Lengthening over a retrograde nail using 3 Schanz pins.

The technique of lengthening over an antegrade nail is used widely for distraction osteogenesis of the femur. Most reported complications of this technique are related to Schanz pins. We hypothesized that reducing the number of Schanz pins would enable successful distraction with fewer complications.

Prevalence of untreated hip dislocation in Turkish children aged 6 months to 14 years.

Objective: In this study, our aim was to determine the prevalence of untreated hip dislocation and subluxation in Turkey.

Methods: Pelvic radiographs of 4,947 children, aged between 6 months and 14 years, taken for non-orthopedic purposes were requested from 23 provinces around the country. 3,723 radiographs met the study criteria and were evaluated.

Calculating the mounting parameters for Taylor Spatial Frame correction using computed tomography.

The Taylor Spatial Frame uses a computer program-based six-axis deformity analysis. However, there is often a residual deformity after the initial correction, especially in deformities with a rotational component. This problem can be resolved by recalculating the parameters and inputting all new deformity and mounting parameters.

Neuromuscular deformity: treatment with external fixation.

A multiplanar foot deformity is defined by the presence of more than one deformity affecting the foot. These deformities may develop in any plane, including the frontal, sagittal, or transverse planes. This article focuses on the treatment of multiplanar neuromuscular foot deformities with external fixation, reviewing the indications, preoperative planning, techniques, and complications.

The new intramedullary cable bone transport technique.

Traditional segment transport methods pose major soft tissue and bone problems related to the pin or K wire that fixes the transported bone segment through the soft tissue, especially excursion of the K wire. We designed the cable bone transport technique to prevent these problems and to increase patient comfort. Thirteen patients with bone defects (11 in the tibia and 2 in the femur) were treated successfully with the new method.

[Correction of complex lower extremity deformities with the use of the Ilizarov-Taylor spatial frame].

Objectives: We evaluated the effectiveness of the Taylor spatial frame (Smith & Nephew, Memphis, TN, USA) in the treatment of complex lower extremity deformities.

Methods: The Taylor spatial frame (TSF) was applied to 29 bone segments of 25 patients (12 females, 13 males; mean age 17 years). Indications for the TSF were congenital disorders (n=12), rickets (n=6), physeal injuries (n=4), stiff nonunions (n=3), malunions (n=3), and sequela from septic arthritis of the knee (n=1).

[Epithelioid hemangioendothelioma of bone].

Epithelioid hemangioendothelioma is a low-grade malignant tumor with a histologic appearance and clinical course between that of a hemangioma and angiosarcoma. It is rarely encountered in the bone. A 48-year-old woman was examined following trauma.

[Evaluation of vertebral fractures and associated injuries in adults].

Objectives: We evaluated vertebra fractures and associated injuries in adults to determine the profile of patients presenting with a trauma etiology.

Methods: The study included 372 patients (264 men, 108 women; mean age 30.4 years; range 18 to 65 years) who were treated for vertebra fractures from 1988 to 2003.

Intraspinal metalloma resulting in late paraparesis.

The metal-related complications caused by orthopedic implants have long been a concern, but these problems have been considered mostly in the field of arthroplasty or internal fixation of fractures. The recent prevalence of spinal instrumentation has evoked a similar concern among spine surgeons. Here, we present a case of intraspinal metallosis adjacent to the pedicular hook occurring after treatment of vertebral fracture by posterior spinal instrumentation and fusion, and causing paraparesis at the 3rd postoperative year.

Conservative treatment of fractures of the thoracolumbar spine.

We reviewed 48 patients with thoracolumbar fractures treated conservatively between 1988 and 1999. The average follow-up was 77.5 (31-137) months and average patient age (23 women, 25 men) was 46 (18-76) years.

The role of a posteriorly positioned fibula in ankle sprain.

Background: Specific anatomic variations of the ankle mortise may predispose people to ankle sprains.

Hypothesis: There is a correlation between a higher malleolar index (posteriorly positioned fibula) and incidence of ankle sprain.

Study Design: Prospective case control study.

[Surgical treatment of tibial plateau fractures].

Objectives: This study was designed to determine surgical indications in tibial plateau fractures and to evaluate the effect of surgical treatment on the outcome.

Methods: Forty patients (12 women, 28 men; mean age 39 years; range 18 to 75 years) underwent surgical treatment for 41 tibial plateau fractures. Final evaluations included 37 patients (38 knees).

