Nevres Hürriyet Aydoğan

There are studies indicating that both statins and Platelet-Rich Plasma (PRP) have effects on inflammation and the arthritis process. The aim of our study was to investigate the effect of statin use on the clinical and functional outcomes of PRP treatment in patients with early-stage knee osteoarthritis. Between January 2018 and August 2020, the medical records of all patients who underwent PRP treatment for stage I–II knee osteoarthritis were retrospectively reviewed. Patients who did not use statins and received PRP treatment for knee osteoarthritis were designated as Group 1, while patients who used statins for hypercholesterolemia and received PRP treatment for knee osteoarthritis were designated as Group 2. Patient demographics, radiological images, and clinical records were retrospectively analyzed. The clinical and functional effects of PRP treatment were compared between the two groups. A total of 70 patients aged 40–70 years with stage I–II knee osteoarthritis were included in the study. In the EQ5D5L quality of life scale, a statistically significant difference was observed between the two groups before PRP treatment (p = 0.036). No statistically significant difference was observed in any other parameters examined. Our study investigated whether statin use had a positive or negative effect on PRP treatment; no significant difference was found in terms of functional and clinical results. Regardless of statin use, PRP treatment was found to improve patients’ clinical and functional scores.

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.

Hallux valgus is a triplanar deformity with rotation being a significant contributing factor. Several methods exist for evaluating rotational deformity of the first ray, one of which involves assessing the shape of the lateral edge of the first metatarsal head. This study aimed to investigate the interobserver and intraobserver reliabilities of circle measurements on weight-bearing anteroposterior radiographs to categorize the shape of the lateral edge of the first metatarsal head. A power analysis determined that a minimum of 128 radiographs was required to assess observer agreement for categorical data (alpha = 0.05, beta = 0.2, power = 80%). Patients diagnosed with hallux valgus at our institution between January 2015 and December 2019 were retrospectively reviewed and 128 radiographs were randomly selected. Two foot and ankle surgeons and 2 radiologists evaluated the radiographs on 2 separate occasions, classifying the first metatarsal head shape into 3 categories (angular, intermediate, and round) using circular measurements. Interobserver reliability was assessed using Fleiss’ kappa, whereas intraobserver reliability was evaluated using Cohen kappa. Interobserver reliability for classifying the shape of the lateral edge of the first metatarsal head was found to be very good in both assessments (Fleiss’ kappa = 0.83 and 0.84, respectively). The subcategory analysis revealed the highest agreement for the angular type, followed by the round type, with the lowest agreement observed for the intermediate type. The intraobserver Cohen kappa values ranged from 0.78 to 0.91. The level of interobserver agreement was found to be very good for the classification of the shape of the first metatarsal, and the intraobserver agreements were substantial to very good. In our opinion, this method is reliable and may be useful in determining the necessity for rotation-correcting surgery and advanced imaging with weight-bearing computed tomography.

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.

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.

Milattan önce altıncı ve beşinci yüzyıllarda Knidos ve Kos'un, tıbbın ana vatanı olduğunda kuşku yoktur. Bu iki okulun hekimlerinin temel tıp bilgilerinin çoğu benzerdi. Anatomi bilgileri hayvan diseksiyonları ile savaş ve kaza yaralanmalarında karşılaştıkları insan vücutlarına ilişkin gözlemlere dayanıyordu. Knidos'ta Euryphon ve Kos’ta Hipokrat hemen hemen aynı pozisyondaydı ve öğretim organizasyonları benzerdi. Hekimlik, usta çırak ilişkisine dayanmaktaydı. Bulundukları zaman diliminde yenilikçi ve önemli katkılar sağlayarak tıbbın gelişiminde ilk tohumları atan bu hekimlerin, günümüzde genç hekimler ve hekim adayları tarafından bilinmesi, anlaşılması hekimlik mesleğinin felsefesinin daha iyi kavranabilmesi adına çok önemlidir. Bu yazıda, ünlü Knidoslu hekimlerden Knidos ekolünün kurucusu Euryphon, spor hekimliğinin babası Herodicus, tarihçi hekim Ctesias, ünlü eğitici hekim Chrysippus ve astronom hekim Eudoxus’un tıbba kazandırdıklarından söz edilecektir.

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.

In this study, we determined that among patients who had been operated upon for hip fractures at our hospital, prognostic factors for mortality and functional recovery in the preoperative period were indicated via laboratory parameters using the International Falls Efficacy Scale (FES-I) and Berg Balance Scale (BBS) scores. Between January 2020 and January 2021, the results of 64 patients who had been surgically treated for a hip fracture and 57 patients who had scheduled elective surgery were compared retrospectively. The groups’ demographic data and blood parameters were compared. We used the FES-I and BBS scores to determine patients’ physical functional status and fear of falling. The case group’s statistically significant FES-I score was high, and its BBS score was low (p = 0.001/0.001). As expected, the case group’s D-dimer measurement was higher than the control group’s (p = 0.001). In addition, hemoglobin, platelet, lymphocyte, albumin, total protein, and calcium levels were lower in the case group (p = 0.001 for all levels). No significant difference was found for other parameters. The scales are used by physical therapy, neurology, and orthopedics professionals to evaluate the geriatric population’s physical functional status and fear of falling. We believe prevention and cost-effective treatments for hip fractures can be achieved by determining geriatric patients’ hemoglobin, platelet, lymphocyte, albumin, total protein, and calcium levels upon hospital admission and by directing these patients to relevant clinics using the fear-of-falling and balance scales.

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