Kahraman Öztürk - Academia.edu (original) (raw)

Papers by Kahraman Öztürk

Indian Journal of Surgical Oncology, 2021

The purpose of this study was to discuss the epiphysis salvage reconstruction procedure outcomes ... more The purpose of this study was to discuss the epiphysis salvage reconstruction procedure outcomes and complications in skeletally immature patients. The study included 12 patients with pediatric malignant tumors (osteosarcoma, Ewing's sarcoma) located close to the epiphysis, who underwent epiphyseal-preservation surgery with vascularized fibula in the plastic surgery and orthopedics and traumatology clinic between January 2008 and November 2018. The study was designed retrospectively. Neoadjuvant and adjuvant chemotherapy was administered to all patients. None of the patients received radiotherapy. Functional evaluation was assessed using the Musculoskeletal Tumor Society (MSTS) scoring system. The patients were followed up for a mean period of 51 (21-115) months. The mean age of patients was 10.4 (range, 5 to 15) years. Union times in the target region (epiphyseal region) and diaphyseal region were reported separately. Accordingly, the mean total union time in the target region of all patients was 7.9 months (5-11), and the mean total union time in the diaphyseal region was 6.5 months (5-9). According to the MSTS grading system, the mean score of the patients was 27.50 (range, 21-30). The mean operative time was 480 (390-540) min, the mean intraoperative blood loss was 790 (580-1100) cc, and the mean length of hospital stay was 6 (4-17) days. Six patients had shortness, 5 patients had delayed union, 3 patients had angular deformity, and 2 patients had infection. Epiphyseal-preservation surgery may be an alternative to other techniques used for malignant tumors located close to the growth line in skeletally immature patients. Despite the fact that this technique has plenty of complications, many of them can be successfully treated with secondary operations without leaving sequelae.

Hand and Microsurgery, 2021

Medical Journal of Trakya University, 2008

AMAÇ: Yetmiş yaş üzeri anstabil intertrokanterik femur kırıklarda (IFK) hemiartroplasti uyguladığ... more AMAÇ: Yetmiş yaş üzeri anstabil intertrokanterik femur kırıklarda (IFK) hemiartroplasti uyguladığımız olguları morbidite açısından değerlendirdik. Günümüzdeki hemiartroplastinin yerini tartışmayı amaçladık. GEREÇ veYÖNTEMLER: Kliniğimizde 1995-2006 yılları arasında hemiartroplasti yöntemi ile tedevi edilen intertrokanterik femur kırıklı hastaların 75'i çalışmaya dahil edildi. Ortalama takip süreleri 44 (20-82) ay idi. Hastaların 43'ü kadın,32'si erkekti. 45 hastanın sağ, 30 hastanın sol kalçası etkilenmişti. Olguların hepsi Harris kalça skorlamasına göre değerlendirildi. BULGULAR: Harris kalça skorlama sistemine göre dört hastada mükemmel sonuç, 54 hastada iyi sonuç, dokuz hastada orta, sekiz hastada kötü sonuç saptandı.Yetmiş yaş üzeri anstabil IFK'larında uygulanan hemiartroplasti olgularının %78'inde iyi-mükemmel sonuca ulaşılmış olduğu saptandı SONUÇ: Ameliyat süresinin çok kısa olması, skopi gibi teknik donanıma sahip olma şartının olmaması ve erken tam yük ...

