A Comparison of high viscosity and low viscosity bone cement vertebroplasty for severe osteoporotic vertebral compression fractures

Introduction: Our aim in this clinical trial was to compare the safety and efficacy of highviscosity cement (HVC) with low-viscosity cement (LVC) for the treatment of osteoporotic vertebrae fractures in terms of pain, functional capacity and cement leakage in the percutaneous vertebroplasty procedure (PVP). Methods: From March 2013 to February 2015, 76 patients with vertebrae compression fracture who were admitted into hospital and treated with PVP were reviewed. Pre- and postoperative clinical characteristics of each patient were obtained by using The Visual Analog Scale (VAS) score to evaluate back pain, Oswestry Disability Index (ODI) as a functional assessment. Cement leakage,injected cement volume and the complications assessed due to medical records. Results: VAS and ODI scores improved (P0.05).Paravertebral cement leakage was significantly higher in the LVC group (P<0.05). Pulmonary cement embolism was also significantly higher in LVC group (P<0.05). Conclusion: HVC had lower complication rates with similar clinical results in the comparison with LVC.Publisher's Versio

Clinical and radiological results of oxford phase-3 medial unicompartmental knee arthroplasty

PubMed ID: 31832288Purpose The aim of this retrospective study was to investigate the effectiveness of medial unicompartmental knee arthroplasty (UKA) by showing the results of the radiological and clinical outcomes of the patients. Materials and methods Seventy-two knees of 54 patients who underwent UKA between September 2005 and March 2011 for medial knee arthritis with a minimum follow-up of six months were evaluated. Range of motion (ROM), Hospital for Special Surgery (HSS) knee score, Knee Society Score (KSS), and Oxford Knee Score (OKS) were investigated both preoperatively and postoperatively. On the other hand, Oxford radiographic evaluation criteria were used to evaluate prostheses radiologically at the final follow-up. Results The average age was 53.4 years (47 to 79 years). The average follow-up time was 39.8 months (8 to 72 months). There was a significant difference between preoperative and postoperative ROM, HSS, and OKS (p<0.05). Radiologically, there was no sign of arthritis on the unoperated side of the knee or failure of prosthesis detected. Before the operation, the average clinical KSS was 63.2 and improved to 91.4 after the operation. In addition, the average functional KSS was 54.9 before the operation and improved to 86.5 after the operation. The average knee flexion degree was 109.1 before the operation and there was an improvement to 123.6 degrees after the operation. Before the operation, the average HSS score was 67.5 (range, 52 to 75) and improved to 89.9 (range, 85 to 100) at the final control examination. Conclusion This study supports the use of Oxford Phase 3 UKA, which has excellent clinical and radiological results in patients with medial knee arthritis

Long-Term Results Of Three Different Techniques in Ankle Arthrodesis

Amaç: Bu çalışmada, ayak bileği artrozu tanısı ile üç farklı yaklaşımla opere edilen hastaların uzun dönem klinik fonksiyonel sonuçlarınıdeğerlendirmeyi amaçladık.Yöntem: 2002-2013 tarihleri arasında opere edilen 49 olgu retrospektif olarak değerlendirildi. İlizarov tekniği ile artrodez yapılan hastalar İABA grubu(n:8) olarak isimlendirildi. Vida ile artrodez yapılan hastalar VABA grubu (n:25) olarak isimlendirildi. Kalkaneotalotibial çivi ile artrodez yapılanhastalar ise KABA grubu (n:16) olarak isimlendirildi. Gruplar; hastane yatış süresi, cerrahi süre, komplikasyon oranı, preoperatif ve postoperatif görselanalog ölçeği (Visual Analogue Scale; VAS) ve postoperatif Maryland ayak skoru açısından değerlendirildi.Bulgular: Gruplara göre preoperatif VAS değerlendirilmesinde anlamlı bir farklılık gözlemlenmedi (p=0,452). İABA grubunda VAS diğer iki grubagöre anlamlı düzeyde düşük olarak gözlemlendi (p=0,01). Gruplara göre Maryland ayak skoru değerlendirmesinde anlamlı bir farklılık gözlemlenmedi(p=0,145). İABA grubunda diğer iki gruba göre daha fazla komplikasyon gözlemlenmiştir. KABA grubunda diğer iki gruba göre daha az komplikasyongözlemlendi (p=0,004).Sonuç: İABA grubunda, diğer gruplara göre VAS daha az olarak bulundu fakat daha yüksek komplikasyon oranı gözlemlendi. KABA grubunda diğeriki gruplara göre daha az komplikasyon oranı gözlemlendi. Postoperatif Maryland ayak skoru açısından; göre gruplar arasında farklılık gözlemlenmedi.Aim: In this study, we aimed to evaluate the long-term clinical functional results of patients who were operated with the diagnosis of ankle arthrosis with three different techniques. Methods: 49 cases who were operated between 2002 and 2013 were evaluated retrospectively. The patients who underwent arthrodesis with Ilizarov technique were evaluated as IABA group (n: 8). The patients who underwent arthrodesis with screws were evaluated as VABA group (n: 25). The patients who underwent arthrodesis with the calcaneotalotibial nail were evaluated as KABA group (n: 16). Duration of hospitalization, duration of surgery, complication rates, preoperative and postoperative visual analog scales (VAS), and postoperative Maryland foot scores were evaluated. Results: No significant difference was observed in the preoperative evaluation of VAS according to the groups (p= 0.452). It was observed that the VAS of the IABA group was significantly lower than the other two groups (p= 0.01). No significant difference was observed in Maryland foot score evaluation according to the groups (p= 0.145). More complication rates were observed in the IABA group compared to the other two groups. Less complication rates were observed in the KABA group compared to the other two groups (p= 0.004). Conclusion: It was observed that VAS was less in the IABA group compared to other groups, but the IABA group had higher complication rates. A lower complication rate was observed in the KABA group compared to the other other groups. There was no difference between the groups according to the Maryland foot score