Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2011
Comparative StudyComparison of two biological internal fixation techniques in the treatment of adult femur shaft fractures (plate-screws and locked intramedullary nail).
We aimed to compare two (plate-screws and locked intramedullary nail) biological internal fixation techniques in the treatment of adult femur shaft fractures. ⋯ According to our results, no superiority of either technique was demonstrated with respect to fracture union time, complication rate and functional results. Biological internal fixation with plate and screws is an alternative technique to locked intramedullary nailing in patients with multi-trauma or compromised pulmonary or cardiac function, or in complex comminuted or segmented diaphyseal or metaphyseal fractures.
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Ulus Travma Acil Cer · Mar 2011
Randomized Controlled Trial[Should videothorascopic surgery be the first choice in isolated traumatic hemothorax? A prospective randomized controlled study].
In this study, patients with hemothorax due to blunt or penetrating thorax trauma and treated by tube thoracostomy were compared with the patients treated by videothoracoscopic surgery (VATS) in order to determine whether VATS can be the first choice in treatment. ⋯ VATS seems to be better in the treatment of hemothorax when compared with traditional drainage method because of its advantage of direct diagnosis and hemostasis by diagnostic thoracoscopy. If clotted blood is evacuated, empyema and fibrothorax are preventable. In these cases, chest tube duration and hospital length of stay are shorter. Therefore, these patients can be discharged early.
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Ulus Travma Acil Cer · Mar 2011
Paramedic-performed Focused Assessment with Sonography in Trauma (FAST) in the emergency department.
Our objective was to evaluate the accuracy of paramedic-performed Focused Assessment with Sonography in Trauma (PFAST) for detection of free fluid in patients admitted to the Emergency Department (ED) following trauma. ⋯ Our study shows that paramedics can perform FAST in hospital Eds with a high degree of accuracy.
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Ulus Travma Acil Cer · Mar 2011
Evaluation of the effects of losartan on a random pattern skin flap model in rats.
Losartan, a drug with antiinflammatory properties, has been shown to prevent ischemic injury in various organs. The purpose of the present study was to investigate the effects of losartan on ischemic skin flaps and on flap survival. ⋯ Losartan does not improve skin flap survival but it has a significant antiproliferative effect on fibroblasts.
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Ulus Travma Acil Cer · Mar 2011
Case ReportsReplantation of scalp avulsion following a go-kart accident: a case report.
With the development of microsurgery, successfully replanted cases of scalp avulsions have been reported. In spite of previous publications of replantations based on a single artery and vein, it is now accepted that multiple anastomoses increase the success rate. We present herein the case of a successfully replanted avulsion in a child who caught her hair in a go-kart motor belt, and we discuss the mechanism of injury and number of anastomoses.