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İlizarov yöntemi ile genu rekurvatum deformitesi tedavisi

Treatment of the genu recurvatum deformity with Ilizarov technique

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Abstract (2. Language): 
There are no large series about the management of genu recurvatum deformity with the use of Ilizarov technique except for a few case reports. In our study genu recurvatum deformity in 8 patients was treated with Ilizarov technique. The mean age of the patients was 20.2 (18-23) years. In all the patients the deformity was of osseous origin. Preoperative recurvatum and mean tibial plateau tilt angles were 19.7 (15 to 27) and 77 (64 to 92) degrees, respectively. Postoperative recurvatum and mean tibial plateau tilt angles were 1 (0-2) and 94 (89-99) degrees, respectively. Crecentric osteotomy at the proximal tibia and repair of deformity with Ilizarov external fixator were performed to the patients. The mean duration of treatment with Ilizarov method was 52 (27-77) days, and the mean duration of the stay of external fixation was 155 (92-207) days. Pin-tract infection as a complication was observed in three patients. In conclusion Ilizarov method is an alternative modality in the treatment of genu recurvatum deformity
Abstract (Original Language): 
Genu rekurvatum deformitesinin İlizarov yöntemiyle onarılması ile ilgili az sayıda vaka sunumu dışında geniş vaka serileri mevcut değildir. Çalışmamızda 8 hastada genu rekurvatum deformitesi İlizarov yöntemi ile tedavi edildi. Hastaların ortalama yaşı 20.2 (18-23) yıl idi. Tüm hastalarımızda deformite tibiyal osseöz kaynaklıydı. Preoperatif rekurvatum açıları 19.7 (15- 27) derece, tibiyal platonun eğim açısı 77 (64-92) derece idi. Postoperatif rekurvatum açısı 1 (0-2), ortalama tibiyal plato eğim açısı 94 (89-99) derece idi. Hastalara tibiya proksimalinde kresentrik osteotomi ve İlizarov eksternal fiksatörü ile deformite düzeltilmesi tekniği uygulandı. Deformitenin İlizarov yöntemi ile tedavi süresi ortalama 52 (27-77) gün, eksternal fiksatörün ortalama kalış süresi 155 (92-207) gün olarak saptandı. Komplikasyon olarak 3 vakada şanz dibi enfeksiyonu gözlendi. Sonuç olarak genu rekurvatum deformitesinin tedavisinde İlizarov tekniği alternatif bir tedavi yöntemidir.
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References: 

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