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Objectives: The aim of the study is to evaluate the effect of deformity on functional scores of humeral shaft fracture patients who treated conservatively with functional bracing. Materials and Methods: Patients who had humeral shaft fracture and treated with functional bracing between 2014 and 2019, were included in this study. Second or third day, two part functional brace was applied. The deformity angle of the humerus on the anteroposterior radiography was measured and divided into 3 groups. Elbow range of motion (ROM), shoulder abduction and the difference of range of external rotation (ER) compared to contralateral shoulder was evaluated. Moreover, Constant scores of the shoulder and Mayo scores of the elbow were evaluated. Results: Forty-two patients were evaluated. The mean healing time was determined as 12.11 ± 2.31 weeks. Thirty-seven of the patients were successfully treated. Nonunions were detected in only 5 patients during follow-up. The varus deformity was measured between 6°-10° in 18 patients, >11° in 12 patients, and between 0°-5°in 7 patients. In the varus deformity groups, a statistically significant difference was observed for the external rotation measurements (p:0.044) and for elbow ROM measurements (p: 0.048). The reason of the external rotation and elbow ROM measurements difference was >11° varus deformity group. There was no statistically significant difference between the shoulder abduction range, Mayo scores and shoulder constant scores of the varus deformity groups (p>0.05). Conclusion: Our clinical and radiological datas show that satisfactory results are obtained in most of the humeral shaft fractures treated with functional bracing.

Purpose: The elbow is the second most dislocated major joint in adults. This study aimed to evaluate the reliability of the use of ‘sea wave-like sign’ in adult simple elbow dislocation. Methods: The study included 12 randomly selected adults with simple elbow dislocation cases. All patients were evaluated with pre-reduction and post-reduction radiographs. The definitive diagnosis of reduction was made with post-reduction CT. Evaluations were performed by five orthopedic residents (Group I), five orthopedic specialists with less than 10 years of professional experience (Group II), and five orthopedic specialists with more than 10 years of professional experience (Group III). They were requested to fill out a questionnaire including the reduction and ‘sea wave-like sign’. Results: The specificity of the sea wave-like sign on radiography was 96.6% and the positive predictive value of this evaluation was 99.1%. There were statistically significant differences between the groups in terms of evaluation of the reduction of the elbow joint. The correct response rates in young specialists were significantly lower than the other two groups (p

Objectives: The purpose of this study was to evaluate the differences in mortality between young and elderly polytrauma patients.Materials and Methods: In the present study, all consecutive polytrauma patients treated at our hospital between January 2014 and December 2018 were reviewed retrospectively. Patients younger than 65 years old were classified as Group I (n = 60), and patients aged 65 years and older were classified as Group II (n = 60). Age, gender, mechanism of injury, time of injury, injury severity score (ISS), preclinical hemodynamics, hospitalization, operative treatment, intubation rate, intensive care unit (ICU) treatment, and 1-year mortality were analyzed. The neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and systemic inflammation response index (SIRI) were calculated.Results: The mean age was 36.6 ± 13.0 (18–64) years in Group I and 73.5 ± 7.4 (56–91) years in Group II. There was no difference in mortality rates between groups. Elderly polytrauma patients tend to be female, and lower ISS and higher blood pressure, as well as low-energy injury types, typically in the summer. A statistically significant positive correlation was found between mortality and ISS scores in both Group I and Group II. There was no statistically significant difference was found between elderly and younger polytrauma patients in terms of NLR, MLR, and SIRI scores.Conclusion: Elderly polytrauma patients are not just older adults, and there are several differences between them and their younger counterparts. The existing differences in the treatment of elderly polytrauma patients need to be considered during decision making., Amaç: Bu çalışmanın amacı, genç ve yaşlı politravma hastaları arasındaki mortalite farklılıklarını değerlendirmektir.Gereç ve Yöntem: Bu çalışmada Ocak 2014-Aralık 2018 tarihleri arasında hastanemizde tedavi edilen politravma hastalarının tümü retrospektif olarak incelendi. 65 yaşından küçük hastalar Grup I (n = 60), 65 yaş ve üstü hastalar Grup II (n = 60) olarak sınıflandırıldı. Yaş, cinsiyet, yaralanma mekanizması, yaralanma süresi, yaralanma ciddiyeti skoru (YCS), klinik öncesi hemodinami, hastaneye yatış, operatif tedavi, entübasyon oranı, yoğun bakım ünitesinde (YBÜ) tedavi ve 1 yıllık mortalite analiz edildi. Nötrofil-lenfosit oranı, monosit-lenfosit oranı ve sistemik inflamasyon yanıt indeksi hesaplandı.Bulgular: Grup I'de yaş ortalaması 36,6 ± 13,0 (18-64), Grup II'de 73,5 ± 7,4 (56-91) idi. Gruplar arasında mortalite oranları arasında fark yoktu. Yaşlı politravma hastaları genellikle yaz aylarında kadın, daha düşük YCS, daha yüksek kan basıncı ve düşük enerjili yaralanma tipinde olma eğilimindedir. Grup I ve Grup II'de mortalite ve YCS skorları arasında istatistiksel olarak anlamlı bir pozitif korelasyon bulundu. Nötrofil-lenfosit oranı, monosit-lenfosit oranı ve sistemik inflamasyon yanıt indeksi skorları açısından yaşlı ve genç politravma hastaları arasında istatistiksel olarak anlamlı bir fark bulunmadı.Sonuç: Yaşlı politravma hastaları sadece yaşlı yetişkinler değildir ve bunlar ile genç hastalar arasında çeşitli farklılıklar vardır. Yaşlı politravma hastalarının tedavisinin karar verme sürecinde mevcut farklılıkların göz önünde bulundurulması gerekmektedir.