Mikrobiyoloji Bulteni

Scedosporium apiospermum kompleks üyeleri toprak ve kirli sular gibi çevresel ortamlarda bulunabi... more Scedosporium apiospermum kompleks üyeleri toprak ve kirli sular gibi çevresel ortamlarda bulunabilen fırsatçı mantarlardır. Bu raporda, 40 yaşında immün sistemi sağlam kadın hastada gelişen ve mantar kültürü yapılmasıyla tanı alabilen Scedosporium apiospermum kompleks kaynaklı miçetoma olgusu sunulmuştur. 2015 yılında sağ el ve el bileği dorsalinde birden fazla fistülize akıntılı yara, ağrı ve şişlik şikayeti ile başvuran hastanın anamnezinde, şikayetlerinin yaklaşık 20 yıl önce el bileği sırtında hafif bir şişlik ile başladığı ve artması üzerine özel bir cerrahi merkezinde apsenin drene edilerek antibiyotik tedavisine başlandığı öğrenilmiştir. Ancak tedavilerden fayda görmediği, zamanla el ve el bileği sırtında fistülize sarı akıntılı yaralar çıktığı ve çeşitli cerrahi müdahaleler geçirip antibiyotik kullandığı öğrenilmiştir. Altta yatan kronik bir hastalığı olmayan hastanın rutin laboratuvar tetkikleri normal olarak saptanmıştır. Manyetik rezonans görüntüleme (MRG) ve X-ray bulguları osteomyelit ile uyumlu ve MRG'de miçetoma için karakteristik olan "dot in circle (çember içinde nokta)" bulgusu olduğu görülmüştür. Patolojik inceleme yumuşak dokuda aktif kronik iltihabi reaksiyon, kronik osteomyelit şeklinde yorumlanmıştır. Cerrahi debridman esnasında ve bir ay sonra tekrar alınan her iki biyopsi örneğinin mikobakteri, bakteriyoloji ve mantar kültürleri

The Journal of Hand Surgery, 2021

PURPOSE Opening-wedge osteotomy of the ulna restores normal ulnar length and corrects the angulat... more PURPOSE Opening-wedge osteotomy of the ulna restores normal ulnar length and corrects the angulation of the ulna in patients with chronic Monteggia fracture-dislocations. In addition, this eases the reduction of the radial head. Morbidity caused by annular ligament reconstruction surgery can be prevented by preserving the intact annular ligament. After dilatation and mobilization of the annular ligament, reduction of the radial head can be accomplished. This study evaluated the effectiveness of corrective opening-wedge ulnar osteotomy and radial head relocation into the intact annular ligament in the treatment of radiocapitellar instability secondary to pediatric chronic Monteggia fracture-dislocation. METHODS Fourteen patients diagnosed with radial head dislocation associated with plastic deformation of the ulna or ulnar fracture were included in the study. Radiologic and clinical results of these patients who underwent corrective ulnar osteotomy and radial head relocation into an intact annular ligament were evaluated retrospectively. RESULTS The mean age of the patients at the time of injury was 7.4 years (range, 3 years to 12 years). The average time between the injury and surgery was 19.1 months (median, 8 months; range, 3 months to 66 months); the average follow-up period was 28.7 months (range, 12 months to 60 months). The mean Kim score was 69.6 (range, 50 to 75) preoperatively and 92.9 (60 to 100) at last follow-up. According to Kim score, the results were considered excellent in 12 cases and poor in 2 cases. Radial head subluxation recurred in 2 separate cases. In addition, chondrolysis changes were seen in 1 case. Reduction loss and osteoarthritic changes in the radiocapitellar joint were considered poor results in follow-up radiographs. CONCLUSIONS Corrective ulnar osteotomy and relocating the radial head into the intact annular ligament can be safely used for treating chronic Monteggia fracture-dislocation cases without radial head and capitellum deformity. TYPE OF STUDY/LEVEL OF EVIDENCE Therapeutic IV.

