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Acta Orthop Traumatol Turc 2022 03;56(2):157

Department of Orthopedics and Traumatology, Ondokuz Mayıs University, School of Medicine, Samsun, Turkey.

Acta Orthop Traumatol Turc 2022 Mar;56(2):152-156

Department of Orthopaedic Surgery, Tokyo North Medical Center, Tokyo, Japan.

Glenoid articular cartilage lesion is a rare complication following traumatic anterior dislocation of the shoulder. We report the case of a 14-year-old male rugby player with traumatic anterior shoulder instability, an extensively flapped lesion on the glenoid articular cartilage, and an osseous Bankart lesion. Arthroscopic findings revealed that the glenoid cartilage was flap-detached, extending from the anteroinferior to the center. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):147-151

Department of Orthopedics, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, People's Republic of China; Research Centre for Regenerative Medicine, Guangxi Key Laboratory of Regenerative Medicine, Guangxi Medical University, Nanning, Guangxi, People's Republic of China.

Dysplasia epiphysealis hemimelica (DEH) or Trevor's disease is a rare, nonhereditary developmental disorder of skeleton affecting epiphysis and short bones of limbs and characterized by a benign overgrowth of the medial half of the epiphysis resembling osteochondroma. We herein report an unconventional presentation of Trevor's disease of the hip with the involvement of the whole epiphysis. Only a few cases of DEH with such unusual features were found in the literature. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):138-146

Department of Orthopedic Surgery, Dokuz Eylül University, School of Medicine, İzmir, Turkey.

Objective: The aim of this study was to compare duration of surgery, intraoperative fluoroscopy exposure, blood loss and the accuracy of pedicular screw placement between 3D model-assisted surgery and conventional surgery for AO spinal C-type injuries.

Methods: In this study 32 patients who were admitted with thoracolumbar AO spinal C-type injuries were included. These patients were divided randomly into two groups of 16 where one group was operated on using conventional surgery and the other group was operated on using 3D model-assisted surgery. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):131-137

Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.

Objective: This study aimed to investigate whether disruption of the repaired nuchal ligament (NL) affects clinical outcomes following posterior cervical spine surgery.

Methods: This retrospective study included 101 patients (65 males, 36 females) who underwent posterior cervical spine surgery, 69 of whom received laminoplasty (LP), and 32 posterior decompression and fusion (PDF). The NL was split during the surgical approach and repaired at the time of wound closure. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):125-130

Private Practice, İzmir, Turkey.

Objective: This study aimed to compare the results of endoscopic in situ decompression (EISD) versus open in situ decompression (OISD) in the management of cubital tunnel syndrome (CUTS).

Methods: In this retrospective study, 32 patients who underwent either OISD or EISD for the treatment of CUTS between 2012 and 2019 were identified and divided into one of the two groups: Group I consisted of 13 patients undergoing EISD and group II consisted of 19 patients receiving OISD. Patients were queried regarding the presence of preoperative and postoperative paresthesia. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):120-124

Department of Orthopaedics and Traumatology, Çukurova University, School of Medicine, Adana, Turkey.

Objective: The aim of this study was to investigate whether there is a relationship between Salter and Pemberton pelvic osteotomies and avascular necrosis of femoral head in the management of developmental dysplasia of the hip (DDH).

Methods: This retrospective study included 69 hips of 52 patients aged between 12-36 months, diagnosed as DDH who had undergone either Salter or Pemberton pelvic osteotomy with Smith Petersen approach. There were 35 patients in Salter Pelvic Osteotomy and 34 patients in Pemberton Pelvic Osteotomy groups. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):116-119

Department of Orthopaedics and Traumatology, Bezmialem Foundation University, School of Medicine, İstanbul, Turkey.

Objective: The aim of this study was to investigate the effect of the angle between the scapular spine and acromion in the sagittal plane on the location of chronic rotator cuff tears (RCTs).

Methods: The magnetic resonance images of patients who had undergone an arthroscopic shoulder surgery were evaluated. The patients were divided into two groups: patients who had undergone RCT repair and those who had experienced different shoulder surgery as a control group. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):111-115

Department of Orthopedic Surgery, University of Ulsan, Asan Medical Center, Seoul, Korea.

Objective: The aim of this study was to evaluate the early reaction of all-suture anchors (ASAs) in arthroscopic rotator cuff repair.

Methods: This retrospective case series comprised 23 patients (8 women, 15 men; mean age = 59.9 years, age range = 36-73 years) with medium-size rotator cuff tear who underwent arthroscopic rotator cuff repair. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):105-110

Department of Orthopedics, University of Health Sciences, Ümraniye Health Research Center, İstanbul, Turkey.

Objective: This study aimed to evaluate clinical results, femoral head survival, and the need for total hip arthroplasty (THA) in patients with precollapse osteonecrosis of the femoral head (OFH) (Steinberg stage II and III) treated by free vascularized fibula graft (FVFG) application.

Methods: We retrospectively reviewed 54 hips of 47 patients (39 males, eight females; mean age 36 ± 14 years) who underwent FVFG due to OFH, with at least two years of follow-up. The patient data, including Harris Hip Score (HHS), Visual Analogue Scale (VAS), and conversion to THA, were documented. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):100-104

Department of Orthopedics, Tianjin Hospital, Tianjin, People's Republic of China.

