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Journals Acta Orthopaedica et Traumatol...

Acta Orthopaedica et Traumatologica Turcica

https://read.qxmd.com/read/37987599/the-effect-of-triple-dose-intravenous-tranexamic-acid-on-blood-loss-in-patients-undergoing-total-hip-arthroplasty-without-affecting-blood-coagulopathy-a-prospective-thromboelastographic-analysis
#1
JOURNAL ARTICLE
Wang-Yi Jin, Zi-Wen Yan, Xing Zhang, Sheng Pan, Chao-Ran Huang, Kai-Jin Guo, Xin Zheng
OBJECTIVE: This study aimed to assess the safety and efficacy of triple-dose intravenous tranexamic acid (TXA) in patients following total hip arthroplasty (THA) using thromboelastography (TEG). METHODS: One hundred thirty patients undergoing THA were prospectively enrolled in the study. According to the intravenous infusion TXA dose, patients were divided into single-dose (n=65; mean age=60.8 ± 8.1 years) and triple-dose groups (n=65; mean age=61.8 ± 8...
November 21, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37861248/comparison-of-conventional-and-robotic-knee-arthroplasty-results-a-retrospective-observational-study
#2
JOURNAL ARTICLE
Mehmet Anıl Süzer, Erdem Şahin, Mehmet Özgür Özhan, Umut Kara
OBJECTIVE: This study aimed to determine whether a standard anesthetic protocol consisting of combined spinal epidural anesthesia (CSEA) in conjunction with controlled hypotensive anesthesia (CHA), which was used for conventional total knee arthroplasty (cTKA), could provide equally effective anesthetic conditions for robotic total knee arthroplasty (rTKA). METHODS: Data were collected from the medical records of 113 patients (median age=67 years; age range=55-84) who underwent elective unilateral cTKA (n=52) or rTKA (n=61) without a tourniquet from 2021 to 2023...
October 20, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37860992/correlation-between-electrodiagnostic-severity-and-boston-carpal-tunnel-questionnaire-in-surgically-treated-carpal-tunnel-syndrome-patients
#3
JOURNAL ARTICLE
Jung Hoi Koo, Joo-Yul Bae, Kiwon Lee, Ha Sung Park
OBJECTIVE: The objectives of this study were to (1) investigate whether electrodiagnostic (EDX) findings reflect the preoperative symptom severity and functional impairment in patients with carpal tunnel syndrome (CTS) and (2) evaluate the relationship between EDX findings and the clinical outcomes reported according to the self-administered patient questionnaires. METHODS: Patients diagnosed with idiopathic CTS who underwent carpal tunnel release between May 2016 and July 2018 were included...
October 20, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37860871/analysis-of-the-factors-affecting-school-attendance-in-pediatric-fractures
#4
JOURNAL ARTICLE
Vadym Zhamilov, Muhammet Bozoglan, Ali Reisoglu, İsmail Eralp Kacmaz, Mehmet Can Gezer, Ali Turgut
OBJECTIVE: This study aimed to examine the average duration of school absence according to the type of fracture and the factors affecting the duration of absence in children who had difficulty going to school after an acute orthopedic injury. METHODS: Patients between the ages of 6 and 17 who applied to the emergency department of our hospital and were treated for orthopedic trauma during a teaching period between September 2022 and December 2022 were examined. This study was designed prospectively...
October 20, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37850240/effect-of-transported-segment-size-on-the-new-bone-formation-of-the-rabbit-femur-in-the-ilizarov-bone-transport-method
#5
JOURNAL ARTICLE
Fırat Fidan, Feyzi Kılıç, Osman Lapçin, Abdülkadir Polat, Mehmet Kılıç, Sami Sökücü
OBJECTIVE: This study aimed to compare histological and radiological union in the bone transport of 3 segments of different sizes to reconstruct the rabbit femur's bone defects. METHODS: Thirty rabbits were divided into 3 groups; a 1-cm defect was created in the femur in all rabbits. The length of the segment to be transferred was 10% of the femur length in group 1, 15% in group 2, and 20% in group 3. All defects were reconstructed by applying bone transport. At the end of the consolidation period, the distraction zone was compared radiologically and histologically...
