Mortality risk factors in war-related pediatric burns: A comparative study among two distinct populations

Introduction: Previously, the majority of wars were fought on remote battlefields between opposing armies due to conflicts preventing civilians from sustaining war-related burn injuries (WRBI). In recent years, WRBI has had a tremendous harmful impact on the pediatric population

Shaver Suction Technique for Troubleshooting in Arthroscopic Double Foreign Body Removal From the Hip Joint

Most arthroscopic techniques provide easy invasive access and subsequent inspection of the lateral segments of the hip joint. However, it is a challenge to visualize medial segments of the hip joint using arthroscopic techniques. Hip arthroscopy offers minimally invasive access to the hip joint as compared to the standard open arthrotomy procedure. Yet, visualization of both the femoral head and acetabulum is difficult. The use of arthroscopic techniques in the diagnosis and treatment of hip-related disorders is still evolving, including great benefits for the postoperative healing and complications. The author describes a case of removing two loose bodies stuck in the superior basicervical rim of the femoral head of a 53-year-old man. The use of the inferomedial arthroscopic technique proved advantageous in preventing the shortcomings associated with standard arthrotomy and other arthroscopic mechanisms. Such shortcomings include the need for traction, alternate portals, and damage to the acetabular labrum and articular cartilage. Through this case report, the author establishes the effective use of hip arthroscopy in the removal of two loose bodies from the hip joint

Comparison of contact surface areas of metatarsal diaphyseal osteotomies for correction of hallux valgus: Experimental study

Objective: This study aimed to determine, pre-correction, the potential change in the osteotomy-site bony contact surface area that would occur during standard metatarsal diaphyseal procedures with the Baran-Unal modification of Mau osteotomy and then to compare it, post-correction, with the actual osteotomy-site bony contact surface area changes for a standard degree of deformity correction

Calcific tendinitis of iliotibial band

Iliotibial band friction syndrome (ITBFS) is defined as excessive friction between iliotibial band and lateral femoral epicondyle. It is the most common reason of lateral knee pain, especially in overuse injuries. Calcific tendinitis is defined as deposition of calcium hydroxyapatite crystals. Knee joint is a very rare site for calcific tendinitis. We are presenting a case of calcific tendinitis of distal iliotibial band as an unusual presentation of iliotibial band friction syndrome. Conservative treatment is the first option for calcific tendinitis around knee. Surgical excision is the preferred method for resistant calcific tendinitis cases. It is also the first case of calcific tendinitis of iliotibial band in the literature

Calcific tendinitis of subscapularis tendon: case report

Calcific tendinitis is characterized by deposition of calcium phosphate crystals in tendons of the shoulder. Shoulder calcific tendinitis is most frequently seen at supraspinatus tendon. Subscapularis tendon is a very rare site for calcific deposition. We present a case of very large resistant calcific tendinitis of subscapularis tendon of left shoulder unresponsive to conservative treatment, causing coracoid impingement and subcoracoid stenosis; its excision with mini-open technique including tendon Z-plasty with two-year follow-up

Comparison of contact surface areas of metatarsal diaphyseal osteotomies for correction of hallux valgus: Experimental study

Objective: This study aimed to determine, pre-correction, the potential change in the osteotomy-site bony contact surface area that would occur during standard metatarsal diaphyseal procedures with the Baran-Unal modification of Mau osteotomy and then to compare it, post-correction, with the actual osteotomy-site bony contact surface area changes for a standard degree of deformity correction

Triple Innominate Osteotomy for Early Closure of the Triradiate Cartilage after Hip Joint Injury: A Pediatric Case Report

Acetabular fractures are less common in children than those in adults. Even these fractures are rarely seen in infants and usually such fractures require high-impact trauma. Orthopedic surgeons often recommend conservative treatment for acetabular fractures to accommodate remodeling features. In addition, pelvic osteotomies have demonstrated good results; specifically, triple innominate osteotomy treatment has been proven effective. In this study, we report the case of an 8 year-old girl who suffered from hobbling because of preclosure of triradiate cartilage and hip subluxation with left femoral diaphysis fracture resulting in malunion and lower extremity shortening. First we applied osteotomy and plate and screw osteosynthesis for femoral malunion and afterwards triple innominate osteotomy for subluxation caused by acetabular traumatic dysplasia and preclosure of triradiate cartilage. The results were quite satisfying in this case

A new study of hindfoot endoscopy: Foreign body excision from the hindfoot

Residual foreign bodies are usually observed inside the body after foreign body penetration injuries. However, foreign bodies inside or near the joints are rarely encountered. In the case study included in this report, the case of a foreign body in the posterior ankle region of a 10-year-old child is presented, along with a new study highlighting the technique of its excision with hindfoot endoscopy. The visualization and capture of a foreign body within this region, and its relation to endoscopic excision, has been reported as being a support for hindfoot endoscopy. The aim of this article is to highlight the need for the provision of a low threshold arthroscopic hindfoot surgery in children who display the appropriate symptoms. The purpose of this surgery is to efficiently remove intra-articular hindfoot loose bodies and to gain functionally improved results, when compared with open techniques

Anatomical axis validation of lower extremity for different deformities: A radiological study

Aim: The aim of this study was to derive a pure, unbiased, reliable and accurate objective relationship between the local knee axis measurements through a short knee anteroposterior roentgenogram and the lower limb axis measurement through an orthoroentgenogram. Patients and Methods: Radiographs of 114 patients (114 knees) were evaluated by two independent raters for measurement of lower limb axis on an orthoroentgenogram and the local knee axis on short knee anteroposterior X-ray, which was derived by cropping the orthoroentgenogram by a blinded radiology assistant. The raters measured at two different time-points separated by an interval of 30-day period. Intra-rater and inter-rater reliabilities were calculated by intra-class correlation coefficients and three models were built to establish the relationships of X-ray anatomical axis with orthoroentgenogram anatomical axis, orthoroentgenogram anatomical axis with orthoroentgenogram mechanical axis and X-ray anatomical axis with orthoroentgenogram mechanical axis. Results: For three different measurements, intra-class correlation coefficients of Rater 2 were higher than 0.90 which shows perfect reliability, while that for Rater 1 was low. Furthermore, first measurements were more consistent than the second measurement. There was a strong positive correlation in all the three models except for varus cases in the last. Conclusion: The standardized correlation derived between the two different techniques for measuring knee alignment is fairly comparable with the studies in the past and would serve as a reliable template for future studies concerning relationships between the two, in addition to helping knee surgeons make more reliable and accurate interpretations through local knee axis measurements