MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT

Objective: Patellofemoral malalignment is a known risk factor for instability, anterior knee pain, chondropathy and arthrosis. Patellofemoral malaligment with a laterally positioned tibial tubercle that results in symptoms of pain and/or instability can be effectively managed with a tibial tubercle osteotomy

Midterm clinical and functional outcomes after isolated double bundle anatomic MPFL reconstruction in patients with patellofemoral instability

The purpose of this study was to demonstrate midterm outcomes after isolated double bundle anatomic MPFL reconstruction in a young patient cohort. Between 2014 and 2016; 24 knee joints of 23 patients were operated and evaluated in our retrospective study. The time and duration of the patients' complaints, preoperative and postoperative knee range of motion, extent of patellofemoral pain and episodes of lateral patellofemoral instability were evaluated. Functional outcomes were evaluated with Kujala, IKDC, KOOS-QoL and Tegner activity scores. Patellar height was analysed radiographically using the CatonDeschamps index. Patients were also asked if they were satisfied with the operation. The mean age of the patients during index surgery was 16.7 ± 8.4 years. 87 % of our patients was satisfied with the surgery. The average Kujala score increased from 72 to 96 (p [Med-Science 2020; 9(3.000): 653-6

Atypical femoral fractures related to bisphosphonate use: A comprehensive review of 19 patients

BACKGROUND: Atypical femur fracture is a rare complication of bisphosphonate treatment, which is widely used for the prevention of osteoporotic fractures. This study aims to report clinical and radiological features and outcomes of surgically treated atypical femur fractures related to bisphosphonates

Case Report Irreducible Fifth Metatarsophalangeal Joint after Car Crush Injury

Metatarsophalangeal joint dislocations are uncommon injuries. Herein, an irreducible dislocation of fifth metatarsophalangeal joint with fractures on the second, third, and fourth metatarsal head was reported. Joint reduction could not be achieved which necessitated open reduction. Six months after surgery the patient was walking and doing his daily activities without any complaints. He had returned to his pretrauma functional level

Irreducible Fifth Metatarsophalangeal Joint after Car Crush Injury

Metatarsophalangeal joint dislocations are uncommon injuries. Herein, an irreducible dislocation of fifth metatarsophalangeal joint with fractures on the second, third, and fourth metatarsal head was reported. Joint reduction could not be achieved which necessitated open reduction. Six months after surgery the patient was walking and doing his daily activities without any complaints. He had returned to his pretrauma functional level

Long-term comparative study of internal fixation with Kirschner wires or cannulated screws for displaced medial epicondyle fractures of the humerus in children: A 10-year follow-up of 42 cases

BACKGROUND: The rationale behind the decision-making on which type of fixation to use in displaced medial epicondyle fractures is not well elucidated. This study aims to compare the long-term clinical and radiographic outcomes of internal fixation with either Kirschner wires (K-wires) or cannulated screws in children with displaced medial epicondyle fractures

A Comparative Study of Clinical and Radiological Outcomes of Open Reduction Using the Anterior and Medial Approaches for the Management of Developmental Dysplasia of the Hip

Background The literature is scanty on reports directly comparing the outcomes of anterior open reduction (AOR) and medial open reduction (MOR) in the management of developmental dysplasia of the hip (DDH). Purpose of the Study To compare clinical and radiographic outcomes of surgical treatment using either AOR or MOR in children with DDH aged < 24 months and to evaluate the procedure-inherent risks of avascular necrosis of the femoral head (AVN) and need for further corrective surgery (FCS). Methods 61 children who underwent surgical treatment for DDH were categorized into two groups: AOR (31 hips of 28 patients) and MOR (39 hips of 33 patients). The mean age was 17 +/- 5.85 (range 7-24) months in group AOR and 13 +/- 5.31 (range 6-24) months in group MOR. The mean follow-up was 118 +/- 41.2 (range 24-192) months and 132 +/- 36.7 (range 24-209) months in group AOR and MOR. At the final follow-up, mid- to long-term clinical and radiographic outcomes were assessed. FCS was recorded. Results Regarding McKay's clinical criteria, both groups exhibited similar results (p = 0.761). No significant differences were observed between the groups in both the center-edge-angle (p = 0.112) and the Severin score (p = 0.275). The AVN rate was 32% in the AOR group and 20% in the MOR group (p = 0.264). The FCS rate was 22% in the AOR group and 12% in the MOR group (p = 0.464). Conclusions This study showed similar clinical and radiological outcomes with AOR and MOR with no significant relation to AVN and FCS

COMPLICATIONS AND MIDTERM OUTCOMES OF HEMIARTHROPLASTY IN HEMODIALYSIS PATIENTS

Objective: The aim of this study was to evaluate the functional results, complications, and morbidity and mortality rates in patients with end-stage chronic renal failure (ESCRF) with collum femoris fractures who were treated with hemiarthroplasty. Methods: From 2005 to 2013, patients with ESCRF admitted to our hospital with collum femoris fracture and treated with hemiarthroplasty were retrospectively evaluated, and 44 hips in 42 patients were included in the study. Duration of hospital stay, bleeding, complications, morbidity and mortality were recorded for each patient. At the last control evaluation, patients were assessed via pelvis x-ray and functional status according to Harris Hip Score (HHS). Results: Patients required a mean 2.7 units of erythrocyte suspension. Mean hospital stay was 19.74 days. The most common complication was bleeding. The complication rate was 38.1%; mortality rate at first-year follow-up was 42.8%, and mean HHS was 74.5. Conclusion: Collum femoris fractures are more common in ESCRF patients due to metabolic bone disease, and these patients had many comorbidities which may exacerbate high complication and mortality rates. Orthopedic surgeons should consider these higher complication rates and inform patients about the consequences of this treatment