PRC is a well-tolerated procedure for stage III Kienböck's disease with certain complications. While subjective values improved significantly, there was no correlation between this improvement in subjective values and objective measurements. PRC was not able to restore motion postoperatively to that of the normal side, even though this feature did not affect postoperative subjective patient satisfaction.

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Objective: Our study analyzed the incidence of posterior pelvic injury patterns and their influence on the surgical treatment of transverse-oriented acetabular fractures . Methods:Fifty-one transverse-oriented acetabular fracture cases admitted between 1999 and 2013 were evaluated retrospectively. Comparative studies were performed for groups organized by acetabular fracture type, degree of sacroiliac separation, and postoperative reduction quality . Results: Associated posterior pelvic injuries were found in 34 (66.7%) of the 51 patients. There were 32 sacroiliac separations in the 34 patients with associated posterior pelvic injury, and ipsilateral sacroiliac separations were more frequent in this subgroup. Measurements guided by computerized tomography showed that 16 sacroiliac separations were ≤0.5 cm (mean=0.43±0.14 cm), 10 were 0.5-1 cm (mean=0.73±0.17 cm), and the remaining 6 were >1 cm (mean=1.55±0.15 cm). In the group of 34 patients with associated posterior pelvic injury, acetabular reduction was anatomic in 19 (55.9%) patients, imperfect in 10 (29.4%) patients, and poor in 5 (14.7%) patients. For isolated acetabular fractures, reduction rates were as follows: 12 (70.6%) anatomic, 3 (17.6%) imperfect, and 2 (11.8%) poor. The rate of anatomic reduction was significantly higher when sacroiliac separation was ≤0.5 cm (p=0.027) . Conclusion: Associated posterior pelvic injuries, especially ipsilateral sacroiliac joint separation, accompany most transverse-oriented acetabular fractures and may influence the quality of acetabular reduction. Level of Evidence III, Therapeutic Studies Investigating the Results of Treatment.

Amaç: El ve el bileği tümörleri vücudun diğer bölgelerindeki tümöral oluşumlardan farklılık gösterir. Kasiskelet sisteminin herhangi bir yerinde ki tümörler elde de görülebilir. Ancak eldeki kitlelere kozmetik nedenler, hareket kısıtlılığı, ağrı olması, şişlikten dolayı malign tümör olması yönündeki endişelerden dolayı daha erken opere edilmektedir. Yöntem: Çalışmamızda Gölcük Necati Çelik Devlet Hastanesi Ortopedi ve Travmatoloji Kliniğine başvurup el ve el bileğine uygulanan eksizyonel biyopsi sonuçlarını geriye dönük olarak inceledik. Bulgular: Çalışmaya dahil edilen toplam 30 olgunun yaş ortalaması 37, 6 (14-79) idi, olguların 9'u erkek, 21'ikadındı. Eksize edilen tümörlerin 18 tanesi sağ ekstremiteden, 12 tanesi sol üst ekstremiteden, 8 tanesi el palmarından ve 22 tanesi el dorsalindendi. Patoloji sonucunda 29 kitle benign karakterdeyken 1 tanesi malign karakterdeydi. Sonuç: Hastanenin sanayi yerleşimi olması nedeniyle mesleki açıdan çoğunluğunu gangliyon kisti oluşturmaktadır. Çalışma sonuçları literatürde paralellik göstermektedir. Fakat çalışmanın çok merkezli olmaması ve kayıt sisteminin yetersizliği ki karşılaşılan vakaların beklenen sayıdan daha az olduğunu göstermektedir. Objective:The hand and wrist tumors are different from other side of body's tumor. Tumors in any part of the musculoskeletal system may also be seen on the hand. However, the tumors of the hand are being early operated because of cosmetic reasons, limited range of motion of the joint, pain, swelling due to concerns malign tumor. Method: In this study, excisional biopsy results of hand and wrist cases presented from Gölcük Necati Çelik State Hospital orthopedics and traumatology clinic were evaluated to retrospectively. Results: Thirty patients mean age 37.6 (14-79) years, were enrolled into the study, 9 of the cases were male and 21 were female patients. The tumors of excised were the number of 18 tumors from right upper extremity, the number of 12 tumors from left upper extremity, the number of 8 tumors from palmar surface, the number of 22 tumors from dorsal surface. As a result of pathology, 29 tumors were benign character, 1 tumor was malign character. Conclusion:The most common of the patients were seemed ganglion cyst because our hospital was in the industrial area. The results of study are similar in the literature. However, our study was not multi-center study and lack of patient registration system that the encountered cases are less than expected numbers.