Mehmet Sabri BALIK, Davut KESKİN, Volkan GÜNEŞ, Yılmaz GÜVERCİN, Adem ERKUT

KEMİK DOKU KAYBI OLAN KRURİS EZİLME YARALANMASI

Bu yazıda krurisin kirli ezilme yaralanmasının yönetimini sunduk. Çünkü tibianın açık kırıkları ile sık karşılaşmaktayız. Krurisin bu yaralanmaları uzun dönemde ekstremite kaybı ve morbiditeye neden olabilen ciddi yaralanmalardır. Tibia anatomik yerleşiminden dolayı travmaya kolay maruz kalır. Özellikle crurisin ezilme yaralanmaları, nörovasküler hasar, kompartman sendromu, enfeksiyon, nonunion, malunion gibi komplikasyonlarla yaygın olarak ilişkilidir.

Cruris Crush Injury with Bone Tissue Loss

Herein, we present management of unclean crush injury of the cruris. Because, open fractures of tibia are frequently encountered in clinic. These injuries of the cruris are severe injuries which may lead to long term morbidity and extremity loss. The tibia can be easily exposed to trauma due to its anatomic region. Especially, crush injury of the cruris is commonly associated with complications such as norovascular damage, compartment syndrome, infection, nonunion and malunion.

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Behrens F, Comfort TH, Searls K, Denis F, Young JT. Unilateral external fixation for severe open tibial fractures. Preliminary report of a prospective study. Clin Orthop Relat Res. 1983;178(2):111-120.
MacKenzie EJ, Bosse MJ, Kellam JF, Burgess AR, Webb LX, Swiontkowski MF et al. Factors influencing the decision to amputate or reconstruct after high-energy lower extremity trauma. J Trauma. 2002;52(4):641-649.
Hansen RH. Major injuries due to agricultural machinery. Ann Plast Surg.1986;17(1):59- 64.
Hidalgo DA. Lower extremity avulsion injuries. Clin Plast Surg.1986;13(4):701-710.
Chapman MW, Olsen SA. Open fractures. Rockwood and Green's fractures in adults, Vol 2, p: 305-43, Lippincott- Raven, Philadelphia, 1996.
Gustilo RB. Current concepts in the management of open fractures. Instr Course Lect.1987;36(2):359-366.
Papineau LJ, Alfageme A, Dalcourt JP, Pilon L. Chronic osteomyelitis: open excision and grafting after saucerization. Int Orthop.1979;3(3):165-176.
Paley D. Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res.1990;250(24):81-104.
de Boer HH, Wood MB, Hermans J. Reconsruction of large skeletal defects by vascularized fibular transfer. Factors that influence the outcome of union in 62 cases. Int Orthop.1990;14(2):121-128.
Chacha PB, Ahmed M, Daruwalla JS. Vascular pedicle graft of the ipsilateral fibula for nonunion of the tibia with a large defect. An experimental and clinical study. J Bone Joint Surg Br. 1981;63(2):244-253.