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INTRODUCTION: To evaluate the functional and radiological results of double-row arthroscopic rotator cuff repairs performed by the Knotted Suture Bridging method. METHODS: The study included 36 patients. Before surgery, tear type, tear size, and muscle atrophy were examined by ultrasound (USG) and magnetic resonance imaging (MRI) in all patients. In the clinical evaluation, the preoperative and postoperative 2nd year results of the patients were compared by Visual Analogue Scale (VAS), scoring the University of California, Los Angeles (UCLA) and the shoulder index scoring of the American Shoulder and Elbow Surgeons (ASES). Sugaya MRI recovery analysis was used to evaluate the structural healing of the tendon. RESULTS: A significant decrease was found in the patients' VAS scores in the postoperative period. While the preoperative UCLA (0-35) score was 19.1, the median value in the second postoperative year was 29.7. (p

Objective: We hypothesize that tissue hypoxia would increase erythropoietin, as well as parathormone (PTH), secretion. To verify this hypothesis, patients who had undergone orthopedic surgery with a pneumatic tourniquet were evaluated for endogenous tissue hypoxia. Methods: This study included 20 patients who underwent orthopedic surgery with a pneumatic tourniquet, wherein, 6 had diagnostic arthroscopy and 14 had anterior cruciate ligament reconstruction. All operations were performed under spinal anesthesia. The paired t-test was used to detect the differences between serial concentrations of parathyroid hormone, erythropoietin, calcium, and phosphorus levels before and after ischemia, where 'p values' of

INTRODUCTION: One of the most important complications of diabetes mellitus is diabetic foot caused by peripheral circulatory disorder. Charcot neuropathic arthropathy (CN), which occurs in the advanced stage of the diabetic foot, is a chronic, progressive and difficult to treat disease METHODS: In this study, our aim is to evaluate the changes in the foot bone and foot joints of patients with CN according to the Sanders and Frykberg classification.Based on the data obtained from the automation records of our hospital, the patients' age, gender, diabetes diagnosis time and involved extremities, as well as foot radiographs were examined according to Sanders and Frykberg classification. RESULTS: The average age of 20 patients included in the study was 66.7 years, 12 males and 8 females. Type 2 with up to 5 (25%) patients according to the Sanders and Frykberg anatomical classification DISCUSSION AND CONCLUSION: The incidence of diabetes mellitus is increasing all over the world and complications due to this disease should be well known. In our study, early diagnosis of CN, is extremely important and we believe that foot amputations can be prevented with early interventions.

Aim: Mosaicplasty is a common surgical technique performed in patients with osteochondritis dissecans (OCD) of the knee. In the present study, we aimed to investigate the effectivity of mosaicplasty followed by intraarticular hyaluronic acid (HA) injection on the functional outcomes of the knee joint in patients with osteochondral lesions of the knee. Methods: The retrospective study included 41 patients (32 men and 9 women) that underwent mosaicplasty due to the detection of an OCD lesion larger than 1 cm2 on magnetic resonance imaging (MRI). The patients were randomly divided into HA (n=22) and control (n=19) groups. The HA group received 2 ml of HA injection at two weeks after surgery and the control group received no additional treatment. At postoperative months 6 and 12, functional outcomes of the patients were graded using the Lysholm knee score and pain intensity was assessed using Visual Analog Scale (VAS) in both groups. Results: The HA group included 22 (53.7%) and the control group included 19(46.3%) patients. The mean age was 31.5 in the HA group and 31.47 years in the control group. The Lysholm scores at postoperative months 6 and 12 were significantly higher in the HA group compared to the control group (p lt;0.01). Similarly, the VAS scores at postoperative months 6 and 12 were significantly higher in the HA group compared to the control group (p lt;0.01). Conclusion: The administration of mosaicplasty followed by instant intraarticular HA injection led to better clinical outcomes and less postoperative pain

INTRODUCTION: The purpose of this study is to compare the results of the open surgical procedure used in the treatment of the trigger finger surgeon and the percutaneous relaxation and to evaluate the advantages and disadvantages of each technique. METHODS: 55 patients (36 females, 19 males, mean age 54 years range: 19-77 years) were included in the study. 31 patients underwent percutaneous release and 24 patients underwent open surgery. Clinical, Quick Disabilities of the Arm, Shoulder and Hand (QDASH) scoring results and work start-up times were compared at 1 week, 1 month and 6 months after surgery. RESULTS: Recurrence was observed in 1 patient who underwent percutaneous release. Three of our patients who underwent open surgery had a long lasting pain due to the wound scar. A superficial infection developed in a patient. İn terms of time to return to work and cost, percutaneous release has yielded better results. DISCUSSION AND CONCLUSION: Percutaneous release is prefable method compared to open release in term of effective, easy release, low risk of complication and low cost.

Hip fractures are the leading cause of admission to the hospital in the elderly population. The most important cause of hip fractures in the elderly population is simple falls and leading causes of mortality and morbidity. The most common cause of femur neck fractures in young populations is traffic accidents and high-energy sports. Due to the low blood supply, avascular necrosis and nonunion are common in femur neck fractures. There are many options in the treatment of these fractures. The main methods are closed reduction internal fixation and arthroplasty. Treatment options depend on the age of the patient, type of fracture, fracture etiology, timing of the surgeon, presence of rheumatologic disease, presence of neurological disease, psychosis, neglected femoral neck fracture.

