K\u0131r\u0131kkale \u00dcniversitesi (KK\u00dc) T\u0131p Fak\u00fcltesi Hastanesi Ortopedi ve Travmatoloji Ana Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Do\u00e7. Dr. \u0130brahim Deniz Canbeyli, AA muhabirine, ayak ba\u015fparma\u011f\u0131nda g\u00f6r\u00fclen ve halk aras\u0131nda “ayakta \u00e7\u0131k\u0131nt\u0131” olarak bilinen deformiteyle s\u0131kl\u0131kla kar\u015f\u0131la\u015ft\u0131klar\u0131n\u0131 belirtti.<\/p>\n
Ayak ba\u015fparma\u011f\u0131 \u015fi\u015fli\u011fi olarak niteledikleri deformitenin ba\u015fparma\u011f\u0131n rotasyonu ve d\u0131\u015fa d\u00f6nmesinden olu\u015fan bir kompleks oldu\u011funa dikkati \u00e7eken Canbeyli, “Buna ‘halluks valgus’ ad\u0131n\u0131 vermekteyiz. Ayak ba\u015fparma\u011f\u0131 deformitesi, toplumda s\u0131k g\u00f6r\u00fcl\u00fcyor. Daha \u00e7ok kad\u0131nlarda olmakla birlikte genetik ge\u00e7i\u015f \u00f6nceli\u011fi bulunmakta.” dedi.<\/p>\n
Hastalar\u0131n ayaklar\u0131nda a\u011fr\u0131 ve \u015fekil bozuklu\u011fu \u015fikayetiyle kendilerine ba\u015fvurdu\u011funu anlatan Canbeyli, “Aya\u011f\u0131 g\u00f6r\u00fcr g\u00f6rmez tan\u0131s\u0131n\u0131 koyabiliyoruz fakat tan\u0131da radyolojik y\u00f6ntemlerden de yararlan\u0131yoruz. Radyolojik y\u00f6ntemleri, hastal\u0131\u011f\u0131n s\u0131n\u0131fland\u0131rmas\u0131n\u0131 ve tedavi planlamas\u0131n\u0131 yapmak i\u00e7in kullan\u0131yoruz.” diye konu\u015ftu.<\/p>\n
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“A\u00e7\u0131lar\u0131n art\u0131\u015f\u0131na ba\u011fl\u0131 olarak cerrahi tedavi gereksinimi artmaktad\u0131r”<\/h3>\n
Canbeyli, ayak ba\u015fparma\u011f\u0131 deformitesinin hem 10-18 ya\u015f aras\u0131nda hem de yeti\u015fkinlik d\u00f6neminde kar\u015f\u0131lar\u0131na \u00e7\u0131kt\u0131\u011f\u0131n\u0131 aktard\u0131.<\/p>\n
Tedavi yakla\u015f\u0131mlar\u0131n\u0131n ya\u015fa, hastan\u0131n \u015fikayetlerine ve ayaktaki deformitenin a\u00e7\u0131sal \u00f6l\u00e7\u00fcmlerine ba\u011fl\u0131 olarak de\u011fi\u015fti\u011fini anlatan Canbeyli, “10-18 ya\u015f aras\u0131 d\u00f6nemde konservatif tedavi dedi\u011fimiz daha \u00e7ok ayakkab\u0131 modifikasyonuyla tedavi etmekteyiz. Yine a\u00e7\u0131lar\u0131n art\u0131\u015f\u0131na ba\u011fl\u0131 olarak cerrahi tedavi gereksinimi artmaktad\u0131r. Bu problem, yumu\u015fak doku prosed\u00fcrleri dedi\u011fimiz cerrahi tedaviyle baz\u0131 a\u00e7\u0131sal deformitelere kadar \u00e7\u00f6z\u00fclebilmekte. Daha ileri derecede kemikte kesi yaparak d\u00fczeltmemiz gerekebiliyor.” ifadelerini kulland\u0131.<\/p>\n
D\u00fcz tabanl\u0131k ve serebral palsi gibi hastal\u0131klara da e\u015flik edebiliyor<\/h3>\n
Canbeyli, ayak ba\u015fparma\u011f\u0131 deformitesinin i\u00e7sel ve d\u0131\u015fsal etkenlere ba\u011fl\u0131 olarak g\u00f6r\u00fcld\u00fc\u011f\u00fcne dikkati \u00e7ekerek, \u015funlar\u0131 kaydetti:<\/p>\n
“Yakla\u015f\u0131k y\u00fczde 70’inde genetik yatk\u0131nl\u0131k s\u00f6z konusu. Yani anne, baba veya dedede bu problemi g\u00f6rebiliyoruz. Bunun d\u0131\u015f\u0131nda d\u00fcz tabanl\u0131k ve \u00e7ocuklarda g\u00f6rd\u00fc\u011f\u00fcm\u00fcz serebral palsi gibi hastal\u0131klarda da bu problem e\u015flik edebiliyor. D\u0131\u015f nedenlerde de \u00f6zellikle kad\u0131nlarda daha s\u0131k g\u00f6r\u00fcl\u00fcyor. Topuklu ve ince burunlu ayakkab\u0131 tercihi hastal\u0131\u011f\u0131n g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131n\u0131 artt\u0131rmakta. Omurga deformitelerinin, ayak ba\u015fparma\u011f\u0131 deformitesini art\u0131rd\u0131\u011f\u0131 y\u00f6n\u00fcnde kitabi bir bilgi yok. Fakat literat\u00fcr taramas\u0131 yapt\u0131\u011f\u0131m\u0131zda \u00f6zellikle omurga deformitesi olan dans\u00e7\u0131larda daha fazla ayak deformitesi g\u00f6r\u00fcld\u00fc\u011f\u00fcn\u00fc g\u00f6rebiliyoruz.”<\/p>\n