Syme amputasyonu
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Dosyalar
Tarih
1997
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
1990-1994 yılları arasında Dicle Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji servisine başvuran 19 hastaya syme amputasyonu yapıldı. Bu hastalardan diabetik ve vasküler nedenli 9 hastaya Wagner'in iki aşamalı (two- stage teknik) operasyonu uygulandı. 6'sı bayan, 13'ü erkek olan bu hastaların yaş ortalaması 33 (4-63) idi. Bu hastaların 7'sinde (%>36)ateşli silah yaralanması, 5'inde(%26) diabet, 4'ünde (%21) vasküler hastalık, 2'sinde (%12) iş kazası ve l'inde (%5) fibular hemimelia (tipli) etyolojik faktördü. Ortalama 11 (3-36) ay takiplerimiz neticesinde 19 hastanın 15'de (%78) erken yada geç dönemde hiçbir komlikasyonla karşılaşılmazken, diğer hastaların l'inde topuk kayması, l'inde ise topuk ağrısı gelişti. Bunların haricinde diabetik hastaların 2'sinde postoperatif ilk 14 gün içinde enfeksiyon gelişti. Bu hastaların enfeksiyonları, kontrol altına alınamıyarak topuk nekrozu gelişti. Bu hastalara diz altı amputasyon uygulandı.
Syme amputation was performed to 19 patients admitted to Dicle University, Medical Faculty, Department of Orthopedics & Traumatology in between 1990-1994. Nine patients with diabetes or vascular diseases treated with Wagner’s two-stage technique. Median age of the patients was 33 years (4-63 years). Six of them were women, 13 were men. Of 19 patients, 7(%36) had fire gun-wound, 5 (%26) had diabetes, 4 (%21) had vascular diseases, 2 (%12) had occupational accident and 1 (%5) had fibular hemimelia type II. The follow-up period was approximately 11 months(3-36 months). There was no complication in 15 (%78) patients at early or late period of follow-up. The other 4 patients, 1 had calcaneal fat flap, 1had calcaneal pain and 2 patients with diabetes had infection within post-operative 14 days. Infection could not be controlled in these 2 patients, and they underwent below-knee amputation.
Syme amputation was performed to 19 patients admitted to Dicle University, Medical Faculty, Department of Orthopedics & Traumatology in between 1990-1994. Nine patients with diabetes or vascular diseases treated with Wagner’s two-stage technique. Median age of the patients was 33 years (4-63 years). Six of them were women, 13 were men. Of 19 patients, 7(%36) had fire gun-wound, 5 (%26) had diabetes, 4 (%21) had vascular diseases, 2 (%12) had occupational accident and 1 (%5) had fibular hemimelia type II. The follow-up period was approximately 11 months(3-36 months). There was no complication in 15 (%78) patients at early or late period of follow-up. The other 4 patients, 1 had calcaneal fat flap, 1had calcaneal pain and 2 patients with diabetes had infection within post-operative 14 days. Infection could not be controlled in these 2 patients, and they underwent below-knee amputation.
Açıklama
[Journal of Turgut Ozal Medical Center 1997;4(2):143-146]
Anahtar Kelimeler
Syme amputasyon, Syme amputation
Kaynak
Turgut Özal Tıp Merkezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
2
Künye
Kapukaya, A.,Erdem, H.,Arslan, H.,Kesemenli, C.,(1997). Syme amputasyonu.). Turgut Özal Tıp Merkezi Dergisi, 4 (2).143-146 ss.
