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The present study aimed to demonstrate the psychometric properties of the Turkish version of the Knee Society Score-Short Form in individuals before and after total knee arthroplasty. A prospective cross-sectional study was conducted with 112 participants (67 pre-operative, 45 post-operative). Participants were evaluated with Knee Society Score-Short Form, Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Short Form-36 (SF-36) in the initial assessment. Forty-two participants refilled the Knee Society Score-Short Form one week later. Test-retest reliability and internal consistency of the Knee Society Score-Short Form (total score and items) were high (ICC: 0.84-0.96, α: 0.68-0.82). Knee Society Score-Short Form demonstrated a single factor in Exploratory Factor Analysis (EFA) (0.30-0.87). There was a high correlation between Knee Society Score-Short Form and WOMAC (r: -0.58, p

Joint Diseases and Related Surgery (JDRS), the official journal of the Turkish Joint Diseases Foundation, is an international, peer-reviewed, immediate open access journal. All published articles in JDRS has been free for everyone, without embargo, since 1990.

Aim: This study aimed to examine the effect of cable cerclage on reduction quality and union time in patients treated with cephalomedullary nails for subtrochanteric fractures. Materials and Methods: 75 closed subtrochanteric fractures treated with cephalomedullary nails by two different surgeons with at least 10 months of follow-up were included in the study. Patients operated by Surgeon 1 were grouped as Group 1 (closed cephalomedullary nailing without cables, n=43), patients operated by Surgeon 2 with 1-2 cables as Group 2 (n=20), and those operated with 3-4 cables were grouped as Group 3 (open cephalomedullary nailing + cable fixation, n=12). Postoperative radiographs were evaluated for the presence of cables, the number of cables used, deformity, the residual gap between the fracture ends, and the union time. Results: The cable fixation rate was calculated as 42.6%. There was a statistically significant relationship between cable use and the amount of gap (p=0.033). The average gap was 3.97 mm in patients without cables, 0.65 mm in patients with 1-2 cables, and 0.66 mm in patients with 3-4 cables. A positive correlation was found between the amount of gap and the time to union (Spearman's rho= 0.468, p=0.001). A statistically significant difference was found between Group 1 and Group 2 and also between Group 1 and Group 3 regarding the union time (p=0.007, p=0.001, respectively). The mean time to union was determined as 7.3 months in Group 1, 5.4 months in Group 2, and 5.7 months in Group 3. Conclusion: Reducing the gap in the fracture line by using cables provides a better reduction, stability, and a shorter union time than fixation without a cable in subtrochanteric fractures treated with cephalomedullary nailing.

Aim: This study aimed to examine the effect of cable cerclage on reduction quality and union time in patients treated with cephalomedullary nails for subtrochanteric fractures. Materials and Methods: 75 closed subtrochanteric fractures treated with cephalomedullary nails by two different surgeons with at least 10 months of follow-up were included in the study. Patients operated by Surgeon 1 were grouped as Group 1 (closed cephalomedullary nailing without cables, n=43), patients operated by Surgeon 2 with 1-2 cables as Group 2 (n=20), and those operated with 3-4 cables were grouped as Group 3 (open cephalomedullary nailing + cable fixation, n=12). Postoperative radiographs were evaluated for the presence of cables, the number of cables used, deformity, the residual gap between the fracture ends, and the union time. Results: The cable fixation rate was calculated as 42.6%. There was a statistically significant relationship between cable use and the amount of gap (p=0.033). The average gap was 3.97 mm in patients without cables, 0.65 mm in patients with 1-2 cables, and 0.66 mm in patients with 3-4 cables. A positive correlation was found between the amount of gap and the time to union (Spearman's rho= 0.468, p=0.001). A statistically significant difference was found between Group 1 and Group 2 and also between Group 1 and Group 3 regarding the union time (p=0.007, p=0.001, respectively). The mean time to union was determined as 7.3 months in Group 1, 5.4 months in Group 2, and 5.7 months in Group 3. Conclusion: Reducing the gap in the fracture line by using cables provides a better reduction, stability, and a shorter union time than fixation without a cable in subtrochanteric fractures treated with cephalomedullary nailing.

