The mid-term effects on quality of life and foot functions following pilon fracture

Haberal, Bahtiyar; Yaradılmış, Yüksel Uğur; Kılıç, Alparslan; okkaoglu, mustafa caner; demirkale, ismail; altay, murat

doi:10.14744/tjtes.2020.85601

The mid-term effects on quality of life and foot functions following pilon fracture

Yüksel Uğur YARADILMIŞ, (Sağlık Bilimleri Üniversitesi, Keçiören Eğitim ve Araştırma Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Mustafa Caner OKKAOĞLU, (Sağlık Bilimleri Üniversitesi, Keçiören Eğitim ve Araştırma Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Alparslan KILIÇ, (Sağlık Bilimleri Üniversitesi, Keçiören Eğitim ve Araştırma Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Bahtiyar HABERAL, (Başkent Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

İsmail DEMİRKALE, (Sağlık Bilimleri Üniversitesi, Keçiören Eğitim ve Araştırma Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Murat ALTAY (Sağlık Bilimleri Üniversitesi, Keçiören Eğitim ve Araştırma Merkezi Ortopedi ve Travmatoloji Anabilim Dalı, Ankara, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2020 Cilt: 26 Sayı: 5 Sayfa Aralığı: 798 - 804 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.85601 İndeks Tarihi: 04-11-2020

The mid-term effects on quality of life and foot functions following pilon fracture

Öz:

BACKGROUND: Although pilon fractures are uncommon, they are of importance to orthopaedic surgeons because of the difficultyof treatment. Poor outcomes and high complication rates are seen despite various surgical methods. This study aims to examine thechanges affecting the quality of life and foot functions in patients applied with open reduction and internal fixation (ORIF) for a pilonfracture.METHODS: In this study, a total of 45 patients treated with ORIF for a pilon fracture in our clinic between January 2010 and December2016 were evaluated with AOFAS and SF-12 in a total of 10 categories according to demographic data, fracture classificationand surgical technique. In addition to functional values, patient records were examined regarding complications, including infection,soft-tissue defect, malalignment, non-union, arthrosis and Sudeck atrophy. In patients with AOFAS <85 and low SF-12 scores, variableswere examined and the relationship with complications was evaluated.RESULTS: The mean follow-up period was 3.7 years (range 2 to 7). The AOFAS value was determined to fall to <85 when theRuedi Allgower classification increased (p=0.010), when AO classification increased (p=0.020), when there was a concomitant lateralmalleolar fracture (p=0.028), and when the status was non-anatomic according to the Ovadia Bell criteria (p=0.031). The SF-12 PCSvalue was observed to decrease when the Ruedi Allgower classification increased (p=0.018) and when the status was non-anatomic accordingto the Ovadia Bell criteria (p=0.012). A correlation was determined between the SF-12 PCS and the AOFAS values (p=0.000).CONCLUSION: The reasons for the failure of ORIF in tibia pilon fractures were found to be Ruedi 3 classification, concomitantlateral malleolar fracture, and non-anatomic surgical reduction. Failure in foot functions has a direct effect on quality of life in both theshort and mid term.

Anahtar Kelime:

Pilon kırıkları sonrası ayak fonksiyonları ve hayat kalitesinde orta dönem etkenler

Öz:

