Bölgemizdeki kırıkçı sekellerinin ortopedik açıdan değerlendirilmesi
Yükleniyor...
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Galenos Yayınevi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Kırıkçı sekellerinin bölgemizde önemli bir sorun olduğunu, kırıkçı müdahalesi nedeniyle gecikmiş tedavi alan hastalardaki ciddi ortopedik problemleri ve kliniğimizde bu tür hastalara uyguladığımız tedavi yaklaşımını sunmayı amaçladık.Yöntemler: Çalışmamızda kırıkçı sekeli olarak kliniğimize başvuran 51 has-tanın (30 erkek, 21 kadın, yaş ortalaması: 14,8) dosyası retrospektif olarak incelendi. Kırığın yeri, hastaların kırıkçıya ve hastaneye başvuru sebepleri, hastaneye başvurma süreleri, fizik muayene ve radyolojik bulguları incelenip uygulanan tedavi yöntemleri değerlendirildi. Bulgular: Sekellerin 42'si (%82) üst, 9'u (%18) alt ekstremitede idi. Kırıkçıların kolay ulaşılabilir olması (20 olguda), kırıkçıların kırık ve çıkık tedavisini doktor-lardan daha iyi yaptığı düşüncesi (10) en sık kırıkçıya başvurma sebepleriydi. Kırıkçı sonrası hastaneye en sık başvuru sebepleri deformite (43), ağrı (38) ve hareket kısıtlılığı (37) idi. Olguların 28'ine cerrahi, 18'ine konservatif tedavi uy-gulandı. Beş olguya ise sadece takip önerildi. Hastaların 20 (%40) sinde sekel kalıcı idi.Sonuç: Gecikmiş ve uygun olmayan tedavi kalıcı sakatlıkların ortaya çıkmasına sebep olmaktadır. Bu problemin ortadan kaldırılması için insanların eğitilme-si ve sağlık politikalarının yeniden gözden geçirilmesi gerekmektedir.
Objective: Traditional bonesetter sequelae are an important problem in our region. The aim of the study was to present serious orthopedic problems in the patients who delay treatment due to bonesetter intervention and treat- ment approaches for this type of patient in our clinic. Methods: Fifty-one patients who were admitted to our clinic with traditional bonesetter sequelae. The location of the fracture, the reason of admission to the traditional bonesetter and the hospital, time elapsed until admission to the hospital, physical examination and radiographic findings, and methods of treatment were analyzed. Results: Of all the sequelae, 42 were in the upper and 9 were in the lower extremity. The most common reasons to consult a bonesetter were easy accessibility and the belief that the bonesetter would provide better treat- ment for fractures and dislocations than a physician can. The most com- mon causes of admission to the hospital after the visit to the bonesetter were deformity, pain, and a limited range of motion. Twenty-eight patients underwent surgery, and 18 were treated conservatively. Five cases received followed-up. In 20 patients, the sequelae were permanent. Conclusion: Delayed and inadequate treatment can lead to the emergence of permanent disabilities. Public education and a revision of health policies are necessary in order to eliminate this problem.
Objective: Traditional bonesetter sequelae are an important problem in our region. The aim of the study was to present serious orthopedic problems in the patients who delay treatment due to bonesetter intervention and treat- ment approaches for this type of patient in our clinic. Methods: Fifty-one patients who were admitted to our clinic with traditional bonesetter sequelae. The location of the fracture, the reason of admission to the traditional bonesetter and the hospital, time elapsed until admission to the hospital, physical examination and radiographic findings, and methods of treatment were analyzed. Results: Of all the sequelae, 42 were in the upper and 9 were in the lower extremity. The most common reasons to consult a bonesetter were easy accessibility and the belief that the bonesetter would provide better treat- ment for fractures and dislocations than a physician can. The most com- mon causes of admission to the hospital after the visit to the bonesetter were deformity, pain, and a limited range of motion. Twenty-eight patients underwent surgery, and 18 were treated conservatively. Five cases received followed-up. In 20 patients, the sequelae were permanent. Conclusion: Delayed and inadequate treatment can lead to the emergence of permanent disabilities. Public education and a revision of health policies are necessary in order to eliminate this problem.
Açıklama
Anahtar Kelimeler
Kırıkçı sekeli, Çocuk kırıkları, Deformite, Kalıcı sakatlı, Traditional bonesetter sequelae, Children fractures, Deformity, Permanent disability
Kaynak
İstanbul Medical Journal
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
15
Sayı
2
Künye
Alemdar, C., Azboy, İ., Demirtaş, A., Özkul, E., Gem, M., Bulut, M. ve diğerleri. (2014). Bölgemizdeki kırıkçı sekellerinin ortopedik açıdan değerlendirilmesi. İstanbul Medical Journal, 15(2), 122-126.
