Publications by authors named "E Guryel"
Article Synopsis
- The British Orthopaedic Association Standards for Trauma and Orthopaedics (BOAST) provide guidelines for treating open lower limb fractures, and an audit was conducted to evaluate the adherence to these standards in a Southeast England trauma center.
- The audit analyzed data from 133 patients from August 2020 to August 2022, revealing that most patients were older women who sustained fractures from low-energy injuries, with a significant number undergoing timely debridement and closure procedures.
- While the management of these fractures generally aligned with BOAST guidelines, improvements are needed in initial debridement practices, emphasizing the importance of training and resource allocation to enhance compliance.
Aims: Ankle fractures are common injuries and the third most common fragility fracture. In all, 40% of ankle fractures in the frail are open and represent a complex clinical scenario, with morbidity and mortality rates similar to hip fracture patients. They have a higher risk of complications, such as wound infections, malunion, hospital-acquired infections, pressure sores, veno-thromboembolic events, and significant sarcopaenia from prolonged bed rest.
View Article and Find Full Text PDFBackground: Type C3 distal tibial plafond fractures consistently show poor outcomes with high complication rates and significant risk of posttraumatic arthritis. We describe a minimally invasive technique of performing a primary ankle fusion using an anterograde tibial nail and compare our early results to traditional methods of fixation.
Methods: During the acute admission, the patient undergoes an arthroscopic preparation of the ankle joint and insertion of an anterograde nail into the talus.
Purpose: Headless compression screws (HCS) have a variable thread pitch and headless design enabling them to embed below the articular surface and generate compression force for fracture healing without restricting movement. Locking screws have greater variety of dimensions and a threaded pitch mirroring the design of the HCS. The objective of this study is to determine whether locking screws can generate compression force and compare the compressive forces generated by HCS versus locking screws.
View Article and Find Full Text PDFIntroduction: Open ankle fractures in elderly patients are challenging injuries to manage. The aim of this study was to assess the outcome of elderly patients with open ankle fractures treated with a tibiotalocalcaneal nail and primary wound closure.
Methods: We identified all open ankle fractures in patients over 65 referred to our major trauma centre managed with a tibiotalocalcaneal nail and primary wound closure over 10 years.