Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES最新文献

{"title":"Case report and literature review of trophoblastic pancreatic carcinosarcoma presenting with gastric hemorrhage.","authors":"Emir Mehmet Yünlüel, Iklil Eryılmaz, Fırat Yetiş, Elife Kımıloğlu, Nuray Doğan, Ahmet Muzaffer Er","doi":"10.14744/tjtes.2025.72884","DOIUrl":"https://doi.org/10.14744/tjtes.2025.72884","url":null,"abstract":"<p><p>Pancreatic carcinosarcoma is one of the rare malignant tumors of the pancreas. Although they are aggressive, they can be detected with local or distant organ metastases when detected. In this article, the surgical procedure applied to pancreatic trophoblastic carcinosarcoma, which showed local invasion in a patient who applied to the emergency department of our hospital with the complaint of bloody vomiting and was operated with a preliminary diagnosis of gastric hemorrhage, the pathology result and the aggressive progression of the disease in a short time were presented. A literature review was conducted for pancreatic trophoblastic carcinosarcoma, which is a rare case, and the findings were presented.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 4","pages":"405-410"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive factors at emergency department admission for a complicated course of acute pancreatitis.","authors":"Fatih Acehan, Ihsan Ateş, Nisbet Yilmaz","doi":"10.14744/tjtes.2025.05070","DOIUrl":"https://doi.org/10.14744/tjtes.2025.05070","url":null,"abstract":"<p><strong>Background: </strong>Acute pancreatitis (AP) is a condition frequently encountered by emergency department (ED) physicians, presenting with a spectrum of severity ranging from a mild, uncomplicated form to a severe, potentially fatal one. This study aimed to identify ED admission parameters that could predict a complicated disease course in patients with AP.</p><p><strong>Methods: </strong>Patients consecutively diagnosed with AP between 2010 and 2018 were included in the study and categorized into complicated and uncomplicated AP groups based on disease progression. Various clinical and laboratory characteristics at ED admission were compared between the two groups, and independent risk factors for complicated AP were identified. Complicated AP was de-fined as the development of any of the following during hospitalization: death, severe disease, necrosis, late peripancreatic or vascular complications, and pancreatic/peripancreatic or major extrapancreatic infections.</p><p><strong>Results: </strong>Of the 511 patients included in the study, 74 (14.5%) were classified into the complicated AP group. At ED admission, recurrent AP, alcoholic etiology, pleural effusion, systemic inflammatory response syndrome, and calcium levels were identified as independent risk factors for complicated AP. The area under the curve for the combination of these five predictors for complicated AP was 0.857 (95% confidence interval: 0.810-0.904), significantly higher than that of existing scoring systems.</p><p><strong>Conclusion: </strong>Using five simple parameters, the development of complicated AP was successfully predicted. These parameters should be considered in the development of new scoring systems to identify patients at risk for clinically severe outcomes in AP.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 4","pages":"341-349"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of autopsy cases involving foreign nationals at the Erzurum Forensic Medicine Group, Presidency of the Forensic Medicine Institute between 2016 and 2021.","authors":"Abdulkadir Sancı, Ahmet Nezih Kök, Mustafa Talip Şener","doi":"10.14744/tjtes.2025.23483","DOIUrl":"https://doi.org/10.14744/tjtes.2025.23483","url":null,"abstract":"<p><strong>Background: </strong>Individuals who are not citizens of a country are defined as foreigners, whereas those with citizenship ties are referred to as nationals. In cases where a foreign national dies in our country, a death certificate is issued by the director of the relevant institution if the death occurs in a public health facility, or by the attending physician in a private health institution. In cases of forensic or suspicious deaths, necropsy and autopsy procedures are conducted in accordance with the Code of Criminal Procedure and the circular issued by the High Council of Judges and Prosecutors. Based on the circumstances of the incident, a notification form is forwarded to the relevant consulates and the Ministry of Foreign Affairs. Data on the deaths of foreign nationals are crucial for understanding the demographic characteristics and causes of death within the foreign population. This study aimed to evaluate the deaths of foreign nationals within a geographical and socioeconomic context, to generate scientific data and identify potentially preventable causes of death.