RESUMO
ABSTRACT Objective: To compare the functional outcomes between floating knee injuries with open femur and tibia fractures and closed floating knee injuries. Methods: Floating knee injuries (followed up and treated in our clinic) were retrospectively analyzed. Patients were divided into two groups: floating knee injuries with open femur and tibia fractures (Group 1) and floating knee injuries with closed femur and tibia fractures (Group 2). Patients were compared according to their demographic characteristics and clinical and functional outcomes. Results: Of 52 study patients, 28 had Group 1 injuries and 24, Group 2 injuries. We found a statistically significant difference in length of hospital stay between the two groups (p = 0.01) and a statistically significant difference in Karlström-Olerud functional scores between the groups (p = 0.02). We found osteomyelitis in five (17%) patients in Group 1 and in one (4%) patient in Group 2. Conclusion: Patients with floating knee injuries and open fractures showed poorer outcomes than those with closed fractures. Those with open floating knee injuries show complications more often and longer hospital stays. Level of Evidence III, Therapeutic Studies Investigating the Results of Treatment.
RESUMO Objetivo: Comparar os resultados funcionais entre lesões do tipo joelho flutuante com fraturas expostas de fêmur e tíbia e lesões de joelho flutuante fechadas. Métodos: As lesões de joelho flutuante acompanhadas e tratadas em nossa clínica foram analisadas retrospectivamente. Os pacientes foram divididos em dois grupos: lesões de joelho flutuante com fraturas expostas de fêmur e tíbia (Grupo 1) e lesões de joelho flutuante com fraturas fechadas de fêmur e tíbia (Grupo 2). Os pacientes foram comparados de acordo com as características demográficas e os desfechos clínicos e funcionais. Resultados: Entre os 52 pacientes do estudo, 28 tiveram lesões do Grupo 1 e 24 do Grupo 2. A diferença no tempo de internação entre os dois grupos foi estatisticamente significativa (p = 0,01). Também houve diferença estatisticamente significativa nos escores funcionais de Karlström e Olerud entre os grupos (p = 0,02). Osteomielite foi identificada em 5 (17%) pacientes do Grupo 1 e em 1 (4%) paciente do Grupo 2. Conclusão: Comparados aos pacientes com lesões de joelho flutuante com fraturas fechadas, aqueles com fraturas expostas têm piores resultados, uma vez que as complicações são mais comuns e a permanência hospitalar é mais longa nestes casos. Nível de Evidência III, Estudos Terapêuticos - Investigação dos Resultados do Tratamento.
RESUMO
Hierarchical Land Classification of forest ecosystems is an attempt to classify the territory considering hierarchical distinctions of plant communities. Ecological land classification is especially crucial for semi natural or degraded forest ecosystems. In this study, a hierarchical land classification was generated for Aglasun forest ecosystems where urban and agricultural developments and non-stop human activity for fuel wood and timber have caused extensive degradation to native plant communities. Data obtained from 153 sample plots consisting of environmental characteristics and vascular plant species were evaluated by using cluster analysis, stepwise discriminate analysis, and chi-square test. Interspesific correlation analysis was applied to define the indicator species at each distinction level. Two sections, two subsections and four units were finally determined for the Aglasun forest district. The results of the stepwise discriminate analyses showed that the fundamental variables for classifying the district are altitude, exposition, latitude and longitude.
RESUMO
The purpose of this study was to investigate the relationships between the plant distribution and the altitude-shape-size characteristics of sinkholes, and the landform characteristics inside sinkholes in the Mediterranean region of Turkey. Block kriging, Factor analysis, Cluster Analysis and Detrended Correspondence Analysis were performed. The sinkhole type and altitudinal zone were found to be the significant factors affecting the plant distribution. However, the sinkhole type was more important than the altitudinal zone. Hence, the sinkholes were first subdivided into groups according to types and then the groups were divided into subgroups according to the altitudinal zones. Consequently, 4 groups were defined; A-type sinkholes [1400-1550 m (A1), 1550-1700 m (A2)] and B-type sinkholes [1400-1550 (B1), 1550-1700 m (B2)]. The B-type was wider vertically and shorter horizontally than Atype sinkholes. Significant differences were found between the plant distribution and slope position inside the sinkholes. Plant distribution in the lower slopes was different from that in the flats and ridges in the B1 sub-type of B-type. Plant distribution in B2 subtype was different among the slope positions (ridge, middle slope, lower slope, and flat). Although distribution of plants is different in different parts (ridges, upper slope, middle slope, lower slope and basal flats) of A sinkhole, the differences between the parts of intermediate slope position are not significant. A high plant variability along short distances in the sinkholes was observed in the study area. That is why the site of sinkholes have a big potential for the distribution of many species. Hence, the area must be separated as strictly protected zone.