Objective: The aim of this study was to investigate the effectiveness of cryotherapy applied for the purpose of matricectomy following partial nail removal in treatment of ingrown nails. Methods: Between 2010 and 2013, 76 ingrown toenails of 62 patients were included in this prospective study. Following partial toenail removal, matricectomy with cryotherapy was performed. The lateral nail matrix was frozen for 45 seconds with open spray and spot-freezing technique using liquid nitrogen. Patients were followed up for a mean of 17.6 months (range: 12–44 months). Results: Wound recovery had occurred by 3-week follow-up. Recurrence in the form of spicule growth in 2 ingrown nails was detected on 6-month follow-up. Matricectomy application with cryotherapy was successful in the remaining 74 ingrown nails. Conclusion: Destruction of the nail matrix with cryotherapy following partial toenail removal for ingrown nails was found to be an effective treatment with a low recurrence rate. Keywords: Cryotherapy; ingrown nail; matricectomy. Level of Evidence: Level IV, Therapeutic Study. DOI: 10.3944/AOTT.2015.15.0117 This abstract belongs to the un-edited version of the article and is only for informative purposes. Published version may differ from the current version.

Background: Dislocation following hip hemiarthroplasty is one of the leading reasons necessitating a resurgery. Many studies suggested that the type of the surgical approach is the main cause for dislocation. However, no consensus has been reached yet regarding the type of the surgical approach. In this prospective clinical study, we aimed to compare the efficacy of two different capsulotomy techniques on dislocations, applied during hip hemiarthroplasties performed through the posterior approach. Materials and Methods: We investigated the dislocation rates in 287 patients (aged 65 and above) who underwent cemented bipolar hemiarthroplasty for displaced femoral neck fractures through the posterior capsular approach using two different capsulotomy techniques between 2009 and 2016. Patients were followed up for 12 months after hemiarthroplasty. Patients were evaluated in two groups; on whom hemiarthroplasty was performed as longitudinal (146 patients) and as T-shaped capsulotomy (141 patients). Results: Posterior dislocations occurred in seven (5%) patients who underwent hemiarthroplasty with T-shaped capsulotomy. No dislocation was observed in 146 patients who underwent hip hemiarthroplasty through posterior longitudinal capsulotomy. The difference between the two study groups was statistically significant (P < 0.007). Conclusion: Capsule integrity can be achieved through a strong capsule repair which is possible through hemiarthroplasty with longitudinal capsulotomy. Longitudinal capsulotomy is an effective technique in preventing dislocations following hip hemiarthroplasty.

This study compared the clinical and radiological findings of nonanatomic transtibial (TT) technique with intraspongious fixation and anatomical anteromedial portal (AMP) technique with extracortical button implant in anterior cruciate ligament (ACL) reconstruction. A total of 54 patients with isolated ACL rupture were included in this prospective study. The patients who had the intraspongious fixation by nonanatomical TT technique were allocated to Group 1 (n = 27). The patients with extracortical fixation by anatomical AMP technique were placed in Group 2 (n = 27). The clinical scores of the patients were evaluated with the International Knee Documentation Committee Evaluation Form, Tegner activity score, and Lysholm II Functional Scoring. The tibial and femoral tunnels were evaluated with three-dimensional computed tomography. The kinematic examinations were performed with a Biodex System 3 Pro isokinetic dynamometer. There was no significant difference between the groups in terms of demographic data (p > 0.05). The postoperative clinical scores improved significantly in both the groups compared with the preoperative levels (p = 0.001), but there was no significant difference in the postoperative clinical scores between the groups (p > 0.05). In the extension and flexion of 60 to 180 degrees/s, the peak torque and the peak torque/body weight values of the repaired knee to intact knee ratios showed significant differences in favor of Group 2 (p = 0.001). In both the groups, no significant difference was found between the mean extent of the tunnel enlargement (p > 0.05). The mean tunnel height was significantly greater in Group 1 (45% ± 9.86 vs. 34.11% ± 10.0%) (p = 0.001). When the localization of the tunnel enlargements (proximal-middle-distal) was examined, a significant difference was found between the groups (p = 0.001). Although the AMP technique, which is a more anatomic reconstruction, had an advantage with regard to tunnel enlargement and the isokinetic muscle studies, there was no difference between the two techniques in terms of the clinical results.

Objective: The aim of this study is to investigate the effectiveness of cryotherapy applied with the purpose of matricectomy following partial nail removal in treatment of ingrown nail. Methods: Seventy-six ingrown toenails of 62 patients were included in this prospective study performed between 2010 and 2013. Following partial toenail removal, matricectomy with cryotherapy was performed. The lateral nail matrix was frozen for 45 seconds with open spray and spot-freezing technique using liquid nitrogen. Patients were followed up for a mean of 17.6 (range, 12-44) months. Results: Wound recovery was completed at the 3rd week follow-up. Recurrence in the form of spicule growth in two ingrown nails was detected at 6th month. Matricectomy application with cryotherapy was successful in remaining 74 ingrown nails. Conclusion: Destruction of the nail matrix with cryotherapy following partial toenail removal for ingrown nails was found to be an effective treatment with low recurrence rates. Level of Evidence: Therapeutic Level IV. Keywords: Cryotherapy, ingrown nail, matricectomy DOI: 10.3944/AOTT.2015.16.0117This belongs to the un-edited version of the article and is only for informative purposes. Published version may differ from the current version.

