Acta orthopaedica et traumatologica turcica最新文献

{"title":"Interposition of posterior tibial tendon in tibiofibular syndesmosis in a bimalleolar ankle fracture: a case report.","authors":"Heesoo Han,&nbsp;Ji Hye Choi,&nbsp;Kyoung Min Lee","doi":"10.5152/j.aott.2022.22098","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22098","url":null,"abstract":"<p><p>Ankle fractures are relatively common orthopaedic injuries; however, irreducible ankle fractures with or without dislocations are a rare, unstable type of injury that require surgical treatment. The structures impeding the accurate reduction of ankle fractures may be soft tissues, such as the deltoid ligament, extensor retinaculum, tendons, or bony fragments between the fracture sites. A 47-year-old male patient with irreducible medial malleolus and distal fibula fracture was referred for treatment. Intraoperatively, it was discovered that failed reduction was due to the interposition of the posterior tibial tendon in the syndesmosis. The posterior tibial tendon was pushed posteriorly through the tibiofibular interosseous interval and relocated to its anatomical position. Reduction and fixation were only achieved after relocation of the tendon. In conclusion, when anatomical reduction is not easily achieved, interposition of the posterior tibial tendon in the syndesmosis should be considered.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 6","pages":"412-415"},"PeriodicalIF":1.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/06/aott-56-6-412.PMC9885690.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9227153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the factors affecting mortality after non-traumatic major lower extremity amputations.","authors":"Ali Reisoğlu,&nbsp;Ali Turgut,&nbsp;Mert Filibeli,&nbsp;Mustafa İncesu,&nbsp;Eren Yalçın,&nbsp;Oğulcan Parlar","doi":"10.5152/j.aott.2022.22096","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22096","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the prognostic factors affecting mortality after major lower extremity amputations in patients with diabetes mellitus and peripheral vascular disease.</p><p><strong>Methods: </strong>For this retrospective study, 484 patients (345 male, 139 female) who were previously diagnosed with diabetes mellitus and peripheral vascular disease and underwent first-time nontraumatic major lower extremity amputations between January 2008 and January 2021 were included. The mean age of the patients was 64.2 ± 13.8 (20-114). In 32.4% of patients, peripheral vascular disease was the underlying cause, whereas diabetes mellitus was responsible for the etiology in 67.6% of patients. About 68.8% of patients had below-knee amputations, whereas 2.9% had bilateral below-knee amputations, 27.1% had above-knee amputations, and 1.2% had hip disarticulation performed. Gender, age, amputation level, amputation etiologies, Charlson comorbidity index, need for blood transfusion, and laboratory findings such as hemoglobin, platelet, albumin, erythrocyte sedimentation rate, C-reactive protein, sodium, potassium, and neutrophil to lymphocyte ratio levels were recorded preoperatively and at the time of discharge. Patients were grouped as died ≤1 month, ≤3 months, ≤6 months, and ≤12 months or alive.</p><p><strong>Results: </strong>Advanced age, female gender, high Charlson comorbidity index, blood transfusion requirement, proximal amputation level, preoperative low platelet, preoperative low albumin, and parameters such as low hemoglobin, low erythrocyte sedimentation rate, high sodium, low platelet, low albumin, high C-reactive protein, and high neutrophil to lymphocyte ratio at time of discharge were seen to have a statistically significant effect on mortality at 1 month, 3 months, 6 months, and 12 months postoperatively. Preoperative high C-reactive protein had a statistically significant effect on mortality at 1 and 3 months postoperatively, whereas low C-reactive protein had a statisti cally significant effect on mortality at 6 months postoperatively. High potassium at the time of discharge was associated with mortality at 6 and 12 months postoperatively.</p><p><strong>Conclusion: </strong>This study has shown us that mortality rates are affected by modifiable parameters at the time of discharge such as hemoglo bin, sodium, potassium, platelet, and albumin, and normalization of these parameters before discharge could reduce the rates of mortality in the postoperative period.</p><p><strong>Level of evidence: </strong>Level IV, Prognostic Study.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 6","pages":"377-383"},"PeriodicalIF":1.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4a/dc/aott-56-6-377.PMC9885639.