Joint Diseases and Related Surgery, 2022

About 16% of upper extremity congenital abnormalities consist of thumb defects. [1] Thumb duplica... more About 16% of upper extremity congenital abnormalities consist of thumb defects. [1] Thumb duplication, also named as preaxial polydactyly or bifid thumb, occurs in 1 per 10,000 births in Caucasians and Asians. [2] It occurs sporadically; however, rare associated visceral anomalies have been described. [2] It is usually unilateral. Associated anomalies and positive familial history are more common in bilateral cases. [3] The range of thumb polydactyly can vary from a bifid distal phalanx to duplication of the radial carpal bones and bifurcated radius or triplicated thumb. [4,5] Surgeons have sought an ideal and easily applicable classification system that helps to document the types of deformity and guide Objectives: This study aims to compare the usefulness of two systems in classifying thumb duplication cases and give some examples of the cases we believe that are unclassifiable. Patients and methods: Between January 2011 and January 2018, a total of 50 patients (29 males, 21 females; median age: 46.4±68.3 months; range, 1 to 318 months) with thumb duplications as assessed according to the Wassel and Rotterdam classification systems were included. Results: Duplication was present in the right hand in 28, in the left hand in 21, and in both hands in one patient. According to the Wassel classification system, 45 patients could be allocated in any of the types; however, five patients could not be classified. According to the Rotterdam classification, 47 cases fell into one of the classifications; however, three cases could not be classified. Conclusion: Despite efforts to find the best classification system for thumb duplications, the proposed systems may not fully cover the presented radial polydactyly cases, and additions to the system are required.

Acta Ortopédica Brasileira, 2022

Introduction We evaluated the clinical and radiological outcomes of capitellar fractures treated ... more Introduction We evaluated the clinical and radiological outcomes of capitellar fractures treated with modified screw insertion (inserting the first fixation screw anteroposteriorly and the second screw posteroanteriorly), a technique that can be applied with a minimally invasive lateral elbow approach. Materials and Methods Twenty-one isolated capitellum fractures that were surgically treated were included in the study. Fixation was achieved with two headless cannulated compression screws placed in anteroposterior and posteroanterior order using the modified lateral elbow approach. The Broberg-Morrey rating system was used to assess the post-operative functional status of the patients. Results According to the Broberg-Morrey criteria, the mean score was 92.7 (77-100) and 13 cases had excellent, 7 had good, and 1 had fair results. None of the patients developed avascular necrosis or heterotopic ossification. According to the Broberg-Morrey arthrosis score, two cases had Grade 1 and o...

Bezmialem Science, 2021

Bone grafts and even bone substitutes do not meet all of the requirements of bony reconstructions... more Bone grafts and even bone substitutes do not meet all of the requirements of bony reconstructions. The aim of this study was to generate bone tissue from autologous adipose tissue-derived mesenchymal stem cells (ATDMSCs) and decellularised bone allografts. Methods: A 1.5 cm bone defect developed in the middle third of the rabbit's ulna. Reconstructions were carried out using miniplate and screws and interpositional autogenous bone grafts according to the designs of the groups: (1) No touch, (2) cryopreserved, (3) decellularised and (4) ATDMSCs-implanted decellularised bones. Before implantation, ATDMSCs in the last group were labelled with Q-dot and identified microscopically.

The Medical Bulletin of Sisli Etfal Hospital, 2018

Objectives: Wide-awake anesthesia is a type of local anesthesia consisting of a combined applicat... more Objectives: Wide-awake anesthesia is a type of local anesthesia consisting of a combined application of lidocaine, epinephrine, and bicarbonate and has a wide potential in hand surgery as it offers the advantage of being applied without sedation and without using a tourniquet. In light of recent studies, its use has increased with the disappearance of the belief among surgeons that epinephrine can cause circulatory disturbance in fingers. Methods: Patients with finger pathologies who were operated upon at the Baltalimani Bone Diseases Teaching and Research Hospital between January 2015 and February 2016 were divided into two groups according to anesthesia type: wide-awake anesthesia and axillary block anesthesia, with 52 patients in each group. Start time of surgery, length of hospital stay, anesthesia cost, and patient satisfaction were compared. For the evaluation of patient satisfaction, the patients were postoperatively asked whether they would accept the same anesthesia method ...

