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Acta Orthopaedica et Traumatologica Turcica

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https://www.readbyqxmd.com/read/29887199/the-effectiveness-of-pedicle-screw-immersion-in-vancomycin-and-ceftriaxone-solution-for-the-prevention-of-postoperative-spinal-infection-a-prospective-comparative-study
#1
Burak Eren, Feyza Karagöz Güzey, Serkan Kitiş, Nezih Özkan, Cafer Korkut
OBJECTIVE: The aim of this study was to evaluate the efficacy of the local application of vancomycin hydrochloride (HCl)-ceftriaxone disodium hemiheptahydrate onto implants before using them to prevent postoperative infection. METHODS: The study included 239 patients (153 women and 86 men; mean age: 48.23 ± 16.77 years) who had thoracolumbar stabilization with transpedicular screws. All surgeries were performed by the same surgeon. Patients were divided into two groups...
June 7, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29803679/anterior-reconstruction-versus-posterior-osteotomy-in-treating-k%C3%A3-mmell-s-disease-with-neurological-deficits-a-systematic-review
#2
REVIEW
Feijun Liu, Zhenzhong Chen, Chao Lou, Weiyang Yu, Lin Zheng, Dengwei He, Kejun Zhu
OBJECTIVE: This study aimed to conduct a systematic review of literature comparing the clinical effectiveness and safety between anterior reconstruction (AR) and posterior osteotomy (PO) in the treatment of Kümmell's disease with neurological deficits. METHODS: We systematically reviewed the literature in PubMed, EMBASE, Cochrane Database of Systematic Reviews, and the Web of Science for "spin*," "surg*," "Kümmell's disease," "Kummell's disease," "Kummell disease," "vertebral osteonecrosis," "vertebral pseudarthrosis," "intravertebral vacuum cleft," "delayed vertebral collapse," and "compression fracture nonunion"...
May 24, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29803678/isokinetic-peak-torque-and-flexibility-changes-of-the-hamstring-muscles-after-eccentric-training-trained-versus-untrained-subjects
#3
Amr Almaz Abdel-Aziem, Elsadat Saad Soliman, Osama Ragaa Abdelraouf
OBJECTIVE: The aim of this study was to examine the effect of eccentric isotonic training on hamstring flexibility and eccentric and concentric isokinetic peak torque in trained and untrained subjects. METHODS: Sixty healthy subjects (mean age: 21.66 ± 2.64) were divided into three equal groups, each with 20 voluntary participants. Two experimental groups (untrained and trained groups) participated in a hamstring eccentric isotonic strengthening program (five days/week) for a six-week period and one control group that was not involved in the training program...
May 23, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29802031/arthroscopic-resection-of-an-osteochondral-loose-body-in-the-distal-radioulnar-joint-a-case-report
#4
Koichi Yano, Yasunori Kaneshiro, Hideki Sakanaka
We report a 34-year-old man who presented with ulnar wrist pain, painful click, and locking during forearm rotation following a motorcycle accident. Plain radiographs showed a loose body in the distal radioulnar joint (DRUJ), deformity of the sigmoid notch and ulnar head, and ulnar minus variant. The DRUJ deformity was assumed to be associated with physeal injury of the distal ulna during childhood. Conservative treatment with a splint and oral analgesics for 3 months failed. During DRUJ arthroscopy, osteoarthritic changes were found, and the loose body was resected using DRUJ arthroscopy...
May 22, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29779968/one-stage-posterior-debridement-and-fusion-combined-with-irrigation-and-drainage-for-the-treatment-of-postoperative-lumbar-spondylodiscitis
#5
Tao Zhang, Jianzhong Hu, Jianhuang Wu, Jinyang Liu, Shuangfei Ni, Chunyue Duan
OBJECTIVE: The aim of this study was to evaluate the clinical outcomes of one-stage posterior debridement, interbody fusion, and instrumentation, combined with irrigation and drainage, for treating lumbar spondylodiscitis. METHODS: The study included 23 patients (13 male and 10 female, mean age: 45 years) who had posterior debridement, interbody fusion, and instrumentation, followed by continuous closed irrigation and drainage for lumbar postoperative spondylodiscitis...