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10731457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of anterior suprascapular nerve block versus interscalane nerve block in terms of diaphragm paralysis in arthroscopic shoulder surgery: a prospective randomized clinical study.","authors":"Alper Tunga Doğan,&nbsp;Sami Kaan Coşarcan,&nbsp;Yavuz Gürkan,&nbsp;Özgür Koyuncu,&nbsp;Ömür Erçelen,&nbsp;Mehmet Demirhan","doi":"10.5152/j.aott.2022.22044","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22044","url":null,"abstract":"<p><strong>Objective: </strong>This prospective, randomized study aimed to compare anterior suprascapular nerve block versus interscalene block in terms of diaphragm paralysis in arthroscopic shoulder surgery.</p><p><strong>Methods: </strong>Fifty-two patients undergoing shoulder arthroscopy surgery were prospectively randomly assigned to interscalene block (n=25) or anterior suprascapular nerve block groups (n=27) (each group receiving 5 mL, 0.5% bupivacaine). The ipsilateral diaphrag matic excursion was assessed in all patients using ultrasound imaging before (baseline), 30 minutes, and 24 hours after block completion. Pain scores were recorded 1 hour preoperative, 30-60 minutes in the postoperative recovery unit, and at 6 and 24 hours postoperatively.</p><p><strong>Results: </strong>No complete paralysis was observed in either treatment group. The incidence of a partial decrease in diaphragm movements was significantly lower in the anterior suprascapular nerve block than in the interscalene block group (1 vs. 21 patients) (P < .01). Twenty-six patients in the anterior suprascapular nerve block and 4 in the interscalene block group had less than a 25% decrease in hemidiaphrag matic movements, 30 minutes after the blockade. Pain scores were similar in the 2 groups. However, mean pain scores at 24 hours post operatively were significantly higher in the interscalene block than in the anterior suprascapular nerve block group (P < .05). Time to first pain post-block was significantly longer in the anterior suprascapular nerve block compared to the interscalene block group (677.04 ± 52.17 minutes vs. 479.2 ± 99.74 minutes, P < .05).</p><p><strong>Conclusion: </strong>Anterior suprascapular nerve block and interscalene block both appear to be clinically effective in providing postoperative analgesia for patients undergoing arthroscopic shoulder surgery under general anesthesia. However, the time to first pain is significantly longer with anterior suprascapular nerve block. Pain scores at 24 hours postoperatively were significantly lower in the anterior supra scapular nerve block compared to the interscalene block group. Diaphragmatic movements after anterior suprascapular nerve block were also better preserved at both 30 minutes after the block and 24 hours after surgery.</p><p><strong>Level of evidence: </strong>Level I, Therapeutic Study.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 6","pages":"389-394"},"PeriodicalIF":1.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/d4/aott-56-6-389.PMC9885700.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10673335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trunnion fracture of a cobalt-chrome fully porous-coated femoral stem: A case report.","authors":"Mustafa Kavak,&nbsp;Akın Turgut","doi":"10.5152/j.aott.2022.22051","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22051","url":null,"abstract":"<p><p>Modular femoral stem-head systems are used increasingly due to their ease of application and offset adjustment. However, this modular ity has brought complications of trunnion wear and breakage. Although very rarely encountered, trunnion fracture is a catastrophic com plication that requires challenging revision surgery. This report presents a trunnion fracture of a cobalt-chrome alloy, fully porous-coated femoral stem. Following single-stage revision surgery, full weight-bearing was achieved in six weeks, and the patient was painlessly mobile with a single cane and had a Hip Score of 81 in the last follow-up. Despite all the advantages of the femoral stem and head modu larity, one should remember that a catastrophic complication such as trunnion wear and fracture that require revision surgery is possible.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 6","pages":"408-411"},"PeriodicalIF":1.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/91/aott-56-6-408.PMC9885723.