October 18, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37850239/the-effects-of-prophylactic-tadalafil-use-on-vegf-expression-in-the-rabbit-model-of-steroid-induced-femoral-head-avascular-necrosis
#6
JOURNAL ARTICLE
Emre Özmen, Hazal İzol Özmen, Sezen Atasoy, Menduh Dursun, Bilge Bilgiç, Ahmet Salduz
OBJECTIVE: The purpose of this study was to examine the effect of prophylactic tadalafil use on a steroid-induced femoral head avascular necrosis model in terms of microscopic, imaging, and molecular biological changes. METHODS: Twenty-four New Zealand rabbits were divided into 3 equal groups. Eight rabbits were designated as the control group and did not receive treatment. Rabbits in group 1 (G1) received 0.1 mg/kg Escherichia coli lipopolysaccharide (LPS) intravenously and 40 mg/ kg methylprednisolone sodium succinate (MP) was administered intramuscularly for 3 days consecutively...
October 18, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37828858/use-of-polyglycolic-acid-hyaluronic-acid-%C3%AE-tricalcium-phosphate-scaffold-with-or-without-mesenchymal-stem-cells-found-ineffective-in-treating-osteochondral-lesions-in-rabbit-knees
#7
JOURNAL ARTICLE
Erdem Er, Arman Vahabi, Elcil Kaya Biçer, Özlem Yılmaz, Semih Aydoğdu
OBJECTIVE: In this experimental animal study, a novel bilayered scaffold used in the treatment of osteochondral defects in rabbit knees was evaluated. This novel scaffold's upper (cartilage) layer consists of polyglycolic acid and hyaluronic acid, and the lower (bone) layer consists of β-tricalcium phosphate. The purpose of this study was to evaluate the efficacy of this novel scaffold, combined with or without mesenchymal stem cells (MSCs), in the treatment of osteochondral defects in rabbit knees...
October 13, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37823743/an-investigation-into-the-cellular-level-adverse-effects-of-tourniquet-use-on-the-infrapatellar-fat-pad-in-primary-total-knee-arthroplasty-a-prospective-randomized-study
#8
JOURNAL ARTICLE
Recep Altin, Murat Yesil, Ozal Ozcan, Cigdem Karaca, Serkan Sen, Fatma Firat
OBJECTIVE: This study aimed to examine the cellular-level adverse effects of tourniquet use on the infrapatellar fat pad (IPFP) in patients undergoing primary total knee arthroplasty (TKA). METHODS: Infrapatellar fat pad samples were collected in a prospective, randomized design to compare 2 groups of primary TKA patients with a tourniquet (T) and without a tourniquet (NT). The study included 80 knees of 58 patients with a mean age of 65.91 ± 9.04 years. The authors collected 3 samples from the T group (after exposure to the fat pad "t1," just before deflating the tourniquet "t2," just before fascia closure "t3") and 2 samples from the NT group (t1 and t3) for each patient...
October 12, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37823742/biomechanical-comparison-of-fixation-methods-on-third-generation-femoral-composite-bone-models-in-pauwels-type-3-femoral-neck-fractures-contribution-of-the-medial-buttress-plate-to-fixation
#9
JOURNAL ARTICLE
Feyzi Kılıç, Abdulkadir Polat, Fatih Yamak, Ergün Bozdag, Fırat Fidan, Hakan Başar
OBJECTIVE: To compare the use of cannulated screws in an inverted triangular configuration, medial buttress plates, and the combination of these 2 fixation methods in the treatment of Pauwels type 3 femoral neck fractures. METHODS: Twenty-eight anatomical composite third-generation femoral bone models were divided into 4 groups. The control group (group 1) was formed with 7 third-generation intact bone models. The fracture model was created with a 70° cutting block to fit 21 Pauwels type 3 fracture configurations...
October 12, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37823741/predictive-value-of-different-glycemic-control-markers-in-total-hip-or-knee-arthroplasty-a-prospective-study
#10
JOURNAL ARTICLE
Riza Mert Cetik, Ibrahim Azboy, Murat Birinci, Yusuf Ozturkmen, Ahmet Sinan Kalyenci, Bulent Atilla
OBJECTIVE: The optimal glycemic control marker before total hip or knee arthroplasty remains inconclusive. Hemoglobin A1c (HbA1c) is widely used, while fructosamine may be valuable for predicting periprosthetic joint infection (PJI). Fructosamine levels can be affected by serum albumin levels; albumin-corrected fructosamine (AlbF) can be calculated to overcome this issue. The objective of this study was to evaluate the predictive value of different markers for complications after primary total hip or knee arthroplasty...