Objective: This study aimed to evaluate the efficacy and safety of intravenous combined with topical application of tranexamic acid (TXA) in reducing blood loss in opening wedge high tibial osteotomy (OWHTO).

Methods: A total of 60 patients who underwent unilateral OWHTO between May 2018 and May 2019 were retrospectively reviewed. All the patients were then divided into one of the two groups (30 per group): the TXA group, patients receiving intravenous combined with topical application of TXA, and the control group, patients receiving no TXA. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):94-99

Department of Orthopaedics and Traumatology, Karadeniz Technical University, School of Medicine, Trabzon, Turkey.

Objective: This study aimed to evaluate the mid-term clinical outcomes of total knee arthroplasty (TKA) in the management of end-stage hemophilic arthropathy.

Methods: Eleven patients (15 knees) undergoing TKA with stiff knees were retrospectively evaluated. TKA was performed in all patients without additional surgical interventions such as posterior capsular release, hamstring release, synovectomy, VY quadricepsplasty, or tibial tubercle osteotomy. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):88-93

Department of Orthopedics and Traumatology, Ordu University Training and Research Hospital, Ordu, Turkey.

Objective: This study aimed to evaluate the contents and readability levels of informative texts about anterior cruciate ligament (ACL) on Turkish websites.

Methods: In this cross-sectional study, online searches were performed using the Google, Yandex, and Yahoo search engines on 16, 17, and 18 November 2020, respectively. In these three search engines, 'anterior cruciate ligament', 'anterior cruciate ligament surgery', 'ACL', and 'ACL surgery' were entered in Turkish. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):81-87

Department of Anatomy, Hacettepe University, School of Medicine, Ankara, Turkey.

Objective: This anatomical study aimed to investigate the possible relationships between the proximal femur parameters and verify the optimal entry point in line with the medullary canal.

Methods: Both in single image series and 3D-MPR views, 63 femur bones were evaluated. One-millimeter multidetector computed tomography scans were collected and assessed by OsiriX-Lite version 8 and Horos v3. Read More

Acta Orthop Traumatol Turc 2022 Mar;56(2):76-80

Department of Pediatrics, Division of Pediatric Allergy and Immunology, Mardin State Hospital, Mardin, Turkey.

Objective: The aims of this study were (1) to compare 25-OH vitamin D levels between children with upper and those with lower extremity fractures and (2) to determine whether 25-OH D insufficiency prevalence is increased compared to healthy controls.

Methods: This is a prospective case-control study for 12 months. The study was conducted with children aged 5-18 years, including 60 children with non-displaced, impaction type upper extremity and lower extremity fractures resulted from low-energy trauma. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):71-75

Department of Orthopaedics and Traumatology, Başakşehir Çam and Sakura City Hospital, İstanbul, Turkey.

Objective: The aim of this study was to determine the adequacy of spine surgery fellowship training (SSFT) in Turkey and what is needed for further development by interviewing current fellows.

Methods: Forty male orthopaedics and traumatology or neurosurgery specialists who had completed SSFT in three different spine centers in Turkey between 2010 and 2018 were asked to complete a survey with 29 questions about SSFT in Turkey. Thirty specialists responded, and the collected data were analyzed. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):64-70

Department of Orthopaedics and Traumatology, Başkent University, Adana Training and Research Center, Adana, Turkey.

Objective: The aim of this study was to compare clinical and histopathological effects of oral versus intraarticular corticosteroid application in a rat model of frozen shoulder.

Methods: In this study, eighty adult Sprague-Dawley rats were used. The animals were divided into 5 equal groups. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):58-63

Clinic of Orthopaedics and Traumatology, Medical Park Hospital, İzmir, Turkey.

Objective: The aim of this study was to determine whether bipolar radial head arthroplasty may transfer less load to the capitellum than monopolar radial head arthroplasty and native radial heads.

Methods: Six human elbow joints were obtained from six fresh frozen cadavers (3 males, 3 females; mean age = 78 years, age range = 66-80). None of the elbow joints had a previous osseous injury, a chondral defect, osteoarthritis, or instability. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):53-57

Department of Orhtopedics, East-Tallinn Central Hospital, Tallinn, Estonia.

Objective: The aim of this study was to adapt the Estonian version of The Oxford Knee Score (OKS) and test its psychometric properties.

Methods: The original OKS questionnaire was translated into Estonian using the forward and back-translation method recommended in the literature. The face validity of the Estonian OKS was then tested. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):48-52

Department of Orthopaedics, Hwamei Hospital, Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, People's Republic of China.

Objective: The aim of this study was to present preliminary results and experience with iliosacral screws and plate combination (horizontal triangular osteosynthesis, HTO) in the management of Tile B3 pelvic fractures.

Methods: In this retrospective study, 26 patients (18 male, 8 female; mean age = 46, age range = 31-58 years) who were treated with horizontal triangular osteosynthesis using the combination of bilateral percutaneous iliosacral screws and transiliac plates due to Tile B3 pelvic fractures in our institution were included. The accompanying symptoms, blood loss, operation time , fracture healing time, and postoperative complications were observed and recorded. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):42-47

Department of Orthopedic Surgery, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul, Korea.

