Background: Total knee arthroplasty is a successful procedure in the treatment of knee osteoarthritis. Searches in surgical technique have focused surgeons in particular on implant alignment. For this purpose, the use of robot-assisted total knee arthroplasty has become increasingly common in the last 10 years.
View Article and Find Full Text PDFFractures of the transverse processes in the lumbar vertebrae occur as the result of major forces such as direct blunt trauma, violent lateral flexion-extension forces, avulsion of the psoas muscle, or Malgaigne fractures of the pelvis. Dancers make repeated and forceful hyperextension and flexions of the spine, which may cause fractures of the transverse processes of the lumbar vertebrae. Repeated trauma of muscles in dancers may cause avulsion fractures and myositis ossificans.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
December 2014
Purpose: The aim of this study was to evaluate the effect of knee position during wound closure (flexed vs. extended) in total knee arthroplasty on knee strength and function, as determined by knee society scores and isokinetic testing of extensor and flexor muscle groups.
Methods: In a prospective, randomized, double-blind trial, 29 patients were divided in two groups: for Group 1 patients, surgical closing was performed with the knee extended, and for Group 2 patients, the knee flexed at 90°.
Introduction: In this study, the results of local injection of platelet-rich plasma (PRP) and corticosteroids in the treatment of plantar fasciitis were compared.
Patients And Methods: Sixty patients who were diagnosed as plantar fasciitis and treated conservatively for at least 3 months and had no response to conservative treatment modalities were involved in this study. The first 30 consecutive patients were treated by local injection of 2 mL of 40 mg Methylprednisolone with 2 mL of 2% prilocaine (metilprednizalone) and the second 30 patients were treated by injecting 3 mL PRP after 2 mL of 2% prilocaine injection.
Knee Surg Sports Traumatol Arthrosc
November 2012
Purpose: This study reviews the dynamic patellofemoral CT results of 39 patients with untreated developmental dislocation of the hip who are suffering from knee pain.
Method: The mean age of the patients with unilateral developmental dislocation of the hip was 33.3 (±7.
Objective: To evaluate the results of nonoperative treatment of three- and four-part fractures of the proximal humerus in patients who refused surgery or could not undergo surgery because of medical conditions.
Design: Retrospective evaluation of prospective collected data.
Setting: Educational and research hospital.
Objectives: In this study, we aimed to evaluate the functional results of patients operated for unilateral clubfoot who had good clinical outcome with gait analysis. We also investigated the deviation from the normal, and determined the compensation mechanisms by comparing this data with the unaffected feet and with the feet of healthy children.
Methods: Sixteen children [10 boys, 6 girls; mean age, 6.
Objectives: The relation between serum vascular endothelial growth factor (VEGF) level and bone mineral density (BMD) value was evaluated to investigate the role of VEGF at etiopathogenesis of the osteoporosis.
Patients And Methods: Bone scanning with dual energy X-ray absorptiometry (DEXA) was performed on a total of 276 patients more than 40 years of age between September 2007 and January 2008 in our hospital's radiology department. A total of 88 patients (44 females; mean age 62.
Introduction: Medial patellar subluxation is usually seen after lateral retinacular release. Spontaneous medial subluxation of the patella is a very rare condition. There are few reports in the literature on the pathophysiology of iatrogenic medial patellar subluxation.
View Article and Find Full Text PDFIntroduction: Mechanical factors play a role in pathogenesis of primary osteoarthritis of the hip. Torsion measures were made to detect whether there is a causal relationship between increase or decrease of femoral anteversion, acetabular anteversion, and osteoarthritis. There are no studies in the literature indicating a relationship between axial plane coverage and osteoarthritis of the hip.
View Article and Find Full Text PDFBackground: The number of distal locking screws may have an effect on union, complication rates and operation time. The purpose of this study was to determine the effect of one or two distal locking screws in unreamed intramedullary nailing of closed or grade 1 open, simple or wedge tibial shaft fractures on the incidence of malunion, delayed union, non-union, and screw failure.
Methods: Fifty-seven patients (39 male, 18 female; mean age 38.
Background: To assess the isokinetic muscle strength (IMS) of hip flexor and extensor muscles in patients treated with one-stage combined procedure for developmental dysplasia of the hip and analyze the effect of the status of hip muscles on IMS.
Methods: Twenty-two patients were included in the study. The mean age was 154.
Background: To assess the status of hip flexor and extensor muscles with MRI in patients with unilateral developmental dysplasia of the hip (DDH) after walking age who were treated with one-stage combined procedure.
