Purpose: Finger injuries are important causes of emergency department admissions. In order to perform daily activities, the fingers must work fully and flawlessly. Replantation surgery aims to keep the injured finger alive and perform its functions almost completely. Our study aims to evaluate the reasons affecting the success of replantation during the SARS COV-2 pandemic period and to question the functional recovery after replantation. Methods: Finger and hand replantation performed in a single center by the same surgeon were reviewed retrospectively. Preoperative, intraoperative, and postoperative and demographic data of the patients, mechanism of injury, ischemia duration, complications, surgical treatment approaches, and functional evaluation scales after rehabilitation were collected and statistically evaluated. Results: In our study, 88 fingers of 56 patients were replanted. While single finger replantation was performed in 38 patients, multi-finger replantation was performed in 18 patients. The total success rate of replantation was 73.2%. While successful results were obtained in 81.6% of 38 patients with single finger replantation, 55.6% of 50 fingers in 18 patients with multiple finger replantation were successful. We found that 3 patients after surgery and 11 patients in the six months before surgery were positive for SARS COV-2. No finger loss or complications occurred in these 14 patients after replantation. Conclusion: We concluded that SARS COV-2 disease had no significant effect on finger replantation surgery. Our study found that the most important variables affecting surgical success were the mechanism of injury, injury level, age, gender, anesthesia technique applied, number of repaired veins, smoking, and ischemia duration.

Background: The aim of this study was to investigate the changes in pain, function, stiffness and complications over time in patients with osteoarthritis who underwent total knee arthroplasty (TKA) with fixed or mobile-bearing. Methods: This study is a prospective cohort type study performed with gonarthrosis patients that underwent TKA. Western Ontario and McMaster Universities Arthritis Index (WOMAC) and American Knee Society Score (AKSS) were used for clinical evaluation (pain, function and stiffness). The post-treatment measurements of patients were performed at the one-year follow-up. Results: The study group consisted of 63 patients with a mean age of 63.57 ± 8.13 years. WOMAC and AKSS scores of the patients improved significantly in both groups over time. WOMAC pain score was found to be lower in the fixed-bearing group in the postoperative first year. The WOMAC function score was lower in the mobile-bearing group at 6 months and 1 year postoperatively. The AKSS pain score was significantly lower in the mobile-bearing group in the preoperative period and in the fixed-bearing group at postoperative third month. The AKSS function score was significantly lower in the fixed-bearing group in the third and sixth postoperative months. In the postoperative period, no significant difference was found between groups in terms of radiolucent area size, infection and complication development. Conclusions: Significant clinical improvements were observed in both types of prostheses during the follow-up of patients. While there were differences in clinical outcomes between the groups during the follow-up period, the two groups were similar in terms of complications.

Background: Thumb pulp is a common site for hand injuries and the sensory function gained with its reconstruction is very important for hand function. We aimed the focusing in Foucher’s flap of the first dorsal metacarpal artery for coverage of thumb pulp defects. Methods: Our study was done over a period of two years, between 2019 and 2021 and involved 14 consecutive cases of thumb pulp defects treated in our institution. The patients included 12 males and 2 female, mean age of 40,5±14,43 years. Three elective and eleven emergency cases were operated in the study. We observed the patients for a period as following first week, 1 st. Month, 3. Month, 6 and 12 month. Results: The mean used flap was 2,57x2,07 cm. All the patients had good fine touch and the mean two-point discrimination (s2-PD) was 8,9 mm, which was satisfactory. No flap loss occurred in any patient; one patient distal margin necrosis, one patient epidermolysis and one patient venous congestion were observed. Conclusion: Foucher’s flap for thumb pulp defects is successful flap tecnique for sensation reconstruction. It replaces the soft tissue loss at the thumb pulp with minimal donor site morbidity and with good return of thumb pulp sensation. Our experience showed that Foucher’s flap is reliable option and has minimal complications.