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10731451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radial nerve entrapment after fracture of the supracondylar humerus: a rare case of a 6-year-old.","authors":"Cheungsoo Ha,&nbsp;Soo-Hong Han,&nbsp;Ju Sung Lee,&nbsp;In-Tae Hong","doi":"10.5152/j.aott.2022.22062","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22062","url":null,"abstract":"<p><p>Supracondylar fracture of the humerus is one of the most common fractures seen in children, and posteromedial displacement of the distal fragment in extension-type supracondylar humerus fractures can cause injury to the radial nerve. A 6-year old girl who presented with symptoms of radial nerve injury after a supracondylar fracture of the right humerus with complete posteromedial displacement of the distal fragment (Gartland type III) underwent surgery where closed reduction and percutaneous pinning was performed. The patient was routinely followed up and at 6 months postoperatively no neurological improvement was seen. Exploratory surgery revealed complete discontinuation of the radial nerve at the fracture site and entrapment of the nerve stumps in healed bone callus. A gap of 2 cm was observed between nerve stumps, and sural nerve cable grafting was performed with good results. If neurological symptoms do not improve over time, appropriate differential diagnosis and, if necessary, exploratory surgery should be considered. Despite limited reports and their conflicting outcomes, sural nerve cable grafting could be a useful option to bridge the gap of discontinued nerve injury. Level of Evidence: Level IV, Case Report.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":"56 5","pages":"350-353"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/85/aott-56-5-350.PMC9682549.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10840207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative determination of the risky angles and safe distances for preventing deep femoral artery injury during proximal femoral nailing for hip fractures in Asian people.","authors":"Takehiro Kaneoka,&nbsp;Takashi Imagama,&nbsp;Manabu Yamamoto","doi":"10.5152/j.aott.2022.22061","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22061","url":null,"abstract":"<p><strong>Objective: </strong>During proximal femoral nailing, deep femoral artery injury, a rare condition, is often missed and found late, leading to intractable complications such as false aneurysm, hematoma, and anemia. We aimed to determine the novel indicators of the high-risk vertical range and axial angle for deep femoral artery injury that can be easily confirmed intraoperatively using fluoroscopy for hip fracture.</p><p><strong>Methods: </strong>In a single hospital, the lower extremity computed tomography angiographies of 88 patients (50 men and 38 women) were analyzed. A reference plane was defined as the femoral neck and shaft on the same straight line in the lateral view. Reference points were the lower end of the lesser trochanter and distal femur at 140 mm from the tip of the greater trochanter. To determine the high-risk angle for deep femoral artery injury based on the reference plane, the angle from the reference plane to the deep femoral artery (bone-arterial angle) and the shortest distance between the surfaces of the femur and the deep femoral artery (bone-artery distance) were measured at the lesser trochanter and the greater trochanter. We analyzed the bone-arterial angle and bone-artery distance values, their differences among the sexes, and their correlation with body height and body weight.</p><p><strong>Results: </strong>Overall, in the lesser trochanter, the mean bone-arterial angle and bone-artery distance were 19.2° ± 8.0° and 22.9 ± 4.7 mm, respectively. In the greater trochanter, the mean bone-arterial angle and bone-artery distance were -33.9° ± 17.0° and 11.3 ± 4.1 mm, respectively. The mean bone-artery distance of the lesser trochanter was significantly longer in men than in women (24.1 ± 4.5 mm and 21.4 ± 4.5 mm, respectively, P < 0.01), and for the lesser trochanter, positive correlations were found between body height and both bone- arterial angle and bone-artery distance (r=0.373, P < 0.001; and r=0.456, P < 0.0001, respectively), with body weight and bone-artery distance positively correlated (r=0.367, P < 0.001). At the greater trochanter, there were negative correlations between body height and bone-arterial angle (r=-0.5671, P < 0.0001), body weight, and bone-arterial angle (r=-0.338, P < 0.01).</p><p><strong>Conclusion: </strong>The knowledge of our reference plane and high-risk angles and distances allows surgeons to minimize the risk of deep femoral artery injury. These are easily confirmed intraoperatively using fluoroscopy, allowing surgeons to avoid maneuvering in the deep femoral artery range.</p><p><strong>Level of evidence: </strong>Level IV, Diagnostic Study.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":" ","pages":"300-305"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/f6/aott-56-5-300.PMC9682588.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33516915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of risk factors for amputation in patients with diabetic foot ulcers: a cohort study from a tertiary center.","authors":"Denizhan Demirkol,&nbsp;Şamil Aktaş,&nbsp;Tuncay Özcan,&nbsp;Xavier Tannier,&nbsp;Çiğdem Selçukcan Erol","doi":"10.5152/j.aott.2022.22052","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22052","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to analyze risk factors for amputation (overall, minor and major) in patients with diabetic foot ulcers (DFUs).