AMAÇ: Pilon kırıkları az görülmesine rağmen tedavisi zor olması nedeniyle ortopedik cerrahlar tarafından önemsenmiştir. Değişen cerrahi yöntemlere rağmen kötü sonuç ve yüksek komplikasyonlar görülmektedir. Bu çalışmanın amacı, pilon kırığı nedeniyle açık redüksiyon ve iç fiksasyon (ORIF) yaptığımız hastalarda ayak fonksiyonları ve hayat kalitesini etkileyen değişkenleri incelemek ve komplikasyonlarla ilişkilendirmek. GEREÇ VE YÖNTEM: Kliniğimizde Ocak 2010–Aralık 2016 tarihleri arasında, pilon kırığı nedeniyle ORIF uygulanan 45 hasta demografik verileri, kırık sınıflaması ve cerrahi tekniğe göre toplam 10 kategoriye göre AOFAS ve SF-12 ile değerlendirildi. Hastalar fonksiyonel değerler haricinde komplikasyonlar olarak enfeksiyon, yumuşak doku defekti, dizilim bozukluğu, kaynamama, artroz ve Sudeck atrofisi açısından da hastaların kayıtları incelendi. AOFAS 85 altı olan ve düşük SF12 olan hastaların değişkenleri incelendi ve komplikasyonlarla ilişkisi değerlendirildi. BULGULAR: Ortalama takip süresi 3.7 yıl olup (2–7 yıl). AOFAS değerlerine bakıldığında, Ruedi-Allgower sınıflaması arttığında (p=0.010), AO sınıflaması arttığında (p=0.020), eşlik eden lateral malleol kırığında (p=0.028) ve Ovadia-Bell kriterleri’ne göre non-anatomik olması durumunda (p=0.031) AOFAS değerleri 85’in altına düşmektedir. SF-12 PCS değerlerine bakıldığında, Ruedi-Allgower sınıflaması arttığında (p=0.018), Ovadia- Bell kriterleri’ne göre non-anatomik olması durumunda (p=0.012) SF-12 PCS değerlerinde düşme gözlendi. SF-12 PCS ile AOFAS değerlerinde korelasyon gözlendi (p=0.000). TARTIŞMA: Tibia pilon kırıklarında ORIF ile başarısızlık nedeni Ruedi 3, lateral malleol kırığı, cerrahi anatomik olmayan redüksiyon olarak bulundu. Ayak fonksiyonlarındaki başarısızlık hem erken dönem hem de orta dönemde hayat kalitesini doğrudan etkilemektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Yaradılmış Y, okkaoglu m, Kılıç A, Haberal B, demirkale i, altay m (2020). The mid-term effects on quality of life and foot functions following pilon fracture. , 798 - 804. 10.14744/tjtes.2020.85601
Chicago	Yaradılmış Yüksel Uğur,okkaoglu mustafa caner,Kılıç Alparslan,Haberal Bahtiyar,demirkale ismail,altay murat The mid-term effects on quality of life and foot functions following pilon fracture. (2020): 798 - 804. 10.14744/tjtes.2020.85601
MLA	Yaradılmış Yüksel Uğur,okkaoglu mustafa caner,Kılıç Alparslan,Haberal Bahtiyar,demirkale ismail,altay murat The mid-term effects on quality of life and foot functions following pilon fracture. , 2020, ss.798 - 804. 10.14744/tjtes.2020.85601
AMA	Yaradılmış Y,okkaoglu m,Kılıç A,Haberal B,demirkale i,altay m The mid-term effects on quality of life and foot functions following pilon fracture. . 2020; 798 - 804. 10.14744/tjtes.2020.85601
Vancouver	Yaradılmış Y,okkaoglu m,Kılıç A,Haberal B,demirkale i,altay m The mid-term effects on quality of life and foot functions following pilon fracture. . 2020; 798 - 804. 10.14744/tjtes.2020.85601
IEEE	Yaradılmış Y,okkaoglu m,Kılıç A,Haberal B,demirkale i,altay m "The mid-term effects on quality of life and foot functions following pilon fracture." , ss.798 - 804, 2020. 10.14744/tjtes.2020.85601
ISNAD	Yaradılmış, Yüksel Uğur vd. "The mid-term effects on quality of life and foot functions following pilon fracture". (2020), 798-804. https://doi.org/10.14744/tjtes.2020.85601

APA	Yaradılmış Y, okkaoglu m, Kılıç A, Haberal B, demirkale i, altay m (2020). The mid-term effects on quality of life and foot functions following pilon fracture. Ulusal Travma ve Acil Cerrahi Dergisi, 26(5), 798 - 804. 10.14744/tjtes.2020.85601
Chicago	Yaradılmış Yüksel Uğur,okkaoglu mustafa caner,Kılıç Alparslan,Haberal Bahtiyar,demirkale ismail,altay murat The mid-term effects on quality of life and foot functions following pilon fracture. Ulusal Travma ve Acil Cerrahi Dergisi 26, no.5 (2020): 798 - 804. 10.14744/tjtes.2020.85601
MLA	Yaradılmış Yüksel Uğur,okkaoglu mustafa caner,Kılıç Alparslan,Haberal Bahtiyar,demirkale ismail,altay murat The mid-term effects on quality of life and foot functions following pilon fracture. Ulusal Travma ve Acil Cerrahi Dergisi, vol.26, no.5, 2020, ss.798 - 804. 10.14744/tjtes.2020.85601
AMA	Yaradılmış Y,okkaoglu m,Kılıç A,Haberal B,demirkale i,altay m The mid-term effects on quality of life and foot functions following pilon fracture. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(5): 798 - 804. 10.14744/tjtes.2020.85601
Vancouver	Yaradılmış Y,okkaoglu m,Kılıç A,Haberal B,demirkale i,altay m The mid-term effects on quality of life and foot functions following pilon fracture. Ulusal Travma ve Acil Cerrahi Dergisi. 2020; 26(5): 798 - 804. 10.14744/tjtes.2020.85601
IEEE	Yaradılmış Y,okkaoglu m,Kılıç A,Haberal B,demirkale i,altay m "The mid-term effects on quality of life and foot functions following pilon fracture." Ulusal Travma ve Acil Cerrahi Dergisi, 26, ss.798 - 804, 2020. 10.14744/tjtes.2020.85601
ISNAD	Yaradılmış, Yüksel Uğur vd. "The mid-term effects on quality of life and foot functions following pilon fracture". Ulusal Travma ve Acil Cerrahi Dergisi 26/5 (2020), 798-804. https://doi.org/10.14744/tjtes.2020.85601