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.

Objective: This study compared the clinical and radiological results of the arthroscopic transosseous (ATO) and transosseous-equivalent (TOE) double-row rotator cuff repair techniques. Methods: Prospective data collected from patients treated with ATO (32 women and 7 men, mean age: 57.03±6.39 years) and TOE (36 women and 8 men; mean age: 57.86±7.81 years) techniques were retrospectively evaluated. The visual analog scale score, Constant score, and Oxford shoulder score were used to assess the clinical results. Anchor pullout on standard anteroposterior shoulder radiographs and rotator cuff re-tear on magnetic resonance images were examined at the final follow-up to evaluate the radiological results. Rotator cuff re-tears were graded as per the classification system described by Sugaya et al. Results: The mean follow-up duration was 33.3±11.8 months. No difference was observed in the demographic data of the two groups. Significant improvement was observed in the postoperative shoulder scores of the groups; however, no difference was observed between the groups. Re-tear was detected in 10 patients of the TOE group and 9 patients of the ATO group. Age, tear size, and retraction level could cause re-tear. Conclusion: In the treatment of rotator cuff tears, the ATO and TOE techniques may achieve considerable improvements in shoulder functions in the short term. Level of Evidence: Level III, Therapeutic study Cite this article as: Fırat A, Aydın M, Tecimel O, Öçgüder A, Sanisoğlu Y, Uğurlu M. Comparison of the clinical and radiological outcomes of arthroscopic transosseous and transosseous-equivalent double-row rotator cuff repair techniques. Acta Orthop Traumatol Turc 2020; 54(2): 178-85.

Objective: The aim of this study was to investigate whether use of custom-fabricated insoles improves the gait pattern in patients with displaced intra-articular calcaneal fractures. \r\nMethods: Fourteen patients (7 female, 7 male; mean age: 39±12 years) and 11 healthy individuals (mean age: 42±13 years) were included in the study. Treatment protocol included conservative treatment involving immobilization, with or without closed reduction, active exercises, wear of a custom-fabricated insole and prospective follow-up. All patients were evaluated by physical examination, axial and lateral radiographs, computerized tomography, and computerized gait analysis. \r\nResults: The use of custom-made insoles significantly improved step and stride lengths and the peak values of fore-aft component in the involved foot and tended to increase plantarflexor moment and total ankle power. The majority of patients (71%) continued to have substantial mechanical abnormalities by computerized gait analysis. Plantar flexion moment, total ankle power, vertical component of ground reaction forces (GRFs), and total sagittal plane excursion were significantly decreased in the involved foot when compared to the uninvolved foot. Plantar flexion moment, total ankle power, vertical, fore-aft and mediolateral componentsof GRFs were significantly decreased in the involved foot when compared to the healthy control group. \r\nConclusion: Use of a custom-made insole improves advancement of limb and weight-bearing in patients with a displaced intra-articular calcaneal fracture. Nevertheless, mechanical abnormalities persist in the affected limb, which does not appear to recover a gait pattern similar to that of normal walking. Özet Amaç: Bu çalışmanın amacı özel yapım tabanlık kullanımının, deplase eklem içi kalkaneus kırıklı hastalarda yürüme modelini iyileştirip iyileştirmediğini araştırmaktı. \r\nÇalışma planı: Çalışmaya yaş ortalaması 39 (dağılım: 27-51) olan 14 hasta ile (7 erkek, 7 kadın), yaş ortalaması 42 (dağılım: 29-55) olan 11 sağlıklı birey katıldı. Tedavi protokolü, kapalı redüksiyonla veya redüksiyonsuz, immobilizasyonla konservatif tedavi, aktif egzersizler, özel yapım tabanlık giydirilmesi ve prospektif takip basamaklarından oluşuyordu. Tüm hastalar fizik muayene, aksiyel ve yan grafiler, bilgisayarlı tomografi ve bilgisayarlı yürüme analizi ile değerlendirildi. \r\nBulgular: Özel üretilmiş tabanlık kullanımı, tutulumlu ayakta adım ve çift adım uzunlukları ile baştan sona tüm adımın uç değerlerinde belirgin derecede düzelmeye neden oldu ve plantarfleksör momentin ve toplam ayak bileği kuvvetinin artmasını da sağladı. Hastaların büyük çoğunluğu (%71), bilgisayarlı yürüme analizinde önemli mekanik anormalliklere sahipti. Sağlam ayakla karşılaştırıldığında, plantar fleksiyon momenti, toplam ayak bileği gücü, yer tepkime kuvvetlerinin (YTK) dikey komponenti ve toplam sagital plan salınımı tutulumlu ayakta belirgin derecede azaldı. Plantar fleksiyon momenti, toplam ayak bileği gücü, YTK dikey komponentinin ön-arka ve iç-yan komponentleri, tutulumlu ayakta sağlıklı kontrol grubuna göre belirgin bir şekilde azaldı. \r\nÇıkarımlar: Bu çalışmanın sonuçları, deplase eklem içi kalkaneus kırıklı hastalarda özel yapım tabanlık kullanımının, ekstremite hareketini ve yük taşımasını düzelttiğini göstermiştir. Bununla beraber, etkilenmiş ekstremitedeki mekanik anormallikler, normal yürümeye eşdeğer bir yürüme modelinin tekrar elde edilemeyeceğini gösterecek şekilde devam etmektedir.

This study aims to evaluate whether the use of headless compression screws is appropriate in arthroscopic ankle arthrodesis. Twenty-two feet of 22 patients (12 males, 10 females; mean age 43.7 years; range 21 to 63 years) in whom we applied arthroscopic ankle arthrodesis were examined retrospectively. Mean follow-up duration was 59.3 months (range 36 to 92 months). Coronal and sagittal plane alignment and concomitant pathologies were evaluated on patients' radiographs. Assessments related to pain and functionality were performed by the American Orthopaedic Foot and Ankle Society (AOFAS) scoring. Radiographic union was achieved in 21 of the total 22 ankles (95.4%). Mean time to union was 10.3±3.5 weeks (range 6.6 to 13.8 weeks). Mean AOFAS pain score increased from 8.1±10.2 to 35.0±6.3 and functional score increased from 21.3±5.5 to 43.4±3.8 (p<0.001). On coronal plane, preoperative tibiotalar angle of 6.6±5.5° decreased to 2.3±2.1° postoperatively. On sagittal plane, while preoperative tibiotalar angle was 17±4.9°, it was 17±4.5° postoperatively. One patient had subtalar pain and one patient had nonunion postoperatively. The use of headless compression screws is an appropriate choice in the ankle area owing to their advantages of providing successful fixation whilst not causing screw head irritation or pain.