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Background and Design: Considering the probable long-term side-effects of narrowband UVB (NB-UVB) therapy, various studies have been conducted to provide more effective and reliable protocols by applying the different initial doses, numbers of sessions or dose increments. The aim of this study was to compare the clinical effectiveness of weekly low-dose increments and weekly high-dose increments of NB-UVB therapy in psoriasis. Materials and Methods: Twenty-nine patients with psoriasis vulgaris underwent NB-UVB therapy with a weekly low-dose (20%) increment protocol (group 1; n=14) or weekly high-dose (40%) increment protocol (group 2; n=15). The patients were monitored weekly for 12 weeks and evaluated by the Psoriasis Area Severity Index (PASI). Results: The PASI scores prior to the therapy and during the 12-week therapy for each week between the groups were compared and no statistically significant difference was found except week 12. The mean PASI scores at week 12 was significantly lower in patients from group 2 than in patients from group 1 (p=0.045). The mean number of patients and therapy sessions required with ≥50%, ≥75% and ≥90% PASI reduction did not differ between the groups. Although comparison of the two groups according to the mean cumulative doses with ≥50% and ≥90% PASI reduction did not reveal a statistically significant difference, however, those of patients with ≥75% PASI reduction at the end of the 12-week therapy were significantly higher in the group with a weekly high-dose increment than in the group with a weekly low-dose increment (p=0.014 and p=0.00, respectively). Conclusion: Although we are aware that our results may need to be supported with large-series studies, we suggest that a weekly low-dose increment regime of NB-UVB therapy is preferable in the treatment of psoriasis as it produces nearly similar effects as a weekly high-dose increment regimen but with the lower cumulative doses. (Turkderm 2015; 49: 101-6) [ABSTRACT FROM AUTHOR]

Background and Design: In this study, we aimed to compare the effects of the combination of acitretin and narrow-band UVB with the combination of placebo and narrow-band UVB in the treatment of plaque-type psoriasis. Materials and Methods: A total of 50 patients with plaque-type psoriasis, in whom more than 10% of the body surface area was affected, were divided into 2 groups of 25 subjects. The first group was treated with narrow-band UVB and 25 mg/day oral acitretin and the second group was treated with narrow-band UVB and placebo. The patients were evaluated every 2 weeks during a 12 week-period. In each patient visit, psoriasis area severity index (PASI) scores were evaluated by an independent observer. Self-administered PASI (SAPASI) scores were calculated. Pre- and post-treatment quality of life was evaluated using the Skindex 29. Results: The study included a total of 50 patients (25 female, 25 male) aged 18-71 years. When PASI and SAPASI changes were evaluated, there were significant differences between the two groups at second week (p<0.05). In addition, there were significant differences between the two groups in terms of PASI and SAPASI values at 4th, 6th, 8th, 10th and 12th weeks (p<0.001). Clinical response was found to be better in patients treated with the combination of acitretin and narrow-band UVB compared to those treated with narrow-band UVB therapy alone. Both treatment protocols were found to lead to significant improvement in the scores of the symptoms, function and emotional scales of Skindex 29. Conclusion: Because of short and better response to combination treatment, clinicians may prefer combination treatment for patients who have psoriasis vulgaris and are suitable for taking narrow-band UVB and acitretin. Psoriasis is considered as a kind of disease that has significant impacts on quality of life. [ABSTRACT FROM AUTHOR]

Multi-slice computed tomography and bronchoscopy are considered primary methods for the diagnosis and localization of hemoptysis and the evaluation of the bronchial and pulmonary vascular systems. Bronchial artery embolization is a minimally invasive procedure that either serves as a first-line treatment option for hemoptysis or prepares the patient for surgery. The aim of this article is to summarize the radiological evaluation of hemoptysis and bronchial artery embolization. [ABSTRACT FROM AUTHOR]