</p><p><strong>Methods: </strong>407 patients with DFUs (286 male, 121 female; mean age = 60, age range = 32-92) who were managed in a tertiary care centre from 2009 to 2019 were retrospectively identified and included in the study. DFUs were categorized based on the Meggit-Wagner, PEDIS, S(AD)SAD, and University of Texas (UT) classification systems. To identify amputation risk-related factors, results of patients with DFUs who underwent amputations (minor or major) were compared to those who received other adjunctive treatments using Chi-Square, oneway analysis of variance (ANOVA) and Spearman correlation analysis.</p><p><strong>Results: </strong>The mean C-reactive protein (CRP) and White Blood Cell (WBC) values were significantly higher in patients with major or minor amputation than in those without amputation. The mean Neutrophil (PNL), Platelets (PLT), wound width, creatinine and sedimentation (ESR) values were significantly higher in patients with major amputation compared to other groups of patients. Elevated levels of Highdensity lipoprotein (HDL), Hemoglobin (HGB) and albumin were determined to be protective factors against the risk of amputation. Spearman correlation analysis revealed a positive-sided, strong-levelled, significant relation between Wagner grades and amputation status of patients.</p><p><strong>Conclusion: </strong>This study has identified specific factors for major and minor amputation risk of patients with DFUs. Especially infection markers such as CRP, WBC, ESR and PNL were higher in the amputation group. Most importantly, Meggit Wagner, one of the four different classification systems used in the DFUs, was determined to be highly associated with patients' amputation risk.</p><p><strong>Level of evidence: </strong>Level IV, Prognostic Study.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":" ","pages":"333-339"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8c/d2/aott-56-5-333.PMC9682599.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33518867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the magnetic resonance imaging cross-section area that best correlates with intraoperative hamstring autograft size.","authors":"Tacettin Ayanoğlu,&nbsp;Emre Arıkan,&nbsp;Onur Yılmaz,&nbsp;Halil Gökkuş,&nbsp;Yasin Emre Kaya,&nbsp;Kutay Engin Özturan","doi":"10.5152/j.aott.2022.21183","DOIUrl":"https://doi.org/10.5152/j.aott.2022.21183","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to find out the level of the gracilis and semitendinosus tendons that would provide the closest information about the size of the quadruple-stranded hamstring autograft using magnetic resonance images before anterior cruciate ligament reconstruction.</p><p><strong>Methods: </strong>Ninety-six patients (44 males, 52 females) who underwent anterior cruciate ligament reconstruction with quadruple hamstring tendon autografts between January 2015 and March 2020 were retrospectively analyzed. The cross-sectional areas of the gracilis and the semitendinosus tendons at 6 different levels (pes anserinus insertion site, tibial tuberosity, fibular head, tibial plateau, and the proximal insertion sites of the anterior cruciate ligament and the medial collateral ligament were measured on the magnetic resonance images. In addition, the harvested hamstring tendons were measured together (quadrupled) using a standardized graft-sizing block.</p><p><strong>Results: </strong>There was no significant difference between genders in terms of the tendon sizes measured in all levels using magnetic resonance images. There was a strong correlation between the graft size and the measurements made at the tibial plateau level (P < .0001, r=0.590).</p><p><strong>Conclusion: </strong>Intraoperative quadruple hamstring tendon sizes were most correlated with the magnetic resonance image measurements at the tibial plateau level. To use a hamstring autograft with a diameter of at least 8 mm for anterior cruciate ligament reconstruction, the total area of the 2 tendons should be at least 18.11 mm2 in the magnetic resonance image measurements made at the tibial plateau level.</p><p><strong>Level of evidence: </strong>Level IV, Diagnostic Study.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":" ","pages":"311-315"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/85/aott-56-5-311.PMC9682547.