Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
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Ulus Travma Acil Cerrahi Derg · Jan 2024
Case ReportsA rare dental avulsion case report highlighting the importance of rapid replantation for long-term survival.
Dental avulsion, the complete displacement of a tooth from its socket, presents a significant challenge in dental practice due to its potential impact on aesthetics, function, and child well-being. This case presentation, reports the management of a traumatic dental avulsion in a 11-year-old male patient, detailing the clinical presentation, diagnostic process, treatment protocol, and follow-up outcomes. The case underscores the importance of prompt intervention for the avulsed tooth, and timely replantation to optimize treatment outcomes.
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Ulus Travma Acil Cerrahi Derg · Jan 2024
Finite element analysis of intramedullary nailing and nail-plate combinations for treating unstable proximal tibial metaphyseal fractures.
The anatomy of the proximal tibia presents treatment challenges, and there is currently no widely accepted surgical fixation method for fractures in this region. The aim of this study is to evaluate the efficacy, benefits, and differences between intramedullary nailing (IMN) with a 4-hole Limited Contact Dynamic Compression Plate (LC-DCP) combination and IMN with an 8-hole LC-DCP combination in unstable fractures of the proximal metaphyseal region of the tibia. ⋯ The results of this study indicate that the combination treatment with an 8-hole DCP plate is biomechanically superior for treating unstable proximal tibial fractures with nails. Although the nail-plate combination requires an additional surgical incision and extra implants, it provides advantages in terms of stability and the sustainability of fracture reduction in unstable fractures.
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Ulus Travma Acil Cerrahi Derg · Jan 2024
Orthopaedic injuries and the use of protective equipment in commercial motorcycle couriers during the Coronavirus Disease 2019 (COVID-19) pandemic: A single level 1 trauma center experience.
The aim of our study is to analyze the orthopedic injuries and the use of protective equipment among commercial motorcycle couriers during the Coronavirus Disease 2019 (COVID-19) pandemic in a level 1 trauma center in Istanbul, to provide epidemiological data, and to serve as a baseline for future studies. ⋯ As wearing a helmet is mandatory when riding a motorcycle, the use of protective equipment other than helmets was relatively low, leading to a high prevalence of extremity injuries. Our study emphasizes the necessity of advanced motorcycle riding training for these professionals, raising awareness among motorcycle couriers about the importance of protective gear, and enhancing inspections through the implementation of legal regulations on this issue.
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Ulus Travma Acil Cerrahi Derg · Jan 2024
Esophageal perforation management: a single-center experience.
Esophageal perforation is a serious medical condition where a hole or tear develops in the esophagus, the muscular tube that connects the throat to the stomach. Although rare, the condition is potentially life-threatening, as it can lead to infection and inflammation in surrounding tissues, including the mediastinum, pleura, and peritoneum. ⋯ Esophageal perforation remains a challenging clinical condition associated with significant morbidity and mortality. To optimize patient outcomes, rapid diagnosis, risk stratification using tools such as the PSS, and tailored management strategies are essential.
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Ulus Travma Acil Cerrahi Derg · Jan 2024
Case ReportsManagement of membranous tracheal rupture due to the endotracheal tube cuff during thyroid surgery.
Tracheobronchial ruptures can be extremely dramatic and life threatening and are encountered in approximately 5 out of 100,000 cases after orotracheal intubation. They can occur as a result of intubation, tracheostomy, and bronchoscopy. In this case report, we presented a 56-year-old female patient with a history of thyroid surgery 27 years prior who presented to our clinic with recurrent multinodular goiter. ⋯ The membranous tracheal rupture due to the endotracheal tube cuff was closed with sutures running superiorly, and a superiorly based strap muscle flap was placed over during thyroid surgery. The patient was discharged on day 7. A simple routine digital examination by the attending surgeon dealing with the thyroid surgery would contribute favorably to prognosis, as such a precaution would allow early repair in cases where such injuries occur.