[Surgical treatment of tibial plateau fractures]. / Tibia plato kiriklarinin cerrahi tedavisi.

OBJECTIVES: This study was designed to determine surgical indications in tibial plateau fractures and to evaluate the effect of surgical treatment on the outcome. METHODS: Forty patients (12 women, 28 men; mean age 39 years; range 18 to 75 years) underwent surgical treatment for 41 tibial plateau fractures. Final evaluations included 37 patients (38 knees). Fractures were classified according to the Schatzker's system, being type 1 (11 fractures), type 2 (11), type 3 (1), type 4 (6), type 5 (5), and type 6 (7). The indications for surgery were defined as the presence of depression, displacement, and instability being greater than 4 mm, 10 mm, and 10 degrees, respectively. The mean follow-up was 35.8 months (range 6 to 107 months). RESULTS: Clinical results were assessed using the Rasmussen criteria. Successful results accounted for 86.8%. The results were excellent, good, moderate, and poor in 14 knees (36.8%), 19 knees (50%), three knees (7.9%), and 2 knees (5.3%), respectively. Postoperative complications included deep (2 patients) and superficial (2 patients) infections, malunion in two patients, arthrofibrosis in three patients, and myositis ossificans in one patient. Radiologic evaluations were based on the Resnic and Niwayama's system, which showed successful outcome in 73.6%. The results were excellent in 11 knees (28.9%), good in 17 knees (44.7%), moderate in six knees (15.8%), and fair in four knees (10.6%). CONCLUSION: In order to achieve satisfactory results in tibial plateau fractures that meet surgical indications including depression (>4 mm), displacement (>10 mm), and instability (>10 degrees), special attention should be given to obtain a rigid osteosynthesis with early mobilization and to avoid weight-bearing until bone healing is completed.

[The results of open surgical release in carpal tunnel syndrome and evaluation of follow-up criteria]. / Karpal tünel sendromunda açik cerrahi gevsetme sonuçlari ve takip kriterlerinin karsilastirilmasi.

OBJECTIVES: We evaluated the results of open surgical release in patients with carpal tunnel syndrome (CTS) and assessed the necessity of a clinical scoring system and electromyography (EMG) in the postoperative follow-up. METHODS: The study included 24 wrists of 15 patients (9 females, 6 males; mean age 49.2 years; range 23 to 70 years) in whom a diagnosis of CTS was made by clinical examination and EMG. The patients underwent open surgical release and were followed-up for a mean of 21.5 months (range 7 to 40 months), during which they were evaluated by the Boston scale (BS) for clinical scoring and EMG. Postoperative findings of BS and EMG were compared in terms of their utility during follow-up. RESULTS: Statistically significant differences were found between preoperative and follow-up EMG values of motor distal latency, sensorial latency, combined motor muscle potential amplitudes, and sensorial latency amplitudes (p<0.05). Of twenty-four wrists, 16 (66.6%) showed improvement, and eight (33.3%) showed marked improvement. Similarly, preoperative and follow-up BS scores showed significant differences in favor of treatment results (p<0.05). The Boston scale scores and EMG results were found consistent in showing treatment outcome. CONCLUSION: Open surgical release of CTS provides favorable results that can be sufficiently evaluated by the clinical scoring system alone. Electromyographic studies do not seem to add extra benefits to the postoperative evaluation of patients with CTS.

[A case of bilateral unicameral bone cyst of the calcaneus and surgical outcome]. / Iki tarafli unikameral kalkaneus kemik kisti ve cerrahi sonucu: olgu sunumu.

Bilateral unicameral bone cysts of the calcaneus are extremely uncommon. A sixteen-year-old female presented with bilateral heel pain. Conventional radiographs and computed tomography showed cystic lesions and cameral cystic formation. Curettage and bone grafting were performed. The patient had no complaints in the postoperative 38th month. Radiologically, no recurrence was observed.

[A case of a ganglion cyst originating from the hip joint and surgical outcome]. / Kalça eklem kapsülü kaynakli ganglion kisti ve cerrahi sonucu: Olgu sunumu.

Ganglion cysts are the most common soft tissue tumors of the hand, wrist, and foot. However, those originating from the hip joint are not so frequent. This case report presents a 36-year-old woman who complained of pain in the right groin. A diagnosis of atypical ganglion cyst of the hip was made and the lesion was surgically removed. The diagnosis was confirmed histopathologically. No complaints were observed after a follow-up period of 18 months.