Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate.

Objective: This study aimed to evaluate the functional outcomes of the surgical treatment performed with a buttress plate for the trochlear and distal capitellum fractures with posterior extension in the humerus.

Methods: The data belonging to 6 female and 4 male patients with a mean age of 43.8±11.

Functional outcome of reverse shoulder tumor prosthesis in the treatment of proximal humerus tumors.

Background: The treatment of proximal humerus tumors with reverse shoulder arthroplasty with allograft augmentation is still controversial. A tumor prosthesis represents a proven solution for such osseous defects. We investigated the functional results of patients who underwent reverse shoulder tumor prosthesis (RSTP) without the use of allograft after resection of a proximal humerus tumor.

Medium-term natural history of subacromial impingement syndrome.

Background: We evaluated the factors that affect the natural course of subacromial impingement syndrome in patients without rotator cuff tears.

Methods: In total, 63 patients were included. During the first evaluation, we recorded each patient's age, gender, profession, body mass index (BMI), hand dominance, alcohol and tobacco consumption, comorbidities, causative event of pain, presence of a functional limitation, duration of symptoms, shoulder scores (American Shoulder and Elbow Surgeons [ASES], Constant-Murley, and visual analog scale), history of subacromial steroid injections, and magnetic resonance imaging (MRI) classification.

Results of displaced supracondylar humerus fractures treated with open reduction and internal fixation after a mean 22.4 years of follow-up.

Background: The aim of this study was to evaluate the long-term functional and cosmetic results as well as the sagittal and coronal plane remodeling of displaced supracondylar humerus fractures treated with open reduction and internal fixation.

Methods: In total, 49 patients (11 boys and 38 girls) with Gartland type III supracondylar humerus fractures treated with open reduction and cross-pin fixation were retrospectively evaluated. The mean follow-up time was 22.

Bipolar or unipolar hemiarthroplasty after femoral neck fracture in the geriatric population.

Background: The choice of prosthesis in hemiarthroplasty is controversial for geriatric patients after femoral neck fracture. We hypothesised that selection criteria for unipolar or bipolar prostheses could be constructed based on factors affecting mortality.

Aims: THE AIMS OF THIS RETROSPECTIVE STUDY WERE: (1) to determine the factors affecting mortality of femoral neck fracture patients ≥65 years of age; (2) to compare patient mortality rates, radiological findings, and functional outcomes according to prosthesis type (unipolar or bipolar); and (3) to evaluate the persistence of inner bearing mobility of bipolar prostheses.

Intraarticular injections (corticosteroid, hyaluronic acid, platelet rich plasma) for the knee osteoarthritis.

Osteoarthritis (OA) is a complex "whole joint" disease pursued by inflammatory mediators, rather than purely a process of "wear and tear". Besides cartilage degradation, synovitis, subchondral bone remodeling, degeneration of ligaments and menisci, and hypertrophy of the joint capsule take parts in the pathogenesis. Pain is the hallmark symptom of OA, but the extent to which structural pathology in OA contributes to the pain experience is still not well known.

Rotational malalignment after closed intramedullary nailing of femoral shaft fractures and its influence on daily life.

Background: Any intraoperative rotational malalignment during intramedullary nailing (IMN) of femoral shaft fractures will become permanent. We hypothesized that rotational malalignment of the femur and its compensatory biomechanics may induce problems in the hip, knee, patellofemoral and ankle joints. We purposed to clarify the influence of a femoral rotational malalignment of ≥10° on daily activities.

Hip fracture mortality: is it affected by anesthesia techniques?

We hypothesized that combined peripheral nerve block (CPNB) technique might reduce mortality in hip fracture patients with the advantage of preserved cardiovascular stability. We retrospectively analyzed 257 hip fracture patients for mortality rates and affecting factors according to general anesthesia (GA), neuraxial block (NB), and CPNB techniques. Patients' gender, age at admission, trauma date, ASA status, delay in surgery, followup period, and Barthel Activities of Daily Living Index were determined.

Intraoperative estimation of femoral anteversion in cementless total hip arthroplasty using the lesser trochanter.

Introduction: The intraoperative estimation of the anteversion of the femoral component of a total hip arthroplasty is generally made by the surgeon's visual assessment of the stem position relative to the condylar plane of the femur.

Aim: The aim of this study was to evaluate the femoral component anteversion relative to lesser trochanter during cementless total hip arthroplasty. The intraoperative estimation of the anteversion of the femoral component of a total hip arthroplasty is generally made by the surgeon's visual assessment of the stem position relative to the condylar plane of the femur.

The results of conservatively treated simple elbow dislocations.

Objectives: Closed reduction followed by short-time immobilization is the generally accepted treatment for simple elbow dislocations. However, the number of studies concerning the results of this method is limited. In this study, the clinical and radiographic results of conservatively treated simple elbow dislocations were retrospectively evaluated.

Treatment of hallux valgus by modified McBride procedure: a 6-year follow-up.

Background: Surgical decision-making was reevaluated by comparison with an algorithm designed to analyze treatment of hallux valgus deformities.

Materials And Methods: A modified McBride procedure was performed on 52 feet of 35 patients with hallux valgus deformity. From this series, 36 feet of 21 patients were evaluated preoperatively, early postoperatively, and late postoperatively by means of subjective evaluation and clinical and radiological findings.

Predictors of mortality in elderly patients with an intertrochanteric or a femoral neck fracture.