Background and Design: Ultraviolet (UV) radiation can affect dermoscopic features of melanocytic nevi by inducing melanin synthesis or melanocyte proliferation. Despite widespread use of UV radiation in the treatment of several skin diseases, there have been only a few studies on its effects on the dermoscopic features of melanocytic nevi. The present study was designed to determine the effects of narrowband UVB, UVA1 and psoralen and UVA (PUVA) treatments on dermoscopic features of melanocytic nevi. Material and Method: A total of 55 patients, who were referred to our phototherapy unit for the treatment of various skin disorders, were enrolled in this prospective study. Twenty-one patients underwent narrowband UVB, 18 patients underwent UVA1 and 16 patients underwent PUVA treatment. Dermoscopic images of 233 nevi in narrowband UVB group, 233 nevi in UVA1 group and 229 nevi in PUVA group were evaluated for the alterations in dermoscopic structures at the end of three months. Total dermoscopic scores (TDSs) of melanocytic nevi were calculated according to the ABCD rule. Results: There was no statistically significant increase in the size of melanocytic nevi in the therapy groups. Narrowband UVB, UVA1, and PUVA resulted in statistically significant changes in the dermoscopic structures of melanocytic nevi. In narrowband UVB therapy group, de novo dot formation was documented (p=0.002). Only in narrowband UVB group, de novo dot formation was observed. There was no statistically significant change in the mean TDS. Conclusion: Narrowband UVB, UVA1 and PUVA therapies have significant effects on dermoscopic features of melanocytic nevi. [ABSTRACT FROM AUTHOR]

Objective: Cranial computed tomography (CCT) and demographic findings of early childhood patients with head trauma who were admitted to the emergency department and the role of CCT in evaluation of these patients was investigated. Material and Method: A total of 520 patients who were younger than 8-year-old and admitted to the emergency department due to head trauma between May 2011-November 2012 were included in this study. The trauma type, radiological findings and demographic characteristics of the patients including age and gender were evaluated retrospectively. Results: Of these 520 patients, 223 (42.9%) were female and 297 (%57.1) were male. The mean age was 4.8±1.5 years, ranging from 2 months to 8 years. While there were no acute pathological findings in 337 (64.8%) patients who were evaluated with CCT, one or more acute pathological findings were present in 183 (35.2%) patients. The most frequent trauma type was falling down or hitting into the floor which was seen in 204 (%39.2) patients. The rates of CCT with trauma findings were 29.2%, 37% ve 39.4% in the age group of 0-2, 2-5 and 5-8, respectively. While there was no significant difference between 2-5 and 5-8 years age groups, there was a statistically significant difference between 0-2 years age group and age groups of 2-5 and 5-8 years in terms of CCT without trauma findings (p<0.05). Conclusion: The rate of CCT without trauma findings in early childhood patients with head trauma was remarkably high. When the frequency of trauma in childhood, radiation exposure due to performed CCT and the higher sensitivity to the radiation are considered; the clinical follow-up and neurological examination should be performed carefully before applying CCT for imaging in early childhood head trauma, especially in 0-2 years age group. [ABSTRACT FROM AUTHOR]

Foot drop is often seen as a result of lumbar disc herniation or entrapment neuropathies. Parasagittal cranial rarely affecting the region; isolated head trauma, cerebral space-occupying lesion or demyelinating disease may develop depending on the drop foot. Plant-induced spastic drop foot, hyperreflexia, pathological reflex, headache has been accompanied by other clinical and neurological findings. Careful clinical examination, radiological and electrophysical studies are important tools for the differential diagnosis. [ABSTRACT FROM AUTHOR]

Objectives: A blood test supporting the clinical and radiological findings used for the diagnosis of acute ischemic stroke (AIS) is needed. The aim was to demonstrate the value of serum NR2 antibody levels for the differential diagnosis of AIS. Material and method: Sixty-four ischemic stroke patients and 68 healthy volunteers who fulfilled the study criteria are included to our study prospectively. Serum NR2 antibody levels calculated by ELISA method at period of the acute ischemic stroke. Severity and prognosis of stroke are determined by on admission NIHSS score, third month MRS and Barthel index scores, infarction volume with AXBXC/2 calculation. Results are compared with NR2 antibody levels by using Kolmogorov Smirnov, Tukey HSD, Wilcoxon and Mann-Whitney U tests. Results: Average serum NR2 antibody levels are 2.64±1.43 and 2.28±1.13 in ischemic stroke and control groups respectively. The difference between two groups is found statistically insignificant. It is understood that S100B levels are not affected by age, gender, coronary artery diseases, diabetes mellitus, hyperlipidemia, hypertension, peripheral artery disease or smoking. Conclusion: These results suggest that serum NR2 antibody levels in the patients with acute ischemic stroke do not show a statistically significant difference when compared to healthy controls. We conclude that serum NR2 antibody levels have no important effect on the ischemic stroke. [ABSTRACT FROM AUTHOR]