Acta orthopaedica Belgica, 2017

Lateral epicondilytis is a frequent cause of elbow pain in the adult age population. The purpose ... more Lateral epicondilytis is a frequent cause of elbow pain in the adult age population. The purpose of this study was to determine the effects of extracorporeal shock wave therapy (ESWT) effective on long term clinical and functional results in the treatment on patients with lateral epicondylitis. Forty-six patients suffering from lateral epicondylitis for at least 3 months were treated in this study. Clinical evaluation scoring system tests were used before an done year after the treatment for each patients. The VAS improved from 9,3 to 1.8, and the Nirschl values improved from 6,4 to 4.3. In the control group, VAS improved from 8,4 to 7, and the Nirschl values improved from 6,8 to 6,1. ESWT application to LE patients those are resistent to the theraphy, carries beneficial effects to the long term which was previously stated fort he short term, both clinically and functionally.

Joint Diseases and Related Surgery, 2021

Mallet finger is an avulsion fracture of the distal phalanx or rupture of the extensor terminal b... more Mallet finger is an avulsion fracture of the distal phalanx or rupture of the extensor terminal band caused by distal interphalangeal (DIP) joint hyperflexion or axial loading. In the treatment of mallet finger fractures, surgical repair is recommended in cases where the fracture involves more than one-third of the distal phalanx joint surface or the distal phalanx becomes volar subluxated. [1-3] Untreated or poorly treated mallet finger may result in extensor lag and swan neck deformity. [4,5] Both percutaneous and open surgical methods are used in the treatment of mallet finger fractures. The extension block technique (EBT), [6-10] hook plate technique (HPT), [3,11] percutaneous screwing, [12] Objectives: In this study, we aimed to describe a new hook plate technique (HPT) and to compare our results with the conventional extension block technique (EBT) with a Kirschner wire (K-wire) for bony mallet finger treatment. Patients and methods: Between April 2015 and January 2018, a total of 19 patients including 10 who were treated with EBT (7 males, 3 females; mean age: 30.1±7.3 years; range, 17 to 48 years) and nine who were treated with HPT (6 males, 3 females; mean age: 31.7±11.3 years; range, 19 to 42 years) for bony mallet finger with distal interphalangeal (DIP) joint subluxation and/or fracture fragment larger than one-third of distal phalanx (Wehbe-Schneider type 1/b, 2/a, 2/b, 3/a) joint were retrospectively analyzed. The DIP range of motion (ROM), Warren and Crawford scores, time to return to work/daily activity, operation time, the number of fluoroscopy shots, cost and complications were compared. Results: No significant difference was found in the DIP ROM (p=0.708) and the Warren/Norris and Crawford scores (p=0.217 and p=0.175, respectively) between the two groups. Operation time and material cost were higher with HPT (p=0.006, p=0.001). There was no significant difference in the number of fluoroscopy shots (p=0.344). Although DIP joint motion was started at two weeks in the HPT group and at eight weeks in the EBT group, no significant difference was observed in the time of return to work and normal daily life in both groups (p=0.859). Complications were observed in two patients in the EBT group and in three patients in the HPT group. No significant difference in total complications was observed between the two groups (p=0.666). Conclusion: Bony mallet finger treatment with a custom-made hook plate prepared from 1.3-mm AO plates appeared to be clinically and radiologically similar to EBT. Additionally, HPT had the advantages of allowing early ROM to DIP joint and eliminating the need for a secondary surgery such as K-wire removal. On the other hand, hardware cost with HPT was higher than EBT.