May 17, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29773449/primary-bone-tumors-and-tumor-like-lesions-of-the-ulna
#6
Osman Emre Aycan, Sami Sökücü, Devrim Özer, Engin Çetinkaya, Yavuz Arıkan, Yavuz Selim Kabukçuoğlu
OBJECTIVE: The aim of this study was to discuss the diagnosis and surgical management and their results according to stage of primary bone tumors at ulna and to share our experience on this exceptional location for bone tumors. METHODS: We have retrospectively reviewed our clinics database and identified 23 cases (14 males and 9 females, mean age was 28.9 (range 4-77)) with primary bone tumors and tumor like lesion involvement of ulna. The patients were evaluated according to complaints, type and grade of tumor, treatment, recurrence and functional status...
May 14, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29759883/minimally-invasive-plate-osteosynthesis-for-tibial-derotation-osteotomies-in-children-with-cerebral-palsy
#7
Ilker Abdullah Sarikaya, Ali Seker, Ozan Ali Erdal, Mehmet Ali Talmac, Muharrem Inan
OBJECTIVE: Tibial derotation osteotomy can be used in the treatment of rotational deformities in case of ineffective conservative management. Our aim was to evaluate the results of the patients who underwent minimal invasive plate osteosynthesis for tibial derotation osteotomies. METHODS: Total of 16 patients (17 procedures) were included in this study. Mean age was 11.5 (3-25) years. We clinically assessed the tibial torsion by measuring the thigh-foot angle (TFA)...
May 11, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29752149/tourniquet-pressure-settings-based-on-limb-occlusion-pressure-determination-or-arterial-occlusion-pressure-estimation-in-total-knee-arthroplasty-a-prospective-randomized-double-blind-trial
#8
Bahattin Tuncali, Hakan Boya, Zeynep Kayhan, Sukru Arac
OBJECTIVE: The aim of this study was to compare the limb occlusion pressure (LOP) determination and arterial occlusion pressure (AOP) estimation methods for tourniquet pressure setting in adult patients undergoing knee arthroplasty under combined spinal-epidural anesthesia. METHODS: Ninety-three patients were randomized into two groups. Pneumatic tourniquet inflation pressures were adjusted based either on LOP determination or AOP estimation in Group 1 (46 patients, 38 female and 8 male; mean age: 67...
May 8, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29747967/endless-story-of-a-spinal-column-hydatid-cyst-disease-a-case-report
#9
Gokhan Cavus, Vedat Acik, Emre Bilgin, Yurdal Gezercan, Ali Ihsan Okten
We describe a case of multifocal relapsing hydatid cyst following multilevel thoracic corpectomy and 360° instrumentation surgery. A 41-year-old male patient presented with cord compression and paraplegia due to a multiseptated cystic lesion at T10-11 level. The cyst was excised with a combined anterior and posterior approach and 360° stabilization was performed. The patient received albendazole for 1 year after the surgery. The patient presented with paraparesis 5 years after the surgery. Cystic lesions between C2-T1 and T10-11 were detected on the spinal MRI and the patient was operated with removal of the lesions on both levels and adjuvant local 20% hypertonic saline application...
May 7, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29739709/osteonecrosis-of-bipartite-patella-following-total-knee-arthroplasty-without-lateral-release
#10
Jung Ho Noh, Young Hak Roh
We present a case of osteonecrosis of bipartite patella occurring after total knee arthroplasty using medial parapatellar approach without lateral retinacular release in osteoarthritic knee of a 66 year-old-male. The surgery was performed using traditional technique with medial parapatellar approach and patella was resurfaced. Patella was everted during surgery. There was no event during follow-up period after surgery. Range of motion of the knee was 135° without flexion contracture. Eight months after the surgery, patella was fragmented and resorbed on the radiographs which was consistent with osteonecrosis...
