REVIEW ARTICLE - VENOMOUS SNAKE BITE IN TURKEY FIRST AID AND TREATMENT

In this review, we evaluated venomous snakes in Turkey, as well as the symptoms related these venomations and principles of current first aid and treatments and possible complications. Geographically, mostly vipers as most venomous snakes were found to be in Turkey. The people who work or travel in agricultural areas should be aware of venomous snakebites in this country. Generally the symptoms of victims depend on neurotoxicity, myotoxicity and coagulopathy effects in vipera envenomation. Especially, in addition to emergency room physicians, general surgeons and hand surgeons must be familiar with the principles of diagnosis and current treatment modalities for to avoid unavoidable complications as well death or limb amputations

Clinical outcomes of scaphoid nonunions treated with 1,2 intercompartmental supraretinacular artery pedicled vascularized bone graft and headless compression screw

Scaphoid fractures are the most common fracture of the carpal bones and account for 60% carpal injuries. Nonunion may occur in 5-12% of scafoid fractures. Aim of this study is to present result of scaphoid nonuinon treated with 1-2 intercompartmental pedicled artery bone graft and canullated screw in our clinic. Between 2009-2012, 19 scaphoid nonunions ( 18 males, 1 female) were treated with 1-2 intercompartmental pedicled artery bone graft and canullated screw. The average age of patients were 31,2 (range 12-47 years). The average time from initial injury to operation was 40.8 months (range 8 months -20 years).All scaphoid nonunions healed with union at an average of 9,4 weeks( range 6-12 weeks) after surgery. The average Mayo score of patients were 76,6 (range-25-100). We determined that treatment with 1-2 intercompartmental pedicled artery bone graft and canullated screw is good option in scaphoid nonunions regardless of avascular necrosis. [Med-Science 2017; 6(3.000): 427-30

Sciatic nerve palsy secondary to heterotopic bone formation occurred after surgery for posterior acetabulum fracture and hip dislocation

Sciatic nerve paralysis can be seen after hip joint traumatic dislocations and fractures of the posterior wall of acetabulum. In this article, we report sciatic nerve palsy due to heterotopic bone formation in early postoperative phase that was treated with heterotopic bone resection and sciatic nerve neurolysis in a patient who underwent open reduction and internal fixation for hip dislocation and fracture of posterior wall of right acetabulum. [Med-Science 2018; 7(2.000): 434-6

Pseudoaneurysm discovered during reverse radial forearm flap after a gunshot injury: a case report

Gunshots cause injury on the vascular wall by phsical forces and thermal effect. These injuries are minor intimal damage, complete or partial transaction of the vessel, arteriovenoous fistula and pseudoaneurysm. In this article we report a pseudoaneursym case, at a gunshot wound on right hand planned to repair by reverse radial forearm flap for to cover the defect occured at the ipsilateral dorsum of the right hand, which was suspected on CT angiography but missed out preoperatively and seen in surgery during exploration and reparied. [Med-Science 2013; 2(1.000): 414-22

Posterior interosseous nerve palsy due to lipoma: A rare case report

The posterior interosseous nerve is the terminal motor branch of the radial nerve without a sensory component. The nerve may be compressed for various reasons along the course of the forearm. Two different clinical pictures occur due to compression of the nerve in the forearm. In radial tunnel syndrome, entrapment of the nerve in the radial tunnel, pain in the elbow is at the forefront, while in the second clinical picture, posterior interosseous nerve syndrome, wrist and finger extension are affected. Posterior interosseous nerve syndrome is rare and develops due to many causes such as trauma, previous surgeries around the elbow, neurologic diseases and abnormal anatomical structures. A rare condition in the etiology of posterior interosseous nerve syndrome is mass lesions causing compression of the forearm. [Med-Science 2023; 12(2.000): 602-605

Repair of Radial Nerve with Sural Nerve Graft: Less Often Complication of Supracondylar Humerus Fracture

Neurological problems following supracondylar fractures are clinically challenging problem. Neurological damage has been reported about 10-20% of pediatric supracondyler fractures. Nerve injury caused by primarily directly damage of the fracture fragments, excessive stretching,entrapment of nerve in fracture line, or iatrogenically. Radial nerve injury is at least often seen by rate of %21 after supracondylar humerus fractures. Neural injuries of pediatric patients have mostly recover spontaneously. But in case of nerve defect; nerve grafting is needed for repair. [Med-Science 2016; 5(1.000): 266-70

Flexor Digitorum Profundus Injury in a Newborn

Injuries of flexor digitorum profundus tendons in children are rare (Nietosvaara at all.), certainly in newborns. In this case report, we discuss the presentation, treatment and outcome of a profundus tendon injury of the fifth finger of a ten days old baby. The tendon injury in this case was caused by a knife cut, unrelated to cesarean sectio. To our knowledge, this is the first report about a flexor digitorum profundus injury and repair in a newborn of this age. [Med-Science 2015; 4(4.000): 2909-13