Anterior cruciate ligament (ACL) injury is known to be one of the most common knee joint injuries. ACL reconstruction can be similar to the native ACL in respect of graft morphology, tension, position, and orientation. ACL reconstruction can be applied with different surgery techniques, graft and fixation devices, and rehabilitation as ACL reconstruction is just as important as surgery. Although commonly known as a sports injury, ACL injuries are increasingly seen in the general population. The aim of this study was to investigate the trends in ACL injury treatment in the last decade especially the graft choice. The abstracts of a total of 2,622 papers which stated ACL in the title were investigated through a search on the Web of Knowledge. Main topics were created as the ACL reconstruction theme. ACL reconstruction was examined in the abstracts with graft choice as the main theme followed by single bundle, double bundle, sports, rehabilitation, revision, complication, skeletally immature, biomechanics and kinematics, fixation devices, meniscus, anesthesia and pain, tunnel, cell, and intra-articular injection. Of the total 2,622 documents, 2,129 were original articles and 181 were reviews. Most of the documents, 436 in number (16.6%), were published in the American Journal of Sports Medicine, followed by the Journal of Knee Surgery, Sports Traumatology, Arthroscopy at 264. Of the total documents published, 36.3% were from the United States followed by 8.5% from Japan. The author with the most publications was F.H. Fu with 94 publications followed by B.R. Bach with 41 publications. The hamstring graft was most used at 187 single use and comprising 52% of the total graft combinations. Most papers were published in 2016. In 2012, single and double bundle grafts were determined to a total of 23. The most common title investigated in papers was biomechanics and kinematics with a total of 241 publications followed by rehabilitation at 208. Throughout the years of the study period, the most common graft choice was hamstring autograft. Biomechanics and kinematics was the most common title investigated as biomechanics and rehabilitation are known to be just as important as surgery for a successful outcome and patient satisfaction.

Background: The aim of this study is to compare the stability and implant stresses of suprapectineal plate with infrapectineal plate in three subconfigurations of the screw types. Methods: The stabilities of different fixation methods were compared by finite-element analysis on six models. Three infrapectineal models and three suprapectineal models each with locked, unlocked or combined screws were employed. Three-dimensional finite element stress analysis was performed by using isotropic materials with a load of 2.3 kN applied at standing positions. Motion at the fracture line was measured on four different points that are located at pubic and iliac side of the fracture line. Results: Infrapectineal plate fixation with unlocked screws was found to be the most stable fixation method with 0.006 mm displacement of fragments in all axes at standing positions. Suprapectineal unlocked method was found to be the most unstable in standing positions with maximum distraction values of 0.46 mm vertical shear movement in x-axis, -0.14 mm distraction in y-axis and -0.33 mm lateral shear in z-axis. Conclusions: To our results infrapectineal unlocked plate supplies the most stable fixation with least implant stress in contrary to the suprapectineal unlocked plate, which has the lowest stability and highest implant stresses. Keywords: Acetabular fracture; anterior column; suprapectineal; infrapectineal; fixation; finite element.

Objective: To evaluate trends in publications on unicompartmental knee arthroplasty (UKA) from the past to the present. Methods: As a web-based analysis, all UKA research articles, editorial letters, case reports, reviews and meeting abstracts published on the Thomson Reuters’ Web of Knowledge were evaluated. The period from the first publication in 1980 to January 2019 was divided into four decades and publications were evaluated. Research articles were grouped into headings according to the subjects. Results: A total of 1,658 publications were evaluated in this study. The most frequent term used in the publications title was “outcome,” with 260 items, followed by “biomechanics and kinematics,” with 99 items. Most reports have been published in the last decade, and the most common type of publication was postoperative follow-up and results. Conclusion: In parallel with technological advancements, publications related to UKA-especially patient-specific instrumentation, navigation, and robotic surgery-will increase in number and become more specific. Level of Evidence V, Expert Opinion.

En tr The scapula, one of the largest flat bones of the skeletal system, is located behind the chest wall. Scapula has unique morphometric features and anatomical variations. Glenoid structure and acromion type are the structures that show variations. In this study, the morphometric properties of the scapula and the variability of the anatomical variations were evaluated, and the results were compared with the studies in the literature. 40 scapulae, 16 right and 24 left, which are available at the Anatomy Department at Pamukkale University Faculty of Medicine, were measured with an electrocronic digital caliper with a millimeter precision. In addition, the acromion and glenoid structures of all scapulae were evaluated and typed. The mean height of the 40 scapulae was 14.7 mm and the mean width was 10.5 mm. The average length of spina scapulae was 13.3 mm. The mean length and width of the acromion were 4.7 mm and 2.3 mm, respectively. Acromion typing showed 10 straight, 15 concave and 15 notched acromia. When acromion was separated according to its shape, 14 were cobra shaped, 13 were intermediate and 13 were square shaped. 18 glenoid were comma-shaped, 13 were oval and 9 were pear-shaped. When we compared the results obtained in this study, which we tried to reveal the length parameters and types of the forty scapulae in the anatomy laboratory, biological diversities were observed. This type of anthropometric studies needs to be performed in larger series, multicentrally and comparatively. İskelet sisteminin en büyük yassı kemiklerinden olan skapula göğüs duvarının arkasında yer almaktadır. Skapulanın kendine has morfometrik özellikleri ve anatomik varyasyonları bulunmaktadır. Glenoid yapısı ve akromiyon tipi varyasyon gösteren yapılarındandır. Bu çalışmada skapulanın morfometrik özellikleri ile birlikte anatomik varyasyonlarının değişkenliği değerlendirilmiş, literatürde yapılan çalışmalar ile karşılaştırılıp sonuçları ortaya konmaya çalışılmıştır. Pamukkale Üniversitesi Tıp Fakültesi Anatomi Anabilim Dalı’nda mevcut olan 16 sağ ve 24 sol olmak üzere toplam 40 adet skapula, milimetrik hassasiyet gösteren dijital kumpas ile ölçülmüştür. Bunun yanında tüm skapulaların akromiyon ve glenoid yapıları değerlendirilip tiplendirilmesi yapılmıştır. Kırk skapulanın ortalama yüksekliği 14,7 mm, genişlik ortalaması 10,5 mm olarak bulunmuştur. Spina scapulae’nin uzunluk ortalaması 13,3 mm ölçülmüştür. Ortalama akromiyon uzunluğu ve genişliği sırasıyla 4,7 mm ve 2,3 mm olarak saptanmıştır. Akromiyon tiplendirilmesinde 10 akromiyonun düz, 15’inin konkav, 15’inin ise çengelli olduğu görülmüştür. Akromiyonlar şekillerine göre ayrıldığında 14’ü kobra şekilli, 13’ü ara, 13’ü de kare şekilli olduğu izlenmiştir. Glenoidlerin 18’i virgül şekilli, 13’ü oval, 9’u ise armut şekilli olarak bulunmuştur. Anatomi laboratuvarında bulunan kırk skapulanın uzunluk parametrelerini ve tiplerini ortaya koymaya çalıştığımız bu çalışmada ulaşılan sonuçları literatürdeki diğer araştırmalarla karşılaştırdığımızda biyolojik çeşitlilikler görülmüştür. Bu tip antropometrik çalışmaların daha geniş serilerde, çok merkezli ve karşılaştırmalı olarak yapılmasına ihtiyaç duyulmaktadır.