Talar Osteochondral Defects

Intra-articular ankle injuries to the talar body is one of the common cause of athletic disability that have been estimated to occur in approximately 6.5% of the ankle sprains and commonly affect the dome of the talus. Patients are commonly referred to the clinics with an acute injury to the ankle or with chronic ankle instability. This article describes the clinical presentation and imaging to diagnose of talar osteochondral defects. The treatment options are also reviewed to give consensus on optimal treatment of this condition. [Med-Science 2015; 4(3.000): 2664-77

Endoscopy Assisted Percutaneous Repair for Achilles Tendon Rupture Instead of Open Surgical Treatment

Achilles tendon (AT) is the strongest and most ruptured tendon due to increasing sports activities. Operative treatment techniques for AT ruptures are open, percutaneous or endoscopic assisted percutaneous techniques. Endoscopy-assisted percutaneous suturing of the Achilles tendon is an optimal treatment with cosmetic wound healing and short time recovery which may be the first choice for patients with AT rupture with wound healing problems and for athletic population with better clinical outcomes than other treatment methods. [Med-Science 2015; 4(2.000): 2348-51

The Amputation Endicated Extremity Can Be Recovered by Multidisciplinary Treatment: A Case Report and Review of Literature [Multidisipliner Yaklasimla Amputasyon Endikasyonu Olan Ekstremite Kurtarilabilir: Olgu Sunumu ve Literatur Derlemesi]

With the development of microsurgical techniques and successfull multidisciplinary approach; many injuries that requires amputation can be treated successfully by extremity preventing surgery. We present a case that admitted to our clinic with open fracture and although had amputation endication, treated with extremity reconstruction surgery. [Med-Science 2015; 4(2.000): 2281-8

An investigation of infection rate and seasonal effect level in total joint replacement cases

This study aims at evaluating gender, age range and seasonal differences in patients who developed articular infection after undergoing joint prosthesis in our clinic. This study is a retrospective screening of advanced articular arthrosis patients who had undergone total joint arthroplasty of the upper and lower extremities between 2009 and 2016. Of 504 patients who had been treated with total joint replacement, our study includes 468 patients we could follow up or contact by phone and who had been applied 559 primary or revision total knee arthroplasty. The mean age of these patients was 58.9 (ranging from 41 to 74). We detected infection in 22 (3.9%) total joint arthroplasty patients. Of these 14 (63.63%) were females and 8 (36.36) were males. There was no statistically significant difference between infection rates in terms of seasonal distribution nor gender or age range. In the light of our findings, we concluded that gender, age range and seasonal differences have no effect on infection rates in total joint replacement cases. [Med-Science 2018; 7(1.000): 210-213

A Clue Finding for to Detect the Localization of Pellet in Elbow Arthroscopy

In this case report, we aimed to share our experience of arthroscopic finding of chondral lesion can be helpful to detect the location of pellet that between brachial muscle and capsule in a 15 years male subject with left elbow gunshot injury. [Med-Science 2015; 4(2.000): 2271-5

Longer tourniquet application time during knee surgery decreases the quadriceps muscle strength: a prospective study on 25 consecutive patients underwent total knee arthroplasty

