Recurrence is Unavoidable in Hand and Wrist Ganglion Cyst Surgery

INTRODUCTION: We aimed to evaluate surgical treatment results of hand and wrist ganglions those seen frequently in clinical practice. METHODS: Patients who were diagnosed with ganglion cysts clinically and radiologically in the hand and wrist region and treated with surgical excision between 2011 and 2014 were retrospectively analyzed. A total of 102 patients, 69 (67.6%) female and 33 (32.4%) male, who had a regular follow-up period of 12 months, had no additional injuries in the hand and wrist region, were included in the study. All cases were evaluated in terms of age, gender, region of ganglion cyst, treatment method and local recurrence. RESULTS: Mean age was 37.73+-9.5 (20-61) years. Local recurrence was seen in 5 (%83.3) patients whom have volar ganglion cyst and 1 (%16.7) in dorsal localized. There was no significant difference in treatment of localization of cysts (p>0.05). In addition, there was significant difference in presence of recurrence (p: 0.005; p<0.05). There was %20.8 local recurrence in volar cysts and it is higher than other localizations, this finding was statistically significant (p<0.05). There wasn't statistically significant difference in ratio of local recurrence (p>0.05). DISCUSSION AND CONCLUSION: The reason of high incidence in local recurrence in volar ganglion cysts can be insufficient excision of sac and pedicle of ganglion cyst because of anatomical relations in this region. It can be assumed that, if the surgeon has a high knowledge of anatomy of this area and develop his/her experience in this surgery local recurrence incidence can be decreased

Open Reduction and Internal Fixation of the Isolated Tibial Lateral Plateau Posterior Fracture Using Direct Posterior Split Gastrocnemius Approach

Open reduction and internal fixation of the isolated tibial lateral plateau posterior fractures using direct posterior split gastrocnemius approach is a safe and effective method

Surgical treatment of isolated trapezoid bone pseudarthrosis: A case report

Isolated trapezoid fractures are rarely observed. Clinical suspicion is necessary for a diagnosis that is usually delayed or missed. There is no consensus on whether treatment modalities should be conservative or surgical. A 20-yearold female patient complained of pain, and an MRI examination showed a non-union fracture of the trapezoid bone. Surgical treatment using a headless cannulated screw and grafting was performed for trapezoid pseudarthrosis. Clinical and radiological results were satisfactory

The results of autologous bone graft and titanium headless cannulated compression screw for treatment of scaphoid nonunion

BACKGROUND: We aimed to present the clinical and radiological results of patients treated with debridement, iliac bone graft and titanium headless compression screw for scaphoid nonunion

Importance of fixation of posterior malleolus fracture in trimalleolar fractures: A retrospective study

WOS: 000394508600010PubMed ID: 28074463BACKGROUND: The aim of this retrospective study was to evaluate treatment effect and importance of posterior malleolus (PM) fixation in surgically treated trimalleolar fractures. METHODS: A total of 57 cases of ankle joint fracture involving PM and treated with open reduction and internal fixation technique between 2004 and 2011 were evaluated. PM fixation was performed with cannulated screws in 46 cases, and in 11 cases, PM plate was used. All patients were assessed using American Orthopaedic Foot and Ankle Society (AOFAS) score, American Academy of Orthopedic Surgeons (AAOS) foot and ankle questionnaire, and Visual Analog Score (VAS) pain scale. Ankle joint mobility was also compared with unaffected side. RESULTS: Mean follow-up period was 44.6 months (range: 24-108 months). There were 36 female patients and 21 male patients between 23 and 85 years of age (mean: 55.9 years). Average time to surgery was 1.1 day (range: 1-3 days). According to AOFAS assessment, result was excellent in 21 patients and good in 26 patients. AAOS score was 92.4 (range: 32-100). Mean VAS score when resting was 1.1, and mean score was 1.3 when walking (range: 0-10). When compared with uninjured side, there was no significant difference in plantar flexion of ankle (p=0.325) but there was significant difference in dorsiflexion of ankle joint (p<0.001). CONCLUSION: Anatomical reduction and rigid internal fixation of PM provide satisfactory clinical and functional outcomes even in elderly patients where bone quality may make adequate fixation difficult. Fixation of even small PM fragments can facilitate rehabilitation by creating more stable construction

The results of autologous bone graft and titanium headless cannulated compression screw for treatment of scaphoid nonunion

BACKGROUND: We aimed to present the clinical and radiological results of patients treated with debridement, iliac bone graft and titanium headless compression screw for scaphoid nonunion