VAC therapy, together with debridement and appropriate antibiotic therapy, enables a higher rate of limb salvage, especially in Wagner Grade 3 and Grade 4 ulcers.

We report a case of a 63-year-old female patient who underwent a total knee arthroplasty in which the knee later became infected with Brucella melitensis. Diagnosis was made by positive culture of a sinus tract discharge. Radiological views of the knee did not show signs of implant loosening. The patient was successfully treated with rifampicin and doxycycline without surgery.

No abstract

According to radiological and histological parameters, PTX appears to improve angiogenesis and healing of segmental cortical bone defects of the radius in a rat model.

Background. This study was conducted to compare and evaluate the effect of adding lornoxicam or nitroglycerine as adjuncts to lidocaine in intravenous regional anesthesia (IVRA). Methods. 60 patients were randomly separated into three groups, lidocaine group (group L), lidocaine + lornoxicam group (group LL), and lidocaine + lornoxicam + transdermal nitroglycerine group (group LL-N). Hemodynamic parameters, sensory and motor blocks onset, and recovery times were recorded. Analgesic consumption for tourniquet pain and postoperative period were recorded. Results. Sensory block onset times and motor block onset times were shorter in the LL-N and LL groups compared with L group. Sensory block recovery time and motor block recovery time were prolonged in the LL and LL-N groups compared with group L. The amount of fentanyl required for tourniquet pain was less in group LL and group LL-N when compared with group L. VAS scores of tourniquet pain were higher in group L compared with the other study groups. Postoperative VAS scores were higher for the first 4 hours in group L compared with the other study groups. Conclusion. The adjuvant drugs (lornoxicam or TNG) when added to lidocaine in IVRA were effective in improving the overall quality of anesthesia, reducing tourniquet pain, increasing tourniquet tolerance, and improving the postoperative analgesia.

The Eastern Pontides comprise many intrusive bodies varying in composition, size and age from Palaeozoic to Cenozoic. Especially Cenozoic aged bodies are commonly observed in the southern part, while they are rarely exposed in the northern part of the Eastern Pontides. In this study, the petrography and mineral chemistry of the Cenozoic aged Çiçekli, Somarova, Sorkunlu, Şaşurluk, Aydıntepe, Kemerlikdağı and Pelitli plutons located to the north of Bayburt are determined, and the crystallisation conditions of the studied bodies were estimated by means of thermobarometer calculations. The studied plutons extend mostly in NE-SW directions and are approximately ellipsoid in shape. The contacts between the plutons and surrounding rocks are sharp, and plutons commonly contain mafi c microgranular enclaves (MMEs) of different sizes. Petrographic and mineral chemistry studies reveal some disequilibrium textures refl ecting the magma mixing process. Based on modal mineralogy, the plutonic rocks are gabbroic diorite, diorite, tonalite, granodiorite and monzogranite in composition. The rocks have fi ne to medium granular, porphyric, monzonitic, poikilitic, occasionally myrmekitic and micrographic textures. The main minerals are labradorite and albite (An 68-02 ), magnesiohornblende and actinolite (Mg# = 0.6-0.9), diopside and augite (Wo 44-46 ), clinoenstatite (En 53-57 ) and Fe-Ti oxide minerals. Crystallization temperatures calculated from amphibole, biotite, clinopyroxene, magnetite and ilmenite minerals are 405°C to 1161°C, pressure values are 0.1 to 2.7 kbar, and oxygen fugacity (log10 ƒO 2 ) is -20 to -12. Estimation of water content calculated by using amphiboles is between 2.9 and 6.8%. Based on obtained data, it is suggested that the studied plutons were emplaced at shallow depths (~ 1-8 km).

Relationship between the tilt angle of bipolar radial head prostheses and radiological radiocapitellar instability

According to the current data, the measurement of DMAA is not suitable for making clinical and surgical decisions. The inclination of the first metatarsal can change, depending on the height of the medial longitudinal arch. By doing this study, we are trying to simulate the pes cavus and pes planus deformity on the radiologic measurement of pronation of the hallux. According to our results, inclination has no effect on the measurement of DMAA. However, the measurement of DMAA is expected to be dependent on the rotational deformity of the hallux.