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Amaç: Araştırmanın amacı elastik titanyum çivi ile intramedüller tespit uygulanan stabil olmayan femur kırıklarının fonksiyonel ve radyolojik sonuçlarını değerlendirmek ve sonuçlara etki eden faktörleri belirlemektir. Yöntemler: 2001 ile 2014 yılları arasında, 4-17 yaş arası femur diafiz kırığı nedeniyle intramedüller elastik çivi ile tedavi edilen 32 hasta incelendi. On iki hastada sol femur diafiz kırığı, 18 hastada sağ ve 2 hastada bilateral femur diafiz kırığı mevcuttu. On bir hastada parçalı, 11 hastada kısa oblik, 8 hastada transvers ve 4 hastada spiral kırık paterni tespit edildi. Tüm hastalarda aynı cerrahi teknik ve ameliyat sonrası bakım uygulandı. Cerrahi sonrasında ve kontrollerde ön-arka ve yan direk grafiler ile sagital ve koronal açı ölçümleri yapıldı. Hastalar ortalama 54 (aralık, 12-156 ay) ay takip edildi. Ağrısız tam yük verme ve direk grafilerde en az üç kortekste kallus köprü olumu kaynama kriterleri olarak kabul edildi. Bulgular: Takiplerde bir hasta hariç tüm hastalarda kaynama elde edildi. Hastalar eski aktivitelerine geri döndü. Diz ve kalça eklem hareket açıklıkları geri kazanıldı. Ortalama kaynama süresi radyolojik olarak 9 (aralık, 6-16 hafta) hafta tespit edildi. Beş (14%) hastada kısalık tespit edildi. Kırık paterni ile kısalık arasında istatistiksel anlamlı ilişki saptanmadı. On dereceden fazla varus ya da valgus açılanması görülmedi. Sonuç: Elastik titanyum çivi uygulaması hastanın erken yük vermesine izin veren konforlu, ekonomik ve güvenli bir yöntemdir., Objective: The aim of this study was to evaluate the func­tional and radiological results of the application of intra­medullary fixation with elastic titanium nails in unstable femoral fractures and to determine the factors affecting these results. Methods: A total of 32 patients aged 4-17 years treated with intramedullary elastic nails for a femoral diaphysis fracture between 2001 and 2014 were included. The frac­ture was left side in 12 cases, right side in 18 and bilateral in 2. The fracture pattern was determined as fragmented in 11 cases, short oblique in 11, transverse in 8 and spi­ral in 4. The same surgical technique and postoperative care was applied to all the patients. Sagittal and coronal angle measurements were made from postoperative and follow-up anterior-posterior and lateral radiographs. The mean follow-up period was 54 months (12-156 months). Positive union criteria were accepted as pain-free weight-bearing and callus bridging in at least 3 cortices seen on direct radiographs. Results: Union was achieved in all except one patient. They were able to return to previous activities with full knee and hip joint range of movement. Radiologically, the mean time to union was determined as 9 weeks (range, 6-16 weeks). Limb shortness was determined in 5 (14%) patients. No significant association was detected be­tween shortness and fracture pattern. No varus or valgus angulation of >10˚ was determined in any patient. Conclusion: Application of titanium elastic nails in pe­diatric femoral diaphysis fractures is a comfortable, eco­nomic, and reliable method which is allows early weight-bearing.