Background: We retrospectively analyzed 112 intertrochanteric femur fracture patients and 136 femoral neck fracture patients to determine mortality rates and factors affecting mortality. Internal fixation is the standard treatment method for intertrochanteric femur fracture patients in our institute, and arthroplasty, as a treatment choice, shows an increase in mortality rates. We wanted to convey if there was any decrease in mortality rate of intertrochanteric femur fracture patients when compared with femoral neck fracture patients who were almost always treated with arthroplasty.

[Long-term results of total hip arthroplasty in patients with juvenile rheumatoid arthritis].

Objectives: We evaluated the long-term results of total hip arthroplasty (THA) in patients with juvenile rheumatoid arthritis (JRA).

Methods: The study included 37 hips of 23 patients (22 females, 1 male; mean age 22 years; range 17 to 30 years) who underwent THA for hip degeneration secondary to JRA. All arthroplasties were performed through an anterolateral approach by the same senior surgeon.

[Isolated tuberculous tenosynovitis of the Achilles tendon: a report of two cases].

Tuberculous tenosynovitis involving the tendons of the feet is very rare. Isolated primary tuberculous tenosynovitis of the Achilles tendon was detected in two women aged 19 and 53 years, respectively. The younger patient had a swollen and painful Achilles tendon in the left foot.

The coracoacromial ligament: the morphology and relation to rotator cuff pathology.

We dissected 80 shoulders from 44 fresh cadavers to define variants of the coracoacromial ligament and their relationship to rotator cuff degeneration. The shapes and the geometric data of the ligaments were investigated, and the rotator cuffs of the cadavers were evaluated macroscopically. Five main types of coracoacromial ligaments were found: Y-shaped, broad band, quadrangular, V-shaped, and multiple-banded.

[Brachial plexus neuropathy (stinger syndrome) occurring in a patient with shoulder laxity].

The stinger syndrome is a common neuropathy caused by traction or compression of the brachial plexus. In general, it is seen in young adults involved in sport activities and a major contact trauma is the rule. An 11-year-old boy with bilateral glenohumeral joint laxity had pain in the left shoulder, numbness and decreased strength in the left arm that developed after striking against a wall while running, with the left shoulder in extension and the neck in minimal lateral flexion to the contralateral side.

Anatomic relationship between elbow arthroscopy portals and neurovascular structures in different elbow and forearm positions.

Twenty fresh cadaveric elbows were used to evaluate the proximity of neurovascular structures to the six arthroscopic portals of the elbow at different positions. After distention of the joint, 4-mm Steinmann pins were introduced into the elbow from the portal's entry points. After surgical dissection, the proximity of the neurovascular structures to the pins was measured in 5 different positions.

[Treatment of intertrochanteric femur fractures in elderly patients: internal fixation or hemiarthroplasty].

Objectives: There is no consensus as to whether internal fixation or hemiarthroplasty is more appropriate for the treatment of intertrochanteric femur fractures in elderly patients. While the latter offers early mobilization, internal fixation preserves the hip joint and avoids long-term complications associated with the prosthesis. This retrospective study aimed to compare the early results of these treatment modalities.

Arthroscopic microfracture treatment for osteonecrosis of the knee.

Purpose: This study evaluated the results of arthroscopic subchondral microfracture performed on patients with spontaneous osteonecrosis (ON) (group 1) or secondary ON (group 2) of the knee joint.

Type Of Study: Retrospective clinical study.

Methods: Group 1 included 26 patients (mean age, 48 years) who had spontaneous ON.

[Open surgical treatment of posterior instability of the shoulder].

Posterior instability of the shoulder remains a diagnostic and therapeutic challenge, with a growing incidence especially in athletes. Evaluation of the type of the instability, whether unidirectional or multidirectional, is very important with regard to treatment. Although many patients benefit from strengthening and balancing rotator cuff muscles and scapular stabilizers, surgical procedures may be required in those unresponsive to conservative treatment.

[The evaluation and treatment of acute anterior shoulder dislocation].

Anterior shoulder dislocation is the most common dislocation in the human body with a high recurrence rate and thus, has been one of the interesting subjects in orthopaedics and traumatology. There is still controversy about its evaluation and treatment. In particular, the type and duration of immobilization after reduction of the shoulder vary among centers.

[Radiologic evaluation of shoulder instability: conventional radiography, computed tomography and magnetic resonance imaging].

Glenohumeral instability remains a very complex and sometimes challenging diagnostic problem. In most patients, the diagnosis relies mainly on history and physical examination. Radiologic studies provide further information about associated lesions.

Evaluation of patellar height and measurement methods after valgus high tibial osteotomy.

Several controversies exist regarding the surgical difficulties and the results of total knee arthroplasty performed after failed valgus high tibial osteotomy (HTO), and the main subject is the change in patellar height that results as patella baja or infera. The purpose of this retrospective study was to evaluate patellar height after valgus HTO and the measurement methods that were actually used. Eighty-five knees that were subjected to valgus HTO were evaluated both preoperatively and postoperatively according to the Insall-Salvati Index (ISI), Blackburne-Peel Index (BPI), and Caton Index (CI) to assess any alteration of patellar tendon height that was present.

Effect of decortication on laminar strength during sublaminar wiring: an experimental study.

Eighty lumbar segments from 16 female sheep were used to investigate the effect of laminar decortication on the strength of the lamina during sublaminar wiring procedure. Sheep were 12-14 months old. Forty vertebrae from eight animals were decorticated before loading with sublaminar wire to failure, and 40 vertebrae from the remaining eight sheep were tested with the same procedure but intact.