Ulus Travma Acil Cer
-
Nasal fracture is generally encountered alone or in combination with other serious injuries. The objective of this study was to analyze patients who had pure nasal fracture. ⋯ In this study; pure nasal bone fractures occurred primarily among men under 25 years of age, and fights were found to be the main etiologic factor.
-
Ulus Travma Acil Cer · Mar 2013
The functional results of acute nerve grafting in traumatic sciatic nerve injuries.
The sciatic and peroneal nerves are the most frequently injured in lower extremities, followed by tibial and femoral nerves. The aim of this study is to evaluate the functional results of acute nerve grafting in traumatic sciatic nerve injuries. ⋯ The functional results of the acute nerve grafting of the sciatic nerve within the first week after the injury are poorer than reported in the related literature. This protocol should only be applied to select patients who have adequate soft tissue coverage and healthy nerve endings.
-
Ulus Travma Acil Cer · Mar 2013
Thermoelastic stress analysis to validate tibial fixation technique in total ankle prostheses - a pilot study.
Recent literature has shown a persistently high rate of aseptic loosening of the tibial component in total ankle prostheses. ⋯ As demonstrated in this study, anchoring systems with stems used in all established total ankle prostheses lead to an inhomogeneous load transmission onto the distal tibia, and furthermore, to a distribution of load into the weaker metaphyseal bone. For these reasons, we favor a prosthetic design with minimal bone resection and without any stem or stem-like anchoring system, which facilitates a homogeneous load transmission onto the distal tibia. Thermoelastic stress analysis proved to be a fast and easy-to-perform method to visualize load transmission.
-
Ulus Travma Acil Cer · Mar 2013
Distribution of occult fractures detected in emergency orthopedic patient trauma with computerized tomography.
Computerized tomography (CT) is a very useful diagnostic method in orthopedic emergency cases where fractures are suspected but cannot be detected through direct radiography, or when the fracture is detected in direct radiography but better evaluation of the anatomical structure is necessary. In this study, we analyzed occurrences of missed fractures in radiographs that were subsequently diagnosed in CT scans. ⋯ CT revealed most missed diagnoses and proved that direct radiography is less capable of detecting fractures of some critical regions. Where there is clinical suspicion, we recommend that before conservative treatment of patients, especially in cases of possible cervical spine and pelvic region fractures, CT should be requested, even if the radiography is normal.
-
Ulus Travma Acil Cer · Mar 2013
Hepatic hydatid disease requiring urgent treatment during pregnancy.
Pregnant women may experience an acute presentation of hepatic hydatid disease. The available literature is limited to case reports. ⋯ This entity entails the responsibility of two human beings. Although it imposes limitations on the routine diagnostic and therapeutic options due to risk of premature labor or teratogenicity, acceptable results can be obtained in collaboration with the department of obstetrics and gynecology.