The Complication Profiles Following Surgical Dislocation of the Hip

The complication profiles of 45 hips of 44 cases that applied surgical dislocation by various indications in our institute between 2006-2013 were retrospectively reviewed. Our series consisted of 27 males and 17 females. Mean age of the cases was 31,9 (range, 11-58) years with mean follow-up time of 56,9 months (range, 13-106). The number of cases with detected complication was 27. Within our series 14 hips developed only 1 complication, 1 hip had 2, 10 hips had 3 and 2 hips had 4 individual complication profiles. Regarding Dindo-Clavien classifications of complication profiles, 17 hips were evaluated as Grade I (38%), 3 hips were Grade IIa (7%), 2 hips were Grade IIb (4%) and 5 hips were Grade III (11%). The presence of few number of or the absence of major complications in a surgical method does not make it absolutely safe. Surgical dislocations can be applied only when trochanteric complications are considered and the patients should be well informed by their orthopeadic surgeons

Implant-Related Complications Do Not Interfere with Corrections with the Shilla Technique in Early Onset Scoliosis: Preliminary Results

Growth-preservation techniques are utilized in early onset scoliosis (EOS) cases requiring surgical intervention. The Shilla technique corrects the deformity by reducing additional surgeries with its growth-guidance effect. As with other techniques, various problems can be encountered following the administration of the Shilla technique. The aim of this study was to examine the effect of complications encountered with the Shilla treatment on correction and growth. Sixteen patients with a follow-up period of at least one year after receiving Shilla growth guidance for EOS were included in this retrospective study. No complications occurred, and no unplanned surgery was required in 50% of the cases. Of the remaining eight patients with postoperative implant-related complications (50%), six (37.5%) required unplanned surgery; this consequently caused implant failure in the proximal region in five cases (31.25%) and deep tissue infection around the implant in one case (6.25%). Deformity correction, spine length, and quality-of-life scores significantly improved in EOS through Shilla growth guidance. In terms of spinal growth and deformity correction, there were no significant differences between patients with implant-related problems and individuals without occurrences. Although implant-related problems were detected in our dataset and corresponding unexpected surgeries were necessary, these complications had no significant unfavorable influence on correction and spine growth

THE PROPRIOCEPTION OF THE KNEE JOINT FOLLOWING TIBIA PLATEAU FRACTURES

Proprioception is a conscious and/or unconscious perception of position change in an extremity or joint in space. In our study our purpose was to evaluate whether the lower extremity proprioception in long term, is altered following tibia plateau fractures and to assess its relation with age and type of fracture.This retrospective study includes the evaluation of proprioception in 38 tibia plateau fracture patients (29 male, 9 female) of various types who were operated with open reduction and internal fixation (ORIF) technique in our clinic, by comparison of both operated knee and unaffected knee. The mean age of the patients were 38,8 (range, 20-60) and mean follow-up time was 56 months (range, 13-120 months). Proprioception measurements were assessed at 300 and 600 of knee flexion degrees both passively and actively.There were no significant difference between the operated knee and unaffected knee by mean absolute angular deviation values at passive (p=0,22) or active 600 (p=0,22). Accordingly passive (p=0,47) and active 300 (p=0,62) mean absolute angular deviation values showed no significant difference.Our study has indicated that proprioception at the operated extremity is not significantly different from the unaffected knee in tibia plateau fractures at long term follow-up.