Femoral diaphysis fractures: treatment with unreamed intramedullary nailing and its results

Background: Femoral shaft fractures are an important cause of mortality and morbidity in the lower extremity injuries.Methods: 21 femoral body fractures of 19 adult patients were treated with the unreamed intramedullary nailing. Of 19 patients 14 were males and 5 were females.Results: All fractures healed. Deep infection was not encountered. According to the Thoresen criteria, the rate of excellent-good results was 78%. In two patients, who had also cranial trauma, development of excessive callus was observed. None of the patients required a secondary operation. Conclusions: Unreamed intramedullary nailing, if it can be implemented with closed technique and with double lock screw at the distal side, provides satisfactory results in the femoral shaft fractures.

Femoral diaphysis fractures: treatment with unreamed intramedullary nailing and its results

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; &lt;span lang="TR"&gt;Femoral shaft fractures are an important cause of mortality and morbidity in the lower extremity injuries&lt;/span&gt;&lt;span lang="EN-IN"&gt;.&lt;/span&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; &lt;span lang="TR"&gt;21 femoral body fractures of 19 adult patients were treated with the unreamed intramedullary nailing. Of 19 patients 14 were males and 5 were females&lt;/span&gt;.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; &lt;span lang="TR"&gt;All fractures healed. Deep infection was not encountered. According to the Thoresen criteria, the rate of excellent-good results was 78%. In two patients, who had also cranial trauma, development of excessive callus was observed. None of the patients required a secondary operation&lt;/span&gt;&lt;span lang="EN-IN"&gt;. &lt;/span&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; &lt;span lang="TR"&gt;Unreamed intramedullary nailing, if it can be implemented with closed technique and with double lock screw at the distal side, provides satisfactory results in the femoral shaft fractures&lt;/span&gt;&lt;span lang="EN-IN"&gt;.&lt;/span&gt;&lt;/p&gt;&lt;p&gt; &lt;/p&gt;</jats:p

Rare inferior shoulder dislocation (luxatio erecta)

Although shoulder dislocations have been seen very frequently, inferior dislocation of shoulder constitutes only 0.5% of all shoulder dislocations.We share our 4 patients with luxatio erecta and present their last clinical control. 2 male and 2 female Caucasian patients were diagnosed as luxatio erecta. Patients’ ages were 78, 62, 65, and 76. All patients’ reduction was done by traction-abduction and contour traction maneuver in the operating room. The patients had no symptoms and no limitation of range of motion of their shoulder at their last control. Luxatio erecta is seen rarely, and these patients may have neurovascular injury. These patients should be carefully examined and treated by the orthopaedic and traumatology surgeons

Evaluation of spatial success and accesibility in urban green areas: Gaziantep / Şahinbey district

Urban green areas are environmental, social and economic areas that contribute to the urban life and urban residents. The presence of these areas is an important indicator of the level of urban living quality. The adequacy and accessibility of urban green spaces has significant importance in terms of increasing that effectiveness. With this study carried out in Şahinbey, which is the biggest central district of Gaziantep Metropolitan Municipality, the presence of active green field of the district was determined; the spatial adequacy and accessibility of these areas have been evaluated within the framework of relevant national and international standards. In the study, it has been determined that the urban green areas of the city were fragmented and unevenly distributed. In addition, these areas cannot meet the standards of spatial competence and accessibility. In the province, it was determined that zoning for housing have been completed and the amount of active green area per capita in the 45 districts with green areas changed between 0,1-31,7 sqm; and in 7 neighborhoods, it was seen that green area was over 10 sqm per capita. In addition, according to the accessibility analysis results made in the 90 districts where zoning works have been completed, the number of neighborhoods with accessibility rate 0% was 7; and the average accessibility rate was 64,13%. At the end of the study, proposals have been made to ensure the benefits provided by urban areas and urban green areas at the point of availability and accessibility of green areas