Abstract Introduction Anterior cruciate ligament (ACL) ruptures are common injuries that typically affect young, physically active individuals and may require surgical reconstruction. Studies have shown that the long time success of ACL reconstruction depends on the surgical technique and the postoperative rehabilitation strategy. However, there is still no consensus on the content of rehabilitation programs. Hence, additional research is required to elucidate the significance of early weight-bearing in the rehabilitation process following ACL reconstruction. The aim of this article is to examine the impact of weight-bearing on the clinical results of ACL reconstruction. Materials and methods We retrospectively reviewed patient records who had undergone arthroscopic reconstruction using a semitendinosus-gracilis tendon graft for anterior cruciate ligament rupture between January 2018 and December 2020. The study included the data of 110 patients. The patients were split into two groups: Group 1 underwent early weight-bearing, while Group 2 followed a non-weight-bearing regimen for three weeks. We assessed the patients using the anterior drawer test, Lachman test, range of motion, Lysholm knee scale, Cincinnati scale, Tegner scale, International Knee Documentation Committee (IKDC) form and clinical records. Analytical tests were conducted to compare the results. Results The complication rates did not show a significant difference between the groups. Group 1 had higher frequencies of positive anterior drawer and Lachman tests. The Lysholm and Cincinnati knee scores of patients in Group 1 were notably lower than those of patients in Group 2. Additionally, the Tegner activity scores and IKDC scores of patients in Group 1 were also meaningfully lower than those of patients in Group 2. In Group 1 patients, there was no notable relationship observed between body mass index (BMI) and the results of the anterior drawer test (ADT) or Lachman test. However, patients with a BMI of 25 or higher in Group 1 showed a decrease in postoperative IKDC scores. In Group 2 patients, no significant relationship was identified between BMI and either the ADT or the Lachman test outcome. Conclusion Based on current literature and current rehabilitation guidelines following ACL reconstruction, the decision to initiate early weight-bearing is based on a limited number of studies with low levels of evidence. In our study, we found that patients who followed a non-weight-bearing regimen for 3 weeks after surgery had better mid-term results than those who were allowed to bear weight early. It appears that further prospective studies on this topic are needed to update rehabilitation guidelines in the next.

PEV is one of the most common deformities in the foot. The incidence of PEV varies between communities and many theories about its etiology have been proposed. In this study, we aimed to share our experience with the incidence and etiology of PEV in the neonatal intensive care unit of a tertiary hospital. 3658 patients who were followed up in a tertiary neonatal intensive care unit from 2014 to 2017 were included in the study. Data on the number and etiology of newborns with PEV deformity were obtained from the automation records of our hospital. PEV deformity was diagnosed in 32 (0.87%) of 3658 babies treated in the neonatal intensive care unit over a period of 3 years. Of these 32 patients, 18 (56.25%) were bilateral, and 14 (43.75%) unilateral PEV. Two (6.25%) of our patients had a positive family history. While 23(71.87%)) of our patients were delivered by cesarean, 9 (28,1%) of our patients were born normally. Considering birth weights, the number of babies born under 2500 grams was 7 (21.8%), and the number of babies born above 2500 grams was 25 (78.1%). Considering the data we obtained at the end of the study, the incidence of PEV was lower than in the literature. In fact, our hypothesis before starting the study was that the incidence of PEV was higher in the neonatal intensive care unit. Although the frequency of PEV is known to vary between populations, the etiology of PEV is not fully known. We believe that future studies (such as genetic studies) will be more beneficial to science than classical knowledge about PEV etiology. [Med-Science 2020; 9(3.000): 556-9]

Purpose Many factors in the etiology of anterior cruciate ligament (ACL) tears, predisposing factors related to knee morphology have also been reported. This study aimed to determine whether the Insall–Salvati (IS) index, which measures patella height, is a predisposing risk factor for ACL tears. Methods The IS index, patellar length (PL), and patellar tendon length (PTL) values of patients (study group) that underwent arthroscopic reconstruction for ACL tears obtained by preoperative magnetic resonance imaging (MRI) were compared with the index values in the preoperative MRIs of patients that underwent knee arthroscopy for reasons besides ACL tears. In addition, the anterior tibial translation (ATT) of both groups was also measured and compared on MRI images. The MRI findings of the subjects included in both study groups were arthroscopically confirmed. Results The mean ages of the study group (n = 120) and control group (n = 90) were 29.1 ± 8.2 years and 31.8 ± 9.8 years, respectively. There was a statistically significant difference between the study and control groups in terms of the PL and PTL values ( p = 0.016 and p = 0.001, respectively). The IS index was statistically significantly higher in the study group with ACL tears ( p = 0.009). The ATT was 8.61 ± 4.68 mm in the study group and 3.80 ± 1.92 mm in the control group. The ATT results of both groups were evaluated, and it was found that the study group was significantly higher than the control group ( p = 0.001) Conclusions As a result of our current study, we observed higher IS index values in patients with ACL tears than in patients without ACL tears. It should be kept in mind that patella alta, which is associated with a high IS index as one of the factors of knee morphology associated with ACL tears, may play a role in the etiology of ACL tears.

Objective: To compare the levels of ischemia modified albumin between osteomyelitis patients and healthy controls. Method: The cross-sectional prospective study was conducted at Van Yüzüncü Y?l University, Van, Turkey, from May 2018 to May 2019, and comprised inpatients diagnosed with osteomyelitis, and healthy controls. Serum IMA concentrations were determined spectrophotometrically at 470nm wavelength. Serum ischemia modified albumin levels were measured and compared between the patients and the controls. Data was analysed using SPSS 20. Results: Of the 77 subjects, 37(48%) were patients and 40(52%) were controls. Serum ischemia modified albumin level in patients was significantly higher than controls (p