Proksimal ve Distal Femur Kaynamamalarında İntramedüller Çivileme

Oğulcan Ünsalan

Sancaktepe Şehit Prof. Dr. İlhan Varank EAH, Ortopedi ve Travmatoloji, İstanbul, Türkiye

Ünsalan O. Proksimal ve Distal Femur Kaynamamalarında İntramedullar Çivileme. Açan AE, Tokyay A, editör. Alt Ekstremitede İntramedüller Çivileme ve Komplikasyonları. 1. Baskı. Ankara: Türkiye Klinikleri; 2024.p.85-90.

ÖZET

Kaynamama kliniği ciddi derece hayat kalitesini bozan bir durumdur. İlgili ekstremiteye yük verememe, ciddi ağrı, eklem hareket açıklığında azalma, patolojik hareket ve kısalık gibi farklı klinik bulgular ile kendini gösterebilir. Mekanik instabilite, vasküler yetmezlik, enfeksiyon kaynamamanın primer sebeplerindendir. Beklenen yaşam süresinin ve diz artroplastisi uygulanan hasta sayısının artması hem proksimal ve distal femur kırıklarının hem de bunların tedavi komplikasyonlardan olan kaynamama ihtimalini arttıracaktır. Femur anatomik olarak birçok güçlü kas kuvvetine maruz kalmaktadır. Bu kuv- vetli kas kontraksiyonları, aksiyel ve makaslama kuvvetleri tedaviyi sürecini güçleştirmektedir. Proksimal ve distal femur kaynamamalarında definitif cerrahi öncesi sebepler ayrıntılı şekilde ortaya koyulmalı ve bu doğrultuda revizyon cerrahisi planlanmalıdır. Proksimal ve distal femur kırıkları primer cerrahisinde olduğu gibi kaynamama durumunda da uygun şartlarda intrameduller çivi kullanılarak tedavi edilebilmektedir.

Anahtar Kelimeler: Kaynamama; Femur kırığı; İntrameduller çivi

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