Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2009
[Treatment of femoral shaft fractures with expandable intramedullary nail].
Femoral shaft fractures are usually seen in the young population as a result of high energy traumas and are often accompanied by major organ injuries. In this paper, we aimed to assess the clinical results of expandable femoral intramedullary nails in the treatment of 20 femoral shaft fractures. ⋯ Use of expandable nails provides union without major complications and offers advantages such as less exposure to radiation as seen in distal locking of classical intramedullary nails. In conclusion, the good results of this study show that the expandable femoral intramedullary nail provides a successful option to classical intramedullary nails.
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Ulus Travma Acil Cer · May 2009
Independent risk factors of morbidity in penetrating colon injuries.
The present study explored the factors effective on colon-related morbidity in patients with penetrating injury of the colon. ⋯ Diversion and transfusion of > or =4 units in the first 24 hours were determined to be independent risk factors for colon-related morbidity.
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We evaluated the radiologic and functional outcomes of patients with radial head fractures managed with open reduction and internal fixation. ⋯ We suggest open reduction and internal fixation even in comminuted cases because it gives satisfactory elbow function and avoids radial shortening, loss of motion and wrist joint dysfunction as a result of radial head excision. When it fails, excision and prosthetic replacement can be done later.
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Ulus Travma Acil Cer · May 2009
Case ReportsSynchronous perforation of sigmoid diverticula: a rare presentation.
Diverticular disease affects more than 50% of the population over the age of 60 years in the west and becomes even more common as the population ages. Diverticulitis is one of the complications of diverticular disease and can culminate into colonic perforation. Though perforated diverticular disease is not uncommon, synchronous colonic perforations in diverticulitis is rare. ⋯ A Hartmann's procedure was performed. Macro- and microscopic evaluation confirmed the presence of two perforated sigmoid diverticula due to diverticulitis. Simultaneous perforation of two abreast sigmoid diverticula is uncommon; thus, a cautious surgeon should always take into account such a probable diagnosis.
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Ulus Travma Acil Cer · May 2009
Leg length discrepancies in adult femoral shaft fractures treated with intramedullary nailing.
To evaluate the leg length discrepancy (LLD) retrospectively in adult femoral shaft fractures treated with intramedullary nailing (IMN). ⋯ LLD may be seen in high rates in adult femoral shaft fracture cases treated with IMN. Static IMN following absolute restoration of the length may prevent this problem in femoral diaphysis fractures, especially comminuted WIII and IV types.