Hydatid cysts of the lung can mimic malignant diseases such as lung cancer, infectious diseases such as tubecrculosis, or benign pathologies. It should be kept in mind that hydatid cysts of the lung can radiologically mimic many lung pathologies, primarily malignancies. Necessary investigations should be performed for the differential diagnosis in the preoperative period. We, therefore, believed that it is worthwhile to share a 31year-old patient with a hydatid cyst of the lung who was thought to have metastatic lung cancer. [ABSTRACT FROM AUTHOR]

Background: We aimed to evaluate patients who underwent surgery because of hydatid cysts and to have providence for future patients. Methods: Patients (n=78) who had surgery with a hydatid cyst between 2006-2011 were considered retrospectively. Pre- to post-operative parameters were compared and related cases were investigated. In this study it was aimed to have providence postoperatively about time and amount of drainage and hospitalization time of patients according to age, effected side, symptoms, and preoperative radiological findings of patients, especially size of hydatid cyst or number of cysts. Results: In our study, the mean age of patients who had surgery because of hydatid cysts was 33.74±17.1 years. Sizes of cysts were compared with age, time and amount of drainage, and hospitalization time of patients. Only age and size of cysts was inveresely correlated statistically. Size and number of cysts, postoperative morbidity, time and amount of drainage and hospitalization time of patients were analyzed with Spearman's rho test. Only the relation between the number of cysts and duration of drainage was significant (p=0.04). Conclusion: As predicted in pulmonary hydatid disease, early age led to bigger cyst dimension. However, no correlation was determined between cyst count/dimension. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the etiological factors, diagnosis, follow-up and treatment procedures in cases of orbital cellulitis. Material and Method: A retrospective review was performed on medical records of patients with orbital cellulitis treated between 2009 and 2011 in our clinic. The patients were studied for age, ophthalmologic examination features, laboratory and radiology results, treatment modalities and the response to these treatments. Results: Eleven patients (7 male, 4 female) having an average age of 9.7 years (6 months-25 years) participated in the study. All patients had eyelid oedema, hyperemia and ocular pain; with chemosis in 3, gaze restriction in 6, relative afferent pupillary defect and proptosis in 4 cases. Orbital cellulitis was observed to occur secondary to paranasal sinusitis in 10 patients (90.9%) and 1 patient had only history of superior respiratory tract infection. Sinus infection was localized in ethmoid and maxillary sinuses in all except one case. Laboratory tests showed leukocytosis in 8 patients. Surgical drainage was performed in 7 of 8 patients with abscess formation observed with radiological imaging. The remainder of the patients were followed with sole medical treatment. All patients recovered without any vision loss or life-threatening complication. Discussion: Orbital cellulitis cases must be followed with radiologic imaging for any complication that may occur and patients with abscess should be evaluated for surgical drainage besides antimicrobial treatment. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to highlight whether there was a change in the anxiety and depression levels of radiation workers who were constantly exposed to ionizing radiation. For this purpose, the personnel working at the Suleyman Demirel University, Education and Research Hospital Radiology Unit were evaluated for the levels of depression and anxiety. Method: Thirty-eight personnel from the Suleyman Demirel University, Educationand Research Hospital, Department of Radiology Unit participated in this study. For the evaluation of the levels of depression and anxiety of the participants, Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) were used. Statistical significances were evaluated using the computer program SPSS 15.0 and Kruskal-Wallis test, Independent t-test, ANOVA, Pearson correlation and Mann- Whitney U tests. Results: Personnel's average age was 32.42 ± 5.5 years and of the 38 participants, 19 (50%) were male, 19 (50%) were female. Beck Score averages were 10.26 ± 11.66 for BAI, and 7.00 ± 6.54 for BDI and regarding BAI values, there was a significant difference between the genders (p = 0,37). Means and standard deviations of BAI and BDI were found out as 14,21± 14,31(N=19) and 7,77±6,39 (N=18) for women respectively, while they were 6,31±6,49 (N=19) and 6,26±6,76 (N=19) for men. A positive correlation was detected between age and BAI and BDI values (p=0,001; p=0,002). Furthermore, there was a positive significant correlation between the term of services and the BAI and BDI values (p = 0.007, p = 0.029). Body Mass Index (BMI) was found as 25.68 ± 0.47 for men and 24.58 ± 1.13 for women. Discussion: For the staff working at the Radiodiagnostic Unit, an increase in the severity of the symptoms of depression and anxiety levels was observed as their age and term of services increase. Under the light of these data it can be said that, radiology staff should be examined at regular intervals to monitor their levels of anxiety and depression in order to evaluate their professional and other performances. [ABSTRACT FROM AUTHOR]

