Obstetrik Brakiyal Pleksus Yaralanması Olan Hastalarda Süpinatoplasti Girişimlerinin Retrospektif Değerlendirilmesi

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Date
2017
Author
DAYLAK, ALİŞAN
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Abstract
Patientswithobstetricbrachial plexuspalsy(OBPP)havevariousdeformities,isencounteredaccordingto theaffectednerve area.Pronationcontracturesalsoemergeasalimitationthatcausesphysicalandemotional problemsinthisgroupof patients.However,intheliterature,managementofbrachialplexus patientshavingpronationcontractureislimited.Thedataforthepronationcontracturebelongs mainlytostudiesperformedinpatientswithcerebralpalsy(CP).Duetothelackofcomparative studiesonthissubject,therearesomelimitationsinthealgorithms.The primarypurposeofthis studywastodeterminethecontributionofPTre-routingandFCU-ERCBtransfersforsupination inOBPPpatientshavingpronationcontractureandtocomparetheresultsofsurgerywithTurkish versionofSF-36andDASHscoringsurveys.Ontheotherhand,radiographicevaluationofthe radialhead fordislocationandsubluxationwasevaluatedasasecondaryaim.Inthe study,itwas observedthatinthePTreroutinggroupgainedmoresupinationthantheFCU-ERCBgroup.(p= 0.028).Apartfromthese,bothpatientgroupswerefoundtohaveemotionalandphysicalrole limitations,whichwerefoundto beassociatedwiththeNarakasgrade.However,nostatistical differencewasfoundinthestudygroups.Nosignificantdifferencewasfoundinradialhead dislocationandsubluxationinbothgroupsofsurgery. Inconclusion,thisstudysuggeststhatPT re-routingpatientscanachievemorepro-supinationthanFCU-ERCBtransfer.
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http://hdl.handle.net/11655/3951
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DaylakA.,ObstetrikBrakiyalPleksusYaralanmasıOlanHastalardaSüpinatoplasti GirişimlerininRetrospektifDeğerlendirilmesi,HacettepeÜniversitesiTıpFakültesi OrtopediveTravmatolojiAnabilimDalı,UzmanlıkTezi,Ankara,2017.