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Register a new userclosed malleolus fractures in adults evaluate functional outcome of the various methods used in the Assad University Hospital
كسور الكعبين المغلقة عند البالغين النتائج الوظيفية لطرق العلاج المستخدمة في مشفى الأسد الجامعيّ في اللاذقـيّة
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شملت الدراسة 37 حالة كسر أحد الكعبين أو كليهما عند المرضى البالغين ممن راجعوا مشفى الأسد الجامعي في اللاذقية بين عام 2011 و 2014 . تراوحت أعمار المرضى بين 20 و 75 سنة , نسبة الذكور 54% . أكبر نسبة إصابة في الأعمار من 30 حتى 39 سنة (27%) . النسبة الأكبر لسبب الإصابة كانت بآلية الالتواء (8،56%) تلتها حوادث السير (29،7%) ثم أثناء الرياضة (13.5%) . نسبة كسر الكعبين المعزول تماثل نسبة كسر الكعب الأنسي المعزول (35،1%) ثمَّ الكعب الوحشي المعزول (29،8%) . عولجت 25 حالة جراحياً ( 67،6%) ، بينما عولجت 12 حالة بشكل محافظ (32،4%) . كانت النتائج الوظيفية عند الذكور أفضل منها عند الإناث , و في الأعمار الشابة أفضل من الأعمار المتقدمة . كانت أفضل النتائج في العلاج الجراحي بنسبة (51،3%) و خاصة كسور الكعبين (21،6%) ، كانت أفضل النتائج للمرضى المعالجين بشكل محافظ في علاج كسر الكعب الأنسي المعزول (8،1%) بينما أسوء النتائج في الكعب الوحشي المعزول (5،4%) .
The study included 37 cases of fractures of one or both isolated malleoluer in adult patients whose attended al-Assad University Hospital in Lattakia between 2011 and 2014. Patients' ages ranged between 20 and 75 years, the ratio of males was 54 % . Greatest range of injury in ages from 30 to 39 years old (27%) . The largest ratio of the mechanism of injury while was walking (56.8%), followed by traffic accidents (29.7%) and during sports (13.5%). Ratio of isolated malleoluer fractures is like the isolated medial malleolus (35.1%), and the isolated lateral malleolus is (29.8%). Surgically treated 25 cases (67.6%), while 12 cases were treated conservatively (32.4%). The functional results in males were better than in females, and in the younger ages were better than the older ages. The best results were in the surgical treatment by (51.3%), especially the isolated malleoluer fractures (21.6%), the best results for patients treated conservatively were in the treatment of isolated medial malleolus fracture (8.1%), while the worst results were in the isolated lateral malleolus (5.4%).
Artificial intelligence review:
Research summary
تتناول هذه الدراسة كسور الكعبين المغلقة عند البالغين، حيث شملت 37 حالة من المرضى الذين راجعوا مشفى الأسد الجامعي في اللاذقية بين عامي 2011 و2014. تراوحت أعمار المرضى بين 20 و75 سنة، وكانت نسبة الذكور 54%. أظهرت الدراسة أن أكبر نسبة إصابة كانت في الفئة العمرية من 30 إلى 39 سنة بنسبة 27%. كانت آلية الإصابة الأكثر شيوعاً هي الالتواء بنسبة 68.56%، تليها حوادث السير بنسبة 29.7%، ثم الإصابات الرياضية بنسبة 13.5%. تم علاج 25 حالة جراحياً (67.6%)، بينما عولجت 12 حالة بشكل محافظ (32.4%). أظهرت النتائج أن العلاج الجراحي كان أكثر فعالية بنسبة 51.3%، خاصة في حالات كسور الكعبين بنسبة 21.6%. كانت النتائج الوظيفية للمرضى الذكور أفضل من الإناث، وكذلك كانت أفضل في الأعمار الشابة مقارنة بالأعمار المتقدمة. كما أظهرت الدراسة أن العلاج المحافظ كان أكثر فعالية في حالات كسر الكعب الأنسي المعزول بنسبة 8.1%، بينما كانت أسوأ النتائج في حالات كسر الكعب الوحشي المعزول بنسبة 5.4%.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مفيدة ومهمة في مجال جراحة العظام، حيث تقدم معلومات قيمة حول نتائج العلاج الجراحي والمحافظ لكسور الكعبين. ومع ذلك، يمكن تحسين الدراسة من خلال زيادة حجم العينة لتشمل عدد أكبر من المرضى، مما يزيد من موثوقية النتائج. كما يمكن أن تكون الدراسة أكثر شمولية إذا تم تضمين عوامل أخرى مثل الحالة الصحية العامة للمرضى وتأثيرها على النتائج الوظيفية. بالإضافة إلى ذلك، يمكن أن تكون هناك حاجة لمتابعة طويلة الأمد لتقييم النتائج على مدى فترة زمنية أطول.
Questions related to the research
-
ما هي الفئة العمرية الأكثر عرضة للإصابة بكسور الكعبين حسب الدراسة؟
الفئة العمرية الأكثر عرضة للإصابة بكسور الكعبين هي من 30 إلى 39 سنة بنسبة 27%.
-
ما هي آلية الإصابة الأكثر شيوعاً لكسور الكعبين؟
آلية الإصابة الأكثر شيوعاً هي الالتواء بنسبة 68.56%.
-
ما هي نسبة الحالات التي تم علاجها جراحياً؟
تم علاج 67.6% من الحالات جراحياً.
-
ما هي النتائج الوظيفية الأفضل حسب نوع العلاج؟
كانت النتائج الوظيفية الأفضل في العلاج الجراحي بنسبة 51.3%، وخاصة في حالات كسور الكعبين بنسبة 21.6%.
References used
K. E. Bugler, T. O. White, D. B. Thordarson . Focus On Ankle fractures . THE JOURNAL OF BONE AND JOINT SURGERY BRITISH .2013;24:481-487
Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury;37, 2006,691-697
Court-Brown C, McBirnie J, Wilson G. Adult ankle fractures: an increasing problem. Acta Orthop Scand;69, 1998,43-47
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