We hypothesised that the WALANT technique can be consistently replicated and does not demand a high level of skill, and it leads to a higher patient satisfaction rate, improved clinical outcomes, and shorter waiting times compared with an IC-BP block.Forty-eight patients with isolated closed DRF were randomly assigned to the WALANT or IC-BP group. Demographic data, fracture classification, suitability for surgery, preoperative pain scores, and waiting times were collected prospectively. Perioperative parameters, clinical outcomes (pain scores, Disabilities of the Arm, Shoulder and Hand [DASH] scores), complications, patient satisfaction (Visual Analogue Patient Satisfaction [VAPS] scale), and return to work were assessed.Patients in the WALANT group had significantly shorter waiting times for surgery and postoperative hospital stays than the IC-BP group. No significant difference was found in intraoperative blood loss. The WALANT group had lower pain scores at postoperative weeks 2, 6, and 12. DASH scores improved over time in both groups, with the WALANT group having a significantly lower mean score during the follow-up period. Patients in the WALANT group returned to work earlier, and patient satisfaction was significantly higher.Compared with IC-BP blockade, the WALANT technique offers several advantages in DRF surgery, including shorter waiting times, shorter postoperative hospital stays, lower pain scores, better functional outcomes, faster return to work, and higher patient satisfaction. The WALANT technique offers a safe and effective alternative that eliminates the need for general anaesthesia or tourniquet application. This technique is suitable for DRF surgery because it provides consistent results and does not require a high level of expertise. Further studies with larger sample sizes are needed to confirm these results and investigate long-term outcomes.

Chronic nonbacterial osteomyelitis (CNO) is a rare autoinflammatory disease affecting the bone in which, diagnostic delays are common due to lack of physician awareness. The aim of this study was to evaluate the knowledge of orthopedic surgeons and pediatricians about CNO and to investigate the effect of professional experience on this process. This study was conducted between January-February 2025 using a 13-item online questionnaire comprising multiple-choice questions with clearly defined correct and incorrect answers. The questionnaire consisted of two main categories. The first category included questions regarding the clinicians' areas of specialization, professional experience, and training needs. The second category aimed to assess clinicians' knowledge levels about CNO. For each participant, the number and rate of correct and incorrect responses were calculated. The questionnaire was sent to a total of 551 clinicians and 244 of them (44.2%) (130 orthopedic surgeons, 114 pediatricians) completed the questionnaire. Of the 61 items, orthopedic surgeons had a median of 30 correct responses (26-35), while pediatricians had a median of 32 (28-36) (p = 0.023). The rate of giving the correct answers to the questions increased with the professional experience of the clinicians (p = 0.02). 116 (47.5%) clinicians stated that they didn't think to have sufficient knowledge about CNO and 212 (86.8%) clinicians stated that they'd like to participate in a training about CNO. This study demonstrates that both orthopedic surgeons and pediatricians still have significant knowledge gaps regarding CNO. Although the current level of awareness remains limited in both groups, they appear willing to acquire further knowledge. These findings highlight the need for focused educational programs to improve patient care.

Objective: Pediatric unintentional injuries are a major public health concern, as most are preventable. This study aimed to assess emergency department cases by etiology, demographics, seasonal distribution, and outcomes, to define the regional profile and guide prevention. Material and Methods: This retrospective study included 2524 children aged 0–18 years admitted with unintentional injuries between January 2021 and June 2024. Cases were classified as trauma, poisoning/aspiration, environmental injuries, or other causes. Results: Of the cases, 1454 (57.6%) were male, median age 47 months. Poisoning/aspiration was most common (n=1153; 45.6%), followed by trauma (n=840; 33.2%), environmental injuries (n=473; 18.7%), and others (n=62; 2.4%). Poisonings predominated in 0–5 years, while trauma was more frequent in adolescents. Leading poisoning causes were drugs (n=516; 20.4%) and corrosives (n=441; 17.5%). Carbon monoxide poisoning was notable among environmental injuries (n=267; 10.6%). Most patients were discharged (80.6%), while 14.5% were hospitalized, 3.7% required intensive care, and 5.5% underwent surgery. Mortality and sequelae were each 0.3%. Seasonal variation was evident: poisonings in spring–summer, trauma in summer–autumn, and carbon monoxide in winter. Conclusion: Poisonings were the leading cause in early childhood, while trauma predominated in adolescents. Preventive strategies, including parental education, household safety, and region-specific policies, are essential to reduce morbidity and mortality.