May 5, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29735339/distal-medial-tibial-locking-plate-for-fixation-of-extraarticular-distal-humeral-fractures-an-alternative-choice-for-fixation
#11
Ali Cagdas Yorukoglu, Ahmet Fahir Demirkan, Nihal Buker
OBJECTIVE: The aim of this study was to describe an alternative fixation method for distal humeral extra-articular fractures through posterior approach using distal tibia anatomic locking plate; and to evaluate the patient's functional outcome and union condition. METHODS: Eighteen patients (11 men and 7 women; average age of 37.0 ± 17.3 years (range: 18-73 years)) with a distal humeral extra-articular fracture who were treated with distal tibial medial locking plate were included into the study...
May 4, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29705298/how-accurate-is-visual-estimation-of-perioperative-blood-loss-in-adolescent-idiopathic-scoliosis-surgery
#12
Ayhan Ulusoy, Serdar Demiroz, Sevki Erdem
OBJECTIVE: The aim of this study was to assess whether the visual estimation method for perioperative blood loss is accurate in adolescent idiopathic scoliosis surgery. METHODS: Sixty-five consecutive patients, who were operated on from 2012 to 2015 and had a diagnosis of AIS, were included into the study. Gender, age, preoperative weight and height, preoperative major curve magnitude and T5‒T12 kyphosis angles, the fusion level, and the time of surgery were recorded...
April 25, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29705297/effect-of-plif-and-tlif-on-sagittal-spinopelvic-balance-of-patients-with-degenerative-spondylolisthesis
#13
Mustafa Uysal, Metin Ozalay, Alihan Derincek, Alauddin Kochai, Mehmet Turker
OBJECTIVE: The aim of this study was to evaluate the effects of PLIF and TLIF on sagittal spinopelvic balance and to compare radiological results of two surgical procedures with regard to spinopelvic parameters. METHODS: Thirty-five patients (34 female and 1 male; mean age: 52.29 ± 13.08 (range: 35-75)) with degenerative spondylolisthesis cases were included in the study. Patients were divided into two groups according to surgical technique: PLIF and TLIF. The level and the severity of listhesis according to Meyerding classification were assessed and spinopelvic parameters including sacral slope, pelvic tilt, pelvic incidence (PI), lumbar lordosis, and segmental lumbar lordosis were measured on digital X-rays...
April 25, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29703659/comparison-of-different-electrotherapy-methods-and-exercise-therapy-in-shoulder-impingement-syndrome-a-prospective-randomized-controlled-trial
#14
Sevtap Gunay Ucurum, Derya Ozer Kaya, Yasemin Kayali, Ayhan Askin, Mustafa Agah Tekindal
OBJECTIVE: The aim of this study was to assess and compare the effects of different electrotherapy methods and exercise therapy on pain, function and quality of life in shoulder impingement syndrome. METHODS: Eighty-three patients (66 females, 17 males; mean age: 48.2 ± 7.33 years) with shoulder impingement syndrome were selected and 79 of them were randomly allocated into four groups. Group 1 (n = 19, mean age: 47.89 ± 7.12 years) was given hot pack and exercises, Group 2 (n = 20, mean age: 47...
April 24, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29699862/effect-of-nonoperative-concomitant-intraarticular-pathologies-on-the-outcome-of-arthroscopic-capsular-release-for-adhesive-capsulitis-of-the-shoulder
#15
Fatih Yildiz, Abdulkadir Sari, Anil Pulatkan, Vahdet Ucan, Alauddin Kochai, Kerem Bilsel
OBJECTIVE: The aim of this study was to investigate whether coexistent intraarticular lesions are negative prognostic factors for the results of arthroscopic capsular release in frozen shoulder patients. METHODS: Seventy-two patients who met inclusion criteria and underwent arthroscopic capsular release between March 2011 and August 2015 for the frozen shoulder were retrospectively evaluated. The patients were divided into two groups according to existence of concomitant intraarticular pathologies detected during arthroscopy...
