Background: Closed reduction and percutaneous fixation are the most commonly used methods in the surgical treatment of supracondylar humerus fractures. The pin configuration changes stability and is still controversial. The aim of this study was to investigate the relationship between surgical duration and radiation dose/duration for different pinning fixations. Methods: A total of 48 patients with Gartland type 2, 3, and 4 supracondylar fractures of the humerus were randomized into two groups—2 lateral and 1 medial (2L1M) pin fixation (n = 26) and 1 lateral 1 medial (1L1M) pin fixation (n = 22). A primary assessment was performed regarding surgical duration, radiation duration, and radiation dose. A secondary assessment included clinical outcome, passive range of motion, radiographic measurements, Flynn’s criteria, and complications. Results: There were 26 patients in the first group (2L1M) and 22 patients in the second group (1L1M). There was no statistical difference between the groups regarding age, sex, type of fracture, or Flynn’s criteria. The overall mean surgical duration with 1L1M fixation (30.59 ± 8.72) was statistically lower (p = 0.001) when compared to the 2L1M Kirschner wire K-wire fixation (40.61 ± 8.25). The mean radiation duration was 0.76 ± 0.33 s in the 1L1M K-wire fixation and 1.68 ± 0.55 s in the 2L1M K-wire fixation. The mean radiation dose of the 2L1M K-wire fixation (2.45 ± 1.15 mGy) was higher than that of the 1L1M K-wire fixation (0.55 ± 0.43 mGy) (p = 0.000). Conclusions: The current study shows that although there is no difference between the clinical and radiological outcomes, radiation dose exposure is significantly lower for the 1L1M fixation method.

Objectives: This study aims to evaluate the mid-term clinical, functional, radiological, and socioeconomic outcomes of calcaneus fractures treated with open reduction-internal fixation (ORIF) versus minimally invasive percutaneous fixation (MIPF). Patients and methods: A total of 48 patients (34 males, 14 females; mean age: 44.05 years; range, 19 to 64 years) who underwent either ORIF or MIPF for calcaneus fractures between January 2010 and January 2016 were retrospectively analyzed. The patients were divided into two groups as the ORIF group (n=36) and MIPF group (n=12). The American Orthopaedic Foot & Ankle Society (AOFAS) score, Maryland Foot Score (MFS), and the Short Form-36 (SF-36) scores were assessed for the clinical assessment. The mean duration of operation, mean length of hospitalization, pedobarographic gait analysis, the incidence of contralateral knee pain, increased shoe size, and change of profession due to significant heel pain were also evaluated. The Böhler’s angle, Gissane angle, and calcaneal varus were measured for radiological assessment. Results: There was a significant difference in the mean operation time (p=0.001) and length of hospitalization (p=0.001) between the two groups. There was no significant difference between the pre- and postoperative third-year Böhler’s and Gissane angles (p=0.05, p=0.07, p=0.09, respectively). There were no significant differences between the postoperative first-, second-, and third-year AOFAS, MFS, and SF-36 scores (p=0.57, p=0.55 p=0.85, p=0.64, p=0.21, p=0.51, p=0.20, p=0.15, p=0.22, respectively). Thirteen patients in the ORIF group and five patients in the MIPF group changed their job due to significant heel pain. The increased shoe size was correlated with the residual calcaneal varus (p=0.001). Conclusion: Both methods have pros and cons in the treatment of calcaneal fractures. Although MIPF is more advantageous in terms of operation duration and length of hospitalization, more favorable radiological results can be obtained with ORIF. Calcaneal varus should be corrected to prevent the increased shoe size and contralateral knee pain.

