Background: Application of a posterior plate for tibia plateau fractures associated with posterior column involvement is becoming a widespread standard practice as previous studies have shown that additional fixation of the posterior column with a posteromedial buttress plate creates strongest fixation in terms of fracture stabilization This study evaluated the clinical and radiological results of patients undergoing surgery for complex tibial plateau fractures involving the posterior column with a posteromedial plate applied via a medial midline incision. Methods: Medical records of patients undergoing surgery for Schatzker type IV, V, and VI tibia plateau fractures involving the posterior column in our institution were reviewed retrospectively. Patients with a follow-up of less than 1 year, pathological fractures, posterolateral column fractures requiring separate fixation, and open fractures were excluded from the study. Three-dimensional computed tomography (3D CT) was performed in all patients before surgery. The study population consisted of 25 patients (21 males and 4 females) with a mean age of 41.5 (19–66) years. The etiologies of the fractures were traffic accidents in seven cases, pedestrian falls in five cases, falls from a height in seven cases, and motor vehicle accidents in six cases. Results: The mean follow-up period was 15.9 months (12–25), mean time to union was 14.32 (9–20) weeks, mean Knee Society score (KSS) was 88 (81–95), and range of movement (ROM) was 123° (95°–140°). Loss of reduction was detected in only one patient (4%). A superficial incisional infection occurred in an anterolateral incision in only one patient (4%), and it recovered after oral antibiotic therapy. None of the patients required early implant removal and none had vascular or nerve complications in the postoperative period. Postoperatively, 23 (92%) patients had anatomical reduction and 2 (8%) had acceptable reduction in the sagittal plane CT sections. Acceptable reduction was achieved in 6(24%) patients and anatomical reduction was achieved in 19 (76%) in the coronal plane CT sections (Table 2). Conclusions: Clinical results of posteromedial plate application using a single medial midline incision is promising as complication rates were very low and knee scores were high.

Objective: The aim of this study was to evaluate the mid-term outcomes of Oxford Phase 3 unicompartmental knee arthroplasty (UKA) in obese patients in terms of prosthesis survival, progression of lateral compartment arthrosis and functional outcomes. Methods: The study included 67 patients, with a body mass index over 30, treated with mobile bearing Oxford Phase 3 UKA for isolated medial osteoarthritis between January 2005 and December 2010. Preoperative and postoperative knee range of motion (ROM) and knee scores (Hospital for Special Surgery, HSS and Oxford knee scores) were compared. Additionally, prostheses were evaluated using Oxford radiographic evaluation criteria at the final follow-up. Results: Mean age was 61 years and mean follow-up was 67.5 months. Insert dislocation occurred in 3 patients (4.5%). Postoperative knee ROM, HSS and Oxford knee scores were significantly improved (p<0.05). There was no sign of prosthesis failure or lateral compartment arthrosis in radiographic evaluation at the final follow-up. Conclusion: Oxford Phase 3 UKA with mobile bearing has good mid-term results in obese patients over 60 years of age. Özet Çalışma planı: Ocak 2005 ile Aralık 2010 tarihleri arasında izole medial osteoartrit tanısı ile hareketli taşıyıcılı Oxford Faz 3 UDP uygulanan ve cerrahi öncesi vücut kitle indeksi 30’un üstünde olan 67 hasta çalışmaya alındı. Hastaların cerrahi öncesi ve sonrası eklem hareket açıklıkları (EHA), diz skorlamaları (Hospital for Special Surgery, HSS ve Oxford diz skoru) karşılaştırıldı. Ayrıca, son kontrollerinde protezleri Oxford radyolojik değerlendirme kriterlerine göre değerlendirildi. Çıkarımlar: Altmış yaş üstü ve obez hastalarda, hareketli taşıyıcılı Oxford Faz 3 UDP ile cerrahi tedavinin orta dönem sonuçları başarılıdır.

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.

Aim: Ingrowing toenail is a very common disease which causes workforce losses. Although different techniques have been described in surgical treatment, one of the most frequently preferred methods is partial matrixectomy. The aim of this study was to compare the two techniques of curettage only and curettage together with electrocautery(C&E) used in addition to partial matrixectomy in ingrowing toenail surgery. Methods: Patients who were operated for ingrown nails between 2018 and 2022 were evaluated retrospectively. Two groups were formed of 43 patients applied with curettage only and 35 patients applied with C&E. The groups were compared in respect of operating time, postoperative complications and clinical results. Results: No significant difference was determined between the groups in respect of age, gender, affected side, classification, follow-up time, surgical duration and recovery time. Recurrence rate was higher in the curettage group (p=0.020) It occurred in 9 (20.9%) cases in the curettage group, while it occurred in 1 (2.9%) case in the C&E group. In the curettage group, the duration of erythema was observed to be significantly longer (p