Arthroscopic Technique for Treatment of Schatzker Type III Tibia Plateau Fractures Without Fluoroscopy.

Accurate reduction and maintenance of the stability with correct implant positioning is critical for surgical treatment of tibial plateau fractures. Our technique includes an arthroscopic reduction and fixation of Schatzker type III tibial plateau fractures with a bulls-eye screw placement without fluoroscopy control. With the arthroscopic guidance, an anterior cruciate ligament drill guide is placed and a K-wire sent to the midpoint of the depressed fragment through the guide at a 40° angle to the coronal axis of the tibia.

A comparison of Chevron and Lindgren-Turan osteotomy techniques in hallux valgus surgery: a prospective randomized controlled study.

Objective: The aim of this prospective randomized controlled single-blind study was to compare the results of Chevron and Lindgren-Turan osteotomy techniques for treatment of moderate hallux valgus.

Methods: A total of 66 female patients (34 in Chevron group, 32 Lindgren-Turan group) were recruited in this study and followed up for an average of 26.08 months.

Arthroscopy-assisted treatment of Hoffa fracture associated with ipsilateral femoral shaft, tibial eminence and Malgaigne fractures.

Hoffa fracture associated with ipsilateral femoral shaft fractures is a rare clinical entity. We present a previously unreported multi-trauma case with a unique fracture combination of ipsilateral Hoffa, tibial eminence, femoral shaft and Malgaigne fractures. The Malgaigne fracture was treated non-operatively while the other three fractures were operated with arthroscopic and assisted techniques.

The relationship between intra-articular meniscal, chondral, and ACL lesions: finding from 1,774 knee arthroscopy patients and evaluation by gender.

Knowing the relationship between diagnoses is important in knee arthroscopy in terms of defining possible treatment modalities preoperatively. The purpose of our study was to define the diagnoses made intraoperatively through knee arthroscopy and the relationships between them. We evaluated the results of knee arthroscopies performed over a 10-year period.

Minimally invasive reduction technique in split depression type tibial pilon fractures.

Tibial pilon fractures usually result from high energy trauma and present as a challenge to the orthopedic surgeon. Accurate reduction of the joint with meticulous care for the surrounding soft tissues is mandatory. We present a case report in which an anterior cruciate ligament targeting device is used with a minimally invasive technique under arthroscopic and fluoroscopic guidance for Orthopaedic Trauma Association 43-B2.

Rupture of the meniscofibular ligament.

The meniscofibular ligament is an anatomically defined ligament of the knee in humans. However, there are no data regarding the prognosis following injury to this ligament. Our case was a 42-year-old man who presented at our clinic with pain of the lateral side of his left knee.

Component alignment in simultaneous bilateral or unilateral total knee arthroplasty.

A bilateral total knee prosthesis procedure can be performed simultaneously in patients with bilateral gonarthrosis. The purpose of this study was to evaluate the differences in component alignment between the simultaneous bilateral TKA and unilateral TKA. A total of 20 patients out of 40 underwent simultaneous bilateral TKA, whereas 20 patients had unilateral TKA.

No evidence of infection after retrograde nailing of supracondylar femur fracture in gunshot wounds.

Background: The aim of the study was to determine whether osteomyelitis of the femur or septic arthritis of the knee develops after retrograde intramedullary nailing of the femur performed within 7 days of supracondylar femur fracture, secondary to gunshot wounds, without skin defects.

Methods: Fifteen patients with a mean age of 27.8 years (range, 18-52 years), with supracondylar fractures of the femur due to gunshot wounds and without skin defects.

Congenital constriction ring syndrome with foot deformity: two case reports.

Introduction: Congenital peripheral constriction ring originating from soft tissues of the leg that is characterized with compression in the soft tissue usually involving the deep fascia surrounding the leg at the time of birth is occasionally observed in lower extremity. At the region of the constriction, fractures of tibia and fibula and foot deformities like clubfoot can be observed.

Case Presentation: In our report, 6-month and 8-month old infants with congenital constriction band and ipsilateral clubfoot were presented.

Distal tibial epiphyseal fracture (Tillaux) and capsular interposition.

Arthroscopic-assisted reduction is one recommended technique for pediatric distal tibial epiphyseal fractures. A 15-year-old male patient with a triplane distal tibial epiphyseal fracture (Tillaux type) was scheduled for arthroscopic reduction and pinning, which failed to provide adequate fracture reduction. Open surgery was subsequently performed, which revealed a capsular interposition in the fracture line attributable to an anterior capsular tear of the ankle.

