Objective: The aim of this study is to compare the clinical results of splint, short arm circular plaster, and soft bandage immobilization methods applied in the treatment of wrist torus fractures in a single center. Methods: Patients treated for torus fractures at a tertiary trauma hospital between January 2018 and January 2022 were analyzed retrospectively. According to the physician’s preference, a splint, short arm circular plaster, or soft bandage was applied to each patient. The treatment modalities, the number of hospital admissions during the treatment, the number of radiological imaging procedures used during the treatment, immobilization time, and the follow-up periods of the patients were checked and noted on the hospital data processing system. Results: Six hundred ten patients were included in the study. It was determined that 351 patients were treated with a short arm splint, 155 with a short arm circular cast, and 104 with soft bandaging. The number of radiological imaging procedures, the number of hospital admissions during the treatment, the duration of the pain complaint, and the complication rate of the patients treated with splint were significantly lower than the groups treated with short arm circular plaster and soft bandage (P < 0.001). Conclusions: It was observed that patients who were immobilized with a short arm splint required less follow-up time and fewer imaging procedures and hospital admissions and experienced earlier pain relief and lower complication rates. We think that the use of short arm splints in the treatment of torus fractures is sufficient, safe, and advantageous.

Age-related differences after fasciotomy for earthquake-related acute compartment syndrome (ACS) remain incompletely defined. This study compared pediatric

This case report evaluates the clinical outcomes of two patients with locked posterior shoulder dislocation associated with a reverse Hill-Sachs lesion who were operated on in the acute phase with a modified McLaughlin procedure. Both patients had dislocated posterior shoulder fractures affecting approximately 40% of the articular surface of the humeral head and could not be reduced in the emergency department. Both patients were operated on the same day of hospitalization. We analyzed the clinical and radiological results after at least three years of follow-up. Care should be taken not to overlook these rare injuries and difficult reduction maneuvers should be avoided in the emergency department. Reduction and articular surface reconstruction with the modified McLaughlin method can be performed in the same session and in the acute period. Acute treatment of the reverse Hill-Sachs lesion associated with locked posterior shoulder dislocation with the modified McLaughlin procedure is effective and safe. Further studies are needed to determine the optimal treatment of these very rare injuries.

This study aimed to compare the clinical effectiveness of negative pressure wound therapy (NPWT) with traditional wet-to-dry dressings in patients undergoing fasciotomy for acute compartment syndrome of the lower extremities following the February 6, 2023 earthquakes in Kahramanmaraş, Türkiye. This retrospective cohort study included 28 patients (15 males, 13 females) admitted to our hospital between February 6 and March 6, 2023, who underwent fasciotomy for lower extremity acute compartment syndrome. A total of 109 fasciotomy incisions were performed across 60 extremities. Of these, 78 wounds were managed with NPWT and 31 with wet-to-dry dressings. Group allocation was determined by NPWT device availability during the disaster period. All patients were managed using a standardized wound closure protocol, including serial debridement followed by primary closure or split-thickness skin grafting when indicated. Outcomes compared between groups included number of debridements, infection rate, primary wound closure, graft requirement, dressing-related complications, and length of hospital stay. The NPWT group required significantly fewer debridements (p<0.05). Dressing-related complications and the need for additional dressing interventions were significantly higher in the wet-to-dry group (p0.05). Among pediatric patients, infection rates were lower than in adults, whereas unplanned dressing changes were significantly more frequent (p<0.05). NPWT is an effective wound management modality in fasciotomy patients, even under disaster conditions. It significantly reduced the need for debridement and dressing-related complications compared to traditional methods, despite similar outcomes in infection and wound closure. These findings support the preferential use of NPWT in mass-casualty settings, where healthcare personnel and resources may be limited. In addition to its clinical benefits, NPWT offers logistical advantages by simplifying wound care and reducing healthcare workload. Future prospective, randomized, multicenter studies are needed to confirm these findings and evaluate the broader applicability and cost-effectiveness of NPWT in both disaster and routine clinical settings.

Objective: Femoral neck fractures (FNF) in young patients are relatively rare but can lead to severe complications if not treated appropriately. Pauwels type 2 fractures, characterized by moderate inclination, require surgical stabilization. However, no consensus exists regarding the optimal implant that provides superior biomechanical stability. This study aims to compare the biomechanical properties of 3 different fixation systems for the surgical treatment of Pauwels type 2 FNF. Methods: A total of 21 bovine femurs of similar age and size were selected and divided into 3 fixation groups: dynamic hip screw (DHS), cannulated screws (CS), and major plate (MP). Each specimen underwent axial compression testing to assess the maximum load-bearing capacity, shear force resistance, and deformation characteristics of the fixation methods. Results: The results showed that the CS group exhibited the highest shear stress resistance, followed by the DHS group, while the MP group showed significantly lower mechanical strength and elongation (P < .05). Although DHS provided substantial stability, CS demonstrated superior overall mechanical performance. In contrast, the MP system showed significantly lower resistance compared to the other 2 fixation methods. Conclusion: This biomechanical study highlights the importance of implant selection in the management of Pauwels type 2 FNF. Although previous investigations have questioned the adequacy of CS fixation in highly unstable Pauwels type 3 fractures, the results suggest that CS may be a reliable and effective option for the relatively more stable Pauwels type 2 pattern. Because the tests were performed on bovine femur models, which do not fully reflect the structural characteristics of human bone, these findings should be interpreted with caution. Further biomechanical studies using human cadaveric specimens are required to confirm the applicability of these results to clinical practice. Cite this article as: Aydın O, Kazez M, Say Y, Belhan O. Which implant for Pauwels type 2 femoral neck fractures: A biomechanical study. Acta Orthop Traumatol Turc., 2026; 60(1), 0345, doi: 10.5152/j.aott.2026.25345.

Aims: Pes planovalgus (PPV) deformity is a common deformity in ambulatory patients with cerebral palsy (CP), and progressive cases may require surgery. This study aimed to evaluate short- to mid-term radiological and functional outcomes following individualized combined surgical treatment in ambulatory CP patients. Methods: Twenty-five ambulatory patients with CP who underwent surgical treatment for PPV were retrospectively reviewed. Demographic characteristics, surgical procedures, radiological parameters, and American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot scores were assessed. Preoperative and postoperative values were compared using paired t-tests or Wilcoxon signed-rank tests. Surgical strategy was individualized based on deformity severity, flexibility and associated muscle tendon imbalance. Results: The mean age was 15.16±3.80 years (range, 9-25 years), and the mean follow-up duration was 1.67±0.77 years. The most common surgical approach was achilloplasty combined with midfoot or calcaneal osteotomy (72%). Significant postoperative improvements were observed in calcaneal pitch (p=0.006), Kite angle (p=0.015), lateral talocalcaneal angle (p=0.022), Gissane angle (p=0.039), and Simons angle (p=0.007). The AOFAS Ankle-Hindfoot score significantly improved from 40.88±12.88 to 83.52±8.34 (p