Diz çevresi deformiteleri tedavisinde Taylor spatial frame’in etkinliği

İstanbul Bilim Üniversitesi, Tıp Fakültesi.Objective: The aim of this study was to determine whether the Taylor spatial frame (TSF) can precisely correct deformities around the knee and whether application of TSF is easy and safe for treatment of the deformities around the knee. Methods: This study included 50 retrospectively reviewed limbs of 37 patients (mean age: 23 years, range: 10 to 58 years) with deformity around the knee joint treated using the TSF. Thirty-three limbs had tibial and 17 femoral deformities. Preoperative standard anteroposterior, lateral radiographs and standing orthoroentgenographic measurements were taken for each patient. Mechanical axis deviation- (MAD), leg-length discrepancy (LLD) and lateral femoral distal angle (LDFA) and medial proximal tibial angle (MPTA) were measured from standing orthoroentgenographics. All measurements were repeated after external fixator removal. Results: The frame was applied for an average of 20.3 (range: 4 to 36) weeks. Mean follow-up time following removal of external fixator was 32 (range: 15 to 54) months. An effective and accurate correction was achieved in all cases. Solid bone consolidation was obtained in all but two cases which underwent bone grafting. Conclusion: Taylor spatial frame appears to be a safe and effective method for the gradual correction of the complex translational and rotational deformities around the knee.Amaç: Bu çalışmanın amacı Taylor spatial frame (TSF) ile diz çevresi deformitelerinin tamamen düzeltilip düzeltilemeyeceğini ve diz çevresi deformitelerinde TSF uygulamasının kolay ve güvenli bir tedavi şekli olup olmadığını belirlemekti. Çalışma planı: Diz eklemi çevresinde deformitesi olan ve TSF ile tedavi edilen 37 hastanın (ortalama yaş: 23, dağılım: 10-58) 50 alt ekstremitesi geriye dönük olarak değerlendirildi. Bu ekstremitelerin 33 tanesinde tibial, 17’sinde femoral deformiteler mevcuttu. Tüm hastalara operasyon öncesi standart ön-arka, lateral grafiler çekildi ve ayakta çekilen boy grafilerinde ölçümleri yapıldı. Ayakta çekilen boy grafilerinde mekanik aks sapması, bacak boyu eşitsizliği, lateral femoral distal açı (LFDA) ve medial proksimal tibial açı (MPTA) ölçümleri yapıldı. Tüm ölçümler eksternal fiksatör çıkarıldıktan sonra tekrarlandı. Bulgular: TSF ile geçirilen ortalama süre 20.3 (dağılım: 4-36) hafta idi. Eksternal fiksatörün çıkarılmasından sonraki ortalama takip süresi 32 (dağılım: 15-54) ay olarak bulundu. Tüm deformiteler TSF ile tam olarak tedavi edildi iki vaka dışındaki tüm olgularda konsolidasyon sağlandı; bu 2 olguda kemik greftine ihtiyaç duyuldu. Çıkarımlar: Sonuç olarak, diz çevresindeki translasyon ve rotasyon ile komplike olmuş büyük deformitelerde TSF’nin güvenli ve etkin bir tedavi yöntemi olduğunu düşünmekteyi

Osteoid Osteoma in a 13 Month Old Infant Excised with Jamshidi Case Report

Osteoid osteoma is a benign primary bone tumor that occurs most commonly in children, adolescents, and young adults between the ages of 5 and 30 years. It is quite uncommon in patients before age 5 years (3-8% of all osteoid osteoma cases). A case of osteoid osteoma in a 13-month-old infant, who presented with increased crying at night due to pain and swelling in his right crus, is reported in this study. While it is easier to misdiagnose clinically for the younger age and imaging features are also more likely to be unspecific for differentiating from the malignancy, biopsy was performed with Jamshidi. Because of nidus formation showing osteoid osteoma in the histological examination, further surgical procedure was not necessary. At follow-up 7 months later, MRI showed sclerosis and edema around the lesion. The patient still had had pain. This made us think that excision of the tumor with jamshidi resulted in inadequate treatment due to incomplete removal of the nidus

Aggresive Aneurysmal Bone Cyst Two Case Report

Two cases of an aggresive aneurysmal bone cyst that involved the distal femur and forearm in 20-year-old men were presented. The recurrence of the aggressive aneurysmal bone cyst with severe infection in the femur in spite of total excision caused deterioration of the extremity circulation. Hip disarticulation was applied for the treatment. The second case with an alytic expansile lesion involving the 2/3 of the right ulna was surgically treated by total excision and reconstruction of the ulna by using the ipsilateral fibula. At the 2-year follow-up, the patient had complete incorporation of the fibular graft. The differential diagnosis of the aneurysmal bone cyst from the local aggressive and malignant tumor and different treatment options were discussed with the literature

A new method for diagnosis of anterior cruciate ligament tear: MRI with maximum flexion of knee in the prone position: A case control study (vol 68, pg 142, 2019)

The authors regret that thefigure captions in this article appearedincorrectly and should have been displayed as follows:Fig. 3. First patient's suspected partial tear in the sagittal section inthe supine position with the knee in extension (knee MRI image)Fig. 4. Thefirst patient's total tear image in a sagittal section in theprone position with the knee in maximumflexion (knee MRI image)