</p><p><strong>Methods: </strong>This study retrospectively analyzed autopsy reports of foreign nationals who underwent examination at the Morgue Specialization Department of the Erzurum Group Directorate of the Forensic Medicine Institute between 2016 and 2021.</p><p><strong>Results: </strong>A total of 90 cases were analyzed. Of these, 92% (n=83) were male, and 65.5% (n=59) were in the young to middle-aged group. The mean age was 34.1 years, and 78.8% (n=71) of the individuals were from Central Asia. The causes of death were as follows: diseases in 28.8% (n=26) of cases, traffic accidents in 16.6% (n=15), and hypothermia in 14.4% (n=13). The rate of negative autopsy findings, where no definitive cause of death could be determined due to advanced decomposition, was 5.5% (n=5).</p><p><strong>Conclusion: </strong>The majority of autopsied deaths of foreign nationals were determined to be due to traumatic causes and occurred outside their country of origin, highlighting the fatal consequences of migration-related mobility. In cases involving the deaths of foreign nationals, the provisions of the Vienna Convention on Consular Relations should be observed, death notifications should be properly processed, and biological samples should be preserved for identification purposes.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 4","pages":"350-357"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for conversion from laparoscopic appendectomy to open appendectomy: A retrospective analysis of single-center experience.","authors":"Cengiz Ceylan, İsa Elbistan, Bora Barut","doi":"10.14744/tjtes.2025.36423","DOIUrl":"https://doi.org/10.14744/tjtes.2025.36423","url":null,"abstract":"<p><strong>Background: </strong>Acute appendicitis (AA) is one of the most common causes of surgical acute abdomen. Currently, laparoscopic appendectomy (LA) is the most frequently preferred surgical approach. As with all laparoscopic procedures, the possibility of conversion to open surgery also exists in LA. This study aims to identify the risk factors associated with conversion to open appendectomy (OA) during the laparoscopic management of AA.</p><p><strong>Methods: </strong>This retrospective case-control study included 445 patients who underwent LA for AA between 2018 and 2023. Patients were divided into two groups based on whether conversion to OA was required during the laparoscopic procedure. Preoperative demographic, clinical, and perioperative data were evaluated. Both univariate and multivariate analyses were performed.</p><p><strong>Results: </strong>The median age of the 445 patients included in the study was 34 years (interquartile range: 25-49). Of these, 58.2% were male. The overall conversion rate to open surgery was 3.8%. In univariate analyses, factors such as age (p=0.002), the American Society of Anesthesiologists (ASA) score (p=0.011), time of arrival at the emergency department (p<0.001), C-reactive protein (CRP) level (p<0.001), amylase level (p=0.012), Malatya Complicated Appendicitis Prediction Score (MCAPS) ≥6 (p<0.001), and presence of complicated appendicitis (p<0.001) were associated with conversion. However, in multivariate analyses, only an MCAPS score of 6 or higher (p=0.034) was identified as an independent risk factor for conversion.</p><p><strong>Conclusion: </strong>Since conversion to OA is sometimes unavoidable in the management of AA, clinicians may benefit from using the easily applicable MCAPS to predict the likelihood of conversion. This scoring system may also assist in considering primary OA when appropriate.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 4","pages":"365-370"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstetric management of pregnant patients during an earthquake.","authors":"Gülsüm Uysal, Fikriye Işıl Adıgüzel, Ghaith Hejazi, Neşe Yücel","doi":"10.14744/tjtes.2025.69209","DOIUrl":"https://doi.org/10.14744/tjtes.2025.69209","url":null,"abstract":"<p><strong>Background: </strong>The Kahramanmaraş Earthquake, often referred to as the \"disaster of the century,\" occurred on February 6, 2023. Following the 7.7 magnitude earthquake, extensive destruction and significant loss of life occurred across 10 provinces. This study aims to analyze the outcomes and share the surgical and radiologic algorithm applied to live, trauma-affected pregnant patients who were referred to the obstetrics and gynecology emergency department of our hospital following the earthquake.</p><p><strong>Methods: </strong>This is a retrospective observational study. The study included pregnant patients affected by the earthquake who were admitted to and/or referred to the obstetrics and gynecology emergency department of a tertiary hospital between February 6 and March 6, 2023. Demographic data, trauma-related findings, surgical details, and obstetric outcomes were recorded.