Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Symposium: Award Papers from Turkish Society of Orthopaedics and Traumatology 2013 3 articles

Articles

Apical and Intermediate Anchors Without Fusion Improve Cobb Angle and Thoracic Kyphosis in Early-onset Scoliosis

Meric Enercan MD, Sinan Kahraman MD, Erden Erturer MD, Cagatay Ozturk MD, Azmi Hamzaoglu MD

The main goal of treatment in early-onset scoliosis is to obtain and maintain curve correction while simultaneously preserving spinal, trunk, and lung growth. This study introduces a new surgical strategy, called the modified growing rod technique, which allows spinal growth and lung development while controlling the main deformity with apical and intermediate anchors without fusion. The use of intraoperative traction at the initial procedure enables spontaneous correction of the deformity and decreases the need for forceful correction maneuvers on the immature spine and prevents possible implant failures. This study seeks to evaluate (1) curve correction; (2) spinal length; (3) number of procedures performed; and (4) complications with the new approach.

Time-dependent Changes After Latissimus Dorsi Transfer: Tenodesis or Tendon Transfer?

Ali Erşen MD, Hakan Ozben MD, Mehmet Demirhan MD, Ata Can Atalar MD, Mehmet Kapıcıoğlu MD

Transfer of the latissimus dorsi tendon to the posterosuperior part of the rotator cuff is an option in active patients with massive rotator cuff tears to restore shoulder elevation and external rotation. However, it is unknown whether this treatment prevents progression of cuff tear arthropathy.

Ilizarov Fixator Combined With an Intramedullary Nail for Tibial Nonunions With Bone Loss: Is It Effective?

Deniz Gulabi MD, Mehmet Erdem MD, Gultekin Sıtkı Cecen MD, Cem Coskun Avci MD, Necdet Saglam MD, Fevzi Saglam MD

Treatment of tibial nonunion with bone loss is extremely difficult. A variety of techniques have been described, but each has shortcomings, in particular prolonged external fixation time as well as serious complications such as nonunion and infection. Accordingly, we developed a technique that seeks to reduce these complications by using a circular external fixator in addition to an intramedullary nail to achieve union, limb lengthening, and stability of the regenerated segment.