An 84-year-old male patient with no known comorbidity was admitted to the emergency department with complaints of dyspnea and respiratory distress. The patient was referred to the COVID outpatient clinic, laboratory and radiology tests were performed. Thoracic CT scan of the patient showed large peripheral patchy ground glass densities observed in the lower lobes of both lungs. CT imaging findings were evaluated by an experienced radiologist and reported as COVID-19 pneumonia. The patient, who was self-isolated at home for 5 days, presented to the emergency department again on the fifth day with complaints of respiratory distress, fever, bruising with cough, and loss of peripheral pulse in the left lower extremity. Necessary tests were performed on the patient. An above-knee amputation was performed when a diagnosis of limb ischemic necrosis was made and no revascularization attempt was considered by the CVS department. This case study describes the coexistence of sudden lower extremity thrombosis and Covid-19 in our case without a known chronic disease.
In this study, we investigated the literature's publication trends related to the Charcot foot deformity. Using bibliometric analysis to examine the data of origin, this analysis was carried out by conducting an electronic search of the Web of Science database for research articles between 1970 and March 2023. We used the following search term in the search bar: TI = (Charcot foot OR Charcot foot deformity OR Charcot's foot OR Charcot Osteopathic Arthropathy) with English language and article-format filtering for documents. The bibliometric analysis was carried out using R's “Bibliometrix” package program. A total of 437 articles were found in the electronic search. A total number of 1513 authors from around the world contributed to the Charcot foot literature, with the most articles published (42.1%) originating in the United States. The United States had the highest proportion of citations (3332 citations). The highest number of articles (n = 245) on Charcot foot deformity was in the last decade. 2021 was the year with the most articles (n = 34). The authors from the United States and the United Kingdom had the highest number of international collaborations. The study offers researchers a current overview of essential data and may help direct future research by summarizing the main points and research trends on the topic of Charcot foot deformity.
Yağ embolisi sendromu (YES), solunumsal, hematolojik, nörolojik ve cilt belirtileri ile seyredebilen mikro dolaşımdaki yağ embolisinin sistemik belirtilerinden kaynaklanan klinik bir tablodur. Genellikle uzun kemik kırıklarından sonra ve 24-72 saat sonra ortaya çıkar. YES, insidansı, uzun kemik fraktürü sonrası % 0,5-3,5, pelvik fraktür veya çoklu uzun kemik fraktürü sonrası % 5-10 arasında değişmekte olan nadir bir klinik tablodur. Hastalarda ateş, ciddi solunum sıkıntısı, bilinç değişikliği, yaygın peteşi ve döküntülere ilaveten multiorgan yetmezliği görülebilir. Tanı genellikle klinik bulgulara dayansa da biyokimyasal değişiklikler yararlı olabilir. Bu olgu sunumunda, yoğun bakımda trafik kazası nedeniyle yatan hastada, ateş etyolojisi araştırılırken saptanan yağ embolisi sendromunun sunulması amaçlandı.
To evaluate how the static and dynamic plantar overload distribution patterns change following total knee arthroplasty (TKA) surgery using a pressure platform. Ten patients who met the inclusion criteria were included (mean age 68.5±7.9 years). Evaluations were performed prior to the surgery and on the 15th day after the surgery. Static balance parameters (anterior-posterior and total load distribution of the foot, ratio of weight bearing of the right and left foot, elliptic area of the pressure center and oscillation speed) were measured and recorded by Zebris™ FDM-2 (Zebris® Medical GmbH, Germany) device. Maximum strength produced in the posterior foot during walking, time percent of the walking cycle produced by this strength and middle foot maximum pressure values were found to be significantly decreased (p<0,05). Rotation degrees of the foot were found to be decreased in the patients, though not statistically significant. No significant differences were found in the total weight load on the foot, elliptic area, center of pressure (COP), line length and mean COP rate during static standing between the pre-surgical and postsurgical measurement results (p>0,05). Weight load measurement values on the forefoot of the opere side during standing were found to be significantly increased following surgery, while the weight load on the rear foot was found to be significantly decreased (p<0,05). The weight load on the rear foot and forefoot upon static stance was decreased and increased, respectively 15 days after the surgery in patients who underwent TKA surgery. The evaluations using force platform before and after surgery may be useful for orthopedic surgeons because TKA surgery used to correct knee alignment also affect loading parameters in early period.
Objectives: The aim of this study is to analyze research productivity in Turkey using published articles on total hip arthroplasty. Material and methods: All scientific articles published in English in the Science Citation Index Expanded and the Emerging Sources Citation Index between 1970 and 2023 were analyzed using "Web of Science". The number of articles, authors, institutions, and the 30 most frequently cited articles were analyzed. In addition, the Scopus database was also analyzed with the same method for making comparisons. Visualization was also done with Vosviewer tool. Results: As a result of the study, we found 190 articles in the WOS database and 485 articles in the Scopus database, until the end of March 2023. according to the WOS database (journals published in ESCI and SCIE indexes), Turkey ranked 15th among 108 countries. According to the Scopus database, Turkey ranked 22nd. Conclusion: Scholars can help clarify the history of Turkish literature on THA by using the study's data summary. We discovered 190 articles in the WOS database and 485 articles in the Scopus database as a consequence of the research up until the end of March 2023. In comparison to other countries, the quantity of articles was remarkably low.
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