Methods: Twenty-two patients operated upon with one-stage combined procedure for unilateral DDH were included in this study. All patients underwent complete tenotomy of the iliopsoas muscle hindering open reduction.
Introduction: To treat neglected developmental dysplasia of the hip (DDH), we performed Salter innominate osteotomy with a modification of transiliac lengthening. We asked whether this modified technique caused posterior coverage problems and triradiate cartilage injury.
Methods: We retrospectively reviewed 45 patients with unilateral DDH treated by open reduction and femoral shortening and modified Salter innominate osteotomy.
Background: Immediate hip spica casting is the most commonly used method for the treatment of pediatric femoral fractures. The main disadvantage of the method is the unacceptable shortening (>25 mm), which may occur during the treatment. Buehler et al described the so-called telescope test to identify the cases with a relatively high risk of unacceptable shortening.
View Article and Find Full Text PDFObjectives: We evaluated the results of short-segment posterior instrumentation of thoracolumbar burst fractures and investigated correlations between radiographic and functional results as well as factors that affected correction losses.
Methods: We reviewed 48 patients (30 males, 18 females; mean age 40+/-14 years; range 18 to 67 years) who underwent short-segment posterior instrumentation with pedicle screws and fusion. The most common involvement was at L1 in 18 patients (37.
Objectives: We assessed the results of intramedullary nailing in children who developed redisplacement during cast treatment of both-bone forearm fractures.
Methods: Twenty-eight children (19 boys, 9 girls; mean age 10.6 years; range 8 to 15 years) were treated with intramedullary fixation upon failure of initial reduction of both-bone forearm fractures after a mean of four weeks (range 3 to 6 weeks) of cast treatment.
Children with developmental dysplasia of the hip after walking age can be treated with one-stage combined operations. In these procedures, complex deformity corrections at both frontal and axial planes are performed in the guidance of intraoperative stability tests. The reports about the results of these procedures focus on frontal plane assessments but neglect to assess axial plane corrections.
View Article and Find Full Text PDFObjectives: We assessed the results of cementless total hip arthroplasty in patients with late-stage avascular necrosis of the femoral head.
Methods: Unilateral cementless total hip replacement was performed in 25 patients (19 males, 6 females; mean age 39.6 years; range 26 to 56 years) with avascular necrosis of the femoral head.
In order to assess interobserver and intraobserver reliability of an evaluation system of the International Clubfoot Study Group, 30 children treated for unilateral clubfoot and their radiographs were examined by three different observers. The mean intraobserver kappa value was found to be 0.62.
View Article and Find Full Text PDFBMC Musculoskelet Disord
September 2005
Background: It has been demonstrated that endothelins (ET) have significant roles in bone remodeling, metabolism and physiopathology of several bone diseases. We aimed to investigate if there was any difference between the plasma ET levels of osteoporotic patients and normals.
Methods: 86 patients (70 women and 16 men) with a mean age of 62.
Acta Orthop Traumatol Turc
December 2005
Objectives: The effectiveness of open reduction and plate fixation combined with autogenous bone grafting was assessed in the treatment of humeral diaphysis pseudarthrosis.
Methods: Twenty-four patients (16 men, 8 women; mean age 44 years; range 28 to 64 years) were operated on for humeral pseudarthrosis. Of these, 16 patients and eight patients had had previous surgical and conservative treatments, respectively.
Knee Surg Sports Traumatol Arthrosc
November 2005
Patellar tendon rupture in children is very rare. When it occurs, patellar tendon is usually ruptured either from the upper end as a sleeve fracture of the patella or from lower end as an avulsion fracture of the tibial tuberosity. In this report, we present the case of an otherwise healthy 9-years-old boy who had subsequent bilateral patellar tendon ruptures through the midparts, which has not been published previously in the literature.
View Article and Find Full Text PDFSimultaneous quadriceps and patellar tendon rupture is rare. Mechanical factors and coexisting systemic and local factors are taken into consideration in the pathogenesis of these ruptures. In patients with some chronic systemic diseases, simultaneous rupture can occur spontaneously or with minor traumas.
View Article and Find Full Text PDFIn this study we intended to evaluate the gait characteristics of children who had bilateral operated clubfeet, and to compare the results with gait parameters of children without clubfeet or lower extremity abnormalities. Fifteen children with bilateral plantigrade and asymptomatic clubfeet, operated bilaterally with posteromedial release method, were included in group P. Means+/-SD of age and follow-up time were 8.
View Article and Find Full Text PDF