Yıl: 2018 Cilt: 24 Sayı: 6 Sayfa Aralığı: 581 - 586 Metin Dili: İngilizce DOI: 10.5505/tjtes.2018.04048 İndeks Tarihi: 17-09-2020

Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?

Öz:
BACKGROUND: The purpose of this study was to determine the comparative effectiveness of the use of single fluoroscopy versusdouble fluoroscopy during intramedullary nailing in the oblique position for intertrochanteric femur fractures in terms of surgery andradiation time.METHODS: Fifty-two patients (20 men, 32 women; average age: 78.2 years; range: 69-88 years) were included in the study. Whiledouble fluoroscopy was used for 25 patients, single fluoroscopy was used for the remaining 27 patients. Data of the preparation timebetween anesthesia and surgery, surgery time, radiation time, bleeding volume, postoperative collodiaphyseal angle between the fractures and intact parts, and the tip-apex distance (TAD) were compared.RESULTS: The surgery time in the double and single fluoroscopy groups averaged 34.48±8.92 minutes and 50.37±16.63 minutes,respectively (p<0.01). The radiation time was 42.72±16.00 seconds for the double-fluoroscopy group and 68.22±21.53 seconds forthe single-fluoroscopy group (p<0.01). The surgical preparation time, bleeding volume, collodiaphyseal angle and TAD distance did notvary significantly between groups (p>0.05).CONCLUSION: The use of double fluoroscopy in the oblique position in the surgical treatment of intertrochanteric femur fracturesreduced the surgical time and the anesthesia time for patients, as well as the exposure to radiation, thereby also reducing the risk ofcomplications.
Anahtar Kelime:

ntertrokanterik femur kırıklarında oblik pozisyonda uygulanan femur intramedüller çivilemesi sırasında çift skopi kullanımı cerrahi süre ve skopi süresini azaltabilir mi?

Öz:
AMAÇ: Bu çalışmada intertrokanterik femur kırıklarında, oblik pozisyonda uygulanan intramedüller çivileme esnasında çift skopi kullanımının tek skopi kullanımına üstün olup olmadığı araştırılmıştır. GEREÇ VE YÖNTEM: İntertrokanterik femur kırığı sonrası oblik pozisyon kullanılarak intramedüller çivileme yapılan 52 hasta çalışmaya dahil edildi. Hastaların 20’si erkek, 32’si kadın ve ortalama yaş: 78.2 (dağılım: 69–88) idi. Kırıklar AO/OTA sınıflamasına göre tip A1 ve tip A2 kırıklardan oluşmakta idi. Yirmi beş hastada çift skopi kullanılırken, 27 hastada tek skopi kullanıldı. Anestezi ile cerrahi arasındaki hazırlık süresi, cerrahi süresi, skopi kullanım süresi, kanama miktarı, cerrahi sonrası kollodiafiziyal açı ve tip-apeks mesafesi iki grup arasında karşılaştırıldı. BULGULAR: Cerrahi süresi çift ve tek skopili gruplarda sırası ile 34.48±8.92 dakika ve 50.37±16.63 dakika idi (p<0.01). Skopi kullanım süresi çift skopili grupta 42.72±16.00 iken, tek skopili grupta 68.22±21.53 idi (p<0.01). Cerrahi hazırlık süreleri, kanama miktarı, kollodiafiziyel açı ve tipapeks mesafeleri karşılaştırmalarında iki grup arasında istatistiksel fark saptanmadı (p>0.05). TARTIŞMA: İntertrokanterik femur kırıkları cerrahi tedavisinde oblik pozisyonda çift skopi kullanılarak yapılan intramedüller çivilemede tek skopi kullanımına göre daha az radyasyon maruziyeti ile daha kısa sürelerde cerrahiyi tamamlamak mümkündür.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Celik H, kara a, Saglam Y, TURKMEN I, Aykut S, erdil m (2018). Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. , 581 - 586. 10.5505/tjtes.2018.04048
Chicago Celik Haluk,kara adnan,Saglam Yavuz,TURKMEN ISMAIL,Aykut Serkan,erdil mehmet Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. (2018): 581 - 586. 10.5505/tjtes.2018.04048
MLA Celik Haluk,kara adnan,Saglam Yavuz,TURKMEN ISMAIL,Aykut Serkan,erdil mehmet Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. , 2018, ss.581 - 586. 10.5505/tjtes.2018.04048
AMA Celik H,kara a,Saglam Y,TURKMEN I,Aykut S,erdil m Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. . 2018; 581 - 586. 10.5505/tjtes.2018.04048
Vancouver Celik H,kara a,Saglam Y,TURKMEN I,Aykut S,erdil m Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. . 2018; 581 - 586. 10.5505/tjtes.2018.04048
IEEE Celik H,kara a,Saglam Y,TURKMEN I,Aykut S,erdil m "Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?." , ss.581 - 586, 2018. 10.5505/tjtes.2018.04048
ISNAD Celik, Haluk vd. "Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?". (2018), 581-586. https://doi.org/10.5505/tjtes.2018.04048
APA Celik H, kara a, Saglam Y, TURKMEN I, Aykut S, erdil m (2018). Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. Ulusal Travma ve Acil Cerrahi Dergisi, 24(6), 581 - 586. 10.5505/tjtes.2018.04048
Chicago Celik Haluk,kara adnan,Saglam Yavuz,TURKMEN ISMAIL,Aykut Serkan,erdil mehmet Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. Ulusal Travma ve Acil Cerrahi Dergisi 24, no.6 (2018): 581 - 586. 10.5505/tjtes.2018.04048
MLA Celik Haluk,kara adnan,Saglam Yavuz,TURKMEN ISMAIL,Aykut Serkan,erdil mehmet Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. Ulusal Travma ve Acil Cerrahi Dergisi, vol.24, no.6, 2018, ss.581 - 586. 10.5505/tjtes.2018.04048
AMA Celik H,kara a,Saglam Y,TURKMEN I,Aykut S,erdil m Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(6): 581 - 586. 10.5505/tjtes.2018.04048
Vancouver Celik H,kara a,Saglam Y,TURKMEN I,Aykut S,erdil m Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(6): 581 - 586. 10.5505/tjtes.2018.04048
IEEE Celik H,kara a,Saglam Y,TURKMEN I,Aykut S,erdil m "Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?." Ulusal Travma ve Acil Cerrahi Dergisi, 24, ss.581 - 586, 2018. 10.5505/tjtes.2018.04048
ISNAD Celik, Haluk vd. "Can double fluoroscopy in the oblique position reduce surgical time and radiation exposure during intertrochanteric femur fracture nailing?". Ulusal Travma ve Acil Cerrahi Dergisi 24/6 (2018), 581-586. https://doi.org/10.5505/tjtes.2018.04048