Ipsilateral olecranon and distal radius fracture: A case report

WOS: 000397094300056PubMed ID: 25544490INTRODUCTION: Concomitant ipsilateral olecranon and distal radius fracture are rare injuries. Their clinical presentation is unusual and investigation and management is poorly described. PRESENTATION OF CASE: We present a 55-year-old woman patient who fell off sustaining a concomitant distal radius and olecranon fracture in the same extremity. On examination, there was gross swelling of the proximal and distal forearm and no neurovascular deficit. Radiographs confirmed distal radius and olecranon fracture. Patient was treated with open reduction and anatomic locking plate for olecranon and a closed reduction percuteneous K wire fixation with penning fixator for distal radius fracture. After physical therapy program, functional results were good and DASH score was 60. DISCUSSION: Several different combinations of fracture with dislocation have been described, but, to our knowledge, concurrent ipsilateral olecranon and distal radius fracture has not been reported before. In the literature review there are two similar cases in the English literature. CONCLUSION: Ipsilateral olecranon and distal radius fracture is a very rare injury due to different trauma mechanisms. However we should keep in mind that there may be adjacent joints and structures for concomitant injuries

Clinical Study Effects of Zoledronate on Mortality and Morbidity after Surgical Treatment of Hip Fractures

We aimed to evaluate the effects of intertrochanteric femoral fractures on mortality, morbidity, and cost of zoledronate treatment in elderly patients treated by osteosynthesis. Based on Evans classification, 114 patients with unstable intertrochanteric femoral fractures were treated with osteosynthesis. After the surgical treatment of intertrochanteric fractures, the treatment group (M/F, 24/32; mean age, 76.7 ± SD years) received zoledronate infusion, and the control group (M/F, 20/38; mean age, 80.2 ± SD years) received placebo. Postoperative control visits were performed at 6-week, 3-month, 6-month, and 12-month time points. Functional level of patients was evaluated by the modified Harris hip score and Merle d' Aubigné hip score. By 12 months, the mean HHS in treatment and control groups was 81.93 and 72.9, respectively. For time of death of the patients, mortality was found to be 57.1% (16/28) on the first 3 months and 92.9% (26/28) on the first six months. The mortality rate in the treatment and control groups was 14.3% (8/56) and 34.5% (20/58), respectively. The use of zoledronic acid after surgical treatment of intertrochanteric femoral fractures in osteoporotic elderly patients is a safe treatment modality which helps to reduce mortality, improves functional outcomes, and has less side effects with single dose use per year

A Simple Procedure may Cause Severe Results

Capillary blood sampling via a heel puncture is a common procedure performed on hospitalized neonates. If not performed properly, a heelstick can lead to complications. The clinical and financial impact of complications can be significant. Also in some situations, the procedure could be complicated with skin infections, hematomes, soft tissue infections, arthritis and osteomyelitis. We report an infant complicated with arthitis and soft tissue infection secondary to heel puncture and we want to emphesize the importance of neonatal procedures

Ortez Protez Endikasyondan Pratiğe

Ortez sözcüğü latince düzeltmek anlamına gelen ortho (ὀρθός) sözcüğü ile eş kökenlidir. Dizilimi sağlamak, mevcut ya da gelişmekte olan bir deformiteyi düzeltmek, ağrıyı azaltmak, ilgili uzvu korumak, destek olmak ya da eklem hareket açıklığını artırmak amacıyla özel olarak tasarlanmış, dışarıdan kullanılan cihazların tamamı 'ortez' olarak adlandırılır (1). Travma sonrası dirsek ekleminde hareket kısıtlılığının sık geliştiği bildirilmiştir (2, 3). Bu durumun dirsek çevresi rahatsızlıkların tedavisinde ortez kullanımının önemini artırdığı düşünülmektedir. Ancak ortez kullanımı fizik tedavinin bir alternatifi olarak düşünülmemelidir. Dirsek çevresi sorunlarında ortez kullanımının etkinliğinin incelendiği bir derlemede yazarlar sadece ortez ile tedavinin çok nadir olduğunu, ortez kullanımının çoğu kez kapsamlı bir tedavi programının bir bileşeni olduğunu ifade etmişlerdir (4). Dirsek çevresi rahatsızlıkların tedavisinde kullanılan ortezler işlev, etki mekanizması, üretildiği malzeme yönünden önemli ölçüde farklılık göstermektedir. Bu nedenle bu bölümde öncelikle ortezler ele alınacak olup ardından sık görülen dirsek çevresi sorunlara değinilecek ve bu sorunların çözümünde ortez kullanımının yeri incelenecektir

Patient compliance with touchdown weight bearing after microfracture treatment of talar osteochondral lesions

WOS: 000396994500001PubMed ID: 28320425Background: The aim of this study was to prospectively evaluate the compliance of our patients with a touchdown weight bearing (without supporting any weight on the affected side by only touching the plantar aspect of the foot to the ground to maintain balance to protect the affected side from mechanical loading) postoperative rehabilitation protocol after treatment of talar osteochondral lesion (TOL). Methods: Fourteen patients, who had been treated with arthroscopic debridement and microfracture, were followed prospectively. The patients were evaluated for weight bearing compliance with using a stationary gait analysis and feedback system at the postoperative first day, first week, third week, and sixth week. Results: The mean visual analog scale (VAS) scores of the patients at the preoperative, postoperative first day, first week, third week, and sixth weeks were 5.5, 5.9, 3.6, 0.9, and 0.4, respectively. The decrease in VAS scores were statistically significant (p < 0.0001). First postoperative day revealed a mean value of transmitted weight of 4.08% +/- 0.8 (one non-compliant patient). The mean value was 4.34% +/- 0.8 at the first postoperative week (two non-compliant patients), 6.95% +/- 2.3 at the third postoperative week (eight non-compliant patients), and 10.8% +/- 4.8 at the sixth postoperative week (11 non-compliant patients). In the analysis of data, we found a negative correlation between VAS scores and transmitted weight (Kendall's tau b = -0.445 and p = 0.0228). Conclusions: Although patients were able to learn and adjust to the touchdown weight bearing gait protocol during the early postoperative period, most patients became non-compliant when their pain was relieved. To prevent this situation of non-compliance, patients should be warned to obey the weight bearing restrictions, and patients should be called for a follow-up at the third postoperative week