TOTBID Dergisi, 2017

Türk Ortopedi ve Travmatoloji Birliği Derneği gevşemesi, implant kırılması ve kaynamama nedeni il... more Türk Ortopedi ve Travmatoloji Birliği Derneği gevşemesi, implant kırılması ve kaynamama nedeni ile 129 olgunun 16'sına yeniden cerrahi tedavi yapmış, teknik faktörlerden daha ziyade sigara içimi, şeker hastalığı ve şişmanlık gibi hasta ile ilgili faktörlerin önemli olduğunu vurgulamıştır. [3] Kaynamayan distal humerus ağrı, kaynamama hattında dengesizlik, fonksiyon kaybı ve şekil bozukluğu ile birliktedir. Ayrıca, dirsekte kalıcı eklem sertliği, travma sonrası osteoartroz, ulnar nöropati, enfeksiyon ve işlevsel sakatlık, bu zorlu kırıkların cerrahi tedavisinin istenmeyen kötü sekelidir. Kaynamamaya eşlik eden tedavi süreci uzadıkça problem büyüyerek devam eder. [2,3,5,7] Distal humerus kaynamaması sıklıkla suprakondiller seviyededir [2,5] ; dış ve iç kondil, osteokondral ve epikondil kaynamaması da görülür. [7-10] Kaynamama ile iç tespitin yetmezliği gelişir (Şekil 1). Osteopenik ve çoklu küçük eklem içi parçalı kırığı olan yaşlı hastaların kaynamayan kırık hattında hareket ile birlikte, sonunda materyaller yetmezliğe uğrar veya gevşer. Gevşeme ile birlikte kemik içinde vidaların cam sileceği hareketi, Y eni internal tespit prensipleri ve tekniklerinin ilerlemesi ile karmaşık distal humerus kırıklarının stabil tespitine [1] rağmen günümüzde kaynamama distal humerus kırıklarının en önemli problemi olmaya devam etmektedir. Özellikle yaşlı hastalarda, karmaşık anatomi, kötü kemik kalitesi, çok parçalı kırık kombinasyonu başarılı bir tedaviyi zorlaştırmaktadır. Distal humerusta kaynamamanın en önemli nedeni ilk uygulanan cerrahi tespitin yetersiz yapılmış olmasıdır. [2,3] Osteosentez sonrası implant yetersizliği ve kırığın deplase olması cerrahiden sonraki birkaç ayda meydana gelir. [4] Tedaviye dirençli kırık kaynamaması, çok sayıda geçirilmiş başarısız cerrahi, kötü kemik stoğu, enfeksiyon, sigara içimi ve şişmanlık ile birliktedir. [5] Açık redüksiyon ve iç tespit ile tedavi edilen kırıkların yaklaşık olarak %2-12'sinde kaynama gecikmesi veya kaynamama meydana gelir. [3,5,6] Kaynamama AO tip C distal humerus kırıklarında daha sık görülür. [2,3] Claessen, AO tip C distal humerus kırıklarında tespit

Journal of Academic Research in Medicine, 2020

Objective: In this study, the results of open release surgeries performed for the stiff elbows wh... more Objective: In this study, the results of open release surgeries performed for the stiff elbows which were caused by intrinsic, extrinsic or by combination of both factors were evaluated. Methods: Twenty-three elbows of 22 patients who could not perform functional elbow motions were surgically treated between January 2005 and December 2012. The mean age was 30.6±11.4 years (16 to 67 years), and the average follow-up period was 81 months (58 months to 12 years). Elbow arc of motions was recorded pre-and postoperatively. Patients were evaluated clinically by using quick Disabilities of the Arm, Shoulder and Hand (DASH) self-report questionnaire, and MAYO elbow performance scores. Results: The mean preoperative elbow arc of motion was 42 degrees (0-90), and it became 109 degrees (70-140) postoperatively after at least 58-month follow-up. The average increase was 67.8±25 degrees (30-125). The mean Quick DASH score was 18.2±12.7 (6.8 to 63.6). According to MAYO elbow rating system, one patient who had experienced infection following the initial fracture treatment had poor result, three patients had fair results, 17 patients had good results, and one patient who had bilateral elbow stiffness had excellent results. Conclusion: Although good results can be achieved by open release of the stiff elbows, one must keep in mind that preventing the stiffness rather than solving this problem would bring better results. As 15 patients with stiff elbows in this study had a previous surgery performed for an elbow region fracture, stabile fixation, meticulous hemostasis, shorter immobilization period and early rehabilitation can be considered as the most important steps for avoiding elbow stiffness where surgery is indicated.

