Acta orthopaedica et traumatologica turcica
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Acta Orthop Traumatol Turc · Jan 2010
Comparative Study Clinical TrialImmobilization of the shoulder in external rotation for prevention of recurrence in acute anterior dislocation.
We aimed to compare the functional and stability outcomes of the patients with acute anterior shoulder dislocation, who were stabilized at external versus internal rotation. ⋯ Immobilization of the shoulder in external rotation is an effective technique for prevention of recurrent dislocations in acute anterior shoulder dislocation and should be preferred to traditional splinting in internal rotation in clinical practice.
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Acta Orthop Traumatol Turc · Jan 2010
Comparative StudyComparison of palmar locking plate and K-wire augmented external fixation for intra-articular and comminuted distal radius fractures.
This study was designed to compare the results of palmar locking plate and K-wire augmented external fixation in the treatment of intra-articular comminuted distal radius fractures. ⋯ Our results showed no superiority between the two treatment methods with respect to objective and subjective tools of evaluation. Palmar locking plate fixation was associated with full patient satisfaction. K-wire augmented external fixation can be used as a safe method in selected cases in which the severity of distal radius fracture would not allow palmar locking plate fixation.
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Acta Orthop Traumatol Turc · Jan 2010
Comparative StudyMissed talar neck fractures in ankle distortions.
Thirty-nine percent of the ankle and midfoot fractures in ankle distortions could be missed during initial evaluation in emergency department because of inadequate clinical and radiological evaluation in a limited time. We aimed to evaluate the follow-up and treatment outcomes of subjects with missed fractures, which were not diagnosed with plain radiographs obtained for ankle distortion, but with advanced imaging studies. ⋯ Talus fractures can lead to serious complications because of its anatomical localization. Areas with edema, tenderness or pain should be defined on physical examination, and deep palpation should be applied on the lateral aspect of the talar neck. If there is pain in this area at late examination and no fracture was reported with conventional radiographs, the possibility of missed talar fracture should be considered and the patient should be evaluated with CT or MRI.
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Acta Orthop Traumatol Turc · Jan 2010
Comparison of intra-articular hyaluronic acid injections and mud-pack therapy in the treatment of knee osteoarthritis.
Conservative treatment should be tried prior to surgical treatment in knee osteoarthritis. This study was designed to evaluate the short-term effects of mud-pack therapy on pain relief and functional improvement in knee osteoarthritis in comparison with intra-articular hyaluronic acid injections. ⋯ Treatment of knee osteoarthritis with intra-articular hyaluronic acid injections or mud-pack therapy yielded similar results in the short-term in terms of functional improvement and pain relief. Mud-pack therapy is a noninvasive, complication-free, and cost-effective alternative modality for the conservative treatment of knee osteoarthritis.
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Acta Orthop Traumatol Turc · Jan 2010
Thrust plate prosthesis for proximal femoral deformity: a series of 15 patients.
Patients with coxarthrosis and proximal femoral deformity experience problems with total hip arthroplasty. A custom-made prosthesis or a proximal osteotomy is required for such cases, and these also increase the rate of complications. The purpose of this study was to evaluate the results of the thrust plate prosthesis (TPP) in patients with deformity of the proximal femur. ⋯ TPP is a good alternative for patients with malformations of the proximal femur. The use of TPP avoids technical difficulties and a custom-made prosthesis.