Awareness and Prevalence of Traditional and Complementary Medicine in Patients’ Application to Orthopedics and Traumatology Outpatient Clinic

Purpose: The objective of this study was to assess the awareness of complementary and alternative medicine practices and the frequency of their utilization among patients attending an orthopedic outpatient clinic. Materials and Methods: Patients who presented to the orthopedics outpatient clinic of the University Hospital between November 15 and December 30, 2022, were invited to participate in this study. A questionnaire containing 16 questions about eight different traditional and complementary approaches, designed to determine patients' knowledge of and attitudes toward each of these practices, was administered by the responsible physician through face-to-face interviews. The questionnaires were administered to 637 volunteers. The results were recorded, and statistical analysis was applied. Results: The volunteers were % 54.7 male and 45.3.2% female participants. The mean age of the participants was 41.52±16.349. It was determined that gender (p=0.3) and education level (p=0.207) did not affect awareness of traditional treatment. However, it was determined that the settlement area affected the awareness of traditional treatment (p<0.05). Conclusions: The popularity of traditional treatment methods and practices is steadily increasing. The public needs more professional health service providers to reach such treatment approaches and raise awareness. Despite this, it was observed that awareness was low among patients who applied to the orthopedics outpatient clinic. There is a need to educate professional health service providers to facilitate public access to these treatment approaches and to enhance social awareness

Effects of a lateral row anchor position on the suture holding strength of a double-row knotless fixation in rotator cuff repair

Objectives: This study aims to evaluate the effects of anchor positions on the suture holding strength of a double-row knotless fixation in rotator cuff repair

Suture Anchor Fixation in Osteoporotic Bone: A Biomechanical Study in an Ovine Model

Purpose: To evaluate the load to failure strength of anchor techniques suitable for osteoporotic bone. Methods: Using an osteoporotic ovine model in 72 humeri, 6 fixation techniques were tested. Group 1: two interlocking 5-mm anchors with fewer, wider threads; group 2: one 5-mm anchor; group 3: one 5-mm anchor reinforced laterally by a 6.5-mm cancellous screw; group 4: one 5-mm anchor in an area reinforced with a cancellous plug; group 5: two interlocking 5-mm anchors with smaller threads; group 6: one 5-mm smaller threaded anchor. After a 10-N preload, the specimens were cyclically loaded between 10 N and 30 N for 50 cycles and then destructively tested. Peak-to-peak displacement, cyclic elongation, ultimate load, stiffness, and failure mode were recorded. Results: Group 1 had lower peak-to-peak displacement than group 3 (P =.001), group 5 (P =.001), and group 6 (P =.033). In addition, group 1 showed lower cyclic elongation than group 3 (P =.001), group 5 (P =.035), and group 6 (P =.001). Group 1 had a higher ultimate load than group 2 (P =.002), group 3 (P =.019), and group 6 (P =.006). Group 1 also showed higher stiffness than group 2 (P =.007) and group 3 (P =.022). Mode of failure was predominantly caused by anchor pullout for all of the groups except group 3, which mainly failed by suture rupture. Conclusions: Two interlocking suture anchors are stronger than a single anchor in osteoporotic bone. The anchor with fewer, wider threads and a smaller core diameter showed greater strength and less elongation than the other constructs. Reinforcement by cancellous autografting increased suture anchor strength

Intravenous Paracetamol Overdose A Pediatric Case Report

WOS: 000458555400009PubMed ID: 29489610Paracetamol is a common antipyretic often used to treat children with fever and pain. With the increasing administration of intravenous (IV) paracetamol, there will be the associated risk of medication dosing errors. We report a case of IV paracetamol overdose in a child with fever during hospital admission. A IV paracetamol dosing error occurred, with delayed recognition resulting in transient hepatotoxicity, with a peak alanine transaminase of 1946 IU/L and aspartate transaminase of 1633 IU/L

The effects of blood transfusion on renal functions in orthopaedic surgery

Objective: The effects of perioperative blood transfusion on renal functions have been studied in various studies. In this study, we investigated the effects of blood transfusion on postoperative kidney functions in patients who underwent orthopaedic surgeries