</p><p><strong>Results: </strong>A total of 58 pregnant earthquake victims were evaluated. The mean gestational age was 22.24±10.59 weeks. The most common obstetric complaint was pelvic pain or contractions (36.3%). Eleven patients gave birth, two via vaginal delivery and nine via cesarean section. The mean gestational age at delivery was 32.81 weeks. Curettage was performed in three patients, and hysterotomy in one patient. There were six live births and five stillbirths. In patients undergoing cesarean section, a midline incision was made. After delivery, the uterus was sutured, and intra-abdominal organs were evaluated. In cases of pelvic or other fractures, intraoperative scope devices were used. When necessary, patients were consulted by general surgery and orthopedics departments and were transferred to either the ward or the intensive care unit, depending on their clinical condition.</p><p><strong>Conclusion: </strong>Ultrasound has become the primary diagnostic tool for emergency evaluation in pregnant women. For earthquake victims who lack access to radiological assessment and require rapid clinical decisions, the recommended surgical approaches, particularly midline incisions, and intraoperative evaluations (such as the use of intraoperative scope after delivery) can be life-saving for both the baby and the mother.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 4","pages":"358-364"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The protective effects of sesamin on the ileum in superior mesenteric artery ischemia induced in rats.","authors":"Hikmet Özesmer, Mehmet Tolga Kafadar, Eda Yıldızhan, Murat Akkuş","doi":"10.14744/tjtes.2025.97340","DOIUrl":"https://doi.org/10.14744/tjtes.2025.97340","url":null,"abstract":"<p><strong>Background: </strong>Acute mesenteric artery ischemia is recognized as a significant cause of mortality and morbidity, with its incidence increasing with age. This study aims to investigate the efficacy of sesamin in mitigating the histological, immunological, and biochemical damage associated with superior mesenteric artery ischemia and reperfusion (SMA I/R) injury in the ileum.</p><p><strong>Methods: </strong>Twenty-eight Sprague-Dawley rats were randomly assigned into four equal groups. Group I (Control group): Received no treatment. Group II (SMA I/R group): Carboxymethylcellulose was mixed with distilled water and administered orally via gavage at a dose of 1 mL/kg/dose for three weeks. At the end of the third week, SMA ischemia was induced for 60 minutes followed by 120 minutes of reperfusion. Group III (Sesamin group): Received sesamin orally at a dose of 30 mg/kg via gavage for three weeks. Group IV (Sesamin + SMA I/R group): Received sesamin followed by SMA I/R.</p><p><strong>Results: </strong>Serum malondialdehyde (MDA) levels were highest in the SMA I/R group, while lower levels were observed in the Sesamin + SMA I/R group (p<0.05). Similarly, total oxidant status (TOS) was significantly reduced in the Sesamin + SMA I/R group compared to the SMA I/R group (p<0.05). Consistent with these findings, Bax expression, a pro-apoptotic marker, was less intense in the Sesamin + SMA I/R group than in the SMA I/R group.</p><p><strong>Conclusion: </strong>Our findings indicate that the administration of sesamin prior to SMA I/R effectively reduces oxidative damage and prevents histological alterations, as demonstrated by histological, immunohistochemical, and biochemical parameters.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 4","pages":"317-323"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-center experiences with a novel method for preoperative localization of thoracic spine lesions using computed tomography-guided pedicular spinal needle placement.","authors":"Ali Rıza Güvercin, Mehmet Orbay Bıyık, Mehmet Aktoklu, Uğur Yazar, Ertuğrul Çakır","doi":"10.14744/tjtes.2025.82844","DOIUrl":"https://doi.org/10.14744/tjtes.2025.82844","url":null,"abstract":"<p><strong>Objective: </strong>Thoracic level localization in the treatment of thoracic spine problems is more challenging than other spinal regions. The purpose of this study was to prove the reliability of pedicular spinal needle placement under computed tomography guidance before thoracic spine surgery and to reduce the margin of error, surgery time and operating room radiation exposure during thoracic spine and spinal cord surgery.</p><p><strong>Methods: </strong>Fourteen patients undergoing posterior aproach to the thoracic spine and/or spinal cord related lesions were investigated. Spinocaths were placed under CT guidance, into the pedicle of the relevant vertebra, at the same day or the night before surgery. The surgical field is prepared as usual, and a spinocath is placed to the relevant thoracic pedicle under CT guidance.