Examination of Complementary and Supportive Practices and Self-efficacy Against Foot Ulcers in Diabetic Patients.

Context: Medical treatment is critical in the healing of diabetic foot ulcers. Diabetic patients in many countries have recently started using complementary and supportive practices. Objectives: The study intended to examine the complementary and supportive medical practices and their self-efficacy against foot ulcers that can develop in diabetic patients. Design: The research team conducted a cross-sectional and descriptive study. Setting: The study took place at internal-medicine outpatient clinics at a hospital in Turkey. Participants: Participants were 656 diabetes patients who came the clinics between March and May 2021. Outcome Measures: The research team collected data with a structured questionnaire and the Diabetic Foot Care Self-efficacy Scale (DFCSES). Results: Significant differences existed in gender, educational status, and average income level as well as between the (CAM) users and non-CAM A statistically significant difference existed between users and non-users of CAM. Users diabetes treatment type, go to regular doctor check-up, had other chronic disease, had a foot problem, regularly did leg and foot gymnastics, regularly did foot examination and often did foot examination. Conclusions: The most popular products among CAM users were herbal products: Nigella sativa, Nigella sativa oil, cinnamon, and cinnamon oil. The mean scores for non-users of CAM were lower on the DFCSES.

The Terrible Triad of the Elbow Accompanied by Capitellum and Humerus Shaft Fracture: A Rare Case Report.

The terrible triad of the elbow consists of radial head fracture and coronoid process fracture in addition to posterior dislocation of the elbow. It indicates high-risk complications such as instability, malunion, nonunion, and proximal radioulnar synostosis. We describe a rare case that was admitted to the emergency service with a terrible triad of the elbow with additional capitellum fracture, lateral collateral ligament (LCL) injury, and ipsilateral humeral shaft fracture. We treated the patient urgently by performing osteosynthesis of the humeral shaft fracture, radial head fracture, coronoid fracture, capitellum fractures, and repair of the LCL rupture. The terrible triad of the elbow also can be accompanied by adjacent column fractures, including the humeral shaft. In such complex cases, preoperative planning should be done well, and the entire anatomy should be demonstrated with additional imaging. Optimal treatment of all the fractured bones and ligaments is critical for early rehabilitation. The main aim of surgery is to acquire desired results by starting an early rehabilitation, including joint movement.