النتائج الوظيفية لعلاج كسور جسم عظمي الساعد المغلقة عند البالغين

Authors

  • معن سعد
  • عزة المحمد
  • كنان رعواني

Abstract

يعدّ الساعد ذا بنية تشريحية معقدة تلعب دوراً أساسياً في وظيفة الطرف العلوي , ولقد قدمت كسور الساعد مشاكل فريدة من نوعها في التدبير لعدة سنوات , وإن التحسن الأساسي في تدبير هذه الأذيات كان مقترناً بتطور وسائل التثبيت المستخدمة .

يقدم هذا البحث نتيجة المتابعة لكسور جدل الساعد لمدة 3 سنوات في قسم الجراحة في مشفى الأسد الجامعي في الفترة بين الشهر السادس 2007 وحتى الشهر السادس 2010 .

شملت الدراسة 36 كسراً في جدل الساعد عند 32 مريضاً , حدث كسر كلا العظمين عند 23 مريضاً (64% ) وكسر الزند لوحده عند 7 مرضى ( 19%) , وكسر الكعبرة وحده عند 6 مرضى ( 17% ) , ولم تصادف أية حالة كسر مختلط بأذية وعائية أو عصبية أو تناذر حجرات .

تضمنت طرائق العلاج : العلاج المحافظ والأسياخ داخل النقي والصفائح , تم وضع الجبس بعد الجراحة عند 33 مريضاً ( 92% ) لمدة 4-6 أسابيع وسطياً , تمت متابعة المرضى بشكل دوري سريرياً وشعاعياً .

كانت النتائج ممتازة عند 23 مريضاً ( 64% ) وجيدة عند 7 مرضى ( 20% ) ومقبولة عند مريضين (6% ) وسيئة عند 4 مرضى ( 10% ) , تضمنت المضاعفات الاندمال المعيب ( 8% ) وعدم الاندمال (8% ) وعودة الكسر ( 6% ) والأذية العصبية العلاجية ( 8% ) .

The forearm is considered the complex anatomic structure that plays very essential role in the function of the upper limb. Fractures of the forearm present a unique management problem for years. Major improvement in the results of management of this injury awaited the development of advanced techniques.

Presentation is made of three-year follow up of closed forearm shaft fracture treated at Department of Surgery in the University Al-Assad hospital, in Lattakia.

The follow up includes 36 forearm shaft fractures in 32 patients. Complete forearm shaft fractures were recorded in 23 (64%), fractures of the ulna alone in 7 (19%), and of the radius alone in 6 (17%) patients. No compartment syndrome or neuro or vascular injury were encountered.

Treatment methods include: conservative treatment, intramedullary nails and plates. Postoperative plaster immobilization was employed in 33 (92%) patients for 4-6 weeks mostly. Patients have been periodically undergone clinical and radiographic assessment.

Results were considered excellent in 23(64%), good in 7 (19%), satisfactory in 2 (6%), and poor in 4 (11%) patients. Complications include malunion (8%), nonunion (8%), refracture (6%), and iatrogenic neurologic injury (8%).

Downloads

Published

2019-01-20

How to Cite

1.
سعد م, المحمد ع, رعواني ك. النتائج الوظيفية لعلاج كسور جسم عظمي الساعد المغلقة عند البالغين. Tuj-hlth [Internet]. 2019Jan.20 [cited 2025Jan.26];32(4). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6739

Issue

Vol. 32 No. 4 (2010): العلوم الصحية

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)

1 2 > >>