</p><p><strong>Results: </strong>Intraoperative level localization was more reliable and easier in patients undergoing preoperative CT-guided marking in surgeries on the thoracic region performed for various reasons. Shorter preoperative preparation and intraoperative anesthesia times, a decrease in number of fluoroscopic images taken intraoperatively, and no spinal mislocalizations were observed.</p><p><strong>Conclusion: </strong>The results obtained suggest that localising the level with preoperative CT before all types of thoracic surgery is a safe, reliable, and useful method for thoracic spine surgery.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 4","pages":"371-374"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the effects of rosmarinic acid on red blood cell deformability, morphology, and nitric oxide in rat lower limb skeletal muscle ischemia-reperfusion injury.","authors":"Celalettin Günay, Hakan Kartal, Ertan Demirbaş, Bilgehan Savaş Öz, Şahin Kaymak, Faruk Metin Çomu, Gökhan Erol, Gökhan Arslan, Tayfun Özdem, Tuna Demirkıran, Muharrem Emre Özdaş, Işıl Taşöz Özdaş, Yiğit Tokgöz, Veli Can Özdemir","doi":"10.14744/tjtes.2025.25590","DOIUrl":"https://doi.org/10.14744/tjtes.2025.25590","url":null,"abstract":"<p><strong>Background: </strong>Erythrocyte deformability, the ability of red blood cells to bend and twist as they pass through capillaries, is es-sential for tissue perfusion. This study investigates the effects and underlying mechanisms of rosmarinic acid treatment on erythrocyte deformability in rats subjected to lower limb ischemia-reperfusion injury.</p><p><strong>Methods: </strong>The study was conducted on Wistar albino rats weighing 400-450 g. The rats were randomly divided into five groups: the control group with no treatment (C), the group receiving only the solvent dimethyl sulfoxide (DMSO), the ischemia-reperfusion group (IR) subjected to 90 minutes of ischemia followed by 90 minutes of reperfusion in the femoral artery of the lower limb, the rosmarinic acid control group (RA-C) to assess the effects of rosmarinic acid alone, and the group (IR+RA) in which rosmarinic acid was administered intraperitoneally one hour before the ischemia-reperfusion procedure. At the end of the experiment, intracardiac blood samples were collected. Analyses included May-Grünwald-Giemsa (MGG) staining, measurement of endothelial nitric oxide synthase (eNOS), erythrocyte deformability indexes, malondialdehyde (MDA), and superoxide dismutase (SOD) levels.</p><p><strong>Results: </strong>Significant findings were observed in the study. Erythrocyte deformability was statistically significantly improved in the group that received rosmarinic acid prior to ischemia-reperfusion compared to the group that underwent ischemia-reperfusion alone. Morphological changes of erythrocytes were also significantly better in the IR+RA group than in the IR group. Immunohistochemical analysis of eNOS staining revealed that eNOS activity was higher in the IR group compared to the IR+RA group. Malondialdehyde (MDA) levels were significantly elevated in the IR group compared to all other groups. Analysis of superoxide dismutase levels showed that the SOD levels in the IR+RA group were significantly higher than those in the other groups.</p><p><strong>Conclusion: </strong>Our findings indicate that rosmarinic acid treatment administered prior to ischemia provides protective effects against erythrocyte deformation and morphological deterioration. It is suggested that the improvement in deformability may be mediated by increased SOD activity, which reduces reactive oxygen anions, by-products of nitric oxide (NO) production, thereby exerting an antioxidant effect and enhancing the beneficial actions of NO.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 4","pages":"324-331"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12000976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of intramedullary screw fixation in pediatric proximal phalanx fractures: A prospective case series.","authors":"Ömer Ayık, Serkan Bayram, Uğur Kayık, Murat Taşkın","doi":"10.14744/tjtes.2024.64236","DOIUrl":"10.14744/tjtes.2024.64236","url":null,"abstract":"<p><strong>Background: </strong>This prospective case series aimed to evaluate the short- to medium-term radiological and clinical outcomes of intramedullary screw (IMS) fixation in pediatric patients with extra-articular proximal phalanx fractures.</p><p><strong>Methods: </strong>Eleven patients (eight boys and three girls) aged 5-15 years underwent IMS fixation between January 2020 and June 2022. Antegrade or retrograde techniques were used depending on the fracture location. Postoperatively, patients were immobilized with finger splints for 3-5 days, followed by home exercises and physiotherapy. Bone union and functional status were assessed at one and four weeks after rehabilitation. Patient satisfaction, union status, and finger range of motion were also evaluated. Satisfaction outcomes were categorized as excellent, good, fair, or poor.