Objective: The aim of this study was to compare the outcomes of dorsal plating versus volar plating with limited dorsal open reduction in the management of AO type C3 distal radius fractures with impacted articular fragments.

Methods: Thirty patients who underwent dorsal plating (Group A) (14 females, 16 males; mean age = 56.8 ± 10. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):36-41

Department of Orthopaedics and Traumatology, Tepecik Training and Research Hospital, İzmir, Turkey.

Objective: The aims of this study were (1) to analyze the factors that may cause loss of reduction (LOR) in pediatric tibia diaphysis and distal third fractures treated with closed reduction and casting (CRC) and (2) to determine the effectiveness of cast index (CI), gap index (GI), and three-point index (TPI) in prediction of LOR.

Methods: The patients aged 0-16 years who were admitted to the emergency department between January 2014 and January 2018, with tibia diaphysis or distal third fractures and treated with CRC were included the study. A total of 196 pediatric patients (41 females, 155 males) were retrospectively evaluated. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):31-35

Department of Orthopaedic and Traumatology, Adnan Menderes University, School of Medicine, Aydın, Turkey.

Objective: The aims of this study were (1) to investigate the tibial slope (TS) changes following guided growth by the eight-plate and to determine the relationship between the TS change in the sagittal plane and the plate position.

Methods: In this retrospective study, children who underwent guided growth by the eight-plate for genu varum or valgum were included. Thirty-eight extremities of 23 children (14 girls and 9 boys; mean age = 9. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):26-30

Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.

Objective: The aim of this study was to evaluate the clinical and radiological outcomes and complications of external fixation use in the treatment of children with displaced supracondylar femoral fractures..

Methods: In this retrospective study, 14 children (6 boys, 8 girls; mean age = 7. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):20-25

Clinic of Orthopaedics and Traumatology, Acıbadem Fulya Hospital, Sports Medicine Center, İstanbul, Turkey.

Objective: The aim of the study was to evaluate the single bundle (SB) and double bundle (DB) anterior cruciate ligament (ACL) reconstruction in terms of graft survival, complications, and patient reported functional outcomes in adolescent athletes.

Methods: In this retrospective study, 89 elite adolescent athletes who underwent either SB or DB ACL reconstruction were included. All patients were then divided into two groups: group 1 including 51 patients with SB ACL reconstruction (31 male, 20 female; mean age = 15. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):14-19

Department of Orthopaedics Hospital Clínic, Barcelona, Catalonia, Spain.

Objective: The aim of this study was to describe the evolution of patients admitted for elective orthopaedic surgery during the immediate post-COVID-19 peak of the pandemic.

Methods: This is a multi-center, observational study conducted in 8 high complexity hospitals of Catalonia, one of the highest COVID-19 incidence areas in Spain. We included patients ≥18 years of age undergoing elective surgery (total knee or hip arthroplasty, knee or hip revision arthroplasty, shoulder or knee arthroscopy, hand or wrist surgery, forefoot surgery, or hardware removal) after the COVID-19 peak (between May 5th and June 30th, 2020). Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):8-13

Department of Orthopedics, Uludağ University, School of Medicine, Bursa, Turkey.

Objective: The aim of this study was to determine the effect of platelet-rich plasma (PRP) on bone regenerate consolidation in a rabbit model of distraction osteogenesis.

Methods: In this study, 12 male New Zealand rabbits weighing 1600 to 2000 g were used. All the rabbits were randomly divided into two groups (n = 6 per group): PRP group and control group. Read More

Acta Orthop Traumatol Turc 2022 Jan;56(1):1-7

Faculty of Mechanical Engineering, Labaratory of Strength of Materials and Biomechanics, İstanbul Technical University, İstanbul, Turkey.

Objective: The aim of this study was to investigate the efficacy of angiotensin-converting enzyme inhibitors (ACEIs) in preventing postoperative tendon adhesion formation in a rat model of Achilles tendon repair.

Methods: In this study, 60 Sprague-Dawley male rats weighing 300 to 350 g were used. Rats were randomly divided into six groups (n = 10 per group): control-1, control-2, sham-1, sham-2, experiment-1, and experiment-2. Read More

Acta Orthop Traumatol Turc 2022 Jan 28. Epub 2022 Jan 28.

Department of Orthopaedics and Traumatology, Eskişehir Osmangazi University Hospital, Eskişehir, Turkey.

Acta Orthop Traumatol Turc 2021 Dec;55(6):563-568

Department of Orthopedic Surgery, Oita University, School of Medicine, Yufu City, Oita 879-5593, Japan.

Alkaptonuria-related rapidly destructive arthropathy of the hip joint has not been reported in detail with both imaging and histopathological findings in the literature. We, herein, presented the case of a 79-year-old male patient who suddenly started experiencing marked right hip pain. Radiography showed that the femoral head was spherical; however, after 3 months, approximately half of the femoral head was destroyed despite there being almost no change in the acetabulum. Read More