Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2019
Role of computed tomography tractography in evaluation of back/flank stab wounds.
The clinical approach to back/flank wounds has evolved over the years. The aim of this study was to discuss the potential of computed tomography tractography in patients with a stab wound to the back or flank. ⋯ The addition of tractography to computed tomography is a safe, fast, and cost- and time-effective technique to evaluate back/flank stab wounds.
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Ulus Travma Acil Cer · Mar 2019
Comparison of subacute and delayed free flap reconstruction in the treatment of open lower extremity fractures.
Although early free flap coverage for lower extremity traumatic defects has been recommended by several authors, it is often not practical due to associated patient injuries or logistics. The aim of this study was to evaluate the impact of subacute and delayed surgical timing on flap success. ⋯ Both subacute and delayed reconstruction for lower extremity traumatic defects can be performed with favorable results with appropriate wound preparation and precise preoperative planning.
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Ulus Travma Acil Cer · Mar 2019
Penetrating keratoplasty in patients with traumatic corneal scarring.
To evaluate the results of penetrating keratoplasty (PK) due to trauma-related corneal scarring. ⋯ In cases of eye injuries due to trauma, the eyes subjected to combined vitrectomy and PK had poor visual prognosis and high graft rejection rate compared to those subjected to PK as the only treatment.
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Ulus Travma Acil Cer · Mar 2019
Morphometric analysis of significant vascular structures in posterior disc surgery with computed tomography angiography.
Vascular injuries, which are rarely seen in all spinal area procedures, especially lumbar disc surgery, are vitally important. The relationship between the course of the iliac artery and vein and intervertebral disc distance was studied morphometrically in patients who had undergone computed tomography angiography for abdominal aorta. ⋯ The L4-5 IDL RCIA was located at the midline and at a 30° angle position. The LCIV was located between them. The L5-S1 IDL located at LCIA left at 60° position was quite close to ALL with LCIV. When the distance from the ALL was compared and the frequency of fat planes between the ALL and the CIAs are considered, it can be noted that the RCIA in the L4-L5 IDL (p<0.001) and the LCIA in the L5-S1 IDL (p<0.001) were located remotely and in a more protected position. It should be kept in mind that the LCIV can progress along the L4-5 ID level, adjacent to the ALL, as well as transversely.
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Ulus Travma Acil Cer · Mar 2019
Case ReportsA successful case of surgical intervention for traumatic globe luxation in a child: From light perception to full visual acuity.
Traumatic globe luxation is a rare condition in pediatric emergency medicine and can cause vision loss in some cases. Therefore, it is considered a critical condition in emergency rooms, and all physicians, particularly those working in emergency units, should be familiar with this condition and its management to be able to prevent organ-threatening complications, such as vision loss. ⋯ The condition was promptly managed with urgent lateral canthotomy and inferior cantholysis. At the one-month post-trauma follow-up, VA was 20/20 on the Snellen chart; no limitations in eye movement in any position of gaze were noted.