Acta Orthop Traumato
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Acta Orthop Traumato · Jan 2004
Case Reports[Subcutaneous injection of insecticide for attempted suicide: a report of two cases].
We present two patients (30-year-old female, and 20-year-old male) who attempted suicide by injecting commercially available insecticides into the forearm. No systemic signs of intoxication were observed during the acute and subacute periods. ⋯ At surgery, extensive subcutaneous necrosis was observed. During long-term follow-ups, no motor and sensory deficits or contractures were seen.
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Acta Orthop Traumato · Jan 2004
Case Reports[Tibial osteomyelitis following intraosseous infusion: a case report].
Fluids, medications, and blood products can be rapidly administered via intraosseous infusion under emergency conditions, particularly to pediatric patients aged from 0 to 2 years. A five-month-old infant who had been hospitalized with a diagnosis of sepsis developed swelling and hyperemia at the infusion site 10 days after an intraosseous infusion in the right proximal tibia. Physical examination showed a serous discharge from a fistula on the anteromedial side of the right proximal cruris. ⋯ With a diagnosis of acute osteomyelitis, drainage and medullary irrigation were performed and parenteral antibiotic treatment was initiated. Cultures from the surgical site yielded Candida albicans, upon which fluconazole (8 mg/kg) treatment was administered for four weeks. A complete clinical and radiographic improvement was observed at the end of a 12-month follow-up.
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Acta Orthop Traumato · Jan 2004
Comparative Study[A comparison between single- and two-staged bilateral total knee arthroplasty operations in terms of the amount of blood loss and transfusion, perioperative complications, hospital stay, and cost-effectiveness].
We compared bilateral total knee arthroplasty (TKA) operations performed at a single session or at two separate sessions with respect to perioperative complications, the amount of blood loss and transfusion, the length of hospital stay, and the overall cost. ⋯ In view of its advantages, single-staged bilateral TKA seems to be an appropriate alternative in selected patients.
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Acta Orthop Traumato · Jan 2004
[Treatment results of pseudarthrosis of the humeral shaft by open reduction and internal fixation with dynamic compression plating].
We evaluated the results of open reduction and internal fixation with the use of dynamic compression plating in patients with pseudarthrosis of the humeral shaft. ⋯ In selected patients with pseudarthrosis of the humeral shaft, the results of open reduction and internal fixation with the use of dynamic compression plating are excellent, provided that an appropriate surgical technique is employed.
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Acta Orthop Traumato · Jan 2004
Comparative Study[The reasons for postponement of scheduled orthopedic surgical operations and its effect on the patients' anxiety and pain levels].
This comparative-descriptive study was planned to evaluate the reasons for postponement of scheduled orthopedic surgical operations and its effect on anxiety and pain levels of patients. ⋯ Postponed surgical operations result in an increased degree of emotional trauma and pain in patients assigned to have orthopedic surgical interventions.