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Objective: Diabetes mellitus is a common health issue with an increasingly rampant incidence all over the world. Diabetic foot ulcers raise morbidity, reduce the quality of life, prolong hospital stay, and cause a high rate of lower extremity amputation. Our aim in this study is to evaluate the patients presented to the hospital with the diabetic foot diagnosis. Methods: 147 diabetic foot patients were evaluated retrospectively in the chronic wound council between 2016--2017 at our hospital. Wagner was used for wound classification, whereas Infectious Diseases Society of America (IDSA) was for infection classification. Results: Evaluating the cases according to the Wagner classification, 1 patient was observed to be on stage 1, 19 were on stage 2, 58 were on stage 3, 58 were on stage 4, 11 were on stage 5. Patients on stage 3 and above accounted for 86.4% of all cases. 66 patients (45%) underwent minor amputation, whereas 18 (21%) were below-knee amputation and 2 (1%) were above-knee amputation. 44 patients recovered with debridement and wound care. Conclusion: Lower extremity ulcers and infections in diabetic patients are one of the most common causes of hospitalization and non-traumatic amputation in diabetic patients. The amputation rate, which was determined as 58.5% in our study, is higher compared to similar studies. We consider that this is due to patients who presented late, who had higher grades of Wagner wound stages, who had osteomyelitis, who had vascular problems and were referred to our center for decision of amputation. [ABSTRACT FROM AUTHOR]

Objective: Amputations lead to major changes in one's life in terms of daily life and functionality. Limitations in body structures and bodily functions due to amputation affect the level of activity and social participation of the individual. In this study, the Turkish version of the Trinity Amputation and Experience Scale (TAPES) questionnaire was aimed to investigate the relationship between the quality of life and functional level of re-participation after normal amputation. Methods: A total of 48 patients who were admitted to the Orthopedics and Traumatology Clinic of our tertiary care hospital, regardless of age and sex, underwent lower extremity amputation due to diabetic foot were included in the study. Trinity Amputation and Experience Scale (TAPES) questionnaires of all patients were recorded and filled out. Results: Of the 48 patients included in the questionnaire, 36 (75.0%) were male and 12 (25.0%) were female. A total of eight (16.7%) patients were amputated above the knee level and 40 (83.3%) patients under the knee. There were 14 (29.2%) patients who used the prosthesis for more than 12 hours a day, and 34 (70.8%) patients who used the prosthesis for less. The mean age of the patients was 54.4±19.4 years (range: 11--86 years). The total satisfaction score rate was 63.1±20.5% (range: 20--92%). Conclusion: Our study is one of the rare studies in Turkey about the satisfaction of prosthesis and some other compliance criteria in amputated patients. Our study data showed that especially stump and phantom pain were significantly related to both daily utilization of the prosthesis, compliance scores, and satisfaction scores for the prosthesis, and these pains affect the psychological state of the amputees. [ABSTRACT FROM AUTHOR]

Objectives: When the risk factors of symptomatic osteoarthritis (OA) are evaluated, it has been shown that increased body mass index, lower educational levels and social support, depressive mood are associated with reporting more pain. The aim of this study was to investigate the relationship with radiological grade of osteoarthritis of knee at symptomatic obese patients and body mass index, functional status. Materials and Methods: Forty-one patients whose BMI was more than 30 kg/m2 and diagnosed as primary knee OA due to knee pain complaints were included in the study. The anatomic tibiofemoral angle (aTFA) was measured on orthoro- entgenography by Picture Archiving Communication Systems (PACS). Western Ontario McMaster Osteoarthritis Index (WOMAC) and knee Visual Analogue Scale (VAS) were evaluated according to the knee which has more pain complaint. Results: A statistically significant correlation in the positive direction was found between the decrease in BMI and the decrease in the Lumbar VAS (Initial-3rd month difference). However, there was a correlation between the decrease in BMI and the decrease in knee function and VAS which was not statistically significant. Conclusion: It is suggested that short term knee pain due to knee OA is not directly associated with weight loss and irreversible mechanical factors (knee varus, cartilage damage in knee joint) caused by obesity can be the effective factor. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study is to report our institution's experience regarding the use of open tibial inlay technique in patients undergoing single-stage combined posterior cruciate ligament (PCL) reconstruction., Methods: Records of 17 patients who underwent PCL reconstruction with tibial inlay technique were retrospectively reviewed. Patients with ipsilateral femoral or tibial osteochondral avulsion fractures or ipsilateral concomitant tibia and femur shaft fractures were excluded. Out of these 17 patients, six cases underwent anterior cruciate ligament (ACL) + PCL reconstruction, nine cases underwent ACL+ PCL + posterolateral corner reconstruction, one case underwent ACL + PCL + MCL reconstruction and one case underwent ACL+ PCL + posterolateral corner + MCL reconstruction. Mean follow-up was 14.27±6.77 (range: 6-30) months., Results: In preoperative assessments, all patients had 3+ posterior laxity in posterior drawer test; at final follow-up, 6 patients had 0 laxity, 7 patients had 1+ laxity, and 4 patients had 2+ laxity (p<0.001). International Knee Documentation Committee (IKDC) objective evaluation showed severe disability in all patients preoperatively, whereas 5 knees were grade A, 8 knees were grade B, 3 knees were grade C, and 1 knee was grade D at final follow-up. Mean IKDC subjective score was 75.22±7.53 at final follow-up. Postoperatively, mean side-to-side difference in KT-1000 arthrometer measurement was 2.45±1.80 mm. At final follow-up, mean range of motion (ROM) was 0º on extension and 123.56±6.31º on flexion., Conclusion: Open tibial inlay approach is beneficial during PCL reconstruction. Further study is warranted to establish its effectiveness on functional outcomes and prevention of complications.

Objective: Two drilling techniques of the femoral tunnel are commonly used in anterior cruciate ligament (ACL) reconstruction: through the transtibial (TT) portal or through the anteromedial (AM) portal. The aim of the present study is to investigate the radiological and clinical outcomes of arthroscopic single-bundle ACL reconstruction using AM and TT portal techniques for drilling the femoral tunnel in nonprofessional athletes., Methods: A retrospective review was made of 44 nonprofessional athletes undergoing ACL reconstruction using AM and TT techniques between 2011-2013. The femoral tunnel clock position on axial magnetic resonance imaging (MRI) and the anterior-posterior position of the tibial tunnel on sagittal-cut MRI scan were measured. Radiological femoral tunnel and tibial tunnel anterior-posterior inclination angles were assessed. At final follow-up, the Lachman test and pivot-shift test were used in the evaluation of the anterior-posterior stability of the knee and the rotational stability of the knee. For clinical and functional evaluation, the modified Cincinnati knee grading system, Lysholm knee scoring scale, and International Knee Documentation Committee (IKDC) form were used., Results: No statistically significant difference was determined between the groups in terms of patient age, follow-up period, gender, and affected side distribution. There were 6 outliers in the TT group due to the clock face position. The mean femoral tunnel inclination angle was 31.07°±8.44° in the AM group and 19.02°±8.93° in the TT group. The tibial tunnel inclination angle was 21.08°±5.42° in the TT group and 16.58°±7.02° in the AM group. A statistically significant difference was determined between the 2 groups. No statistically significant difference was observed between the 2 groups in terms of Lachman test, pivot-shift test, Lysholm score, IKDC score, and modified Cincinnati score results., Conclusion: The AM technique has no clinical superiority compared to the TT technique in ACL reconstruction in nonprofessional athletes.