Amaç: Araştırmanın amacı elastik titanyum çivi ile intramedüller tespit uygulanan stabil olmayan femur kırıklarının fonksiyonel ve radyolojik sonuçlarını değerlendirmek ve sonuçlara etki eden faktörleri belirlemektir. Yöntemler: 2001 ile 2014 yılları arasında, 4-17 yaş arası femur diafiz kırığı nedeniyle intramedüller elastik çivi ile tedavi edilen 32 hasta incelendi. On iki hastada sol femur diafiz kırığı, 18 hastada sağ ve 2 hastada bilateral femur diafiz kırığı mevcuttu. On bir hastada parçalı, 11 hastada kısa oblik, 8 hastada transvers ve 4 hastada spiral kırık paterni tespit edildi. Tüm hastalarda aynı cerrahi teknik ve ameliyat sonrası bakım uygulandı. Cerrahi sonrasında ve kontrollerde ön-arka ve yan direk grafiler ile sagital ve koronal açı ölçümleri yapıldı. Hastalar ortalama 54 (aralık, 12-156 ay) ay takip edildi. Ağrısız tam yük verme ve direk grafilerde en az üç kortekste kallus köprü olumu kaynama kriterleri olarak kabul edildi. Bulgular: Takiplerde bir hasta hariç tüm hastalarda kaynama elde edildi. Hastalar eski aktivitelerine geri döndü. Diz ve kalça eklem hareket açıklıkları geri kazanıldı. Ortalama kaynama süresi radyolojik olarak 9 (aralık, 6-16 hafta) hafta tespit edildi. Beş (14%) hastada kısalık tespit edildi. Kırık paterni ile kısalık arasında istatistiksel anlamlı ilişki saptanmadı. On dereceden fazla varus ya da valgus açılanması görülmedi. Sonuç: Elastik titanyum çivi uygulaması hastanın erken yük vermesine izin veren konforlu, ekonomik ve güvenli bir yöntemdir., Objective: The aim of this study was to evaluate the functional and radiological results of the application of intramedullary fixation with elastic titanium nails in unstable femoral fractures and to determine the factors affecting these results. Methods: A total of 32 patients aged 4-17 years treated with intramedullary elastic nails for a femoral diaphysis fracture between 2001 and 2014 were included. The fracture was left side in 12 cases, right side in 18 and bilateral in 2. The fracture pattern was determined as fragmented in 11 cases, short oblique in 11, transverse in 8 and spiral in 4. The same surgical technique and postoperative care was applied to all the patients. Sagittal and coronal angle measurements were made from postoperative and follow-up anterior-posterior and lateral radiographs. The mean follow-up period was 54 months (12-156 months). Positive union criteria were accepted as pain-free weightbearing and callus bridging in at least 3 cortices seen on direct radiographs. Results: Union was achieved in all except one patient. They were able to return to previous activities with full knee and hip joint range of movement. Radiologically, the mean time to union was determined as 9 weeks (range, 6-16 weeks). Limb shortness was determined in 5 (14%) patients. No significant association was detected between shortness and fracture pattern. No varus or valgus angulation of

Tibial tuberosity avulsion is a rare fracture in adolescence. Due to the shear forces on the immature epiphysis. Thirteen years old girl was admitted to the emergency department with knee pain and tenderness in both knees after jumping from a height of about one meter. İn examination she had tenderness and swelling over both tibial tuberosities. The patient could not do active knee extension. Type IIA fracture on the left and type IIIA fracture on the right knee were detected. For the patient\'s fractures, closed reduction and fixation with 3 smooth Kirschner wires was performed. After immobilization in long-leg brace for three weeks the brace was removed and she include in the rehabilitation program. In this report, we discuss similar cases in the literature and the results of the treatment applied to our patient., Tuberositas tibia avulsiyon kırığı adölesan çağda görülen nadir bir kırıktır. İmmatür epifiz üzerinde oluşan makaslama kuvvetlerinden kaynaklanmaktadır. On üç yaşında bayan hasta 1 metre yükseklikten atlama sonrasında her iki dizde ağrı ve yürüyememe şikayetiyle acil servise başvurdu. Yapılan muayenesinde her iki tuberositas tibia üzerinde hassasiyet ve şişlik mevcuttu. Hasta aktif diz ekstansiyonu yapamıyordu. Çekilen direkt radyografide solda Tip IIA, sağda Tip IIIA tuberositas tibia kırığı tesbit edildi. Hastanın her iki kırığına kapalı redüksiyon ve 3\'er adet düz Kirschner teli ile tesbit uygulandı. Her iki bacak 3 hafta uzun bacak atelde takip edildikten sonra ateller çıkarılıp rehabilitasyon programına alındı. Bu yazımızda literatürdeki diğer vakaları ve hastamıza uyguladığımız tedavinin etkinliğini tartışacağız.