The use of tourniquets in total knee arthroplasty (TKA) for patients with knee osteoarthritis is controversial. Although surgical techniques are more easily applied in a shorter time; there are some disadvantages associated with tourniquet use in orthopedic surgery. The aim of this study was to evaluate the effect of the tourniquet time on quadriceps strength by isokinetic muscle strength measurements in patients undergoing TKA. Prospective controlled study. Twenty-five knees of 25 patients with primary degenerative joint disease who underwent TKA were evaluated preoperatively and postoperatively at weeks 6 and 12 and month 6 by isokinetic knee extensor muscle strength testing at and American Knee Society Score (AKSS). The tourniquet time of all patients was recorded, and the preoperative results of all patients were compared with those postoperatively. The mean 60º/s angular velocity quadriceps peak torque was significantly lower postoperatively in patients with a longer tourniquet time. Isokinetic tests showed a significant negative correlation between the tourniquet time and mean muscle strength (week 6: r = –0.718, p < 0.01; week 12: r = –0.651, p < 0.01; month 6: r = –0.672, p < 0.01). The highest correlation with tourniquet time was obtained 6 weeks after surgery. Additionally, strong negative correlations were observed between the AKSS and tourniquet times (Knee Score: r = –0.904, p < 0.01; Knee Functional Score: r = –0.878, p < 0.01). Lower postoperative mean quadriceps strength in patients with a longer tourniquet time, suggesting that the tourniquet time affects the quadriceps muscle strength witl longer times resulting lower muscle strengthThe use of tourniquets in total knee arthroplasty (TKA) for patients with knee osteoarthritis is controversial. Although surgical techniques are more easily applied in a shorter time; there are some disadvantages associated with tourniquet use in orthopedic surgery. The aim of this study was to evaluate the effect of the tourniquet time on quadriceps strength by isokinetic muscle strength measurements in patients undergoing TKA. Prospective controlled study. Twenty-five knees of 25 patients with primary degenerative joint disease who underwent TKA were evaluated preoperatively and postoperatively at weeks 6 and 12 and month 6 by isokinetic knee extensor muscle strength testing at and American Knee Society Score (AKSS). The tourniquet time of all patients was recorded, and the preoperative results of all patients were compared with those postoperatively. The mean 60º/s angular velocity quadriceps peak torque was significantly lower postoperatively in patients with a longer tourniquet time. Isokinetic tests showed a significant negative correlation between the tourniquet time and mean muscle strength (week 6: r = –0.718, p < 0.01; week 12: r = –0.651, p < 0.01; month 6: r = –0.672, p < 0.01). The highest correlation with tourniquet time was obtained 6 weeks after surgery. Additionally, strong negative correlations were observed between the AKSS and tourniquet times (Knee Score: r = –0.904, p < 0.01; Knee Functional Score: r = –0.878, p < 0.01). Lower postoperative mean quadriceps strength in patients with a longer tourniquet time, suggesting that the tourniquet time affects the quadriceps muscle strength witl longer times resulting lower muscle strengt

Longer tourniquet application time decreases the quadriceps muscle strength: a prospective study on 25 consecutive patients underwent total knee arthroplasty

The use of tourniquets in total knee arthroplasty (TKA) for patients with knee osteoarthritis is controversial. Although surgical techniques are more easily applied in a shorter time; there are some disadvantages associated with tourniquet use in orthopedic surgery. The aim of this study was to evaluate the effect of the tourniquet time on quadriceps strength by isokinetic muscle strength measurements in patients undergoing TKA. Prospective controlled study. Twenty-five knees of 25 patients with primary degenerative joint disease who underwent TKA were evaluated preoperatively and postoperatively at weeks 6 and 12 and month 6 by isokinetic knee extensor muscle strength testing at and American Knee Society Score (AKSS). The tourniquet time of all patients was recorded, and the preoperative results of all patients were compared with those postoperatively. The mean 60º/s angular velocity quadriceps peak torque was significantly lower postoperatively in patients with a longer tourniquet time. Isokinetic tests showed a significant negative correlation between the tourniquet time and mean muscle strength (week 6: r = 0.718, p &lt; 0.01; week 12: r = 0.651, p &lt; 0.01; month 6: r = 0.672, p &lt; 0.01). The highest correlation with tourniquet time was obtained 6 weeks after surgery. Additionally, strong negative correlations were observed between the AKSS and tourniquet times (Knee Score: r = 0.904, p &lt; 0.01; Knee Functional Score: r = 0.878, p &lt; 0.01). Lower postoperative mean quadriceps strength in patients with a longer tourniquet time, suggesting that the tourniquet time affects the quadriceps muscle strength witl longer times resulting lower muscle strength. [Med-Science 2017; 6(1.000): 86-90