Background and Objectives: This study aimed to determine the relationship between non-simultaneous contralateral hip fractures, urban and rural differences, fracture localization, time between fractures, physiotherapy applications, comorbidity, and the second fracture outcomes. Materials and Methods: We retrospectively analyzed 107 patients aged 65 and older with proximal femur fractures (PFFs) who underwent surgery at Düzce University Medical Faculty between January 2010 and December 2022. High-energy fractures, pathological fractures, and patients with a history of old fractures were excluded. Results: The study included 66 females (61.7%) and 41 males (38.3%), with a mean age of 83.76 years. The mean interval between two fractures was 28.3 months. There was no statistical difference between the localization of the first and second fractures (p = 0.107). However, there was a significant difference in the first PFF localizations of patients living in rural areas (p = 0.023). Patients with heart failure, respiratory failure, osteoporosis, and cognitive impairment had shorter intervals between fractures (p < 0.001). Conclusions: This study shows that age, female gender, place of residence, comorbid diseases, and whether physical therapy is received after the first fracture are significant risk factors for a second hip fracture in patients over 65 years of age.

Background/Objectives: Migraine is a complex neurological disorder often associated with autonomic nervous system (ANS) dysfunction. This study aimed to evaluate the effects of fascia exercises on migraine symptoms and explore their potential as a novel conservative treatment approach. Methods: A prospective, randomized controlled trial was conducted with 30 migraine patients who were randomly assigned to a treatment group (fascia exercises) or a control group (conventional physiotherapy). Both groups underwent a six-week intervention consisting of two sessions per week. Pain intensity, migraine-related disability, sleep quality, anxiety, depression, heart rate variability (HRV), and patient satisfaction were assessed before and after the intervention using validated scales. Results: Significant improvements in pain intensity, attack frequency and duration, migraine-related disability, sleep quality, and anxiety levels were observed in both groups (p < 0.05). However, the treatment group demonstrated a more pronounced reduction in depression scores compared to the control group (p < 0.05). While no significant changes in HRV parameters were detected in either group, patient satisfaction was significantly higher in the treatment group (p < 0.05). Conclusions: Fascia exercises represent a promising complementary therapy for migraine management, offering significant improvements in both physical and psychological symptoms. While immediate effects on HRV were not evident, the potential to modulate autonomic balance and address migraine pathophysiology warrants further exploration. These findings highlight the value of fascia exercises as a low-cost, non-invasive approach, emphasizing the need for further research to confirm their long-term clinical benefits and integration into migraine treatment protocols.

Purpose: This study aimed to compare the effectiveness of Pulsed Radiofrequency Ablation (PRFA) and surgery for treating chronic plantar fasciitis, focusing on pain relief and functional outcomes. Methods: A prospective study involved 30 patients with chronic plantar fasciitis unresponsive to 12 months of conservative treatment. Patients were divided into PRFA (n = 17) and surgical (n = 13) groups. Clinical evaluations were conducted preoperatively and at three, six and 12 months postoperatively using VAS, AOFAS, FFI, and RMS scores. Radiological measurements assessed foot structure impact. Results: Both PRFA and surgery significantly reduced pain and improved function. PRFA had a shorter operative time and quicker return to activities (p < 0.001). At 3 months, PRFA showed superior VAS, FFI, and RMS scores (p < 0.05). Long-term outcomes were similar. No major complications occurred, but minor complications were higher in the surgical group (p < 0.01). Conclusions: PRFA is a minimally invasive, effective treatment for chronic plantar fasciitis with quicker recovery and lower complication rates compared to surgery. Both treatments offer comparable long-term benefits. Further studies are needed to confirm these findings.

Objective: This study aimed to examine the acute effect of dry cupping therapy applied to the hamstring muscle in footballers on flexibility, jumping, strength and range of motion.Materials and Methods: 25 male athletes with an average age of 18.80 ± 0.41 in the U-19 football team, one of the infrastructure teams of Yukatel Denizlispor club, voluntarily participated in this study. Soccer players first evaluated flexibility, range of motion, jumping and strength tests bilaterally. All athletes were administered a 10-minute dry cupping along the muscle bilaterally to the hamstring muscle after their initial change. Then all initial assessments were repeated and data recorded.Results: Dry cupping therapy was found to have a statistically significant effect on the flexibility parameter of the hamstring muscle and bilateral evaluated knee flexion and hip extension range of motion (p>0.05). Dry cupping therapy was found to have no statistically significant effect on the strength parameters of knee flexion and hip extension, which were evaluated bilaterally and jumping parameters (p>0.05).Conclusion: We concluded that, dry cupping therapy is a useful method as a non-invasive, easy-to-apply and economical complementary medicine application to increase flexibility and range of motion parameters in football players.

Çelik M, et al. Clin Orthop Surg. 2024 Oct;16(5):836-844. https://doi.org/10.4055/cios24056

Aim: The aim of this study was to investigate the relationships between mortality within 30 days after surgery and fracture incidence, implant type and surgical timing in patients older than 65 years who developed hip fractures after a simple fall and were treated surgically. Material and Methods: Patients admitted to the emergency department of the xxx Department of Orthopedics and Traumatology between 01 January 2010 and 31 July 2020 were included. Among these patients, the relationships between sex, age, duration of surgery, type of surgery and postoperative mortality rate were retrospectively evaluated in patients older than 65 years who were diagnosed with isolated hip fracture and who underwent prosthesis or proximal femoral nail/plate screw surgery between the specified dates. In this study, 450 patients treated within the specified time intervals were evaluated, and 308 patients fulfilled the criteria of our study. Results: There was a statistically significant difference between the mortality rate and surgery (implant) (p