Syndactylized glabrous flaps for multiple finger palmar defects.

Background: Palmar finger or pulp defects require coverage with glabrous tissue to achieve a good match with the lost tissue. The management of multiple finger palmar or pulp defects is challenging because these defects may not always be suitable for local or pedicled flaps. In such situations, syndactylizing free or pedicled flaps can be used.

Classification of vascularized fibular flap hypertrophy based on X-ray evaluation.

Objective: The aim of this study was to analyze and classify hypertrophy seen in vascularized fibula flaps used for reconstruction of tubular bone defects.

Methods: Thirty-three patients who underwent a vascularized fibula flap for the reconstruction of massive bone defects of the upper or lower extremity long bones were retrospectively reviewed and included in this study. There were 24 lower extremities (21 tibial and 3 femoral) and 9 upper extremities (4 humeral, 2 radial and 3 ulnar) reconstructions in this series.

Reconstruction of mutilating hand injuries by microsurgical free tissue transfers from the foot.

Introduction: The aim of this study is to present various hand reconstruction methods and provide technical notes regarding the treatment of mutilating hand injuries using free-tissue transfers from the foot and to investigate whether these transfers provide patients with a usable hand or not.

Patients And Methods: Ninety patients with mutilating hand injuries were included in the study. A total of 101 procedures were performed.

Clinical outcomes of salvage revision surgery following finger replantation with vascular insufficiency: A retrospective study.

Objective: The aim of this study was to analyze the outcomes of revision surgery following replantation of single digital amputations.

Methods: In this study, first, a total of 403 patients (339 male, 64 female; mean age=28 years; age range=1-76) in whom a single finger replantation was performed were retrospectively reviewed, and then 60 patients with arterial or venous insufficiency in whom revision surgery was performed were reanalyzed. The second finger was observed to be the most injured one (32.

Survival and Comparison of External Bleeding Methods in Artery-Only Distal Finger Replantations.

Purpose: If there are no veins available in a distal amputation, an artery-only replantation is performed, and an external bleeding method is commonly used. We conducted a survival analysis in a large series of artery-only replantations and compared 2 different external bleeding methods in artery-only distal replantations: nail matrix or hyponychial area bleeding and pulp skin area bleeding, which we have called the crater method.

Methods: Two hundred twenty-eight artery-only distal finger replantations in 199 patients were included in the study.

Reconstruction of extensive pulp defects of the thumb with a radial-based pedicled flap from the index finger.

This article defines a sensate, pedicled heterodigital flap from the proximal radial side of the index finger for reconstructing large soft tissue defects of the thumb. The pedicle consists of the radial digital artery of the index finger. Dorsal sensory branch of proper digital nerve and one of the terminal sensory branches of radial nerve are included in the flap for sensation.

Combined Fractures of the Scaphoid and Distal Radius: Evaluation of Early Surgical Fixation (21 Patients with 22 Wrists).

 The purpose of this retrospective study, is to evaluate the clinical and functional results of early surgical fixation of the ipsilateral distal radius and scaphoid fractures in 22 of 21 patients.  Overall, 22 combined ipsilateral scaphoid, and distal radius fracture treatments between 2002 and 2015 were evaluated. The mean age was 34.

Comparison of ultrasound and dorsal horizon radiographic view for the detection of dorsal screw penetration.

Objective: The aim of this study was to compare the efficiency of dorsal tangential fluoroscopy and ultrasonography in detecting dorsal screw penetration in distal radius volar locking plate applications.

Methods: Ten cadaveric forearms were operated. The distal four screws were protruded 0, 1 and 2 mm into each of the second, third and fourth dorsal compartments of distal radius.

A new complication in volar locking plating of the distal radius: longitudinal fractures of the near cortex.

Objective: The purpose of this study was to document a new complication in volar locking plating of the distal radius.

Methods: Between January 2007 and January 2014, 223 patients were identified from the department's surgical database with retrospective chart and radiographic review. Sixty-eight patients were over 60 years of age.

Incidence and type of foot deformities in patients with spina bifida according to level of lesion.

Aim: The previously suggested association between the incidence of high-level foot deformity and muscle imbalance is no longer supported, when evaluated independent from motor and sensory loss and level of lesion, by current studies. The purpose of this study was to evaluate the association between level of lesion and foot deformity.

Methods: Of 545 patients, a total of 136 (272 feet) patients admitted to the spina bifida clinic between 2010 and 2014 were included in this study.

A bibliometric analysis of orthopedic publications originating from Turkey.

Objective: The objective of this study was to analyze the research productivity originating in Turkey using articles published in the top 40 orthopedic journals according to the Journal Citation Reports for 2013.

Methods: All scientific papers published in English and included in the Science Citation Index Expanded between 1980 and 2013 were analyzed using the "Web of Science". The number of publications per million (PmP) was calculated.

