Total hip replacement for an ochronotic patient: A technical trick.

Patient: Male, 46 FINAL DIAGNOSIS: Akkaptonuria Symptoms: Hip pain Medication: - Clinical Procedure: Total hip replacement Specialty: Orthopedics and Traumatology.

Objective: Unusual or unexpected effect of treatment.

Background: Ochronosis is an inherited metabolic disease in which there is an accumulation of excessive amounts of homogentisic acid in the connective tissue.

Isolated sacral dislocation in a 4-year-old child.

Sacral dislocation is an uncommon form of injury in childhood. A 4-year-old girl who was injured in a motor vehicle accident was seen in the emergency room. On physical examination, ecchymosis and tenderness in the abdomen and sacral region was identified.

Traumatic shoulder fracture-dislocation in a 7-year-old child: a case report.

Introduction: In contrast to adults, traumatic glenohumeral dislocation is a rarely observed condition among children. In some cases, success in durable reduction with conservative methods, and achieving lasting treatment, may not be possible.

Case Presentation: In this study, the case of a 7-year-old Turkish girl with a Salter-Harris type II fracture and glenohumeral dislocation of the proximal humerus due to a fall from a height of 1.

Extra-articular Tenosynovial Chondromatosis Mimicking a Neoplastic Disease in the First Web Space of the Hand.

Tenosynovial chondromatosis is a very rare disease. The most common symptom is a slowly enlarging soft tissue mass, which may be painful or cause limitation of joint motion. Plain radiograph may appear normal during early phases of the disease, but subsequent imaging may be necessary to exclude other pathologies.

The effects of dexmedetomidine on ischemia reperfusion injury in patients undergoing arthroscopy under spinal anesthesia.

Objective: Ischemia and reperfusion injury due to tourniquet application during arthroscopy is a well known problem. This study aimed to compare the effects of dexmedetomidine and ketamine on hemodynamic and respiratory variables and on total anti-oxidant status (TAS), total oxidant status (TOS) and malondialdehyde (MDA) as markers of ischemia-reperfusion injury.

Materials And Methods: This study was approved by a local ethics committee.

Complete lumbar spine duplication in a neurologically intact man.

Background: Duplication of spine is a rare abnormality. Additional vertebral deformities and severe neurovascular, genitourinary, and gastrointestinal system abnormalities coexist in the majority of the cases.

Design: Case report.

Talonavicular joint approach to the talar body: a cadaver study.

Background: Lesions of the talar dome or tumors within the talar body may require an open approach with medial or lateral malleolar osteotomies. The aim of this study was to evaluate the possibility and feasibility of a new minimally invasive approach without osteotomy, using the talonavicular joint (TJ) as the entry portal for lesions of the talar body.

Materials And Methods: Nine cadaveric feet were used for this study.

Bilateral femur fracture in a newborn: an extreme complication of cesarean delivery.

Introduction: Bilateral femoral fracture due to birth trauma which is extremely rare, can occur during cesarean section.

Material And Methods: This case represents a newborn delivered by cesarean section for breech presentation who sustained bilateral subtrochanteric fracture of the femur.

Result: The newborn was treated with immobilization in pelvipedal cast.

Mini-open versus all-arthroscopic rotator cuff repair: comparison of the operative costs and the clinical outcomes.

Introduction: Rotator cuff injury is one of the most frequently encountered problems of the shoulder in the daily practice of orthopaedic surgeons. This study compared all-arthroscopic cuff repair (ARCR) and mini-open rotator cuff repair (MORCR) methods in regard to clinical outcomes and costs.

Methods: Fifty patient charts and operative repairs were analysed (25 ARCR and 25 MORCR).

Outcome in unilateral or bilateral DDH treated with one-stage combined procedure.

Unlabelled: The surgical treatment of patients with neglected developmental dysplasia of the hip (DDH) has been the subject of controversy. We asked if age affected outcome in patients with neglected DDH with unilateral or bilateral dislocation who underwent one-stage combined procedures. We retrospectively reviewed the results of 40 patients (51 hips) treated with a one-stage combined procedure consisting of open reduction, pelvic osteotomy, and femoral shortening.

Clinical results versus subjective improvement with anterior transposition in cubital tunnel syndrome.

This study was conducted to compare the results of anterior transposition methods and to determine the time needed to attain subjective well-being in patients with cubital tunnel syndrome. A total of 49 cases were retrospectively evaluated. Patients were called for follow-up, completed a questionnaire, and were reexamined.

Effect of strontium ranelate on fracture healing in rat tibia.

Objectives: Various anti-osteoporotic agents are available for clinical use. In contrast to other anti-osteoporotic drugs, strontium ranelate has anti-resorptive and bone-forming effects (dual action). Our objective in the present study is to investigate the efficacy of strontium ranelate (SR) on fracture healing in rat tibia.

Spontaneous giant expanding thigh hematoma mimicking soft tissue neoplasm.

We present a case of giant chronic expanding hematoma occurring in the left lateral thigh without any history of trauma or chronic medical disease. In our case, a diagnosis was unable to perform through conventional diagnosis method, which was confirmed by histopathological examination after successful surgical treatment. We suggest that patients who present with slowly growing extremity masses without trauma, in addition to soft tissue sarcoma and malignancy, chronic expanding hematoma should be considered in the differential diagnosis.

Intraosseous ganglion of the talus treated with the talonavicular joint approach without exposing the ankle joint.

Intraosseous ganglion, which is generally seen in metaphyseal-epiphyseal regions of long bones, is not a rare disorder. It is extremely rare in the talus, however. Differential diagnosis of a cystic talar lesion should include enchondroma, chondroblastoma, giant cell tumor, and unicameral bone cyst.

Successful treatment of hemophilic hand pseudotumors by only radiotherapy.

Hemophilic pseudotumor is a rare complication of hemophilia. We describe a 14-year-old young male with hemophilic pseudotumor in the second and fifth fingers of the left hand. We treated him only with radiotherapy.

The healing potential in cauda equina syndrome secondary to traumatic posterior L5-S1 dislocation. A case report with 16 years follow-up.

Cauda equina syndrome is the result of any lesion that compresses or paralyzes cauda equina roots which are both motor and sensory. It is an uncommon syndrome, which features low back pain, sciatica, variable lower extremity motor and sensory loss with possible bladder and bowel dysfunction. It is an emergency situation as it may cause significant morbidity such as permanent paralysis, impaired bladder and/or bowel control or loss of sexual sensation.

Use of a splint following open carpal tunnel release: a comparative study.

This study was undertaken to compare the clinical effectiveness and costs of postoperative splintage and late rehabilitation with a bulky bandage dressing versus early rehabilitation after carpal tunnel release. In this comparative study, 46 patients were randomly divided into 2 groups. In each group, 3 patients were excluded because of improper follow-up, leaving a total of 40 patients.

Outcome of open comminuted tibial plateau fractures treated using an external fixator.

Background: The purpose of this study was to evaluate the outcome of open severe comminuted tibial plateau fractures treated with minimal internal fixation and circular external fixation frames.

Methods: Fifteen open comminuted tibial plateau fractures were involved in this retrospective study. In eight knees, the fracture was reduced through an extended open traumatic wound.