Hip fractures are a significant public health issue among the elderly. While early surgical intervention's effects on morbidity are well-documented, the impact of delayed surgery on mortality and morbidity is less understood. This study aims to examine the medium-term morbidity and mortality in patients who underwent delayed surgery with an average preoperative waiting period of 14 days. This retrospective study used data from hospital records, Social Security Institution death records, and telephone surveys. Included were patients aged 65 and older with femoral neck or pertrochanteric fractures. Excluded were those younger than 65, with pathological or subtrochanteric fractures, and without adequate preoperative and postoperative follow-up. Preoperative waiting time, mobilization status, ASA score, NLR, and mortality rates were recorded. Postoperative follow-ups occurred at 2, 6, and 12 weeks, 6 months, 1 year, and annually. Various statistical methods investigated the impact of preoperative waiting time on mortality and mobility. A total of 289 hip fracture surgeries were followed for an average of 5.1 years (range: 0-8.5 years). The mean age was 79 (range: 65-100), with 174 females (60.2%) and 115 males (39.8%). The average preoperative waiting time was 14 days (range: 0-49 days). ROC analysis indicated the critical mortality threshold was 12 days. The one-month cumulative mortality rate was 6% for patients operated on within the first 12 days and 11% for those operated on after 12 days. One-year cumulative mortality rates were 21% for patients operated on within 12 days and 39% for those operated on after 12 days. This study confirms the relationship between surgical delay and increased mortality rates in hip fracture patients, with a 12-day threshold for high mortality risk exceeding typical reports. While no statistically significant relationship was found between preoperative waiting time and ambulation, one-third of postoperative patients could walk without support and nearly half could not walk at all. Despite being retrospective, this study with a large patient population demonstrates the significant impact of surgical delay on mortality and morbidity rates in hip fracture patients.

Talus fractures are usually intra-articular fractures. Anatomical reduction and internal fixation are the main aims of surgical treatment. Different osteotomies have been exposed to reach the middle third and posterior third of the talus. Medial malleolar osteotomy is preferred for fractures involving the medial region of the talus, while lateral malleolar osteotomy is preferred for fractures involving the lateral region. For fractures involving both regions, a combined osteotomy is performed. In this case, there was a fracture in the middle and posterior third of the talar body. A triplanar posterior malleolar osteotomy was performed to achieve anatomical reduction and screw fixation at the appropriate angle. With this osteotomy, the fracture fragments were exposed, anatomically reduced, and fixed with screws at the appropriate angle. The technique provides adequate surgical exposure of the middle and posterior third of the talar body, enhances the quality of reduction, and facilitates optimal angulation for fixation. This technique offers an alternative option to osteotomies used in the surgical treatment of talus fractures. Cite this article as: Karaca H, Kaya AS, Aytekin K. Surgical management of posterior talar body fractures using triplanar posterior malleolar osteotomy: A case report and surgical technique. Acta Orthop Traumatol Turc., 2026; 60(3), 0532, doi: 10.5152/j.aott.2026.25532.

Aims: Glomus tumors are rare, benign neoplasms arising from the glomus body, primarily found in the extremities. Although their clinical presentation is well-documented, their epidemiological characteristics and uncommon localizations remain subjects of ongoing research. Methods: This retrospective study analyzed pathologically confirmed glomus tumor cases diagnosed at our institution between 2009 and 2025. Demographic data and anatomical localization were assessed. Results: A total of 36 patients met the inclusion criteria, with a female predominance (n=19, 52.7%). The mean age at diagnosis was 48.97±14.31 years. Most tumors were located in the upper extremities (n=24, 66.7%), particularly in the digits, while 10 cases (27.8%) involved the lower extremities. Additionally, two rare cases were identified: one in the intergluteal region and another in the back. The fourth to sixth decades of life were the most commonly affected age range (77%). Conclusion: Our findings align with previous literature regarding the prevalence of glomus tumors in the upper extremities and their higher occurrence in middle-aged individuals. However, rare localizations, such as the intergluteal region and back, highlight the need for a broader clinical perspective when diagnosing unexplained chronic pain. Future multicenter studies with larger cohorts may provide further insights into the epidemiology and clinical spectrum of glomus tumors.

Aims: Partial hip arthroplasty is preferred in elderly patients with low activity levels, numerous comorbidities, and limited mobility for hip fractures. To decide whether to use cement in femoral stem implantation, scoring systems such as Spotorno, Dorr, and Canale Flare Indices are used. Generally, cemented application is frequently for patients with over 5 points according to Spotorno criteria. In this study, our aim is to present the outcomes of patients who had a score of 5 or more according to the Spotorno criteria and required cemented prostheses but instead received cementless partial hip prostheses. Methods: Patients who underwent partial hip arthroplasty due to post-traumatic femoral neck fractures in our hospital’s orthopedics and traumatology clinic between 2017 and 2021 were retrospectively evaluated. To calculate the total score according to the Spotorno criteria, which evaluate age, sex, singh index and morphological cortical index, the radiographs of the patients included in the study were assessed, and the Singh index and morphological cortical index (MCI) were calculated.Periprosthetic fractures, prosthesis dislocations, heterotopic ossification, femoral loosening and mortality had been recorded. A total of 192 patients over the age of 70 with ASA III and ASA IV who underwent cementless partial hip arthroplasty were included in the study. Among these patients, 126 were female (% 5.7) and 66 were male (%34.3). Mean follow up was 5.8 years (0-7 years). Results: According to the Spotorno criteria, the total score for all patients was greater than 6. Periprosthetic fractures were detected in % 3.1. Heterotopic ossification was observed in %9.3. In the postoperative 1st month, mortality was observed in %5. Conclusion: Cementless hip arthroplasty in elderly patients with a Spotorno score of 5 or higher can be as effective and applicable as cemented hip arthroplasty. Although the literature generally recommends cemented hip prostheses for such patients, cementless partial hip arthroplasty can be a viable option if standard latest-generation cementing systems are not available.

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.