October 12, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37823740/biomechanical-effect-of-increased-number-of-suture-strands-on-rotator-cuff-repair-in-a-bovine-model
#11
JOURNAL ARTICLE
Jiaqi Cheng, Zhijie Li, Chunbing Luo, Hui Ben, Yucheng Sun
OBJECTIVE: This study aimed to investigate if there was a link between the biomechanical properties and the number of suture strands in repairing a rotator cuff (RC) tear in a bovine model using the transosseous technique. METHODS: Fifty-four fresh tendons from bovine (mean age: 7.1 ± 0.5 months; range 6.5-7.5 months) and 1 humeral head from porcine (8.5 months) were used in this study. All the specimens had no apparent abnormalities. Using the transosseous structure, the RC tendon was detached from the greater tuberosity and randomly assigned to 3-strand, 4-strand, 5-strand, and 6-strand groups, with the glenohumeral abducted at 0° and 90°...
October 12, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37823739/adrenomedullin-has-no-effect-on-segmental-bone-defect-healing-but-increases-bone-mineral-density-in-rat-model
#12
JOURNAL ARTICLE
Mehmet Kaymakoglu, Eda Ciftci, Petek Korkusuz, Erdi Ozdemir, Mehmet Ege Erden, Egemen Turhan
OBJECTIVE: This study aimed to investigate the effect of adrenomedullin on the healing of the segmental bone defect in a rat model. METHODS: Thirty-six Wistar rats were randomly divided into 6 groups based on follow-up periods and administered a dose of adrenomedullin hormone. In each group, bilaterally, a 2-mm bone defect was created at the diaphysis of the radius. Sodium chloride solution was administered to sham groups 3 times a week for 4 and 8 weeks intraperitoneally...
October 12, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37823738/comparison-of-augmentation-effects-of-medial-buttress-plate-versus-trochanteric-lag-screw-in-the-cannulated-screw-fixation-of-pauwels-type-iii-femoral-neck-fractures-a-retrospective-clinical-study
#13
JOURNAL ARTICLE
Longxiang Shen, Kai Ye, Zhiquan An
OBJECTIVE: This study aimed to compare the effects of a medial buttress plate (MBP) or a trochanteric lag screw (TLS) to augment cannulated screws (CSs) in fixing Pauwels type III femoral neck fractures. METHODS: This retrospective study included 58 patients (21 female, 37 male; mean age=46 years; age=19-64 years) treated by CSs for Pauwels type III femoral neck fractures from 2014 to 2017. All the patients were divided into 2 groups based on the internal fixation patterns: the MBP-augmented group (group A, n=26) and the TLS group (group B, n=32)...
October 12, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37823737/venous-thromboembolism-in-orthopedic-surgery-global-guidelines
#14
JOURNAL ARTICLE
Kadir Uzel, İbrahim Azboy, Javad Parvizi
Venous thromboembolism (VTE) is a severe complication that can occur after major orthopedic procedures. As VTE-related morbidity and mortality are a significant concern for both medical professionals and patients, and preventative measures are typically employed. Multiple organizations, including the American College of Chest Physicians (ACCP) and the American Academy of Orthopedic Surgeons (AAOS), have developed guidelines for VTE prophylaxis specifically in patients undergoing joint replacement procedures...
October 12, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37755433/self-assessment-of-range-of-motion-in-patients-undergoing-surgery-for-a-unilateral-shoulder-condition
#15
JOURNAL ARTICLE
Eirik Solheim, Maja Rosenlund, Karen Gjørwad Ulsaker, Anagha P Parkar
OBJECTIVE: This study aimed to investigate the agreement of patient-assessed and researcher/physician-assessed measurements of the difference in range of motion between the unaffected and affected shoulders in 55 patients undergoing arthroscopic surgery for a unilateral shoulder condition. METHODS: The investigation included 55 patients (17 women and 38 men; median age=53 years; range=26-74) with a symptomatic unilateral shoulder condition and a surgically treatable diagnosis...