[Treatment of intertrochanteric fractures of the femur with Ender nails in patients over the age of 65 years].

Objectives: We evaluated the results of treatment with Ender nails in intertrochanteric fractures of the femur in patients exceeding the age of 65 years.

Methods: Thirty-three patients (18 women, 15 men; mean age 78 years; range 65 to 98 years) were treated with Ender nails for non-pathological fractures of the intertrochanteric part of the femur. The right hips were involved in 17 patients and the left in 15 patients.

Open reduction and plate fixation of femoral shaft fractures in children aged 4 to 10.

A retrospective review of 40 children aged 4 to 10 years with 46 femur fractures treated with open reduction and plate fixation is presented. Follow-up time was 6.3 years (range 2.

Aneurysmal bone cyst in the hamate.

Aneurysmal bone cysts (ABCs) show a predilection for the metaphysis of the long bones and the vertebrae and seldom involve the carpal bones. We present a case of an ABC in the left hamate of an 18-year-old man. Curettage and bone grafting were performed, and, because destruction of the cortex was extensive, the hamate was excised.

[Long-term results of olecranon fractures treated with tension-band wiring technique].

Objectives: We evaluated the long-term results of olecranon fractures treated with tension-band wiring (Zuggurtung) technique.

Methods: The study included 41 patients (28 males, 13 females; mean age 48 years; range 20 to 85 years) who underwent tension-band wiring osteosynthesis for olecranon fractures. The involved side was the right in 25 patients, and the left in 16 patients.

[Results of excision of the radial head in comminuted fractures].

Objectives: To evaluate the results of radial head excision in the treatment of comminuted radial head fractures.

Methods: The study included 20 patients (14 men, 6 women; mean age 34 years; range 21 to 55 years) who underwent radial head excision for comminuted, closed fractures. Sixteen patients had Mason type 3 and four patients had type 4 fractures.

[Traumatic femoral diaphyseal fracture and a bent intramedullary nail in a case with a completely healed femoral diaphyseal fracture].

Bending of a Kuntscher nail which had been used in the treatment of a prior femoral diaphyseal fracture was encountered in a 37-year-old male patient who was admitted to hospital for a deformity in his left thigh caused in a car accident. The nail was extracted and osteosynthesis was performed via an intramedullary locked nail. Union was obtained in the fourth postoperative month without any complications.

[Plate fixation of closed femoral shaft fractures in adolescents].

Objectives: This study was designed to evaluate the results, advantages, and disadvantages of plate fixation of closed femoral shaft fractures in adolescents between the ages of 11 and 15 years.

Methods: The study included 35 adolescents (26 males, 9 females; mean age 13.4 years) who were treated by plate fixation for closed femoral shaft fractures and had an adequate follow-up.

Management of childhood chronic tibial osteomyelitis with the Ilizarov method.

The efficacy of the Ilizarov method in the management of the long bone defect is well established. There have been rare reports about the use of the Ilizarov method in the bone defect caused from childhood osteomyelitis. In this article, the authors present results of seven patients with childhood chronic hematogenous osteomyelitis of the tibia who were treated with the Ilizarov method.

Correcting and lengthening of metatarsal deformity with circular fixator by distraction osteotomy: a case of longitudinal epiphyseal bracket.

The condition known as longitudinal epiphyseal bracket or delta phalanx is a rare congenital anomaly that affects the tubular bones of hand or foot. Metatarsal epiphyseal bracket restrains longitudinal growth, causing progressive deformity and resulting in a short, broad metatarsal and a medially deviated metatarsophalangeal joint and hallux magnus. Although there are some case series describing metatarsal lengthening with the unilateral fixator in the literature, we could not find any case that combines both metatarsal lengthening and deformity correction with the circular external fixator.

The application of open intramedullary fixation in the treatment of pediatric radial and ulnar shaft fractures.

Objectives: This retrospective review evaluates the efficiency of standard intramedullary Kirschner wires for the treatment of unstable diaphyseal forearm fractures in children.

Design: Retrospective review.

Setting: Large teaching and research hospital in Turkey.

Management of the neuromuscular foot deformities with the Ilizarov method.

Nine feet of eight patients with neurologic foot deformities caused from poliomyelitis, Charcot-Marie-Tooth disease, and traumatic nerve injury were treated with V-osteotomy and the Ilizarov method. A painless and plantigrade foot was obtained in all but one patient. A residual deformity occurred in this case because of the soft-tissue problems during the correction period.