Objective: We evaluated 33 cases with fractures of the tibia plateau of 33 knees that were treated by conservative methods between 1990-2000. Material and Method: The study included 33 cases (mean age 52.18; range 31 to 83 years). The cases were evaluated clinically and radiographically after a mean follow-up of duration of 82.03 months (range 14 to 140). Cases were divided into three groups: The first group; 12 patients to whom the surgical indication to be placed however, due to various reasons conservative treatment were applied, the second group, 13 patients whom surgery is indicated were treated conservatively; a third group, eight patients to whom conservative treatment be indicated and were treated conservatively. According to Schatzker classification; three cases type I, seven cases type II, three cases type III, three cases type IV, nine cases type V and eight cases type VI. The average weight bearing time 17.6 weeks (13-21). The patients were evaluated clinical!}' (Rasmusen criteria) and radiographically (Resnic - Niwoyama). Results: Clinical results were six cases excellent (18.2%), 22 cases better (66.7%), five cases medium (15.1%). Clinical results were obtained satisfactory 84.9% Radiological results were 2 cases excellent (6.1%), 16 cases better (48.5%), 9 cases mild (27.2%), 6 cases worse (18.2%). Radiological results were obtained satisfactory 54.6%. Conclusion: Although clinical outcomes were satisfactory, radiological results unsatisfactory in patients with Schatzker type 4, 5, 6. Results showed that the effectiveness of conservative treatment. [ABSTRACT FROM AUTHOR]

The variation of superior mesenteric artery was observed in 55 years old male cadaver during the routine teaching dissections. The left hepatic artery originated from the proper hepatic artery and supplied only the left lobe of the liver. The right hepatic artery was arised from the superior mesenteric artery and supplied the right lobe. The cystic artery was also originated from this artery. The variation of the proper hepatic artery is often encountered as an important matter in liver surgery and radiological examination. [ABSTRACT FROM AUTHOR]

Objective: Mesencyhmal hamartoma of the liver is an uncommon benign tumor mostly affecting pediatric age group, particularly in the first two years of life. Case report: We present ultrasonographic and tomographic findings of a huge hepatic cystic mesencyhmal hamartoma in a 7 month old child who was admitted to the pediatry clinic with complaints of abdominal swelling and difficulty breathing. [ABSTRACT FROM AUTHOR]

Objective: This study was conducted to evaluate the demographic and clinical features, and radiologic findings of children between 0-14 years old with first urinary tract infection (UTI). Material and Methods: Our study included 97 children admitted to our emergency and outpatient clinics, between 01/02/2004 to 03/06/2004. The cases were classified as group1 (1-12 months), group 2 (13-60 months) and group 3 (>60 months). Data belonging to this study were evaluated by using Ki-square and Kappa corelation tests in SPSS 13.0 software. Result: Female/male ratio was 3,21. Mean age was 53,5±39,5 months (1-145 months). While patients in group 1 presented mostly with nonspecific symptoms like fever (62,5%) and irritability, older children presented with more specific symptoms like abdominal pain, polyuria, dysuria. Fever was found in 41,7% of patients younger than 1 years old. E. coli was the leading etiologic agent (78,4%) in all patients and was significantly high regarding to other pathogens in patients older than 1 years (p<0.0001). Klebsiella (20,8%) was the second most common etiologic agent in patients younger than 1 years old. Abnormal ultrasonographic (USG) imaging findings were encountered in 62%, 52% and 30% of cases in group 1, 2 and 3, respectively. There was no statistical relation between either the presence of fever and renal parenchymal damage or the presence of fever and vesicoureteral reflux (VUR) in voiding cystoureterography (VCUG). Conclusion: Early detection and treatment of UTI is important due to high morbidity . Since infants 1-12 months of age with UTI present mostly with fever, UTI should always be ruled out in infants with fever. It should be emphasized that every children less than 1 years of age with first UTI should have an urinary USG. [ABSTRACT FROM AUTHOR]

