Yıl: 2017 Cilt: 28 Sayı: 1 Sayfa Aralığı: 2 - 6 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?

Öz:
Amaç: Bu çalışmada distal radius volar plak uygulamasında minimum floroskopi kullanılarak eklem içi vida penetrasyonundan kaçınmanın ve böylece cerrahi ekibin radyasyona maruz kalma riskinin minimuma indirilmesinin mümkün olup olmadığı araştırıldı.Hastalar ve yöntemler: Haziran 2014 - Mayıs 2016 tarihleri arasında instabil distal radius kırığı olan 50 hastada (22 erkek, 28 kadın; ort. yaş 43.52 yıl; dağılım 18-76 yıl) kırık redüksiyonunu takiben distal vida ile volar plak uygulaması minimum floroskopi kullanımı ile gerçekleştirildi. Özel tasarlanmış volar anatomik plak lunat fossanın fasetinin ucundan proksimale doğru 3 mm mesafe oluşturularak uygulandı.Bulgular: Vida yataklarına özel açı verilerek tasarlanmış plak ile tarif edilen cerrahi tekniğe dikkat ederek ve minimum düzeyde floroskopi kullanarak yaptığımız plakvida uygulamalarında eklem içi vida komplikasyonu ile karşılaşılmadı. Ameliyat sırasında floroskopi minimum düzeyde uygulandı ve eklem içi vida kullanımını düşündürecek herhangi bir bulguya rastlanmadı. Ameliyat sırasında ve sonrasında el bileği hareketlerinde kısıtlılık, takılma ya da sürtünme bulgularına rastlanmadı.Sonuç: Volar plak ve distal kilit vida yatağı tasarımındaki iyileştirmeler ile eklem içi vida komplikasyonları olasılığını ve erken dönem tekrar cerrahi düzeltme ihtiyacını ortadan kaldırmak ve cerrahi ekibin radyasyona maruz kalma riskini minimuma indirmek mümkündür
Anahtar Kelime:

Konular: Ortopedi

Distal radius volar plak uygulamasında minimum floroskopi kullanılarak eklem içi vida penetrasyonundan kaçınmak mümkün mü?

Öz:
Objectives: This study aims to investigate whether or not it is possible to avoid intra-articular screw penetration in the application of distal radius volar plate with minimal use of fluoroscopy and thereby reduce to a minimum the risk of exposure of the surgical team to radiation.Patients and methods: Volar plate with distal screw application with minimal use of fluoroscopy was performed in a total of 50 patients (22 males, 28 females; mean age 43.52 years; range 18 to 76 years) with unstable distal radius fracture following reduction of fracture between June 2014 and May 2016. A specially designed volar anatomic plate was applied by creating a 3 mm gap proximal from the tip of the facet of the lunate fossa.Results: No intra-articular screw complication was observed during plate-screw applications that we performed by using fluoroscopy at a minimum level and paying attention to the surgical technique described with the plate designed by giving a specific angle to screw beds. During the operation, fluoroscopy was performed at a minimum level and no finding was observed which could suggest use of intra-articular screw. No findings of restriction in wrist movements, locking or friction were observed intra- or postoperatively.Conclusion: With improvements in the design of the volar plate and the distal locking screw bed, it is possible to rule out the possibility of intra-articular screw complications and the need for surgical re-correction in the early-term, and to reduce to a minimum the risk of exposure of the surgical team to radiation
Anahtar Kelime:

Konular: Ortopedi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA aldemir c, duygun f (2017). Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. , 2 - 6.
Chicago aldemir cengiz,duygun fatih Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. (2017): 2 - 6.
MLA aldemir cengiz,duygun fatih Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. , 2017, ss.2 - 6.
AMA aldemir c,duygun f Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. . 2017; 2 - 6.
Vancouver aldemir c,duygun f Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. . 2017; 2 - 6.
IEEE aldemir c,duygun f "Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?." , ss.2 - 6, 2017.
ISNAD aldemir, cengiz - duygun, fatih. "Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?". (2017), 2-6.
APA aldemir c, duygun f (2017). Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 28(1), 2 - 6.
Chicago aldemir cengiz,duygun fatih Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 28, no.1 (2017): 2 - 6.
MLA aldemir cengiz,duygun fatih Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), vol.28, no.1, 2017, ss.2 - 6.
AMA aldemir c,duygun f Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2017; 28(1): 2 - 6.
Vancouver aldemir c,duygun f Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.). 2017; 28(1): 2 - 6.
IEEE aldemir c,duygun f "Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?." Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), 28, ss.2 - 6, 2017.
ISNAD aldemir, cengiz - duygun, fatih. "Is it possible to avoid intra-articular screw penetration with minimal use of fluoroscopy in the application of distal radius volar plate?". Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) 28/1 (2017), 2-6.