Subchondral osteoid osteoma of the glenoid.

Osteoid osteoma of the scapula is a rare benign lesion. This is a case report of a subchondral osteoid osteoma that involved the anterior rim of glenoid. Surgical approach in this atypical area may seem difficult.

Evaluating the effectiveness of a deep-vein thrombosis prophylaxis protocol in orthopaedics and traumatology.

Rationale, Aims And Objectives: To evaluate the effectiveness of the deep-vein thrombosis (DVT) prophylaxis protocol for adult patients in a general orthopaedics and traumatology clinic.

Method: We followed the DVT prophylaxis protocol in 1326 (776 female, 550 male) of 2114 adult patients admitted to the Department of Orthopaedics and Traumatology in Goztepe Research and Training Hospital. They were followed for symptomatic DVT and possible complications of low-molecular-weight heparin (LMWH) therapy.

Treatment of Tönnis type II hip dysplasia with or without open reduction in children older than 18 months: a preliminary report.

Purpose: In this study, we aim to investigate whether the hip with Tönnis type II dysplasia in children older than 18 months can be treated without open reduction.

Methods: In our study, 47 hips (47 patients) with type II developmental dysplasia of the hip according to the Tönnis classification were treated by a combination of open reduction through an anterolateral approach with iliopsoas tenotomy followed by innominate osteotomy and capsulorrhaphy or iliopsoas tenotomy followed by innominate osteotomy. The patients with open reduction constitute the open Salter group (32 hips), while the rest of the patients with innominate osteotomy alone constitute the closed Salter group (15 hips).

The relationship between bone marrow edema size and knee pain.

The purpose of our study was to determine the changes in the size of the edema observed on MRI scans and its relation to the activity pain of the patient and the rest pain in bone marrow edema (BME). A total of 51 patients were followed up at 3-month intervals for a period of 1 year. During the follow-ups, MRI scans of the patients' knees were obtained; the scores obtained on the Stanmore functional rating scale and visual analog scale were determined.

Fracture of an expandable intramedullary nail. Surgical technique for nail removal.

Intramedullary nailing with expandable nails is one of the techniques available for the treatment of fractures of long bones. Concerns regarding bony union have been reported in medical literature, but no case of femoral nail breakage secondary to delayed union has been reported to date. We present a case of a broken expandable femoral nail secondary to delayed union, and we describe the technique used for its extraction.

CT-guided percutaneous transpedicular biopsy for the diagnosis of vertebral lesions.

The authors report the results of a prospective study about CT-guided percutaneous transpedicular vertebral biopsy in 23 patients, 11 male and 12 female, with a mean age of 45 years (range, 17-90 years). Eleven biopsies were performed at a thoracic level, 12 at a lumbar or sacral (one) level. A diagnosis was obtained in 21 out of 23 patients (91.

Profunda femoris artery pseudoaneurysm after surgery and trauma.

Pseudoaneurysms of the profunda femoris artery have been reported following different types of trauma and from orthopedic procedures performed in the proximal femur. Two cases of profunda femoris artery pseudoaneurysm with two rare causes are presented. The first one is a core decompression of femoral head for osteonecrosis and the second one is a proximal femur fracture nailing.

[Treatment of shoulder impingement syndrome after coronary artery bypass surgery].

Objectives: A treatment protocol was developed for shoulder impingement syndrome in patients undergoing major thoracic surgery and the results were compared with those of a control group.

Methods: Treatment with steroids and local anesthetics was administered to 17 patients (15 males, 2 females; mean age 62 years; range 52 to 68 years) who developed impingement syndrome after coronary artery bypass surgery, and to 17 control patients (6 males, 11 females; mean age 56 years; range 43 to 67 years) who did not have thoracic surgery but had impingement syndrome. Injections were made subacromially, around the biceps tendon, intraarticulary, and in the posterior pericapsular area.

[Risk factors for osteoporosis in women having hip fractures after 60 years of age].

Objectives: Management of hip fractures in elderly women should not be confined to surgical treatment and rehabilitation, but also encompasses interventions and measures to protect them from hip fractures. We administered a questionnaire to female patients with hip fractures to determine their social profiles and risk factors.

Methods: A total of 107 female patients (mean age 74 years; range 63 to 100 years) who experienced hip fractures after the age of 60 years were administered a questionnaire to determine their physical and social characteristics, medical conditions , and nutritional status.