Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2023
Comparative StudyComparison of two surgical techniques for Lisfranc injuries; closed reduction and fixation versus primary partial arthrodesis.
This study reviewed the outcomes of Lisfranc injuries treated by primary partial arthrodesis (PPA) or closed re-duction and internal fixation (CRIF). ⋯ Treatment of low-energy Lisfranc injuries with either PPA or closed reduction and fixation produced good clinical and radiological outcomes. The total AOFAS scores were comparable between two groups. However, the function and pain scores were seen to improve more with closed reduction and fixation while there was a greater requirement for secondary surgery in the CRIF group.
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Ulus Travma Acil Cer · Mar 2023
Case ReportsA rare case of granulomatosis with polyangiitis with involvement of the gastrointestinal system.
We report a rare case of a 37-year-old man with granulomatosis with polyangiitis (GPA) with gastrointestinal system (GIS) involvement who needed 526 units of blood and blood product transfusions and was followed up in the intensive care unit (ICU). GIS involvement due to GPA is a rare condition that increases morbidity and mortality of patients. Patients may require ultramassive blood product transfusions. Thus, patients with GPA can be admitted to ICUs because of massive hemorrhage due to multisystem involvement, and survival is achievable with meticulous care through a multidisciplinary approach.
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Ulus Travma Acil Cer · Mar 2023
Comparison of the efficacy of five different objective methods to evaluate the success of infraclavicular block; which one of them is a reliable and early indicator?
Traditional methods that evaluate the success of peripheral nerve block have been replaced by methods that allow objective evaluations over time. Multiple objective techniques for peripheral nerve block have been discussed in the literature. This study aims to investigate whether perfusion index (PI), non-invasive tissue hemoglobin monitoring (SpHb), tissue oxygen saturation (StO2), tissue hemoglobin index (THI), and body temperature are reliable and objective methods to evaluate the adequacy of infracla-vicular blockage. ⋯ StO2, PI, and body temperature measurements are the simple, objective, and non-invasive techniques to be used to evaluate success of block procedures. According to the receiver operating characteristic analysis, StO2 is the specific parameter with the highest sensitivity among these parameters.
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Ulus Travma Acil Cer · Mar 2023
Our clinical experiences in the earthquake victims who came to our university after the 2020 Aegean Sea earthquake during the COVID-19 pandemic.
Earthquakes are natural disasters that threaten human life and cause loss of life and property in a very short time. In our study, we aim to carry out the medical analysis of the earthquake victims who came to our hospital after the Earthquake in the Aegean Sea and to share our clinical experiences. ⋯ Epidemiological studies can make an important contribution to the management and organization of the future earthquake-related injuries by healthcare institutions.
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Ulus Travma Acil Cer · Mar 2023
Is percutaneous fixation of the superior pubic ramus possible in all types of pelvis?
The impact of pelvis type on percutaneous fixation of the superior pubic ramus was investigated in this study. ⋯ The pelvic type is a determinat factor for the fixation of the percutaneous superior pubic ramus. For this reason, pelvic typing using MPR and 3D imaging mode in preoperative CT examination; is effective in surgical planning, implant, and surgical position selection.