Ecological approach to urban parks: The case of urban parks in kilis, Turkey

Urban parks are the areas that improve the quality of life in urban areas and offer a significant contribution to the urban ecosystem. The principal factors that determine the level of contribution to the urban ecosystem of these areas are the presence of natural vegetation, vegetation diversity and the ratio of impermeable surface of the areas. In this study, ecological analysis of 23 parks in the city of Kilis has been made at the determined criteria level. At the end of the study, the naturalness value of Kilis city parks were found to be high (65,09%); soil impermeability ratio of parks is within the rage of %71,01-%9,8; and 21 parks are under the impermeability standards. In addition, it has been found out that vegetation diversity in the parks is insufficient. Under the light of findings, some precautions were proposed in order to improve the ecological quality of the parks in Kilis

Okul bahçelerinin ekolojik göstergelere göre değerlendirilmesi: Kilis kenti örneği

Hızlı kentleşme ile birlikte değişen yaşam koşulları, kent kullanıcılarını ve aynı zamanda çocukların oyun alanlarını da olumsuz etkilemektedir. Günümüzde artan yapı yoğunluğu, trafik ve kentlerdeki göç alımı ile kentlerde değişen insan profiline bağlı olarak azalan güven duygusu, okul çağındaki çocukların sokak ve çevreyle olan bağlantısını koparmıştır. Ayrıca kentlerde açık ve yeşil alanların azalması nedeniyle çocukların oyun alanları kısıtlanırken, eğitim alanları içerisinde bulunan okul bahçeleri de bu açığı kapatmak amacıyla daha fazla önem kazanmıştır. Çocukların ve gençlerin çevre bilinci kazanma noktasında da önemli aktörlerden biri olan okul bahçelerinin ekolojik bazı göstergelere göre düzenlenmesi son derece önemlidir. Bu göstergelerden en önemlileri; yeşil alan oranları, kullanılan bitkilerin doğallık değerleri ve alanlardaki bitki örtüsü çeşitliliğidir. Çalışmanın amacı Kilis kent merkezinde bulunan okul bahçelerinin söz konusu bu göstergelere göre değerlendirilmesidir. Çalışmada Kilis kent merkezinde yer alan 8 anaokulunun, 36 ilköğretim okulunun ve 14 lisenin açık ve yeşil alanları değerlendirilmiştir. Çalışma alanında yeşil alan oranı ve kişi başına düşen yeşil alan miktarının en az olduğu eğitim kurumları ilköğretimler; en fazla olduğu kurumlar ise liseler olarak belirlenmiştir. Tüm okullardaki ortalama doğallık değeri % 40’ın üzerinde olup; okul bahçelerindeki bitki örtüsü çeşitliliğinin yeterli olmadığı sonucuna varılmıştır

TERM YENİDOĞANLARDA TRANSKUTAN BİLİRUBİNOMETRENİN KLİNİK UYGULANIMI

SON YILLARDA YENİDOĞAN SARILIKLARININ SAPTANMASINDA TRANSKUTAN BİLİRUBİN (TB) ÖLÇÜMÜ TARAMA TESTİ OLARAK GÜNCELLİK KAZANMIŞTIR

Tromboze olmuş dev sağ koroner arter anevrizması

İstanbul Bilim Üniversitesi, Tıp Fakültesi.A 50-year-old male patient, without previous history, presented with prolonged precordial pain following moderate exercise. He was transferred to a local hospital, where acute coronary syndrome (ACS) was diagnosed and was treated with conventional (aspirin, β-blockers, nitrates, heparin) treatment. His recovery was uncomplicated and he left the intensive care unit 48 hours later. He was discharged from the hospital 7 days later and the following treatment was prescribed: β-blocker, angiotensin converting enzyme inhibitor, statin, and aspirin. The patient was a smoker (60 packs per year), presented dyslipidemia and had no positive family history of coronary artery disease. After his release from the hospital, he was admitted to our hospital for cardiac catheterization without any symptoms. He was hospitalized as planned, two weeks following the ACS and underwent coronary angiography. Coronary angiography showed normal left main coronary artery, left anterior descending artery and left circumflex artery

A case of schwannoma of the common peroneal nerve in the knee

Schwannomas are benign neurogenic tumors of peripheral nerves that originate from neural sheath. The aim of this case report is to bring to mind the schwannoma in the patient with knee pain. A 39-year-old woman presented with a complaint of knee pain of three months history. After surgical intervention, the patient’s complaints completely disappeared in the post-operative period. This should come to mind in the differential diagnosis of knee pain