Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2009
Independent risk factors of morbidity in penetrating colon injuries.
The present study explored the factors effective on colon-related morbidity in patients with penetrating injury of the colon. ⋯ Diversion and transfusion of > or =4 units in the first 24 hours were determined to be independent risk factors for colon-related morbidity.
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We evaluated the radiologic and functional outcomes of patients with radial head fractures managed with open reduction and internal fixation. ⋯ We suggest open reduction and internal fixation even in comminuted cases because it gives satisfactory elbow function and avoids radial shortening, loss of motion and wrist joint dysfunction as a result of radial head excision. When it fails, excision and prosthetic replacement can be done later.
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Ulus Travma Acil Cer · May 2009
Case ReportsSynchronous perforation of sigmoid diverticula: a rare presentation.
Diverticular disease affects more than 50% of the population over the age of 60 years in the west and becomes even more common as the population ages. Diverticulitis is one of the complications of diverticular disease and can culminate into colonic perforation. Though perforated diverticular disease is not uncommon, synchronous colonic perforations in diverticulitis is rare. ⋯ A Hartmann's procedure was performed. Macro- and microscopic evaluation confirmed the presence of two perforated sigmoid diverticula due to diverticulitis. Simultaneous perforation of two abreast sigmoid diverticula is uncommon; thus, a cautious surgeon should always take into account such a probable diagnosis.
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Ulus Travma Acil Cer · May 2009
Leg length discrepancies in adult femoral shaft fractures treated with intramedullary nailing.
To evaluate the leg length discrepancy (LLD) retrospectively in adult femoral shaft fractures treated with intramedullary nailing (IMN). ⋯ LLD may be seen in high rates in adult femoral shaft fracture cases treated with IMN. Static IMN following absolute restoration of the length may prevent this problem in femoral diaphysis fractures, especially comminuted WIII and IV types.
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Ulus Travma Acil Cer · May 2009
Review Case ReportsManagement algorithm for intestinal obstruction due to ascariasis: a case report and review of the literature.
Ascaris lumbricoides is the largest and most prevalent of the human helminths. Ascariasis causes a unique type of intestinal obstruction with specific problems, having high morbidity and mortality. There is no management algorithm available in the literature to treat such cases. ⋯ The management of intestinal obstruction due to ascariasis was challenging and required difficult decisions. We think that this algorithm will be of great assistance in facilitating a rapid and successful treatment. This algorithm may prove to be of a great value for physicians treating such cases.