Flexible flatfoot is a common deformity in pediatric and adult populations. In this study, we aimed to evaluate the functional and radiographic results of subtalar arthroereisis in adult patients with symptomatic flexible flatfoot. We included 26 feet in 16 patients who underwent subtalar arthroereisis for symptomatic flexible flatfoot. Radiographic examination included calcaneal inclination angle, lateral talocalcaneal angle, Meary’s angle, anteroposterior talonavicular angle, and Kite’s angle. The clinical assessment was based on the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot scale and a visual analog scale (VAS). The mean follow-up was 15.1±4.7 months. The mean preoperative AOFAS score was 53±6.6, while the mean AOFAS score at the last follow-up visit was 75±11.2 (P<0.05). The mean visual analog scale score was 6.9±0.6 preoperatively and 4.1±1.4 at the last follow-up visit (P<0.05). The mean preoperative and postoperative values measured were 13.4°±3.3° and 14.6°±2.7° for calcaneal inclination angles (P<0.05); 35.7°±6.9° and 33.2°±5.3° for lateral talocalcaneal angles (P>0.05); 8°±5.3° and 3.3±3 for Meary’s angles (P<0.05); 5.6°±3.5° and 2.6°±1.5° for anteroposterior talonavicular angles (P<0.05); and 23.7°±6.1° and 17.7°±5° for Kite’s angles, respectively (P<0.05). Implants were removed in three feet (11.5%). Subtalar arthroereisis is a minimally invasive procedure that can be used in the surgical treatment of adults with symptomatic flexible flatfoot. This procedure provided radiological and functional recovery in our series of patients.

The structural and functional alterations associated with diabetes adversely affect the biomechanical properties of the Achilles tendon, potentially acting together with neuropathy and ischemia in the development of diabetic foot ulcers.

BackgroundHip fracture is a worldwide public health problem that primarily affects osteoporotic individuals and the elderly. A second hip fracture can occur in elderly patients who have already suffered an initial hip fracture. The aim of this study was to investigate possible risk factors for second hip fractures in elderly patients with hip fractures.MethodsBetween 2010 and 2014, 230 patients who underwent uncemented bipolar hemiarthroplasty for hip fractures were retrospectively analyzed. The patients were divided into two groups: those with a first hip fracture (group 1) and those with a second hip fracture (group 2).ResultsThe mean time from the first hip fracture to second hip fracture was 22 months. There were no significant differences in the American Society of Anesthesiologist scores, comorbidities were observed in the two groups. The mean length of hospitalization was not significantly different between the two groups. The mean postoperative functional scores after second hip fractures were significantly lower in group 2 than in group 1.ConclusionsAlthough there are not certain risk factors for second hip fractures in elderly patients with hip fractures, to prevent second hip fractures, elderly patients should be provided with physical and medical therapy as well as orthotic support and their functional activity should be maintained.

Kist hidatik hastalığı, Ekinokokus olarak adlandırılan bir sestodun yol açtığı, sıklıkla karaciğere yerleşen paraziter bir hastalıktır. Kemik ve yumuşak doku yerleşimi nadir olarak görülür. Bu yazıda, sol uyluk ön-yan yerleşimli yumuşak dokunun kist hidatiği tanısıyla tedavi edilen 64 yaşındaki bir erkek olgu sunuldu. Kist hidatik, proksimalde gluteal bölge-den başlayarak pelvis içine, femur başına ve kalça eklemine yayılımına ikincil protrüzyo asetabuliye yol açan; distalde popliteal bölgeye kadar uzanarak dev bir lezyon oluşturuyor-du. Tıbbi tedaviye ek olarak yapılan tekrarlayan cerrahiler sonrası nükslerle karşılaşılan hastanın cerrahi takibi ve tıbbi tedavisi halen devam etmektedir.Anahtar sözcükler: Albendazol; ekinokokkozis, enfeksiyöz kemik hastalığı; pelvik enfeksiyon.A hydatid cyst is a parasitic disease which is caused by a cestode named Echinococcus and often located in the liver. Localization in the bone and soft tissue is rarely seen. In this article, we present a 64-year-old male case with a hydatid cyst located in the soft tissue of the left anterolateral aspect of the thigh. The hydatid cyst starting from the gluteal region proximally into the pelvis, the femoral head and the hip joint leading to the spread of secondary protrusio acetabuli and extending distally to the popliteal region formed a massive lesion. In addition to medical treatment followed by repeated surgeries, the patient with relapses is still under surgical follow-up and medical treatment.

Objective: Carpal tunnel syndrome (CTS) is formed by the compression of median nerve passes under the level of the transverse carpal ligament at the level of the wrist. CTS is the most common type of entrapment neuropathy. Mostly underlying cause of this entrapment is unknown. Mean platelet volume (MPV), is an important indicator in a positive direction for platelet activation and function. In this study, increased thrombocyte activation due to increased mean thrombocyte volume is whether an important indicator for CTS diagnosis or not was researched.Methods: In this study, 418 patients diagnosed with CTS and 120 controls were enrolled, including 538 people. In both groups, demographic data, and hemoglobin (HGB), mean corpuscular volume (MCV), red cell distribution width (RDW), platelet count (PLT), MPV, platelet distribution width (PDW) parameters were evaluated. Results:The mean HGB, MCV values were significantly lower in the CTS group than those of controls(p <0.001). RDW, PDW values were statistically higher in the CTS group (p <0.001). The mean MPV was significantly different between groups (p <0.005). The mean PLT did not reach statistically significant difference between groups (p = 0,484). Conclusion:The results of our study demonstrated that the increased MPV and PDW values and other related hemogram parameters (HGB, MCV, RDW) may provide useful information in the diagnosis and be predictive in patients with CTS. J Clin Exp Invest 2015; 6 (2): [154][155][156][157][158]