This retrospective study analyzed marginal toenail ablation for ingrowing toenails and the factors affecting recurrences. Recurrence was defined as a return of the previous symptoms, regrowth of the nail edge, or patient dissatisfaction with the clinical outcome. Based on these criteria, nine patients (10.7%) were considered to have had a failed operation. There were significant differences for recurrence rate (p <.05) in the patients operated on under local anesthesia and in previously treated patients. Full exposure and excision of the germinal matrix were essential to avoid recurrence.

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The Melnick-Needles syndrome (MNS) is a rare bone dysplasia with characteristic clinical and radiologic diagnostic findings. The diagnosis of MNS was made for the patient reported in this paper clinically and radiologic confirmation was done afterwards. Her left fibula was shorter than the right one. She had lateral insufficiency in her left ankle and could not bear weight on her left foot. A fibular length discrepancy of 2 cm was assessed. Her ankle-hindfoot score was 49 according to the American Orthopedic Foot and Ankle Society (AOFAS) clinical rating system for ankle and hindfoot. Simple fibular lengthening was performed with a unilateral external fixator. Two centimetres of fibular lengthening was obtained in 14 weeks. Her AOFAS ankle-hindfoot score was 82 after 27 months of follow-up. Ankle stability and plantigrade foot were achieved and the result was satisfactory.

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Medial epicondyle fractures cover up to 20% of pediatric elbow fractures (1). Management of isolated, displaced fractures of the medial humeral epicondyle has been still controversial. Both plaster cast immobilization and surgical approaches have been advocated. Good outcomes have been reported with non-operative treatment, despite a high rate of nonunion (2-5). In patients with displaced fractures, surgical approaches provide stability and functional range of motion.Occasionally, the fractured fragment may occupy the retro-epitrochlear groove. The presence of dysesthesias in the territory of the ulnar nerve requires urgent open reduction

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Background: Recently, minimally invasive surgical (MIS) techniques have become more common in orthopedics and traumatology practice. MIS techniques may also reduce complications in the treatment of tibial plateau fractures (TPFs). Objectives: The aim of this study was to compare the radiological and functional outcomes of TPF, treated by MIS techniques and the conventional approach (open reduction and internal fixation). Methods: The patients were divided into two groups, receiving either MIS (group A) or conventional treatment (group B). Each group consisted of 20 patients. The mean age of patients was 46.8 ± 2.85 years in group A and 50.3 ± 2.41 years in group B. Incisionhealing complications were classified based on severity. Functional outcomes were evaluated using the Lysholm scale in the first year. Results: Complete healing without incision-healing complications was reported in all patients from group A, whereas nine incisionhealing complications were found in group B (P < 0.001). The mean Lysholm scores of patients in group A and group B were 81.8 ± 1.72 and 76.3 ± 2.27, respectively (P = 0.06). Also, the mean fracture union time in group A and group B was 9.55 ± 0.46 and 10.25 ± 0.71, respectively (P = 0.41). Conclusions: Widespread use of MIS can be promoted in order to reduce incision-healing complications in TPF. However, further prospective studies with a larger sample size are needed to confirm our results.