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33516914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral bi-level erector spinae plane blocks in scoliosis surgery: a retrospective comparative study.","authors":"Selcan Akesen,&nbsp;Saltuk Buğra Güler,&nbsp;Burak Akesen","doi":"10.5152/j.aott.2022.22019","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22019","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the effect of the ultrasound (US) guided erector spinae plane block (ESPB) on pain scores, opioid requirement, patient satisfaction, and the length of hospital stay with standard analgesia methods following scoliosis surgery.</p><p><strong>Methods: </strong>Twenty-seven patients (17 females, 10 males; mean age=15.59 ± 3.24 years) who underwent scoliosis surgery with preoperative bilateral bilevel US-guided ESPB were the sample group, and the remaining 30 patients (20 females, 10 males; mean age = 15.57 ± 2.75 years) without ESPB were the control group. Bilateral bilevel injection ESPB was performed at two levels (T4 and T10). Postoperative pain scores, morphine consumption, patient satisfaction scores, and the number of patients requiring rescue analgesia were recorded. A visual analog scale (VAS) was used to score postoperative pain.</p><p><strong>Results: </strong>VAS at rest and when mobile, as well as postoperative cumulative morphine consumption in the first postoperative 24 h, was significantly lower in the ESPB group. Thirteen patients in the control group but no in the ESPB group required rescue analgesics in the postoperative period. Both the time to the requirement of the initial dose of PCA and patient satisfaction scores were significantly higher in the ESPB group (P < 0.001 for both).</p><p><strong>Conclusion: </strong>Given the need for improved recovery of the patients, ESPB seems to be an essential analgesic technique that may reduce both opioid consumption and the severity of the pain, thus increasing the satisfaction of the patients and decreasing the length of hospital stay.</p><p><strong>Level of evidence: </strong>Level IV, Therapeutic Study.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":" ","pages":"327-332"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/14/aott-56-5-327.PMC9682554.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40428096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"YouTube provides insufficient information on patellofemoral instability.","authors":"Ali Yüce,&nbsp;Niyazi İğde,&nbsp;Tuğrul Ergün,&nbsp;Abdulhamit Mısır","doi":"10.5152/j.aott.2022.22005","DOIUrl":"https://doi.org/10.5152/j.aott.2022.22005","url":null,"abstract":"<p><strong>Objective: </strong>Videos uploaded to YouTube do not go through a review process, and therefore, videos related to patellofemoral instability may have little educational value. The purpose of this study was to assess the educational quality of YouTube videos regarding patellofemoral instability.</p><p><strong>Methods: </strong>A standard search was performed on the YouTube database using the following terms: \"unstable kneecap,\" \"patellar instability,\" \"patellofemoral instability,\" \"kneecap dislocation,\" and \"patellar dislocation,\" and the top 50 videos based on the \"relevance\" assignment of the YouTube algorithm were included for analysis. The properties, content, and source of each video were recorded. The educational quality of videos was analyzed according to scores obtained using DISCERN, the criteria of Journal of the American Medical Association, Global Quality Score, and Patellofemoral Instability Specific Score, and the quality of the videos was evaluated according to the groupings of these scoring systems.</p><p><strong>Results: </strong>A total of 250 videos were identified, of which 89 were included in the study for analysis. The mean video duration was 11.72 ± 22.03 minutes. The median number of views was 4516.5 (range, 3-6 044 971). The content of the videos was disease-specific in 60%, 20% were related to surgical technique or approach, and 14.1% were exercise videos. Most of the videos were uploaded by physicians (33.7%). The Global Quality Score and DISCERN scores were significantly correlated with video duration. The Patellofemoral Instability Specific Score was significantly correlated with video duration, number of views, view rate, likes, and Video Power Index. According to the DISCERN classification, 69.9% of the videos were very insufficient or insufficient. According to the Patellofemoral Instability Specific Score, 65.2% of videos were evaluated as very low or low. According to the Global Quality Score, 60.7% of videos were rated as poor quality.</p><p><strong>Conclusion: </strong>The quality of YouTube videos about Patellofemoral instability is insufficient. It was found that viewers tend to watch short and low-quality videos.</p>","PeriodicalId":7097,"journal":{"name":"Acta orthopaedica et traumatologica turcica","volume":" ","pages":"306-310"},"PeriodicalIF":1.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b8/d4/aott-56-5-306.PMC9682546.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33516913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}