Hand and Microsurgery, 2020

ABSTRACT Background: The aim of this study was to compare the functional and radiological outcome... more ABSTRACT Background: The aim of this study was to compare the functional and radiological outcomes of ulnar styloid fractures, with or without internal fixation, that followed distal radius fractures. Methods: Between January 2011 and June 2017, 206 distal radius fractures were operated on in our hospital. In total, 71 patients were included in the study. Thirty-five ulnar styloid fractures were fixed, and Thirty-six could not be fixed. The mean age of patients was 45 years (2064 years), and the mean follow-up time of patients was 19 months (1230 months) Results: In the unfixed ulnar styloid fracture group, the QuickDASH score was 20.8 and Mayo wrist score was 65. On the other hand, in the fixed ulnar styloid fracture group, the Quick DASH score was 11 and Mayo wrist score was 75. When comparing the groups, no statistically significant differences were found between their Quick DASH scores, Mayo wrist scores, grip strength, and wrist movements (p>0.05). In the unfixed group, 10 nonunions were observed, while in the fixed group, 9 nonunions were observed. Conclusion: In our study, ulnar styloid fracture fixation did not affect the functional outcomes of distal radius fractures. Surgeons should be more selective for ulnar styloid fixation in patients with ulna styloid fracture combined wrist fractures.

SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 2017

Uyanık hasta anestezisi (wide awake anesthesia) hastalara sedasyon yapılmadan ve turnike kullanıl... more Uyanık hasta anestezisi (wide awake anesthesia) hastalara sedasyon yapılmadan ve turnike kullanılmadan yapılan; içeriği lidokain, epinefrin ve bikarbonattan oluşan ve el cerrahisinde geniş kullanım potansiyeli olan bir lokal anestezi türüdür. Epinefrinin cerrahlar arasında parmaklarda dolaşım bozukluğuna yol açabileceği yönündeki inanışın son yıllarda yapılan çalışmalarla ortadan kalkması ile kullanımı artmıştır. Yöntem: Ocak 2015 ile Şubat 2016 ayları arasında Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi El Cerrahisi kliniğinde uyanık hasta anestezisi ile ve aksiller anestezi ile gerçekleştirilen olgularda parmakları ilgilendiren hastalığı olan 52'şer hastanın hastanede ameliyata başlama zamanı, kalış süreleri, maliyeti ve hasta memnuniyeti karşılaştırıldı. Hasta memnuniyeti için ameliyat sonrası hastalara "Bu yaşadığın tecrübeyi tekrar yaşaman gerekse aynı anestezi yöntemini kabul eder miydin?" sorusu yöneltildi. Her iki grupta 26'şar adet olguda kemik girişimleri (falanks kırığı, kemik biyopsisi, implant çıkarımı ve interfalangial eklem artrodez); 26'şar adet olguda yumuşak doku girişimleri (dijital sinir onarım, parmak ucu flep, flep ayrımı, eklem kontraktur gevşetme, bağ tamiri, debridman) olacak şekilde oluşturuldu. Bulgular: Her iki gruptaki hastada operasyonu sürdürecek oranda yeterli anestezinin sağlandığı görüldü. Operasyon sonrası hastalara "Bu yaşadığın tecrübeyi tekrar yaşaman gerekse aynı anestezi yöntemini kabul eder miydin?" sorusu yöneltilğinde aksiller anestezi grubundaki hastaların 26 olumlu, 16 olumsuz, 10 kararsız olarak; uyanık hasta anestezisi grubunda ise 33 olumlu, 7 olumsuz, 12 karasız olarak gözlendi. Hasta maliyeti (Sosyal Güvenlik Kurumu-SGK-verilerince); aksiller anestezi grubunda ortalama 316.1 TL, uyanık hasta anestezisi grubunda ortalama 25.3 TL olarak hesaplandı. Hastanede kalış süresinin aksiller anestezi grubunda ortalama 32.9 saat, uyanık hasta anestezisi grubunda ortalama 13.6 saat olduğu belirlendi. Anestezi sonrası ameliyata başlama süresinin aksiller anestezi grubunda ortalama 34 dakika, uyanık hasta anestezisi grubunda ortalama 5.3 dakika olduğu görüldü. Sonuç: Çalışmamızda uyanık hasta anestezisi kullanarak tedavi ettiğimiz hastaların hastanede kalış sürelerinde ortalama 19.3 saat azalma; anestezi maliyetinde ise ortalama 290.8 TL azalma tespit edildi. Hastaların anestezi sonrası ameliyata başlama zamanında da ortalama 29.7 dakika düşüş sağlandı. Hasta memnuniyeti oranı uyanık hasta grubunda daha fazlaydı. Hastalarda operasyona mani olacak kanama, hasta uyumsuzluğu ve diğer ek komplikasyonlara da rastlanmadı. Anahtar sözcükler: Anestezi; kanama; uyanık hasta.