In recent years with emerging developments in radiological imaging techniques, it has been possible to determine the underlying morphologic, metabolic and even molecular pathologic basis of psychiatric disorders. In this review, we aimed to gather under the main headings, the spectrum of the imaging methods used in diagnosing psychiatric major diseases, characteristics of the existing systems, update information and future expectations. There is multitudinous published studies in the literature related to almost all psychiatric disorders and syndromes and the knowledge about them are much more than expected. As could easily be observed from literature evaluation, studies on computed tomography is almost ended, and MRI studies are shifted to advanced submodalities such as; fMRI, DWI, DTI. Combined imaging modalities like PET/CT and PET/MRI provide useful information in determination of metabolic activity of o focal or diffuse lesion area. Functional information is an helpful modality for directing the lesion localization especially in normal cross-sectional images and in the follow-up of the response to treatment. Radiologically, in the light of recent advances mainly depending on the MRI and PET technology; it is possible to identify the volumetric, functional, metabolic differences of the whole brain or of a special area. Thus the abnormalities in these parameters could also be evaluated for psychiatric diseases. In recent studies, anatomical based imaging principles, somehow prone to shift molecular based imaging methods. So these genetic-molecular based studies currently ongoing in the experimental stage that make it possible to diagnose and monitor the primary pathology, give hope for the future of the imaging in psychiatric diseases. [ABSTRACT FROM AUTHOR]

Radiation-induced bronchiolitis obliterans organising pneumonia (BOOP) is a lung disease which is pathologically characterized by the presence of granulation tissue polyps within respiratory bronchioles and alveoler ducts and patchy areas of organizing pneumonia. Etiologic factors include infection, drug administration, collagen vascular disease, hypersensitivity pneumonia, toxic fume inhalation, acute respiratory deficiency syndrome, thyroiditis and radiotherapy and it may also develop idiopathic. Occurrence of radiation injury in the lung outside the tangential fields and appearance of patchy infiltrates in both lungs are characteristic. It is assumed that radiation exposure to lung and pleura initiates a lymphocytic stimulation which then triggers a cytokin mediated immunologic reaction and causes the injury in both lungs. We report an early breast cancer patient treated with breast conservation surgery and postoperative breast radiotherapy who later developed BOOP syndrome in both lungs. [ABSTRACT FROM AUTHOR]

Idiopathic granulomatous mastitis (IGM) is a rare benign disease of the breast with an unknown etiology, which mimicks the carcinoma of the breast. Its shows an increased incidence among women of the breeding ages usually developing in a single breast as an isolated lesion, clinically revealing dermal findings similar to the infl ammatory carcinoma of the breast. Radiologically, the differential diagnosis between IGM and cancer remains to be a challenge for the physicians. Histopathologic examinations reveal intense inflammation accompanied by non-caseified granulomas constituting the characteristic features of this disease. The presence of other etiologies associated with histopathologic findings of granulomatous reactions must be excluded to achieve the diagnosis of IGM. A thirty fi ve years old female patient admitted to our clinic with complaints of an erythematous tender mass, which she had realized to be present in her right breast for the last fifteen days. Despite the two-week-convenient medical therapy, the clinical fi ndings revealed no improvement. Since the diagnostic procedures could not exclude malignancy, surgery was performed. Following resection, the specimen was evaluated histopathologically revealing the diagnosis of granulomatous mastitis. No evidences of recurrence were met in the postoperative sixth month. This case is presented to emphasize that the possibility of IGM should be kept in mind as an entity for differential diagnosis during the clinical evalutions of women of the breeding ages admitting with complaints of isolated breast masses that bring up the suspicion of breast cancer either clinically, or radiologically. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the treatment results of patients diagnosed with ductal carcinoma in situ (DCIS) treated with breast conserving surgery and adjuvant radiotherapy. Materials and Methods: Between 1991 and 2006, 46 patients were treated in Ege University Faculty of Medicine for DCIS, were analyzed retrospectively. All the patients underwent breast conserving surgery and adjuvant radiotherapy. Fifty Gy was delivered to whole breast through tangential portals. Boost dose was 10 Gy and it was given by photons in 3 (%10.7) patients and electrons in 25 (%89.3) patients. Results: Median age was 48 (range: 16-66). Of the patients, 45.6% (21) were diagnosed by screening mammography, the others were presented with palpable mass (50%), pain (2.2%) and discharge (2.2%). The most common tumor localization was upper outer quadrant (63%). Comedo histopathology was detected in 7 patients (15.2%). After the surgery, cosmetic evaluation was as follows: 36.8% (14) excellent, 44.8% (17) good, 10.5% (4) satisfactory and 7.9% (3) fair. After radiotherapy cosmetic evaluation was performed at least 6 months after the end of treatment. The scores were found to be excellent in 34.2% (13) patients, good in 47.4% (18), satisfactory in 10.5% (4) and fair in 7.9% (3) patients (p=0.564). Five and ten years disease free survival and local relaps free survival were 95.3%, 92.7% and 88.2%, 90.1%, respectively. Five and ten years overall survival 100% and for distant metastases free survival, these parameters were 100% and 88.3%, respectively. Conclusion: Partial mastectomy and adjuvant radiotherapy in the treatment of DCIS provides low recurrence rates and optimal cosmesis. [ABSTRACT FROM AUTHOR]