Clinical applications of free arterialized venous flaps.

Venous flaps are flaps by which tissue perfusion is accessed through the venous network. Despite originally being questioned due to potential perfusion problems, as the dynamics of tissue perfusion have been more fully comprehended, venous flaps appear to have a far wider range of application than first thought. In our study, we analyzed the clinical results of the applications of free arterialized venous flaps along with the factors that can affect flap survival.

Traumatic hemipelvectomy: case presentation.

Traumatic hemipelvectomy is a severe, life-threatening injury, mainly occurring due to machinery injury or traffic accident. Few cases have been published in the literature. Treatment requires a rapid, multidisciplinary team approach which will result in the saving of the patient's life.

Surgical reconstruction in Wassel type IV thumb duplication.

Objective: The aim of this study was to review the results of patients with Wassel type IV thumb duplication, treated with a single reconstructive procedure.

Methods: The mean follow-up period was 76.9 months.

Popliteal artery injury associated with blunt trauma to the knee without fracture or dislocation.

Popliteal artery injuries are frequently seen with fractures, dislocations, or penetrating injuries. Concern about arterial injury and early recognition of the possibility of arterial injury is crucial for the salvage of the extremity. This article provides an outline of the diagnostic challenges related to these rare vascular injuries and emphasizes the necessity for a high level of suspicion, even in the absence of a significant penetrating injury, knee dislocation, fracture, or high-velocity trauma mechanism.

Peroneal nerve injury surgical treatment results.

Objective: The purpose of this study was to retrospectively evaluate the clinical and functional results of nerve grafting and end-to-end peroneal nerve repair between sciatic bifurcation and distal branching.

Methods: The study included 26 patients (22 men, 4 women; mean age: 19.9 years; range: 5 to 46 years) who underwent peroneal nerve repair between 1992 and 2009.

Free vascularized fibular grafts in Type 3 open tibia fractures.

Objective: The aim of this study was to evaluate the results and complications of free vascularized fibular grafting (FVFG) for the reconstruction of bone defects in Gustilo Type 3 open tibia fractures.

Methods: Free vascularized fibular grafting was performed on open tibia fractures with a bone defect of an average of 10 (range: 6 to 18) cm in 21 patients (19 males, 2 females; mean age: 32 years; range: 16 to 47 years). Primary FVFG was performed for 15 patients with open fractures and secondary FVFG in 6 patients with osteomyelitis due to open fractures or defective nonunions.

Comparison of dorsal and volar percutaneous screw fixation methods in acute Type B scaphoid fractures.

Objective: In this study, we aimed to compare the clinical and functional results of patients treated with dorsal or volar percutaneous screw fixation for acute scaphoid fractures.

Methods: We retrospectively evaluated 27 wrists of 26 patients (24 males, 2 females; mean age: 33.1 years) who underwent dorsal or volar percutaneous screw fixation for acute scaphoid fractures between 2000 and 2009.

Results of volar locking plating for unstable distal radius fractures.

Objective: The aim of this study was to analyze the complications and functional and radiographic results of volar locking plating in the treatment of unstable distal radius fractures.

Methods: Forty-six patients (mean age: 48.7 years) with Type C distal radius fractures were treated with volar locking plates and evaluated over a mean follow-up period of 19 months.

Long-term functional results after radial nerve repair.

Objective: This study aimed to evaluate the functional results of end-to-end repairs in radial nerve injuries.

Methods: The study included 18 (15 males, 3 females) patients who underwent middle level end-to-end radial nerve repair and who responded to our final follow-up call. Patients' average age was 30 (range: 16 to 43) years.

Results of partial matrixectomy for chronic ingrown toenail.

Background: Several treatment modalities which targeted partial matrixectomies, including chemical, laser matrixectomy, and partial nail avulsion, have been used in the dermatology, podiatry, and orthopaedic literature. We report our experience with surgical matrixectomy.

Methods: We treated 224 patients with severe ingrowing toenails.

The outcome of direct-flow neurovascular island flaps in pulp defects.

Objective: In this study we aimed to evaluate the results of the direct-flow neurovascular island flap (NIF) transfers in pulp defects.

Methods: We reviewed the records of 96 patients with 115 NIF transfers performed for pulp defect reconstruction. The injury mechanism was crush type injury in 70 patients (72.

[The importance of patient selection for the treatment of proximal humerus fractures with percutaneous technique].

Objectives: We evaluated the indications and disadvantages of percutaneous technique for proximal humerus fractures in relation to complications encountered in osteoporotic elderly patients and the importance of patient selection.

Methods: The study included 18 patients (10 men, 8 women; mean age 48 years; range 14 to 89 years) who underwent percutaneous fixation (closed reduction and pin fixation with K-wires or Schanz screws) for proximal humerus fractures. Eight patients were beyond 60 years of age.