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Objective: The aim of this study was to compare the number of deep vein thrombosis (DVT) cases during the quarantine period for COVID-19 to that of the last year. Methods: This study was conducted as a single-center and retrospective study. All hospital admissions during April 2020 and May 2020 were screened from the hospital records, and DVT cases were recorded. Likewise, all hospital admissions during April 2019 and May 2019 were screened, and DVT cases were noted. DVT cases of both years were compared. Results: Among 480931 patients admitted to our hospital in April 2019 and May 2019, DVT was detected in 82 patients (0.017%) (47 males, 35 females) with a mean age of 56.99 ± 9.1 years (ranges 39 to 79 years). Besides, among 145101 patients admitted to our hospital in April 2020 and May 2020, DVT was detected in 123 patients (0.084%) (51 males, 72 females) with a mean age of 58.64 ± 8.9 years (ranges 40 to 83 years). Despite the decrease in the total number of patients admitted to the hospital, there was a significant increase in the number of DVT patients. Interestingly, there were only two symptomatic pulmonary-embolism cases in the 2019 period, whereas there were seven symptomatic pulmonary embolisms secondary to DVT in the 2020 period. Unfortunately, one patient died due to pulmonary embolism secondary to DVT in 2020. The previous history of DVT was remarkable in patients admitted during the COVID-19 confinement. Conclusion: In conclusion, COVID-19 confinement seems to be associated with increased rates of DVT. Strict preventive measures such as exercise training or prophylactic drug use should be considered to prevent immobility-related DVT during the COVID-19 quarantine. [ABSTRACT FROM AUTHOR]

objective: The efficiency and cost of cell saver system is compared with in patients who underwent to complex spine surgery with and without the system. Material and methods: We restrospectively evaluated the patients who underwent to posterior instrumentation and fusion in our clinic between Jan 2009-Mar 2013 for treatment of complex spine disease. There were 44 patients in group I which cell saver system was used during operation, and 20 patient in group II which system was not used. We aimed to determine the efficiency and cost of the usage of cell saver system against to allogenic blood transfusion in peroperative and postoperative periods. IBM SPSS Statistic Version 20.0 program was used for statistical analyses. Results: The number of erytrosyte suspension used in the peroperative and the postoperative periods was 1±1 in group I, and 2.6±1.8 in group 2 and the difference was statistically significant (p=0.004). When compared by the cost, group I was 752.7±148.7 TL and group II was 241.8±169.1 TL with statistically significant difference (p<0.00l). Conclusion: in complex spine surgery, hemoglobin, hematocrit and red blood cell values are higher at the first postoperative day in patients whom cell saver system is used during operation against whom did not used and the usage of this system decreases allogenic blood transfusion at the peroperative and the postoperative periods. [ABSTRACT FROM AUTHOR]

Objective: In this study, we purposed to evaluate the early and mid term results and life quality of the patients who underwent to arthroscopic cartilage debridement and joint lavage because of symptomatic gonarthrosis which didn't response to medical treament at least three months, restricted the patient's daily activity and wasn't at the late stage radiologically. Material and Methods: We made our study between 2004-2010 with 96 patients over forty years who applied to our clinic and came to their controls periodically because of knee pain which did not remit by conservative treatment at least three months, had gonarthrosis diagnosis according to modified ACR criteria, under 4. Stage according to Kellgren-Lawrence criteria radiologically and underwent to arthroscopic cartilage debridement and articular lavage because of symptomatic gonarthrosis. We evaluated the life quality, pain and functional scores of the patients pre and post-operatively by SF-36 and WOMAC point index. (Number Cruncher Statistical System) 2007 & PASS 2008 Statistical Software (Utah, USA) program was used for statistical analyze. The results are evaluated with Student t test ve Mann Whitney U test. p<0.05 was statistically significiant Results: In our study we found that the postoperatively physical and social functions, mental health and total SF-36 scores are increased, WOMAC scores are decreased statistically significantly (p<0.0l). We found that the difference between preoperative and postoperative WOMAC and SF-36 scores were not different statistically between two groups whose BMI<30 and BMI≥30 (p>0.05). Physical and social functions, mental health and total SF-36 scores of the patients who underwent to operation in the last 18 months were statistically significantly increased against the patients whose operation time was earlier (P<0.01). Physical and social functions, mental health and total SF-36 scores of the patients who are under 50 were statistically significiantly greater than patients over 50 (p<0.01). Conclusion: The arthroscopic joint debridement and lavage can be used, cheap, low morbid method to improve life quality, functions and to recruit the pain when applied on well chosen patients. [ABSTRACT FROM AUTHOR]