Turkiye Klinikleri Journal of Case Reports, 2018

Plastic and Reconstructive Surgery - Global Open, 2018

Background: Reconstruction of small joints of fingers is still challenging in hand surgery. Impla... more Background: Reconstruction of small joints of fingers is still challenging in hand surgery. Implant arthroplasty and arthrodesis have some limitations in the reconstruction of small finger joints. Free vascularized PIP joint transfer from second toe to finger is a promising autogenous reconstructive alternative. Methods: In this prospective study, 7 cases of free vascularized PIP joint transfer were analyzed. The measurements for active and passive range of motion (ROM), grip, and pinch strength has been done preoperatively and 1-year postoperatively. The functional change in daily life quality and work-related activities was evaluated with Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Results: Mean follow-up period was 20.3 months (12-25). Preoperative mean active and passive ROM values were 3.6º (0-14º) and 11.9º (0-29º), respectively. Postoperative 1-year measurements revealed a mean active ROM of 24.1º and a mean passive ROM of 31.6º. Mean grip and pinch strength increased from 52.1 to 58.6 lbs and from 5.1 to 5.9 lbs, respectively. Mean preoperative and postoperative DASH-scores were 41.3 and 30.3. Conclusion: The improvement in ROM, increasing grip strength, and declining DASH scores in our study support that free vascularized joint transfer improves patients' daily life quality and work-related activities via providing a functional joint if performed with appropriate indications, careful planning, and meticulous surgical execution. Free vascularized joint transfer provides an autogenous, painless, mobile, and stable joint. It also has the advantages of composite tissue reconstruction and lacks the disadvantages of arthrodesis and synthetic joint implants.

Acta ortopedica brasileira

To present the results of our cases of Dupuytren's disease treated with regional selective fa... more To present the results of our cases of Dupuytren's disease treated with regional selective fasciectomy in light of the literature. Patients diagnosed with Dupuytren's contracture and surgically treated with regional selective fasciectomy at our institution with adequate follow-up data were included in the study. All patients were routinely followed after surgery to assess results and complications. QuickDASH scoring was used to evaluate the patients and recurrences and complications were recorded. Twenty-one hands of 19 patients (13 males, 6 females) who underwent surgery and received adequate follow-up were retrospectively evaluated. Mean patient age was 65.8 (range: 41 to 86) and the mean follow-up period was 48.2 months (range: 24 to 86). Fourteen (66.6%) hands had excellent results, five (23%) hands had good results and two (9.4%) had fair results. The mean QuickDASH score for the patients at the final follow-up was 6.58 (range: 0 to 20.4). Our study results demonstrated...