In Hoffa fractures, arthroscopy-assisted fixation is an option for treatment. It is advantageous because it allows the ability to evaluate other intra-articular structures, decreases blood loss, shortens surgical time, decreases soft-tissue dissection, and facilitates a shorter postoperative rehabilitation period.

Article HistoryReceived 05 / 02 / 2013 Accepted 11 / 02 / 2013A 30 days old healthy male infant with left thigh swelling was presented to our clinic by his family. Parents gave no history of diseases or trauma and was administered hepatitis B vaccine from left thigh one week before. Physical exam revealed approximately 3x2 cm, erythematous, indurated, tender to palpation, fluctuating soft tissue swelling over the anterolateral left thigh. During needle puncture, 15 cc purulent liquid was aspirated. As the liquid was purulent, irrigation and debridement were performed. Following six weeks of antibiotic treatment, the patient was completely recovered.

Aim: Plate and screw combinations have long been in frequent use in the surgical treatment of bone fractures. Developments in the essentials of surgical fracture treatment in the last few years are mainly due to a better understanding of different responses to varying mechanical conditions and advances in the science of materials used for treatment. This study aimed to assess the stability of plates whose surface texture had been modified without affecting their structural characteristics. Materials and Methods:The plates used in the study were prepared as standard four-hole plates according to three different surface designs; sanded, grooved or smooth. The plates were designed for the particular characteristics of chicken bones; they were applied following transverse osteotomy of the femur. Their stability was biomechanically tested in vitro. The bones subjected to osteotomy and fixated by plates were tested for axial compression loading, three-point bending and torsion.Results: Mean resistance force for grooved surfaced plates was superior to sanded and smooth surfaced plates for all test types. The plates with grooved surface were the most resistant, followed in the order by the sanded and the smooth (control) plates (p<0.05). Conclusion:The study showed that the plates with surface modifications were at least as stable as the control group plates. We found most stable plate as grooved surfaced plate. The possible effects in the living organism are yet unknown. Keywords

Article History

Although reverse shoulder arthroplasty is used in massive rotator cuff tears, it is also used in proximal humerus fractures and shoulder arthroplasty revision. In this study, we aimed to examine the early radiological and clinical results of patients undergoing reverse shoulder arthroplasty with different diagnoses. Between 2010 and 2013, reverse shoulder arthroplasty was applied to 10 patients (4 men, 6 women) with the diagnosis of arthropathy due to rotator cuff tear (n: 7), multi-fragmentary proximal humerus fracture (n: 2) and hemiarthroplasty revision (n: 1). The median age of the patients was 74 (64-85) years and the median follow-up was 15.5 (3-35) months. Patients were assessed in terms of joint range of motion, Constant score and Visual Pain Scale (VAS) and radiological examinations before and after surgery. Preoperative active shoulder flexion, abduction, internal and external rotation degrees of the patients were 65, 30, 40 and 50 degrees, and 105, 95, 30, 57.5 degrees respectively in their final controls. Constant score was 20.5 (14-63) preoperatively, and 54.5 (38-64) in the final controls (p˂0.05). While the preoperative VAS was 7 (3-9), it was found to be 1.5 (1-3) in the final controls (p˂0.05). As a complication, scapular notching was observed in one patient. Internal external rotation values were better in the rotator cuff arthropathy group than the fracture group. Reverse shoulder arthroplasty, especially in the treatment of patients with rotator cuff arthropathy, has good early results and a low complication rate. We recommend paying attention to the glenoid component location to avoid scapular notching.