</p><p><strong>Results: </strong>The mean patient age was 9.4 years (range: 5-15), and the mean follow-up period was 29.1 months (range: 24-36). The right hand was affected in eight cases, the left hand in three cases, and the dominant hand in eight cases. Fracture distribution included four neck, four shaft, and three base fractures. The mechanisms of injury included ball-related trauma (n=5), falls (n=3), crush injuries (n=2), and punching (n=1). The average time from injury to presentation was 2.5 days (range: 0-9). Seven patients underwent surgery using the retrograde fixation technique, while four patients underwent surgery using the antegrade fixation technique. Fracture union was observed within the first month in nine patients and was complete by the end of the second month in two patients. At the last follow-up, the range of motion of the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints of the operated finger was assessed. Deficits of 1.8 (range: 0-10), 2.7 (range: 0-10), and 0.9 (range: 0-10) were observed when compared to the contra-lateral side, respectively. Ten patients demonstrated excellent outcomes, while one patient exhibited a good outcome.</p><p><strong>Conclusion: </strong>The intramedullary screw technique offers significant advantages in the surgical management of pediatric proximal phalanx fractures, particularly in rural areas with low socioeconomic status. This approach eliminates the need for pin-bottom fixation with a K-wire, significantly reduces hospitalization and additional treatment requirements, and minimizes the adverse impact of familial factors on the therapeutic process.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 3","pages":"296-302"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of trauma and diabetes mellitus-induced transtibial amputees in terms of gait parameters and functional capacity.","authors":"Neşe Tosun, Fatih Erbahçeci","doi":"10.14744/tjtes.2024.83923","DOIUrl":"10.14744/tjtes.2024.83923","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to compare gait parameters, balance, weight-bearing symmetry, functional capacity, functional mobility, prosthesis satisfaction, and quality of life between individuals with diabetes mellitus-induced and traumatic transtibial amputations (TTAs).</p><p><strong>Methods: </strong>Ten individuals with traumatic transtibial amputation and 10 individuals with diabetes mellitus-induced transtibial amputation were included in the study. All participants in both the trauma and diabetes groups used a vacuum-assisted suction suspension system (VASS) and a carbon composite foot transtibial prosthesis. Gait analysis and weight-bearing symmetry were assessed using a computerized gait analysis system. Balance was evaluated with the Biodex Balance System (BBS), functional capacity with the Six-Minute Walk Test (6MWT), functional mobility with the Timed Up and Go Test (TUG) and the Stair Climbing Test (SCT), prosthesis satisfaction with the Trinity Amputation and Prosthesis Experience Scale (TAPES), and quality of life with the Short Form-36 (SF-36).</p><p><strong>Results: </strong>When comparing the traumatic and diabetic groups, significant differences favoring the trauma group were found in the following parameters: stride length (SL) (p=0.004), amputated limb step length (ASL) (p=0.019), non-affected limb step length (NSL) (p=0.005), balance assessment parameters of general postural stability (p=0.000), anteroposterior (A-P) postural stability (p=0.000), mediolateral (M-L) postural stability (p=0.007), SCT performance (p=0.000), and the activity restriction subsection of TAPES (p=0.029). No significant differences were observed in gait velocity, cadence, step width, weight-bearing percentage of the amputated and non-affected limbs, TUG performance, SF-36 scores, or the psychosocial adjustment, prosthesis satisfaction, and daily use time subsections of the TAPES.</p><p><strong>Conclusion: </strong>In this study, the use of a VASS prosthesis in both traumatic and diabetic amputees had a positive effect on out-comes in the diabetic group, resulting in comparable results to those of the traumatic group. The fact that diabetic amputees used their prostheses as frequently as traumatic amputees, remained active, and benefited from the choice of prosthesis and suspension system provides valuable insights for healthcare professionals as a facilitating factor in rehabilitation.</p>","PeriodicalId":94263,"journal":{"name":"Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES","volume":"31 3","pages":"259-268"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}