Objectives: We evaluated the radiographic and functional results of the Lindgren-Turan operation in the treatment of hallux valgus.Methods : Twenty-nine feet of 25 patients (15 women, 7 men; mean age 42 years; range 20 to 68 years) were treated by the Lindgren - Turan method. Of these, 24 feet with appropriate follow-up were included. Intermetatarsal and hallux valgus angles were measured on preoperative, postoperative, and follow-up anteroposterior radiographs. Pain was evaluated by a visual analog scale. The range of motion of the first metatarsophalangeal joint was measured at the end of follow-ups. The mean follow-up period was 26.5 months (range 6 to 54 months).Results : Postoperatively, the mean corrections were 6.9 degrees and 5.1 degrees in the hallux valgus and intermetatarsal angles, respectively (p, Amaç: Halluks valguslu olgularda Lindgren-Turan ameliyatının sonuçları radyografik ve fonksiyonel yönden değerlendirildi.Çalışma planı: Yirmi beş hastanın (15 kadın, 7 erkek; ort. yaş 42; dağılım 20-68) 29 ayağı Lindgren-Turan yöntemi ile ameliyat edildi; yeterli takibi yapılabilen 24 ayak değerlendirmeye alındı. Ameliyat öncesi, ameliyat sonrası ve izlem sonunda çekilen ayak ön-arka grafilerinde halluks valgus açısı ve intermetatarsal açı ölçüldü. Ağrı değerlendirilmesi görsel analog skala ile yapıldı. İzlem sonunda birinci metatarsofalangeal eklemin hareket açıklığı değerlendirildi. Ortalama izlem süresi 26.5 ay (dağılım 6-54 ay) idi.Sonuçlar: Halluks valgus açısında ameliyat sonrası dönemde ortalama 6.9°, intermetatarsal açıda ortalama 5.1° düzelme sağlandı (p

Coracoid fractures are rarely seen fractures. In the shoulder girdle, coracoid process fractures generally accompany dislocation of the acromioclavicular joint or glenohumeral joint, scapula corpus, clavicula, humerus fracture, or rotator cuff tear. Coracoid fractures can be missed and the treatment for coracoid process fractures is still controversial. In this paper, a 34-year-old male manual labourer presented to the emergency department with complaints of pain and restricted movement in the left shoulder following a traffic accident. On direct radiographs and computerised tomography images a fragmented fracture was observed on the base of the coracoid process. In addition to the coracoid fracture, a mandibular fracture was determined. The patient was admitted for surgery on both fractures. After open reduction, fixation was made with a 3.5 mm cannulated screw and washer. At the postoperative 6th week, bone union was determined. The patient returned to his previous occupation pain-free and with a full range of joint movement. In conclusion, in the current case of isolated fragmented coracoid process fracture showing minimal displacement in a patient engaged in heavy manual work, surgery was preferred as it was thought that nonunion might be encountered particularly because of the effect of forces around the coracoid.

The bucket-handle meniscal tear is a specific type of meniscal injuries which has specific signs on MRI. An attached fragment displaced away from the meniscus with any type of tear causes bucket-handle tear of the meniscus. Magnetic resonance imaging (MRI) is the most commonly used diagnostic tool for meniscal injuries. We present a case of free medial meniscal fragment which mimics the dislocated bucket-handle tear on MRI. The presence of “fragment within the intercondylar notch sign” and “the absence of the bow tie sign” may be an indication of a free meniscal fragment. This should be considered during diagnosis.

Schwannomas are also known as neurolemmas that are usually originated from Schwann cells located in the peripheric nerve sheaths. They are the most common tumours of the hand (0.8–2%). They usually present solitary swelling along the course of the nerve however multiple lesions may be present in cases of NF type 1, familial neurofibromatosis, and sporadic schwannomatosis. Schwannomas are generally represented as an asymptomatic mass; however pain, numbness and fatigue may take place with the increasing size of the tumour. EMG (electromyelography), MRI (magnetic resonance imagination), and USG (ultrasound) are helpful in the diagnosis. Surgical removal is usually curative. In this paper, we present a 24-year-old male referred to our clinic for a lump located at the volar side of the left wrist and a lump located in his left palm and numbness at his 3rd and 4th fingers. Total excision was performed for both lesions. Histopathological examination of the masses revealed typical features of schwannoma. At the 6th-month followup the patient was symptom-free except for slight paresthesia of the 3rd and the 4th fingers. For our knowledge, this is the second case in the literature presenting wrist and palm involvement of the median nerve schwannoma.

