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Objective: This study examined the effect of spinopelvic parameters on the formation of lumbar disc herniation (LDH) in patients who underwent surgery due to LDH was examined. For this purpose, a retrospective cross-sectional analysis was performed on two groups; healthy individuals and those who underwent surgery. Materials and Methods: Correlation between clinical examination, plain radiography, and magnetic resonance imaging was performed for patients with LDH. Patients who underwent surgery for L4-5 and L5-S1 levels were included in the study. Healthy controls were included in Group 1, and patients who underwent LDH surgery were included in Group 2. Spinopelvic parameters (LL, L1-L4, L4-S1, SS, PI, PT angles) were measured using Surgimap. The obtained data were statistically compared using SPSS. Results: There was no difference between the two groups in L1-L4, SS, PI, and PT measurements. LL (p=0.004) and L4-S1 lordosis angles (p=0.001) were found to be lower in Group 2 than in Group 1. In Group 2, no difference was found in any parameter regarding the formation of disc degeneration at a single or multiple levels. In group 2, PI values of the L4-5 disc level were higher than those of the L5-S1 disc level (p=0.032). Conclusion: There were no statistically significant differences between groups 1 and 2, except for LL. Decreased LL is a risk factor for surgery for disc herniation. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to compare clinical and histopathological effects of oral versus intraarticular corticosteroid application in a rat model of frozen shoulder., Methods: In this study, eighty adult Sprague-Dawley rats were used. The animals were divided into 5 equal groups. The frozen shoulder model was created by immobilizing animals' shoulders with internal fixation with sutures for 8 weeks. At the 8th week, sham (n: 16) and control (n: 16) groups were sacrificed to collect data for healthy and affected shoulders. Also, at the 8th week, 50 mg/ kg methylprednisolone was started for the oral treatment group, and a single dose of 0.5 mg/kg triamcinolone acetonide was injected for the intraarticular treatment group. The effect of additional steroid treatment was expected for 2 weeks, then all remaining treatment and natural course groups were sacrificed on the 10th week., Results: After sacrification, specimens taken as "en bloc" scapulothoracic disarticulation were randomly divided into two groups for a range of motion measurement and histopathological examination. The control (frozen shoulder model) group's shoulder range of motion in all directions was lower than the sham (healthy) group (P < 0.01). Natural course and intraarticular steroid groups, compared to the frozen shoulder model showed a significant increase in the direction of abduction (P < 0.05). Also, it was found for treatment groups that in all directions the range of motion was not as good as the healthy values (P < 0.01). The intraarticular treatment group showed higher degrees of abduction compared to the natural course and oral steroid treatment groups (P < 0.01). Oral steroid treatment group's range of motion was not significantly better than the disease model and had no superiority to the natural course group (P > 0.05). Histopathologically, no statistically significant difference was observed between the groups for signs of frozen shoulder which was found in the immobilized group (P > 0.05). Histopathologically, immobilization was found to cause thickening of the capsule that cannot be resolved by treatment. (P < 0.05)., Conclusion: In frozen shoulder disease, intraarticular steroid injection seems to be superior in increasing the range of motion than oral steroid treatment.

The varus ankle deformity can lead to osteoarthritis; therefore, numerous supramalleolar tibia osteotomy techniques are described to correct this deformity. Many of these techniques are more suitable for uniplanar ankle deformity. Particularly, if there are multiplane ankle deformities, the use of the six-axis deformity correction system may be successful in solving the problems which may occur during the correction. In this article, we report two cases of three plane deformities of ankle joint due to trauma sequelae, which were treated with supramalleolar osteotomy using a hexapod fixator which is called the Smart Correction Frame®.