April 23, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29606549/a-randomized-comparison-of-the-proximal-crescentic-osteotomy-and-rotational-scarf-osteotomy-in-the-treatment-of-hallux-valgus
#16
Namık Şahin, Gökhan Cansabuncu, Nazan Çevik, Oğuz Türker, Güven Özkaya, Yüksel Özkan
OBJECTIVES: The aim of this study was to compare clinical and radiological results of proximal crescentic osteotomy (PCO) and rotational scarf osteotomy performed in the treatment of hallux valgus. METHODS: A total of 57 consecutive patients (60 feet) with symptomatic hallux valgus deformity were randomly assigned to one of two groups. The PCO group consisted of 22 women and 5 men (30 feet) and the mean age was 43(±14.5) years. The scarf group consisted of 23 women and 7 men (30 feet) and the mean age was 40...
March 30, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29602699/intramedullary-versus-extramedullary-internal-fixation-for-unstable-intertrochanteric-fracture-a-meta-analysis
#17
Xi Yu, Hong Wang, Xin Duan, Ming Liu, Zhou Xiang
OBJECTIVE: The aim of this meta-analysis was to explore the difference between and compare intramedullary fixation (IF) and extramedullary fixation (EF) for unstable intertrochanteric fractures. METHODS: We searched Pubmed database and Cochrane library following by including and excluding articles based from inception to December, 2016. All randomized controlled trials (RCTs) comparing IF and EF for unstable intertrochanteric fractures were assessed and selected by two researchers independently...
March 27, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29598843/treatment-outcome-of-dome-osteotomy-of-the-pelvis-combined-with-trochanteric-advancement-for-sequelae-of-perthes-disease
#18
Asep Santoso, Pramod Shaligram Ingale, Ik-Sun Choi, Young-Rok Shin, Kyung-Soon Park, Taek-Rim Yoon
OBJECTIVE: Disparity in size between femoral head and acetabulum could promote premature degeneration of the hip joint. The purpose of this study was to report the results of Kawamura's dome osteotomy for acetabular dysplasia due to sequelae of Perthes' disease. PATIENTS AND METHODS: Fourteen patients (14 hips) operated between 1999 and 2012 were retrospectively reviewed. There were 9 males and 5 females with a mean age of 29 years (range, 15-54 years). Functional and radiological results were reviewed at mean follow-up of 9 years (range, 4-12 years)...
March 26, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29598842/comparison-of-tramadol-acetaminophen-fixed-dose-combination-tramadol-and-acetaminophen-in-patients-undergoing-ambulatory-arthroscopic-meniscectomy
#19
Filiz Alkaya Solmaz, Emrah Kovalak
OBJECTIVES: Preemptive analgesia is a technique in which analgesics are administered before a surgery to provide better postoperative pain relief with fewer side effects. In this study, we aimed to compare the preemptive efficacy of tramadol/acetaminophen fixed-dose combination, tramadol, and acetaminophen in patients undergoing ambulatory arthroscopic partial meniscectomy. METHODS: We evaluated the patient records of 75 patients who underwent ambulatory arthroscopic partial meniscectomy...
March 26, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29544917/anterior-decompression-and-plate-fixation-in-treatment-of-cervical-myelopathy-a-multicentric-retrospective-review
#20
Carlo Doria, Giulia Raffaella Mosele, Massimo Balsano, Gianluca Maestretti, Gianfilippo Caggiari
OBJECTIVES: The aim of this study was to evaluate the results on anterior decompression and fusion with titanium mesh or expanding cage and plate fixation in patients with cervical myelopathy. METHODS: We conducted a retrospective multicentric review of 114 patients, 75 males and 39 females, with cervical myelopathy who underwent surgical treatment between July 2009 to December 2011. All surgeries were performed via a ventral approach. Based on the type of surgery the patients received, they were divided into 3 groups: group 1 consisted of 49 patients who received multilevel corpectomies and fusion with strut iliac bone graft and plates; group 2 consisted of 26 patients who received multilevel corpectomies and fusion with titanium expanding cage and plating; group 3 consisted of 39 patients who received multilevel corpectomies and fusion using titanium mesh with autologous bone graft and anterior plating...
March 12, 2018: Acta Orthopaedica et Traumatologica Turcica
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