The effect of erythropoietin on biomechanical properties of the Achilles tendon during the healing process: an experimental study

Tensile test data. (XLSX 10 kb

Rarely seen bilateral posterior shoulder fracture dislocation: simultaneous bilateral hemiarthroplasty

Posterior shoulder dislocation is a rare condition, while bilateral posterior shoulder fracture is extremely rare. Dislocations with a fracture of the bilateral posterior shoulder are observed more often after epileptic seizures. As dislocations with posterior shoulder fracture are rare, clinicians sometimes experience difficulty in diagnosing it timely. Although it can be diagnosed and treated early, based on a proper shoulder examination and accurate radiological imagery. In the treatment of posterior shoulder dislocations, closed reduction can be performed at an early stage, while methods of osteosynthesis with open reduction or arthroplasty are the most frequently used procedures at delayed stage. In this study, it was shown for the first time in literature, that a very rare case of dislocation with bilateral posterior shoulder fracture after epileptic seizure, in a 68 years old patient, had good clinical and functional results, following simultaneous hemiarthroplasty treatment. Keywords: Shoulder, Posterior fracture dislocation, Bilateral, Hemiarthroplasty, Seizure

Mediopatellar plica syndrome of the knee

Plica is a general term for folds in the synovial membrane of the knee. Sometimes plica can progress to a pathologic level and clinically important condition. Normally, plica has an elastic structure and slides softly between femur condyles when flexing or extending the knee. If it is inflamed and thickened due to edema, it loses its elasticity and becomes symptomatic

Calcific mediopatellar plica: a case report

A 38-year-old male patient was admitted to our clinic with the complaints of pain and swelling in his right knee for two years. He had mechanical symptoms for nearly six months. Merchant and lateral knee X-ray revealed calcification in the medial patellar retinaculum. Magnetic resonance imaging demonstrated increased ossification and cortical irregularity in the patella's medial and inferior pole. Due to long-term complaints of the patient, arthroscopy was planned with the preliminary diagnoses of patellofemoral chondromalacia, cartilage degeneration and mediopatellar plica (MPP) syndrome. Arthroscopy revealed a calcific MPP, an interesting entity. It should be kept in mind that plica may become calcific in patients with suspected MPP and the complaints of the patient may not disappear within if left untreated

Synovial chondromatosis caused mechanical snapping elbow: a case report

Synovial chondromatosis is a rare and benign proliferative disorder of the synovial membrane in joints and bursae. Herein, we present the case of a 34-year-old male with synovial chondromatosis that caused limitation in the elbow joint in terms of mechanical function

Comperative outcomes of the patients undergoing percutaneous and open trigger finger release

The aim of this study was to compare patients who underwent open or percutaneous trigger finger release in terms of clinical outcomes, time to return to activities, and recurrence. The records of patients who underwent percutaneous and open trigger finger release between 2012 and 2018 at two different hospitals in the same city were retrospectively reviewed. The patients were divided into two groups: 33 patients who underwent percutaneous trigger finger release (Group PR) and 48 patients who underwent open release of A1 pulley (Group OR). The clinical classification of cases was done according to the Quinnell classification. The functional outcomes of the patients were evaluated according to the Quick DASH scale. The mean age of the patients was 55.95 ± 11.73 (2782) years; 71.6% (n = 58) were female. The left side was involved in 56.8% (n = 46) patients, and 81 patients underwent percutaneous or open trigger finger release with a mean follow-up duration of 37.40 ± 16.22 (1272) months. The time to start daily activities was shorter in Group PR than in Group OR, and the difference was statistically significant (p < 0.001). A comparison of the upper extremity functional scores between the two groups revealed no statistically significant difference (PR; 15.21 ± 6.17, PO; 12.99 ± 6.89, p = 0.142). Although the rate of complications was higher in Group OR, there was no statistically significant difference between the two groups (PR; 12.12%, PO: 20.83%, p = 0.217). Percutaneous trigger finger release can be preferred in adult trigger finger surgery due to increased risks regarding wound healing and infections associated with advanced age, presence of diabetes and inflammatory arthritis, and the expectation of rapid return to daily activities. [Med-Science 2020; 9(4.000): 950-3

Evaluation of visual functions in elderly patients with femoral neck fracture

Objectives: We aimed at assessing the visual functions in elderly patients with femoral neck fracture and to compare the results with age-matched controls in this three-year prospective study

Short- and mid-term results of plica excision in patients with mediopatellar plica and associated cartilage degeneration

This study aimed to evaluate the short- and mid-term results of plica excision in patients with mediopatellar plica and associated cartilage degeneration. Seventy-six surgically treated patients with mediopatellar plica and associated cartilage degeneration at medial femoral condyle (MFC) and/or medial pole of patella were included. Patients were evaluated at baseline, at 6 weeks and 6 months after the operation for their clinical outcomes and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. The frequency of all signs and symptoms, including all pain parameters, and WOMAC scores were significantly improved compared to baseline, at 6 weeks and 6 months after the operation (P < 0.017). Based on mean WOMAC scores, results of most patients were rated as excellent both at 6 weeks (88%) and at 6 months (94%). Surgical excision of mediopatellar plica associated with cartilage degeneration appears to result in substantial clinical improvement, thus it represents an effective treatment modality

The effect of tramadole HCL and paracetamol on fracture healing in rat tibia model

In our research, we aim to study the effects of combined usage of tramadole HCl + paracetamol on rat tibia fracture model. In our study, 60 Wistar-Albino type male rats, weighted at 300-350 g., were divided as control and test ( tramadole HCl + paracetamol) groups Under general anesthesia, standard closed fractures were created on right tibias of all rats using blunt ended needle holder with three point principle and then closed reduction and fixing with intramedullary nail (0.7 mm) were provided. After fracture treatment of 30 rats in the test group, starting at the same day, 40mg/kg/day tramadole HCL was introduced as daily intermuscular dosage until they were sacrificed. Rats were sacrificed after the fractures as groups of 10 individuals at 2nd, 4th and 6th weeks. Healing fractured tibias were examined mechanically, radiologically, histopathologically. Results: No positive or negative radiological, biochemical and histological effect was detected after the long duration of tramadole HCL + paracetamol usage, starting from the first day and reaching to 6 weeks, in healing process of closed tibia fractures created and fixed with IM nails in rats. Considering the negative effects of NSAIDs on fracture healing, we think that tramadole HCl + paracetamol combination is a safe option in postoperative pain treatment after fracture. [Med-Science 2017; 6(1.000): 81-5

Comparison of Arthroscopic Treatment Methods in Talar Osteochondral Lesions A Multicenter, Prospective, Randomized Clinical Trial

Background: The aim of the present study was to contribute new and updated information to the literature by comparing the clinical and radiologic results of arthroscopic microfracture, platelet-rich plasma (PRP) after arthroscopic microfracture, and BST-Cargel scaffold application after arthroscopic microfracture in the treatment of talar osteochondral lesions