Effect of both preoperative and postoperative cryoceutical treatment on hemostasis and postoperative pain following total knee arthroplasty

Aim: We aimed to evaluate the hemostatic effects and the clinical outcomes of preoperative and postoperative cryoceutical treatment (C-tx) following total knee arthroplasty. Patients and method: 42 patients received C-tx both preoperatively, and postoperatively. In the control group, 45 patients did not receive any C-tx. Amount of bloody drainage and verbal rating pain scores were noted. Results: We found significant difference in both the preoperative and postoperative hemoglobin levels and blood drainage (P 0.05). Conclusion: C-tx performed preoperatively and postoperatively for total knee arthroplasty is effective in decreasing perioperative and postoperative hemorrhage. However, it had no superior effect on the control of postoperative pain

Propolis has no effect on tendon healing: an experimental study

Tendon healing remains a slow process due to less blood supply compared to many other tissues. In previous studies, propolis was shown to modify collagen types I and III accumulation at wound healing site and positively affected wound healing however, no study has shown the effects of propolis on tendon healing. We aimed to investigate the effect of propolis on tendon healing. Twenty eight male rats were used. Achilles tendons of all rats were transected at midpoint and the proximal and distal ends were approximated to each other and repaired by modified Kessler technique with 6-0 ethylene-braided sutures. After surgical operation, the rats in control group received 0.9% SF orally during the next 28 days and the rats in study group received 100 mg/kg propolis extract orally during the next 28 days. Histological examination was made using the Cavalieri method which is an unbiased method for quantification of particles of variable size in a given volume. Compared to the control group, tendon and capillary volume were found to be increased in propolis treated group however the increase was not at a statistically significant level. Propolis may enhance tendon healing both by accumulating collagen type I and III and inducing extracellular matrix components at the injury site. Higher level of propolis dosage may be more beneficial to tendon healing. [Med-Science 2017; 6(3.000): 442-6

Clinical and radiological results of radial shortening osteotomy, and proximal row carpectomy in Kienbocks Disease

In this prospective study, we aimed to evaluate the clinical and radiological results of our patients treated with radial shortening osteotomy (RSO) and proximal row carpectomy (PRC) together with a short review of the literature. The study included 35 patients with the diagnosis of Kienbock disease RSO was performed for 17 patients and 18 patients underwent PRC. 15 of the patients had Lichtman Stage 2, 14 patients had Stage 3A and 6 patients had Stage 3B disease. Q-DASH Score, Preoperative and postoperative carpal height ratio (CHR), revised CHR, stahl index, radial inclination values were noted. Preoperative and postoperative flexion-extension range of Motion (ROM) and ulnar deviation angles were also obtained. Nakamuras clinical evaluation system was performed to each patient. Results of clinical evaluation revealed significant progression at postoperative sixth month follow-up. Our results showed clinical improvement following surgeries of both RSO and PRC for Lichtman Stage 2, 3a and 3b disease. We consider that experience and technical familiarity of the surgeon is key factor to decide the type of the procedure to be performed. [Med-Science 2017; 6(3.000): 526-30

Estrogen Receptors In Hip Joint Capsule And Ligamentum Capitis Femoris Of Babies With Developmental Dysplasia Of The Hip

Objective: The aim of this study was to detect the incidence of estrogen receptors in human hip joint capsule and ligamentum teres. Methods: The study included biopsies of the ligamentum capitis femoris (LCF) and hip joint capsule from 15 patients undergoing hip surgery for developmental dysplasia of the hip (DDH) and from the control hips of 15 cases of intrauterine fetal death. Mean age was 10.3 (range: 6 to 18) months at the time of surgery. Full-thickness 1x1 cm anterior capsule and LCF portions were taken as biopsy specimens. An immunohistochemical study using monoclonal antibody against estrogen receptors was performed to identify the rate of target estrogen cells in the hip joint capsule and LCF. Results: Estrogen receptor (ER) staining rates were 1.6+/-0.2% for the LCF and 1.3+/-0.2% for the hip joint capsule in the control groups, and 2.5+/-0.3% for the LCF and 2.0+/-0.3% for the hip joint capsule in the DDH groups. Estrogen receptor staining rates in the LCF and hip joint capsule control groups were significantly lower than that in the DDH groups (p<0.001). In both groups, ER rates were significantly lower in the hip joint capsule than in the LCF (p<0.01). Conclusion: The high rate of ERs in the LCF and hip joint capsule appears to support the effect of estrogen in the etiology of the DDH.WoSScopu

Mid-Term results of minimally invasive plate osteosynthesis and circular external fixation in the treatment of complex distal tibia fractures

WOS: 000397583300002PubMed ID: 28271932Background: The treatment of pilon tibia fractures is challenging. Anatomical reduction of the joint surface is essential. Excessive soft-tissue dissection may interfere with the blood supply and can result in nonunion. We sought to compare the outcomes of distal tibia fractures treated with medial locking plates versus circular external fixators. Methods: We retrospectively evaluated 41 consecutive patients with closed pilon tibia fractures treated with either minimally invasive locking plate osteosynthesis (n +/- 21) or external fixation (EF) (n +/- 20). According to the Ruedi and Allgower classification, 23 fractures were type B and 18 were type C. Soft-tissue injury was evaluated according to the Oestern and Tscherne classification. Time to fracture union, complications, and functional outcomes were assessed annually for 3 years with the American Orthopaedic Foot and Ankle Society (AOFAS) ankle score. Results: Mean 6 SD values in the plate group were as follows: age, 42.4 6 14 years; union time, 19.4 6 2.89 weeks (range, 12-26 weeks); and AOFAS ankle scores, 86.4 6 2.06, 79.5 6 1.03, and 77.9 6 0.80 at 1, 2, and 3 years, respectively. Four patients in the plate group needed secondary bone grafting during follow-up. In the EF group (mean 6 SD age, 40.7 6 12.3 years), all of the patients achieved union without secondary bone grafting at a mean 6 SD of 22.1 6 1.7 weeks (range, 18-24 weeks). In the EF group, mean 6 SD AOFAS ankle scores were 86.6 6 1.69, 82.1 6 0.77, and 79.7 6 1.06 at 1, 2, and 3 years, respectively. There were no major complications. However, there were soft-tissue infections over the medial malleolus in five patients in the plate group and grade 1-2 pin-tract infections in 13 patients and grade 3 pin-tract infections in one patient in the EF group. Post-traumatic arthritis was detected in eight plate group patients and seven EF group patients. Conclusions: Minimally invasive plating and circular EF methods have favorable union rates with fewer complications