Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Aug 2022
Comparison of the functional and radiological results of the conservatively and surgically treated displaced acetabulum fractured patients.
The purpose of the study was to compare the functional and radiological results of the conservatively and surgically treated displaced acetabular fractured patients. ⋯ Radiological scores are not directly correlated with the functional capacity. We obtained good radiological and functional scores in the surgical group, operative treatment should be considered when absolute indications are there. The outcome of conservatively managed fractures is not bleak. We think that there is an alternative to surgical treatment in displaced acetabular fractures and that similar functional results can be obtained in selected cases.
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Ulus Travma Acil Cer · Aug 2022
Risk factors for mortality in Fournier's gangrene of anorectal origin.
In the present study, we aimed to determine the risk factors for mortality in Fournier's gangrene (FG), which has a high morbidity and mortality rate and requires urgent surgical intervention. ⋯ FG is a fatal fasciitis still associated with high mortality. Advanced age, smoking, malignancy, and hypopotassemia are independent predictive risk factors for mortality in FG.
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Ulus Travma Acil Cer · Aug 2022
Early movement does not cause loss of reduction in surgically treated boxer fractures.
The surgical treatment of fifth metacarpal fractures, especially using Kirschner (K) wire techniques, has recently become popular because it provides for early hand movement. Successful anatomical reduction of the fracture is often achieved with surgery; however, an anatomical reduction cannot always be achieved and, according to 30° oblique radiography, the fracture is fixed with an apex dorsal angulation below 40°. The aim of this study was to evaluate the stability of such fractures postoperatively and compare the two different angulation options that provide early movement of the hand and wrist. ⋯ Our investigation revealed no risk of shortening or rotation of the fracture; the patients were able to return quickly to their everyday activities.
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Ulus Travma Acil Cer · Aug 2022
Case ReportsSharp cardiac trauma through the sternum caused by an automatic nail gun: A case report.
Automatic nail gun injuries to the hand commonly occur with the use of these machines in construction. However, such injuries to the cardiothoracic area are atypical. Herein, we report a case of emergency surgery to remove a nail, which was accidentally shot through the sternum and reached the heart. ⋯ The patient was discharged on post-operative day 8 and returned home on foot. The patient was followed up for 6 months in the outpatient clinic, and there were no signs of infection or abnormal hemodynamics. This case demonstrates the need for careful assessment of nail gun injuries, which may initially appear insignificant.
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De Garengeot hernia is a rare type of femoral hernia that presents with appendicitis. This clinical condition that usually occurs in the 7th decade, mostly in women, requires urgent surgery. Here, we present a 73-year-old patient with acute appendicitis within the femoral hernia sac.