The Effect of C-Arm Mobility and Field of Vision on Radiation Exposure in the Treatment of Proximal Femoral Fractures: A Randomized Clinical Trial

Objectives. To examine the effect of fluoroscopy devices with different sizes of image intensifier and C-arm maneuverability on operating time, fluoroscopy time, radiation dose and reduction, and fixation quality at intertrochanteric femoral fractures. Design. Single-center, randomized, prospective study. Setting. Academic Level I trauma hospital. Patients and Intervention. 34 patients treated with cephalomedullary nailing for a stable, intertrochanteric proximal femur fracture (OTA A1). Main Outcome Measurement. The total working time of the fluoroscopy device, the dose-area product (DAP), operating time, reduction quality (cortical continuity, symmetrical collodiaphyseal angle, and shortness), and fixation quality (Bosworth quadrants, the tip-apex distance, TAD). Results. There were no cases of poor reduction; also the placement of the blade was optimal for 14 patients and suboptimal in 3 patients in each group. Superior-posterior placement of the blade or TAD > 25 mm was not seen in any patient. Total operating time was significantly shorter when using device A compared to the use of device B (20.1±3.4 mins versus 25.3±5.4 mins, p<0.001). Total radiation time was significantly shorter with device A compared to the use of device B (58.1±19.4 secs versus 98.9±55.4 secs, p=0.008). The measured radiation dose was lower with the use of device A compared to device B (3.5±1.2 Gy·cm2 versus 7.3plusmn;4.5 Gy·cm2, p=0.002). Conclusion. Physical properties of fluoroscopy devices used during the fixation of intertrochanteric fractures could yield significant differences in operating times and the radiation dose while having comparable clinical results. © 2018 Mahmut Kalem et al

Parosteal lipoma as a rare cause of peripheral neuropathy and local irritation: A report of 12 cases

Objective The aim of this study was to evaluate the clinical features and functional results of patients with parosteal lipomas. Methods A total of 12 patients (8 females and 4 males; mean age: 45 (10–62) years) with parosteal lipomas who were treated between April 1986 and April 2014, were included into the study. The medical records of the patients were reviewed to analyze the clinical features and functional results of the patients. Results Of the 12 lipomas, 5 were localized in the proximal arm, 4 in the forearm, 1 in the distal arm, 1 in the distal thigh and 1 in the distal tibia. All patients presented with a progressive, slow-growing mass that was associated with thumb extension weakness in 1 case, and brachialgia-like symptoms in 1 case. Plain radiographs showed a juxtacortical mass in all cases and irregular ossification in 3 cases. In all cases, marginal excision was performed and no clinical recurrence was observed after a mean follow-up of 16 months. Conclusion Parosteal lipomas are uncommon tumors that can be diagnosed with their characteristic radiological features. Parosteal lipomas occurring in the proximal radius may easily cause paralysis of the posterior interosseous nerve or muscle weakness. Level of Evidence Level IV, Therapeutic study © 2017 Turkish Association of Orthopaedics and Traumatolog

Fe Doped TiO2 Thin Film as Electron Selective Layer for İnverted Solar Cells

Inverted P3HT:PCBM based organic solar cells were fabricated by using Fe2+ doped TiO2 films as electron selective layer. Pure and Fe2+ doped TiO2 films were prepared by sol-gel method and the optical as well as the structural properties of the thin films were characterized by UV-Vis spectrophotometer and SEM. The concentration of Fe2+ was varied as 0.5%, 1%, 2% and 3% (w/w) in TiO2 layer and the influence of Fe2+ doping on the solar cell parameters were systemically investigated. Photocurrent density of the solar cells as increased from 8.75 to 13.8 mA/cm2, whereas the solar cell efficiency changed from 1.7% to 2.79% by using Fe2+ doped TiO2 electron selective layer. It was experimentally found and demonstrated that charge injection and selection in the TiO2 interlayer was improved by doping of Fe2+ atoms in the TiO2. © 2016.113M935This research is supported by TUBITAK Grant No.: 113M935