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Tibia Cisim Kırığına Eșlik Eden Ayak Bileği Kırıkları Klinik Sonuçlarımız ve Literatürün Gözden Geçirilmesi

Yıl 2018, Cilt: 71 Sayı: 1, 77 - 80, 16.10.2018

Hakan Kocaoğlu

Öz

Amaç: Tibia cisim kırıkları sıklıkla karșılașılan uzun kemik kırıklarındandır ve beraberinde tibianın proksimal ve distal eklemlerini içeren kırıklar görülebilir. Tibia cisim kırığına eșlik eden ayak bileği kırıkları değerlendirildiğinde posterior malleol kırıklarının cisim kırığına en sık eșlik eden kırık tipi olduğu bilinmektedir. Bu çalıșmamızda tibiacisim kırıklarına eșlik eden ayak bileği kırıklarının çeșitleri, sıklığı ve bunların tibia cisim kırığının yerleșimi, etyolojisi ve kırığın șekli ile olan ilișkilerini göstermek amaçlandı.

Gereç ve Yöntem: Hastanemiz acil servisine Ocak 2015 - Haziran 2017 tarihleri arasında bașvuran tibia cisim kırığıbulunan hastaların verileri retrospektif olarak tarandı ve toplamda 79 tibia cisim kırığı olan hastaya ulașıldı. 43 hastada ayak bileği kırığının tibia cisim kırığına eșlik ettiği görüldü. Bunlardan 9 hastada distal fibula, 14 hastada posterior malleol, 21 hastada lateral malleol ve 4 hastada da medial malleol kırığı görüldü.

Bulgular: İstatistiksel analiz sonrasında kırık mekanizması ile ayak bileği kırığının tipi arasında anlamlı ilișki olmadığıgörülmüștür. Benzer șekilde kırık seviyesinin ayak bileğikırığı için bir etken olmadığı görülmüș ancak spiral cisim kırığına, ayak bileği kırıklarının daha sık eșlik ettiği görülmüștür.

Sonuç: Tibia cisim kırığının etyolojisi ve yerleșimlerinden bağımsız olarak ayak bileğinde eș zamanlı kırık olabileceği, özellikle spiral șekilli tibia kırığı varlığında bu birlikteliğin daha yüksek olasılıkta olduğu görüldü.

Anahtar Kelimeler

Tibia Kırıkları Ayak Bileği Sıklık

Proje Numarası

-

Kaynakça

  • 1. Phillips WA, Schwartz HS, Keller CS, et al. A prospective, randomized study of the management of severe ankle fractures. J Bone Joint Surg Am. 1985;67:67–72. 2.
  • 2.Macko VW, Matthews LS, Zwirkoski P, et al. The joint-contact area of the ankle. The contribution of the posterior malleolus. J Bone Joint Surg Am 1991;73:347–351.
  • 3. Amon K, Suren EG. Tibial shaft and ankle joint dislocation fractures as combined injuries. Unfallchirurg. 1987;90:107–112.
  • 4. Mingo-Robinet J, Lopez-Duran L, Galeote JE, Martinez-Cervell C. Ankle fractures with posterior malleolar fragment: management and results. J Foot Ankle Surg 2011;50:141–145.
  • 5. Court-Brown CM, Mc Birnie J. The epidemiology of tibial fractures. J Bone Joint Surg 1995;77B:417-421
  • 6. Mueller ME, Nazarian S, Koch P. Classification AO des Fractures: Lesos Longs. Berlin: Springer-Verlag; 1987.
  • 7. Mueller ME, Allgoewer M, Schneider R. Manual of Internal Fixation. 3rd ed. Berlin: Springer-Verlag; 1991.
  • 8. Court-Brown CM, Caesar B. Epidemiology of Adult Fractures: A review. Injury 2006;37:691–697.
  • 9. Bostman OM:Displaced malleolar fracturs associated with spiral fractures of the tibial shaft. Clin Orthop Rel Res 228:202-207,1988
  • 10. Donaldson LJ, Cook A, Thomson RG. Incidence of fractures in a geographically defined population. J of Epidemiology Community Health 1990;44:241–245.
  • 11. Schottel PC, Berkes MB, Little MT, et al. Predictive radiographic markers for concomitant ipsilateral ankle injuries in tibial shaft fractures. J Orthop Trauma. 2014;28:103–107.
  • 12. Boraiah S, Gardner MJ, Helfet DL, et al. High association of posterior malleolus fractures with spiral distal tibial fractures. Clin Orthop Relat Res. 2008;466:1692–1698.
  • 13. Hou Z, Zhang Q, Zhang Y, et al. A Occult and regular combination injury: the posterior malleolar fracture associated with spiral tibial shaft fracture. J Trauma. 2009;66:1385–1390.
  • 14. Van der Werken C, Zeegers EV. Fracture of the lower leg with involvement of the posterior malleolus; a neglected combination? Injury. 1988;19:241–243.
  • 15. Kukkonen J, Heikkila JT, Kyyronen T, et al. Posterior malleolar fracture is often associated with spiral tibial diaphyseal fracture: a retrospective study. J Trauma. 2006;60:1058-1060.
  • 16. Tsai CE, Su YP, Feng CK, et al. Concomitant tibial shaft and posterior malleolar fractures can be readily diagnosed from plain radiographs: a retrospective study. J Chin Med Assoc. 2014;77:95-100.

Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature

Yıl 2018, Cilt: 71 Sayı: 1, 77 - 80, 16.10.2018

Hakan Kocaoğlu

Öz

Aim: Tibia shaft fracture is a common long bone fracture which might be seen along with tibia plateau, malleol and fibula fractures. It is known that posterior malleol fractures are the most frequent fracture type that accompany tibia shaft fractures. In this article, we aim to show the types, frequency, etiology and the fracture configurationof ankle fracture that accompany tibia shaft fractures.

Materials and Methods: The patients who were admitted to the Emergency Department between January 2015 and June 2017 were included in the study. All the data was extracted retrospectively. A total of 79 patients who had tibia shaft fracture were examined. 43 patients had ankle fracture associated with tibia fracture. 9 patients had distal fibula, 14 had posterior malleolus, 21 had lateral malleolus and 4 had medially malleolus fractures.

Results: The results revealed that there is no statistically significant correlation between the mechanism of injury and ankle fracture, and that the level of tibia fracture, in a similar way, is not related with ankle fractures. This study showedthat ankle fractures occur more frequently with spiral shaft fractures of tibia.

Conclusions: Ankle fractures can be simultaneously seen with tibia fractures regardless of the etiology and location of the tibia fracture. Also, as this study reveals, this association was more likely in the presence of a spiral shaped tibia fracture.

Anahtar Kelimeler

Tibia Fracture Ankle Frequency

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Kaynakça

  • 1. Phillips WA, Schwartz HS, Keller CS, et al. A prospective, randomized study of the management of severe ankle fractures. J Bone Joint Surg Am. 1985;67:67–72. 2.
  • 2.Macko VW, Matthews LS, Zwirkoski P, et al. The joint-contact area of the ankle. The contribution of the posterior malleolus. J Bone Joint Surg Am 1991;73:347–351.
  • 3. Amon K, Suren EG. Tibial shaft and ankle joint dislocation fractures as combined injuries. Unfallchirurg. 1987;90:107–112.
  • 4. Mingo-Robinet J, Lopez-Duran L, Galeote JE, Martinez-Cervell C. Ankle fractures with posterior malleolar fragment: management and results. J Foot Ankle Surg 2011;50:141–145.
  • 5. Court-Brown CM, Mc Birnie J. The epidemiology of tibial fractures. J Bone Joint Surg 1995;77B:417-421
  • 6. Mueller ME, Nazarian S, Koch P. Classification AO des Fractures: Lesos Longs. Berlin: Springer-Verlag; 1987.
  • 7. Mueller ME, Allgoewer M, Schneider R. Manual of Internal Fixation. 3rd ed. Berlin: Springer-Verlag; 1991.
  • 8. Court-Brown CM, Caesar B. Epidemiology of Adult Fractures: A review. Injury 2006;37:691–697.
  • 9. Bostman OM:Displaced malleolar fracturs associated with spiral fractures of the tibial shaft. Clin Orthop Rel Res 228:202-207,1988
  • 10. Donaldson LJ, Cook A, Thomson RG. Incidence of fractures in a geographically defined population. J of Epidemiology Community Health 1990;44:241–245.
  • 11. Schottel PC, Berkes MB, Little MT, et al. Predictive radiographic markers for concomitant ipsilateral ankle injuries in tibial shaft fractures. J Orthop Trauma. 2014;28:103–107.
  • 12. Boraiah S, Gardner MJ, Helfet DL, et al. High association of posterior malleolus fractures with spiral distal tibial fractures. Clin Orthop Relat Res. 2008;466:1692–1698.
  • 13. Hou Z, Zhang Q, Zhang Y, et al. A Occult and regular combination injury: the posterior malleolar fracture associated with spiral tibial shaft fracture. J Trauma. 2009;66:1385–1390.
  • 14. Van der Werken C, Zeegers EV. Fracture of the lower leg with involvement of the posterior malleolus; a neglected combination? Injury. 1988;19:241–243.
  • 15. Kukkonen J, Heikkila JT, Kyyronen T, et al. Posterior malleolar fracture is often associated with spiral tibial diaphyseal fracture: a retrospective study. J Trauma. 2006;60:1058-1060.
  • 16. Tsai CE, Su YP, Feng CK, et al. Concomitant tibial shaft and posterior malleolar fractures can be readily diagnosed from plain radiographs: a retrospective study. J Chin Med Assoc. 2014;77:95-100.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ortopedi
Bölüm Makaleler
Yazarlar

Hakan Kocaoğlu

Proje Numarası -
Yayımlanma Tarihi 16 Ekim 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 71 Sayı: 1

Kaynak Göster

APA Kocaoğlu, H. (2018). Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 71(1), 77-80.
AMA Kocaoğlu H. Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature. Ankara Üniversitesi Tıp Fakültesi Mecmuası. Ekim 2018;71(1):77-80.
Chicago Kocaoğlu, Hakan. “Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 71, sy. 1 (Ekim 2018): 77-80.
EndNote Kocaoğlu H (01 Ekim 2018) Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature. Ankara Üniversitesi Tıp Fakültesi Mecmuası 71 1 77–80.
IEEE H. Kocaoğlu, “Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 71, sy. 1, ss. 77–80, 2018.
ISNAD Kocaoğlu, Hakan. “Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 71/1 (Ekim 2018), 77-80.
JAMA Kocaoğlu H. Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2018;71:77–80.
MLA Kocaoğlu, Hakan. “Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 71, sy. 1, 2018, ss. 77-80.
Vancouver Kocaoğlu H. Ankle Fractures Associated With Tibia Shaft Fractures Our Clinical Results and Review of Literature. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2018;71(1):77-80.
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