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

Functional results after surgical treatment of pediatric femoral neck fractures

This study aims to present the functional outcomes of patients who were treated surgically for childhood femoral neck fractures. In addition, to obtain information about the complications seen after these fractures, especially avascular necrosis of the femoral head (AVN), and to investigate the relationship with the treatment process. Our study is a retrospective study including 22 fractures of 22 patients operated for femoral neck fractures between 2012 and 2021. Thirteen of the patients were boys and 9 were girls The mean age at the time of trauma was 12.6 years (5-17 years). The fractures were classified based on the Delbet/Colonna classification. Fracture type and its effect on functional outcomes and the effect of fracture type on complications were investigated. The relationship between the time and type of treatment and AVN was evaluated. The mean follow-up period of the patients included in the study was 36.9 (12-132 months) months. Orthopedic injury in combination with femoral neck fracture was seen in 4 patients. Femoral neck fractures were classified as type 1 in 1 patient, type 2 in 15 patients, type 3 in 4 patients, and type 4 in 2 patients. In our study, 5 of 8 complications were AVN. The clinical results of the patients were classified with Ratliff score and 14 patients had good, 3 patients had fair and 5 patients had poor results. According to this classification system, 5 patients who developed AVN had a poor outcome, but no significant correlation was found between AVN and the timing of surgery and treatment method. All of the cases with AVN were Type 1 and Type 2 fractures. Pediatric femoral neck fractures are inherently difficult fractures for orthopedists who need long-term follow-up. Although the appropriate time, methods, and materials for surgical management are frequently discussed, the severity of the injury and the anatomical location of the fracture is most important in the development of AVN. [Med-Science 2023; 12(3.000): 689-94

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

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

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

Functional outcomes of titanium elastic nail procedure after femoral shaft fracture in pediatric patients

Pediatric femur diaphyseal fractures are seen after serious traumas such as traffic accidents and fall from height. Although treatment algorithms are made according to age groups, treatment planning is individualized according to the patient and the degree of injury. In our study, we evaluated functional outcomes of pediatric femur fractures treated with titanium elastic nail (TEN). This is a retrospective study including pediatric femoral diaphyseal fractures treated with TEN between 2012 and 2021. Open fractures, pathological fractures, distal fractures involving the femoral condyles, and proximal fractures involving the trochanteric region were not included in our study. Thirty-three femoral diaphyseal fractures with complete data were identified as stable and unstable in length, and functional results and post-treatment complications were recorded by performing TEN in fracture fixation. Clinical functional results were analyzed with Flynn criteria. Thirty-three femoral fractures of 29 patients were included. Eighteen (62.1%) of our patients were boys and 11 (37.9%) were girls. The mean age was 6.51 years (4-13 years). The most common injury mechanism was traffic accidents seen in 19 patients (24.51%). The mean follow-up period after surgery was 26.6 (6-90 months) months. Stable fractures (transverse and short oblique) were found in 26 cases (78.7%) and unstable fractures (spiral/long oblique and comminuted) in 7 cases (21.7%). According to Flynn criteria, excellent results were found in 20 fractures (60.6%) and satisfactory results in 10 fractures (30.3%) and 3 poor (%9.09). There was no significant difference between stable and unstable fractures in terms of functional outcome (p=0.12). Femoral diaphyseal fractures are serious injuries that require surgery. Regardless of the type of fracture, stable or unstable in length, the results of treatment with TEN are very successful. Major complications such as nonunion and re-fracture are rarely seen with this treatment. [Med-Science 2023; 12(3.000): 746-52

An investigation of infection rate and seasonal effect level in total joint replacement cases

This study aims at evaluating gender, age range and seasonal differences in patients who developed articular infection after undergoing joint prosthesis in our clinic. This study is a retrospective screening of advanced articular arthrosis patients who had undergone total joint arthroplasty of the upper and lower extremities between 2009 and 2016. Of 504 patients who had been treated with total joint replacement, our study includes 468 patients we could follow up or contact by phone and who had been applied 559 primary or revision total knee arthroplasty. The mean age of these patients was 58.9 (ranging from 41 to 74). We detected infection in 22 (3.9%) total joint arthroplasty patients. Of these 14 (63.63%) were females and 8 (36.36) were males. There was no statistically significant difference between infection rates in terms of seasonal distribution nor gender or age range. In the light of our findings, we concluded that gender, age range and seasonal differences have no effect on infection rates in total joint replacement cases. [Med-Science 2018; 7(1.000): 210-213

A Clue Finding for to Detect the Localization of Pellet in Elbow Arthroscopy

In this case report, we aimed to share our experience of arthroscopic finding of chondral lesion can be helpful to detect the location of pellet that between brachial muscle and capsule in a 15 years male subject with left elbow gunshot injury. [Med-Science 2015; 4(2.000): 2271-5