Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2021
Minimally invasive plate osteosynthesis of clavicular midshaft fractures under insertion guide.
The less invasive stabilization systems for the distal femur and proximal lateral tibia have been developed to simplify the surgical technique of minimally invasive plate osteosynthesis (MIPO). MIPO, however, has simply been introduced into clavicular midshaft fixation without the aid of insertion guide though the procedure for midshaft clavicular fractures was found to produce satisfactory clinical and radiologic outcomes without serious complications. The purpose of this study was to determine the outcome of MIPO of clavicular midshaft fractures using an insertion guide. ⋯ MIPO using insertion guide is believed to be an acceptable and effective choice in the operative treatment of clavicular midshaft fractures.
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Ulus Travma Acil Cer · Sep 2021
Case ReportsContinuous veno-venous hemodiafiltration in metformin-associated lactic acidosis caused by a suicide attempt: A report of two cases.
Lactic acidosis is the most important and life-threatening side effect of metformin that is widely used in the treatment of type 2 diabetes mellitus. In this case report, two cases who were treated in our intensive care unit for lactic acidosis due to high-dose metformin intake for suicidal purposes are presented. The first patient could be successfully treated with continuous venous-venous hemodiafiltration (CVVHDF) and supportive therapy. The second case required endotracheal intubation and mechanical ventilation in addition to CVVHDF and supportive therapy due to delay in treatment.
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Ulus Travma Acil Cer · Sep 2021
Mid-term outcomes of arthroscopic suture fixation technique in tibial spine fractures in the pediatric population.
Tibial spine fractures are avulsion injuries that are a similar mechanism to anterior cruciate ligament rupture. Although its incidence is not very common, it can cause possible complications and permanent sequelae in the knee joint if not treated correctly. The aim of this study was to evaluate the mid-term results of the arthroscopic suture technique for tibial spine fractures in a pediatric population. ⋯ The outcomes of the arthroscopic suture technique for the treatment of tibial spine fractures in a pediatric population were both clinically and functionally satisfactory. Anatomic reduction and early rehabilitation increased the success rate in the treatment of these fractures. Longer follow-up will provide more information.
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Ulus Travma Acil Cer · Sep 2021
Intramedullary nailing versus minimally invasive plating in the treatment of distal tibial extra-articular fractures: Comparison of cost analysis in Turkey.
Minimally invasive percutaneous plate osteosynthesis (MIPO) and intramedullary nailing (IMN) are the two most commonly used methods for distal tibial extra-articular fractures; however, the ideal treatment is still on debate. The aim of this study was to compare MIPO and IMN in the treatment of distal tibial extra-articular fractures in terms of cost analysis according to health insurance records in Turkey. ⋯ According to the results acquired from the present study, IMN is a better option compared to MIPO for the treatment of extra-articular distal tibial fractures in terms of costs paid by the national health insurance in Turkey.
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2020 has started with Covid-19 pandemic. During the pandemic, govermental stringent precautions and lockdown measures have applied in Turkey. Although there was no limition for health care, people hesitate to go hospitals with the fear of Coronovirus transmission and all addmisions to hospitals decreased. ⋯ Covid-19 pandemic made people hesitate to go to hospital even for emergencies. Unfortunately this fear caused unexpected consequences. Patients have developed complications due to delayed addmisions to specified medical centers for specific health problems. As a result, patients requiring special treatment, should be encouraged to immediatly seek professional medical advice especially for reel emergencies even during pandemic.