PROBLEM OF PSEUDOARTHROSIS DUE TO GUNSHOT INJURIES AND OUR TREATMENT RESULTS WITH CIRCULAR EXTERNAL FIXATOR

The treatment of pseudoarthrosis with defected or without defected due to gunshot injuries is rather difficult and controversial subject. In this study, we evaluated the treatment of 151 pseudoarthrosis cases treated with circular external fixator(CEF) at Gülhane Military Medical Academy, Department of Orthopaedics and Traumatology between Jan-1986 and Dec1997. Mean age of our cases was 24, 95(62.9%) of those was pseudoarthrosis with defected and 56(37.1%) of those was pseudoarthrosis without defected. Mean follow-up period was 64.2(24-132). Because of obtaining successful clinical and radiological results, pseudoarthrosis due to gunshot injuries with high-velocity can be managed by means of circular external fixator.

ATEÞLÝ SÝLAH YARALANMASINA BAÐLI PSÖDOARTROZ SORUNU VE SÝRKÜLER EKSTERNAL FÝKSATÖR ÝLE TEDAVÝ SONUÇLARIMIZ

Ateþli silah yaralanmalarýna baðlý defektli ve defektsiz psödoartroz tedavisi oldukça güç ve tartýþmalý bir konudur. Bu çalýþmada GATA Ortopedi ve Travmatoloji A.D'de Ocak-1986 Aralýk-1997yýllarý arasýnda sirküler eksternal fiksatör (CEF) ile tedavi edilen toplam 151 psödoartrozlu olgunun tedavi sonuçlarý sunulmuþtur. Olgularýmýzýn ortalama yaþý 24 olup, 95(%62.9)'si defektli psödoartroz ve 56 (%37.1)'u defeksiz psödoartrozdur. Ortalama takip süresi 64.2 (24-132) aydýr. Klinik ve radyolojik olarak elde ettiðimiz baþarýlý sonuçlar özellikle yüksek enerjili ateþli silah yaralanmasýna baðlý psödoartroz sorununun, CEF cihazý ve tekniði ile baþarýlý bir þekilde çözümlenebileceðini göstermiþtir.