Purpose: Shoulder joint range of motion (ROM) limitation and pain are the most common clinical conditions and complaints of patients who undergo shoulder arthroscopy. Identifying the possible causes of pain and limitation of the joint motion in the early postoperative period, positively affect both the success of the surgery and patient satisfaction. This study aims to evaluate the effect of soft tissue debridement around the subscapularis muscle tendon on postoperative shoulder ROM. Material and methods: 155 patients who underwent arthroscopic subacromial decompression for subacromial impingement were investigated and after excluded cases, 97 patients were eligible for this study. The patients were divided into two groups. Group 1 included 54 patients who underwent subscapular soft tissue debridement with RF device and Group 2 included 43 patients who were only operated for subacromial impingement. Postoperative shoulder early ROM and pain scores at the third-month follow-up were used. The data were compared to evaluate the effect of debridement of the surrounding soft tissue adhesions around the subscapularis tendon. Results: The patients who underwent arthroscopic subscapular debridement had a better active internal and external rotation range at third-month follow-up as well as the pain score. There was a statistically significant difference between the two groups in terms of early ROM and pain (p=0.001). When the type of adhesion is investigated, it is found that this statistically significant difference is mostly between debridement and non-debridement patients who had synovial hypertrophy (p=0.001). Patients who had a combination of synovial hypertrophy and pulley formation also benefited greatly from debridement like synovial hypertrophy alone. Conclusion: Arthroscopic debridement of soft tissue around the subscapularis tendon showed better early ROM and less pain at postoperative third-month follow-up. We believe that debridement of the contiguous soft tissue with an RF device around the subscapularis tendon during arthroscopic shoulder surgery will most likely improve postoperative results and, therefore, should be added.

Aim: The study aimed to compare the effectiveness of telehealth-based home exercises and conventionally prescribed home exercises in patients with degenerative meniscal tears. Material and Method: A two-armed, randomized controlled study was conducted with 49 participants with degenerative meniscal disease. Patients were randomized into Telerehabilitation (TR=25) and Conventional Home Exercise Rehabilitation (CR=24) groups. The TR group provided video exercises and self-management education via an online platform. The same protocol was given to the CR group in the clinical setting. Pain with Visual Analog Scale, muscle strength with Hand-Held Dynamometer, proprioception with Baseline bubble inclinometer, functional status with Western Ontario and McMaster Universities Osteoarthritis Index, exercise adherence with Exercise Adherence Rating Scale, quality of life with Short Form-12 were evaluated at baseline and after eight weeks of intervention. In addition, satisfaction and usability were assessed with the Telemedicine Satisfaction and Usefulness Questionnaire at week 8. Results: The TR group improved activity pain, proprioception, some parameters of the muscle strength outcomes, and exercise adherence scores (p0.05). In addition, 52 percent of the TR group reported high levels of satisfaction and usability. Conclusion: Despite increased participation and satisfaction, the telerehabilitation group noticed improvements in clinician-based measures (proprioception, strength) but not in rest pain, function, and quality of life. As a result, telerehabilitation-based home exercises prescribed to these patient groups are more effective.

Joint Diseases and Related Surgery (JDRS), the official journal of the Turkish Joint Diseases Foundation, is an international, peer-reviewed, immediate open access journal. All published articles in JDRS has been free for everyone, without embargo, since 1990.

The diagnose and treatment of sacrum fractures are still difficult to manage. Various surgical methods have been reported for the treatment of sacral fractures in the literature. The aim of our study is to examine the functional results of patients treated with posterior percutaneous transiliac plate in our clinic. 56 patients who underwent surgical treatment for posterior pelvic ring injury between June 2013 and September 2020 and who had a minimum 6-month follow-up were retrospectively analyzed. Demographic data, radiological images, Pelvic Outcome Scores (POS) and Short Form-36 (SF-36) results in the 6th postoperative month were analyzed. When the POS data detected at the 6th month examination were examined, the mean pelvic outcome score was found to be 32 (26-37) and the SF-36 results as 80 (48-90). The mean duration of the surgical procedure was 32.2 minutes, and the median number of fluoroscopy shots taken during surgery was 2 (1-6). The functional results of the patients who underwent posterior percutaneous transiliac plate fixation were good at the6th month examinations. With this technique, it was observed that the operation time was short and fluoroscopy exposures were low. We believe that this technique, which has a short learning curve, can be used safely in sacrum surgery. For that reason, this method seems to be an easier and more convenient method for surgeons who are not experienced in pelvic surgery.

Joint Diseases and Related Surgery (JDRS), the official journal of the Turkish Joint Diseases Foundation, is an international, peer-reviewed, immediate open access journal. All published articles in JDRS has been free for everyone, without embargo, since 1990.

By EMRE GÜLTAÇ, CEM YALIN KILINÇ, FATİH İLKER CAN, et al., Published on 01/01/22