علاج كسور بين المدورين غير الثابتة

Authors

  • صفوان يوسف
  • أحمد جوني
  • محمد علي متكلم

Abstract

شملت الدراسة(30) مريضاً راجعوا مشفى الأسد الجامعي باللاذقية لديهم كسر بين المدورين غير ثابت وذلك في الفترة الواقعة ما بين عامي (2005 –   2010).

كان معدل إصابة الذكور أقل من معدل إصابة الإناث ( 14ذكراً و16 أنثى) مع ذروة الحدوث في عمر (64.76).

درست النتائج الوظيفية للعلاج الجراحي باستخدام DHS وتبديل المفصل البدئي و غيرها كما يلي:

أستخدم DHS في (16) حالة وتبديل مفصل بدئي في (11) حالة وغيرها في (3) حالات وتمت متابعة المرضى بعد العمل الجراحي لمدة لا تقل عن ستة أشهر وتم تقييم النتائج الوظيفية للعلاج وفق مقياس  Haris  للحوض.

كانت نتائج العلاج بتبديل المفصل البدئي أفضل من باقي الطرق حيث أعطى نتائج ممتازة بنسبة (27.2%) مقابل (0%) لاستخدام DHS و (0%) لغيرها .

أما من حيث المضاعفات فكان العلاج الجراحي قليل المضاعفات بتبديل المفصل البدئي حيث أعطى نتائج سيئة في (9.9%) من المرضى مقابل (50% ) للعلاج DHS و (33.3%) لغيرها.

This study includes 30 cases of unstable intertrochanteric fractures treated in AL-ASSAD University Hospital between 2005 and 2010. The average number of males is less than females (14 males and 16 females). The mean average age is 64.76 years old. We have evaluated the functional results of these cases which have been treated by primary Bipolar arthroplasty compared to internal fixation using DHS and other internal fixations. We have used DHS in 16 cases and prosthetic joint in 11 cases and the 3 others cases were treated by other methods. The results of primary arthroplasty were excellent in 27.2% of cases compared to DHS 0% and other methods 0% good in primary arthroplasty  55.5% compared to DHS 20% and the other methods 33%. There were poor functional results in primary arthroplasty 9.9% compared to DHS 50% and the other methods 33.3%. The primary arthroplasty, however, offers quick recovery and avoids the risks associated with internal fixation and enables the patient to maintain a good functional result after surgery.

Downloads

Published

2019-01-20

How to Cite

1.
يوسف ص, جوني أ, متكلم مع. علاج كسور بين المدورين غير الثابتة. Tuj-hlth [Internet]. 2019Jan.20 [cited 2024Nov.24];33(2). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6782

Issue

Vol. 33 No. 2 (2011): 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 3 4