Ulus Travma Acil Cer
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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.
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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.
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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.
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Ulus Travma Acil Cer · Mar 2013
Posttraumatic intraocular pressure elevation and associated factors in patients with zone I open globe injuries.
The object of this study was to determine factors that might be associated with intraocular pressure (IOP) elevation after anterior segment open globe injuries (zone I). ⋯ This study shows a significant relationship between larger wound size (>6 mm) and elevation of IOP after trauma in zone I open globe injuries.
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Ulus Travma Acil Cer · Mar 2013
[Analysis of the pediatric trauma score in patients wounded with shrapnel; the effect of explosives with high kinetic energy: results of the first intervention center].
We aimed to assess the pediatric trauma score analysis in pediatric trauma cases due to shrapnel effect of explosives material with high kinetic energy. ⋯ PTS is very efficient and a time-saving procedure to assess the severity of trauma caused by the shrapnel effect. The median heart rate, morbidity, and LHS increased significantly in patients with PTS <=8.