Mehmet S. Binnet

Comparison of prilocaine and bupivacaine for post-arthroscopy analgesia: A placebo-controlled double-blind trial

Arthroscopic surgery requires early postoperative analgesia for early discharge and early rehabilitation of patients. To accomplish the effectiveness of intraarticular application of local anesthetics, a placebo-controlled double-blind trial was performed. Results were evaluated using the visual analog scale on a blind basis. The mean pain scores were generally lower in the bupivacaine group than in the control or prilocaine group. There were no statistically significant differences between the oral intake of analgesics and the level of analgesia obtained in all three groups. We consider the local application of analgesics to be ineffective for post-arthroscopy analgesia.

Tendon lengthening repair and early mobilization in treatment of neglected bilateral simultaneous traumatic rupture of the quadriceps tendon

Bilateral simultaneous traumatic rupture of the quadriceps tendon is a rare injury that is most frequently seen in elderly patients with predisposing diseases such as gout, hyperparathyroidism and diabetes. Delay in diagnosis is not uncommon. One of the main problems in treatment is loss of motion, especially flexion, after surgical repair. We report a case that was diagnosed 5 months after the trauma and was treated by Scuderis tendon lengthening technique. Range-of-motion exercises were started early without using the generally recommended 4–6 weeks of immobilization in plaster cylinder or knee brace. Five years of follow-up showed full range of motion in both knees with sound tendons. Stable fixation makes starting early motion and accelerated rehabilitation feasible and thus the most common complication, loss of motion, is prevented.

Injuries in elite youth football players: a prospective three-year study.

OBJECTIVE The aim of this study was to investigate the incidence and nature of injuries and the influence of age on injury patterns in elite youth football. METHODS Fifty-two players of the Under-17 (U-17) male national youth football team were followed during their progression to U-18 and U-19. Individual player exposure and injuries were recorded during the three year study period. RESULTS Injury incidence was five times higher during matches than training. When medical attention and time loss injuries were considered, injury incidence increased during matches and decreased during training with increasing age. Traumatic injuries were more frequent in matches and were linked with increased age. Overuse injuries were two times higher during training than matches in the U-17 team. The majority of traumatic match injuries (78.3%) led to time loss and the majority of time loss injuries occurred due to traumatic mechanism (62.1%). The majority of muscle and entire ligament injuries occurred during training and contusions during competition. Re-injury rate was 25% and were all overuse injuries. CONCLUSION Injury incidences increased during matches and decreased during training. More match injuries were caused by traumatic mechanisms as players aged. Player age might contribute to injury incidence and characteristics in youth football.

Pulmonary thromboembolism after surgical treatment of ulnar pseudoarthrosis: a case report.

Deep vein thrombosis (DVT) and the consequently developed pulmonary embolism are devastating complications in orthopedic surgery. DVT occurs less frequently (1-2% of all cases) in the upper extremity than the lower extremity. We report a 54-year-old male patient who developed DVT and pulmonary thromboembolism after surgical treatment of an ulnar pseudoarthrosis. The presented case suggested the use of a low molecular weight heparin prophylaxis after upper extremity surgeries necessitating long-term immobilization.

THE RELATIONSHIP BETWEEN THE TREATMENT OF CONGENITAL DISLOCATION OF THE HIP AND AVASCULAR NECROSIS

The most important complication following the treatment of congenital dislocation of the hip is avascular necrosis. The potential sequelae that may arise after the onset of avascular necrosis are worse than if the hip remained dislocated. We evaluated 38 hips in which avascular necrosis developed after reduction. The average patient age at the time of reduction was 4.3 years, with a follow up of 6 to 15 years. Twelve hips had closed reduction and 26 had open reduction. Following reduction, 8 hips had Type I, 6 had Type II, 9 had Type III, and 15 had Type IV avascular necrosis. In this article, we evaluate our cases and review current literature on the subject. Close follow up and timely interventions can reduce potential sequelae to a minimum.

Does Injury Rate Affect a Football Team’s Level of Play? Injury Report from Turkey

The primary aim of this study is to make an overall assessment of injuries in the Turkish professional football league and to establish a baseline database for comparative purposes and for use in future studies. The seasons between 2004 and 2006 in Premiere and Secondary Turkish League are evaluated. A total number of 1,264 players from 42 teams were included in the study. Twenty-six teams included in the study were from Premier League and the rest from Second Turkish League. A total of 779 injuries were reported, accounting for 19.8 injuries/1,000 h, including both matches and training. When categorized separately by match or training, the number of injuries per 1,000 h were 17.3 and 21.2, respectively. Noncontact injuries accounted for 69% of all injuries. Different from the literature, the incidence of injury in training was determined higher than that in matches, which clearly indicates the need for more properly designed training programs and warrants a review of the entire training approach.