Joint Diseases and Related Surgery (JDRS), the official journal of the Turkish Joint Diseases Foundation, is an international, peer-reviewed, immediate open access journal. All published articles in JDRS has been free for everyone, without embargo, since 1990.

Background: Total knee arthroplasty is a successful procedure in the treatment of knee osteoarthritis. Searches in surgical technique have focused surgeons in particular on implant alignment. For this purpose, the use of robot-assisted total knee arthroplasty has become increasingly common in the last 10 years. Methods: A total of 46 patients (66 knees) who were operated for knee osteoarthritis with Robotic Surgical Assistant (ROSA, Zimmer-Biomet, Warshaw, Indiana, USA) between 2021 and 2023 were included in the study. Preoperative planning and intraoperative incision time, total surgical time, range of motion and follow-up time recorded. Oxford knee scores and knee society scores (KSS) of the patients were compared before and after surgery. At the last follow-up Forgotten Joint Score and the sagittal and coronal plane alignments were evaluated. Results: Preoperative mean Oxford score of the right knee of the patients was 18.5 ± 3.2, post-surgery mean Oxford score progressed to 43.5 ± 2.2. While the preoperative left knee Oxford score of the patients was 16.9 ± 2.3, the mean left knee Oxford score improved to 43.4 ± 2.2 postoperatively. The mean KSS score of the patients’ right knee preoperatively was 49.7 ± 3.5, and progressed to 89.2 ± 4.7 postoperatively. While the preoperative mean left knee KSS score of the patients was 46.5 ± 4.3, the mean KSS score improved to 89.8 ± 3.2 postoperatively. The mean Forgotten Joint Score of the left knee at the last follow-up of the patients was 77.4 ± 3.8, while the mean Forgotten Joint Score of the right knee was 75.4 ± 5.9. Conclusion: The results of ROSA-supported knee arthroplasty found to be functionally successful.

Cite this article as: Çakmak G, Ceyhan E, Demirtaş Y, Berk H. The management of orthopedics and traumatology patients during SARS-CoV-2 pandemic. Acta Orthop Traumatol Turc 2020; 54(3): 223-7. DOI: 10.5152/j.aott.2020.20166

Purpose: With the increasing prevalence of metabolic disorders, studies on energy metabolism have advanced, leading to the recent identification of new members in energy metabolism. This study aims to demonstrate the effects of a high-calorie diet and exercise on the newly identified peptides asprosin, irisin, nesfatin-1, and preptin, whose effects on metabolism are still under investigation, and to provide information for future research. Materials and Methods: In this study, 24 rats were divided into four groups: control, exercise, high-calorie diet, and high-calorie diet with exercise. Serum levels of asprosin, irisin, preptin, nesfatin-1, and insulin were measured using the ELISA method. Additionally, serum levels of glucose, triglyceride (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) were determined by the colorimetric method. Results: Compared to the control group, there were significant increases in body mass index, glucose, asprosin, TG, TC, and LDL-C levels. Serum HDL-C levels were notably lower in the experimental group compared to the control group. In the exercise group, irisin and nesfatin-1 levels significantly increased, accompanied by reductions in LDL-C, TG, TC, glucose, and preptin levels. Conclusion: A high-calorie diet was associated with an unfavorable lipid profile, while exercise-induced alterations in the secretion of peptides derived from adipose tissue and/or regulating energy metabolism. Although physical activity emerges as a crucial factor in peptide secretion and maintaining biochemical balance, further research is imperative to comprehensively understand the underlying mechanisms.

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.