September 27, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37737583/effects-of-repeated-intravenous-doses-of-tranexamic-acid-on-closed-tibial-fracture-healing-experimental-study-based-on-the-rat-model
#16
JOURNAL ARTICLE
Ibrahim Doğan, Fevzi Birişik, Yücel Bilgin, Ahmet Sinan Kalyenci, Erol Rüştü Bozkurt, Yusuf Öztürkmen
OBJECTIVE: The aim of this study was to assess the effects of tranexamic acid on fracture healing in the rat tibia closed fracture model. METHODS: Sixty-four male Sprague-Dawley rats were included in this study, where closed fracture and intramedullary nailing were performed on their right tibial diaphyses. They were divided into 2 main groups, the experimental group, which was given weekly tranexamic acid injections, and the control group, which received no additional treatment...
September 22, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37737582/clinical-and-radiographic-outcomes-of-negative-pressure-wound-therapy-combined-with-polymethylmethacrylate-sealant-for-wound-management-of-gustilo-type-iii-open-tibia-fractures
#17
JOURNAL ARTICLE
Youngwoo Kim, Chae Gwan Kong, Ho Youn Park, Kwan Soo Lee, Yoo Joon Sur
OBJECTIVE: This study aimed to introduce a new wound management method combining negative pressure wound therapy and polymethylmethacrylate sealant for Gustilo type III open tibia fractures and to evaluate its clinical outcomes. METHODS: Among 186 patients who visited our institution for the treatment of open tibia fractures between January 2016 and December 2019, 20 male patients who sustained Gustilo type III open tibia fractures and were compelled to undergo delayed flap coverage using negative pressure wound therapy combined with polymethylmethacrylate sealant due to initial critical condition were enrolled in this study...
September 22, 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37909684/effect-of-osteosarcopenia-on-the-development-of-a-second-compression-fracture-and-mortality-in-elderly-patients-after-vertebroplasty
#18
JOURNAL ARTICLE
Gokhan Kursat Kara, Cagatay Ozturk
OBJECTIVE: This study aimed to investigate the effect of osteosarcopenia on second fracture development and mortality in patients aged above 60 years undergoing vertebroplasty because of osteoporotic vertebral compression fracture (OVCF). METHODS: A retrospective evaluation was conducted on 104 patients treated by vertebroplasty because of OVF between 2016 and 2021. The L3 vertebra Hounsfield unit values and the psoas muscle index (PMI) values measured at the L3 vertebra level were obtained from the patients' medical data and computed tomography images...
September 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37909683/a-new-scoring-system-for-predicting-cut-out-risk-in-patients-with-intertrochanteric-femur-fractures-treated-with-proximal-femoral-nail-anti-rotation
#19
JOURNAL ARTICLE
Burak Kulakoglu, Guzelali Ozdemir, Olgun Bingol, Taner Karlidag, Omer Halit Keskin, Atahan Durgal
OBJECTIVE: The objectives of this study were to: (1) determine all the potential risk factors defined in the literature for cut-out after proximal femoral nail anti-rotation in managing intertrochanteric fractures and (2) make a reliable prediction about the likelihood of cut-out by developing a quantitative scoring system. METHODS: Four hundred eighty patients who were operated on for an intertrochanteric femur fracture were included in the study. The patients were evaluated retrospectively...
September 2023: Acta Orthopaedica et Traumatologica Turcica
https://read.qxmd.com/read/37909682/investigation-into-the-effect-of-epidermal-growth-factor-and-hyaluronic-acid-on-fracture-healing-in-a-rat-femoral-fracture-model
#20
JOURNAL ARTICLE
Barış Can Kuzuca, Mahmut Nedim Doral, Laura Mangiavini, Ersin Sapmaz, Nicola Maffulli, Murat Koken
OBJECTIVE: This study aimed to investigate the role of an exogenous Epidermal Growth Factor and a hyaluronic acid-based scaffold on fracture healing in a rat femoral fracture model Methods: Forty-eight male Wistar-Albino rats, each weighing a mean 392 grams (range= 350-450 grams) and aged 8.2 months (6-9 months), were used for this experimental study. All surgical procedures were performed on the left femur by a single surgeon. An open femoral fracture was created in all rats. The animals were randomly divided into one of the four groups: Control (12), EGF (12), HA (12) and Combined (12)...
September 2023: Acta Orthopaedica et Traumatologica Turcica
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