluated in the study. RESULTS: 30 of the patients were male and 23 were female. The mean age of patients were 6,5 years. The mean length of hospital stay was 3,15 days. T he average follow up was 4-24 months. Pseudovarus were observed in 3 patients. Cosmetically closed reduction treatment was more successful than open reduction, although there was no significant difference in functional and length of stay between open reduction patients and closed reduction patients according to Flynn criteria. There was no statistically significant difference between patients who were treated with crossed K wire and those who were treated with isolated lateral K wire in terms of functional and length of stay. Patients who were K wire fixed with open or closed reduction did not differ significantly in terms of hospitalization time, flynn functional results in the first 6 hours and those who were oppressed after 12 hours. CONCLUSION: We believe that closed reduction is the preferred choice because of the cosmetic advantage that complication rates are not significant compared to open reduction. Since there is no functional difference between the two configurations, medial K wires is not necessary when we think that the reduction quality and fixation stability with 2 lateral K wires are sufficient. For patients who are at high risk for surgery, optimal surgery time may be expected.

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Bu Makaleye Atıf Yap

Arıcan, G., Subaşı, Ö., Özmeriç, A., Şahin, Ö., Alemdaroğlu, K. B., İltar, S. (2017). GARTLAND TİP 3 SUPRAKONDİLER HUMERUS KIRIKLARINDA CERRAHİ YÖNETİM STRATEJİLERİ. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 50 Sayı: 2, 74–80. https://ajindex.com/articles/1363341

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