Background/Objectives: Osteochondral lesions are common after acute patellar dislocation, particularly in young, active individuals. Although fixation of osteochondral fragments is a preferred treatment to restore joint congruence and prevent cartilage degeneration, the prognostic effect of lesion localization and size on postoperative outcomes remains unclear. Methods: This retrospective clinical study included 75 patients (mean age 23.8 ± 6.1 years) who underwent osteochondral fixation after patellar dislocation between 2018 and 2024. Lesions were classified by location—medial patellar facet, lateral facet, trochlear groove/lateral femoral condyle, or multiple regions—and measured on preoperative MRI for size and depth. Functional outcomes were assessed using Kujala, Lysholm, Tegner, and VAS pain scores preoperatively and 12 months postoperatively. Associations between lesion characteristics and postoperative results were analyzed using t-tests, ANOVA, and Pearson correlation. Results: Lesions were most frequently located on the medial patellar facet (42.7%), followed by the trochlear groove/lateral femoral condyle (34.7%). Larger and deeper lesions were more common in trochlear or multiple-site involvement (p = 0.002 and p = 0.031, respectively). At final follow-up, all functional scores improved significantly (Kujala: 62.4 ± 11.3 to 86.7 ± 9.1; Lysholm: 64.1 ± 12.0 to 88.2 ± 8.3; VAS: 6.2 ± 1.3 to 2.1 ± 1.1; all p < 0.001). Patients with smaller lesions (<100 mm²) and medial facet involvement achieved higher Kujala scores (p = 0.020) and lower postoperative pain (p = 0.001). The overall return-to-sport rate was 78.7%, and postoperative complications occurred in 10.7% of cases, mainly recurrent dislocation or implant irritation. Conclusions: Lesion localization and size significantly affect postoperative outcomes after osteochondral fixation for patellar dislocation. Medial facet and smaller lesions are associated with better pain relief and functional recovery, whereas large or trochlear lesions carry a less favorable prognosis. Morphological assessment of lesion characteristics should therefore guide surgical planning, fixation strategy, and postoperative rehabilitation to optimize clinical outcomes.

Early mortality and postoperative delirium remain major challenges in geriatric patients undergoing surgery for hip fractures. Nutritional status, systemic

Fracture healing may be influenced by pharmacological agents commonly prescribed for pain control and muscle spasm; while the effects of non-steroidal anti

Objective: Patellar clunk syndrome (PCS) is an uncommon complication after total knee arthroplasty (TKA), particularly in posterior-stabilized prostheses. It is characterized by a painful catching or “clunk” during knee extension, often caused by fibrous nodule formation at the superior pole of the patella. Reported incidence rates vary widely, and although factors such as implant design, femoral component size, and insert thickness have been proposed, the true incidence and risk factors remain uncertain.Method: This retrospective study included 330 patients who underwent primary TKA between 2016 and 2018. Demographics, implant design, femoral component size, insert thickness, and radiographic parameters were analyzed. Clinical outcomes were assessed using the Knee Society Score (KSS), and ultrasonographic detection of suprapatellar fibrous nodules was performed.Results: PCS occurred in 23 patients (7.5%). Incidence was higher in men (12.5% vs. 5.8%, p=0.041), in posterior-stabilized compared with cruciate-retaining prostheses (8.5% vs. 3.1%, p=0.048), and in bilateral versus unilateral procedures (30.4% vs. 5.2%, p

Değerli meslektaşlarımız, Omuz hastalıkları ortopedi ve travmatoloji pratiğinde büyük önem taşımaktadır. Aktif genç insanlardan yaşlı popülasyona kadar tüm yaş gruplarında çeşitli omuz patolojilerine sıkça karşılaşmaktayız. Bu hastalıkların farklı yaş ve aktivite düzeyindeki insanlarda görülme sıklığı değişmekle beraber, aynı hastalığın farklı yaştaki ve aktivite beklentisindeki hastalarda kişiye özel tedavi protokolleri oluşturulması hayati önem arz etmektedir. Bu kitabın oluşturulmasındaki temel amaç ilgili klinisyenlerin omuz hastalıklarına yaklaşımındaki önemli noktalara ulaşabileceği bir kaynak yaratmaktı. Bu kitapta, omuz bölgesinin anatomisinden biyomekaniğine, cerrahi yaklaşımlardan fizik tedavi protokollerine kadar mevcut bilgi ve deneyimler “Tüm Yönleriyle” ele alınmıştır. Ayrıca kitaptaki metinlerde yabancı kaynaklı kelimeler yerine Türkçe eşdeğer kelimelerin kullanılmasına özen gösterilmiştir.