Aim: This study aimed to delineate the single-center experience surrounding the long-term consequences of surgical reconstruction in subjects with late-presenting DDH (developmental dysplasia of the hip). Methods: We analyzed 23 hips of 21 subjects aged >6 years who underwent surgical interventions, such as pelvic osteotomy, open reduction, femoral shortening, and derotation, for developmental hip dysplasia. Results: After a median follow-up of 23.34 (8–120) months, there were no noteworthy alterations in the Harris score and anteversion. Nevertheless, significant improvements were observed in SHARP, CE angle, and depth and width index over the follow-up duration. Using Sever’s radiological criteria, 87.1% of subjects achieved excellent and good results. Assessment of femoral head avascular necrosis, based on Bucholz and Ogden’s classification, produced the subsequent findings: 52% of hips were Type I; 13% were Type II; 22% were Type III; and 13% were categorized as Type IV. Conclusion: Despite achieving favorable postoperative radiological outcomes, there's a noticeable decline in clinical success in these subjects, especially as their age increases. Additionally, they face an elevated risk of avascular necrosis. The juxtaposition of a 75% radiological success rate with a 50% clinical success rate accentuates this contrast. Crucially, the success rate of surgical corrections in late-presenting DDH is tied to the age of the patient, with the success rate decreasing as age progresses.

Tr en Amaç: Distal tibia kırığı nedeniyle minimal invaziv yöntem ve biyolojik fiksasyon prensipleri ile plak kullanarak osteosentez uyguladığımız olgularda klinik, radyolojik sonuç ve komplikasyonların değerlendirilmesi. Yöntem: Bu çalışmada distal tibia kırığı nedeniyle minimal invaziv yöntem ve biyolojik fiksasyon prensipleri ile ameliyat olan 58 hasta (35 erkek, 23 kadın, ortalama yaş 32) ortalama 28 aylık takibleri sonucunda değerlendirildi. Hastaların kırıkları AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) sınıflamasına göre değerlendirildi. Buna göre 16 hastada A1 (%27.6), 13 hastada A2 (%22.4), 14 hastada B1 (%24.1), 11 hastada B2 (%19), 4 hastada ise C1 (%6.9) tipi kırık mevcuttu. Tüm hastalarda kırıkların kaynama sonuçları, aktiviteye dönüşleri, ayak bileği hareket açıklıkları, enfeksiyon ve komplikasyonlar Johner ve Wruhs kriterlerine göre değerlendirildi. Bulgular: Hastalarda kırıkların ortalama kaynama süresi 13 hafta (11-24 arası) idi. Tüm olgularımızda kaynama elde edilirken bir hastada gecikmiş kaynama görüldü. Hiçbir olgumuzda enfeksiyon ve yara yeri problemi görülmedi. İki olguda kaynama sonrasında 5 derece varus deformitesi tespit edildi. Dört olgumuzda diğer ayağa kıyasla 5 derece, 4 olguda ise 10 derece dorsifleksiyon kaybı görüldü. Sonuç olarak Johner ve Wruhs değerlendirme kriterlerine göre 48 hasta mükemmel (%82.75), 10 hasta (%17.25) iyi olarak değerlendirildi. Sonuç: Yumuşak doku azlığı, zayıf vaskülarizasyon gibi nedenlerden dolayı komplikasyonla karşılaşma oranının yüksek olduğu distal tibia kırıklarında, minimal invaziv yöntem ve biyolojik plaklama prensipleri ile başarılı sonuçlar alınabilmektedir. Purpose: The aim of this study was to evaluate clinical, radiological and complication results in cases of osteosynthesis using plate by minimally invasive methods and biologic fixation principles due to distal tibia fracture. Materials and Methods: In this study, 58 patients (35 males, 23 females, mean age 32 ) who underwent surgery by minimally invasive method and biologic fixation principles due to distal tibial fracture were included. Patients were followed for an average of 28 months . Fractures were classified according to AO/OTA (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association) classification. 16 patients were classified as A1 (27.6%), 13 patients classified as A2 (22.4%), 14 patients classified as B1 (24.1%), 11 patients classified as B2 (19%) and 4 patients were classified as C1 (%6.9) according to AO classification. All patients fractures, union results, return to activity, ankle range of motion, infection and complication were evaluated according to the criteria of Johner and Wruhs. Results: Mean union time of fractures was 13 weeks (11-24). In all our cases, union was achieved. Delayed union was observed in only one patient. There was no infection or wound problem in any of our cases. In four cases, dorsiflexion loss was seen at 5 degrees compared to the other foot and 10 degrees at 4 other cases. 48 patients were evaluated excellent (82.75%) and 10 patients (17.25%) were evaluated good according to Johner and Wruhs evaluation criteria. Conclusions Successful clinical and radiologic results can be obtained by using the minimally invasive methods and biological fixation principles in distal tibia fractures which has high complication rates due to soft tissue weakness and weak vascularization.