Aim: Plantar fasciitis (PF) is a disease that negatively affects quality of life (QOL) and activities of daily living and is the most common cause of heel pain. The aim of this study is to examine the relationship between QOL, perceived activity performance and satisfaction in adults with PF and to determine the activities that have problems in daily living. Materials and Methods: A total of 96 participants, 26 male and 70 female, aged between 18-65 years, with a mean age of 53.88±6.41 years diagnosed with PF completed the study. The Nottingham Health Profile was used to determine the QOL, the Canadian Occupational Performance Measure was used to determine the perceived activity performance and satisfaction level. Results: The findings show the perceived activity performance and satisfaction levels of individuals with PF are negatively related to pain and energy levels, which are sub-dimensions of QOL (p=0.001; p=0.017; p=0.001; p=0.018). Moreover, it has been determined individuals have problems in many activities, such as walking, working, going up and down stairs, housecleaning and sleeping. Conclusion: This study showed the QOL of individuals with PF decreases as activity performance and satisfaction level decrease. Pain is one of the most important factors affecting activity performance, and recurrent and increasing pain with activity may have limited activity participation in individuals with PF. Therefore, pain should be considered as a priority in the evaluation and intervention plans of individuals with PF. Also, activity-based intervention plans should be developed for activities where these individuals have problems in daily living.

Introduction: This study aimed to evaluate the additional effects of the ENBORTH-TR intervention on pain, kinesiophobia, occupational performance, and satisfaction in individuals with neck and/or back pain (NBP). Method: A total of 136 participants were included in the study. The participants were divided into two groups: the intervention group (n = 67) and the control group (n = 69). A client-centered (CC) intervention was administered to both groups for 4 weeks (3 sessions per week). During this period, the intervention group also received the ENBORTH-TR intervention, which included basic pain education, ergonomic and environmental adaptations, as well as sleep and psychosocial management. All interventions in the study were delivered via telerehabilitation. Occupational performance (Canadian Occupational Performance Measure) and kinesiophobia (Tampa Kinesiophobia Scale) were defined as primary outcomes. Pain intensity (Visual Analog Scale—assessed during activity, rest, and sleep) was used as a secondary outcome. Results: Following the intervention, the intervention group showed statistically significant improvement in all parameters compared to the control group ( p < 0.05). The addition of the ENBORTH-TR intervention had a high effect on the primary outcome of occupational performance and satisfaction (η ² =0.196−0.303; 95% CI for performance:−1.84 to −0.22; satisfaction: −1.62 to −2.36) and a moderate effect on kinesiophobia scores (η ² =0.061−0.136; 95% CI: 1.60 to 8.79). Regarding the secondary outcomes, significant reductions were observed in pain intensity, particularly during activity (95% CI: 0.57 to 1.75). Discussion: The integration of ENBORTH-TR into standard CC treatment provides significant short-term additional benefits in terms of improving occupational performance and reducing kinesiophobia in patients with NBP.

Amaç: Ayak ağrısı özellikle de topuk ağrısı ortopedi ve travmatoloji pratiğinde sık karşılaşılan sorunlardan biridir. Yaşamının herhangi bir zamanında toplumun %10’unda görülebilir. Kalkaneal spur çoğu zaman hekimler ve hastalar tarafından topuk ağrısı ile doğrudan ilişkilendirilmiştir. Bizim çalışmamızda kalkaneal spurun topuk ağrısı ile doğrudan ilişkili olup olmadığını, normal popülasyonda sıkça rastlanan bir varyant olabileceğinin araştırılması istenildi. Yöntem: Ortopedi ve travmatoloji kliniğine 1 yıl içerisinde ayak ağrısı ile başvuran 399 hasta ve ayak-ayak bileği travması nedeniyle başvuran 360 hasta grafileri iki grup halinde retrospektif olarak değerlendirildi. Ayak lateral grafilerde plantar ve dorsal kalkaneal spur varlığı araştırıldı ve karşılaştırıldı. Hasta yaş ve cinsiyet bilgilerine dosyalar üzerinden ulaşıldı ve karşılaştırıldı. Bulgular: Kalkaneal spur varlığı ileri yaşta anlamlı olarak artmışken (p0.05). Sonuç: Kalkaneal spur varlığı normal popülasyonda da görülebilen bir bulgu olup topuk ağrısında karşılaşıldığında primer etken olarak düşünülmemesi gerektiği kanaatindeyiz. Diğer etkenlerin dışlanması sonrası hastaya kalkaneal spura yönelik bireysel tedavi verilmesi gerekmektedir.