Introduction: Oropharyngeal penetrating trauma is encountered more often in children under the age of 5 due to lack of their self-protection. Case Report: In this paper, a 2-year-old girl who had penetrating oropharyngeal trauma after falling on a construction nail was presented. As a consequence of the physical examination and radiological examination applied to the patient, it was seen that the foreign body reached the clivus in the base of the skull, through the nasopharynx, passing by the hard and soft palate junction. In the status of the patient, who was operated on, no additional clinical aspects or neurological or lack of visual activity was observed in the post-operative period. As there was no complication during the follow-ups, the patient was discharged with recommendations. Conclusion: Oropharyngeal penetrating trauma should be careful in terms of mortality and morbidity due to the proximity to vital organs. [ABSTRACT FROM AUTHOR]

Myositis ossificans (MO) is a disease which is associated with ossification in soft tissue offen develops following trauma. It may be confused with malignant soft tissue tumors clinically and histologically. Direct radiography, ultrasonography, computed tomography and magnetic resonance imaging are used radiological imaging modalities diagnosis of MO. In this study, we aim to present the radiological imaging findings of two cases of MO. [ABSTRACT FROM AUTHOR]

During routine dissections for anatomy education in 75 years old male cadaver, variations of left and right hepatic arteries were observed. Double left hepatic arteries arose from common hepatic artery, right hepatic artery arose from superior mesenteric artery. Knowledge of anatomic variations of the hepatic arteries is very important, especially in terms of reducing complications of radiological or invasive procedures and surgery. [ABSTRACT FROM AUTHOR]

Objective: Actinomycosis can form chronic paraovarian granulomatous reaction, which becomes a solid mass adherent to the surrounding organs, and because of this image it may resemble malignancy. In this case we have presented a patient who was operated with the diagnosis of the adnexial malign tumoral mass and diagnosed as pelvic actinomycosis by histopathologic examination after surgery. Case report: Fifty-one years old woman with left adnexial mass to whom salphingooferectomy and hartman operation is done. After operation pelvic actinomycosis was diagnosed. Conclusion: Actinomycosis diagnosis is difficult before surgery. As clinic and radiologic findings are not distinctive, if diagnosed after surgery. [ABSTRACT FROM AUTHOR]

Primary central nervous system lymphomas, are extremely rare. Constitute about 1% of all brain tumors. In recent years, both the immune resistance in patients with impaired and normal incidence is increasing. Despite advances in Neuro-radology primary central nervous system lymphomas should not be confused with other malignant brain tumors In this study, we present a case of immune resistance to a normal primary central nervous system lymphoma presented and discussed with the review of the literature. [ABSTRACT FROM AUTHOR]

In the present study, the surgical treatment options are discussed in the cases with diagnosed patellar bone fractures. Thirty-eight cases (39 knees) were treated surgically. Sixteen cases with transverse and pole fractures were treated with the modified tension band technique, 18 cases with transverse and comminicated fractures were treated by the peripheral circular technique; 4 cases with comminicated fractures were treated by the peripheral circular technique + modified tension band technique and in one case pole resection were applied. Clinical results were assessed using the modified Böstman scoring system. According to the Böstman system, clinical results were exellent in 20 cases (51.3%), good in 16 cases 41%), poor in three cases (7.7%). We achieved 90% good/exellent clinical results in patellar fractures treated with different techniques. We recommend modified tension band techniques in cases with transverse patellar fractures. [ABSTRACT FROM AUTHOR]