28 yaşında erkek işçi sol el bileğinde kitle şikayeti ile kliniğimize başvurdu. Hasta 1 ay önce elini hiperfleksiyon pozisyonun- da alçı karıştırma makinesine sıkıştırmış ve 1 hafta önce de şişlik şikayeti başlamış. MRG'de tenosinıvit gözlendi. 4. ekstensör kompartmanın cerrahi eksplorasyonunda geniş organize hematom ve ekstensör indicis proprius tendonunun muskulotendinöz bölgeden koptuğu görüldü. İşaret parmağı kommon ekstensör tendonunun sağlam olduğu görüldü. Kopuk olan ekstensör tendonun distal ucu yan-yana cerrahi dikiş tekniği kullanılarak sağlam olan kommon ekstensör tendona tenodez yapıldı. Ameliyat sonrası 2. ayda işaret parmağında tam ekstansiyon mevcuttu., A 28 years old male constructor referred to our clinic for a mass on the dorsal side of the left wrist. He has constricted his hand to the plaster cast machine in hyperflexion posture one month ago and swelling complaint has begun one week ago. MRI revealed tenosynovitis. A wide organized hematoma was appeared in the 4th extensor compartment in the surgical exploration of the patient and it was observed that extensor indicis proprius tendon has detached from the musculotendineous region. Common extensor tendon of the second finger was intact. Tenodesis to the distal end of the ruptured tendon to the intact common exten- sor tendon by side to side surgical suture technique was performed. There were complete extension in the 2nd finger at the 2nd month after the surgery.

Introduction: Mallet finger is a common injury and is frequently the result of direct trauma to the tip of an extended finger (forced flexion) or secondary to a laceration over the dorsal distal interphalangeal (DIP) joint of a digit, resulting in a DIP extensor lag. The injury may result from either tendon disruption or a fracture of the distal phalanx and can be treated by splinting or surgery. Method: Between January 2006 and January 2011, 53 mallet finger were treated in our clinic. We treat 41 patients (without open injury) conservative methods (plastic stack splinting and aluminum stack splinting). In 16 of these; we had succesfull results. Of those 25 patients who failed with conservative treatment and 12 patients who had open wounds were treated by surgical methods. We used Y or H type incisions on DIP joint. Results: The study involved 37 patients (25 males, 12 females; mean age years; range 2 to 64 years) with 38 mallet finger deformity. 25 patients (male (%67.6), 12 patients female ( %34.4) (one of them bilateral) who had poor results were and also 12 patiens who had open injury treat with surgical treatment. Conclusion: Although mallet finger might appear as a minor injury, over a quarter of the patients with a mallet injury have been reported to be off work during a 6-week period. In addition, activities, such as sports, are often avoided during the first weeks after the trauma (3). An anatomical reduction is essential in mallet fractures. Open reduction and internal K-wire fixation can be preferred due to its low complication rate and ease of application in patients whose mallet deformity cannot be treated by closed reduction., Amaç: Çekiç parmak deformitesi yaygın bir yaralanmadır ve ekstansiyon eksikliğiyle sonuçlanan, genellikle ekstansiyonda parmak ucunun doğrudan darbe alması sonrası fleksiyona zorlanması ya da parmakta distal interfalangeal (DİF) eklemin laserasyonu sonucu oluşur. Yaralanma tendonun kesilmesi , distal falanks kırığı sonucu olabilir ve splintleme veya cerrahi olarak tedavi edilebilir. Metod: Ocak 2006- Ocak 2011 yılları arasında 53 çekiç parmak deformitesi kliniğimizde tedavi edildi. 41 hasta (açık yaralanması olmayan) konservatif metodlarla (plastik ve aluminyum stack splintleme) tedavi edildi. 16’sında başarılı sonuç elde edildi. Konservatif tedaviden fayda görmeyen 25 hasta ve açık yaralanması olan 12 hasta cerrahi olarak tedavi edildi. Y ve H tipi insizyonlar kullanıldı. Sonuçlar: Çalışmaya 38 çekiç parmak deformitesi olan 37 hasta(25 erkek, 12 kadın, 30.8 yaş ortalaması ve 2-64 yaş aralığı) dahil edildi. Crawford kriterlerine göre 30 hasta (%81.1) mükemmel, 4 hasta (%10.8) iyi, 2 hasta (%5.4) orta ve 1 hasta (%2.7) kötü sonuç olarak değerlendirildi. 1 hastada yüzeyel enfeksiyon, 1 hastada cilt nekrozu ve 1 hastada rekürren deformite oluştu. Tartışma: Çekiç parmak deformitesi minör yaralanma gibi görünmesine rağmen hastaların dörtte birinde yaralanmanın 6 haftalık dönemde işgücü kaybına neden olduğu bildirilmiştir. Ayrıca travmadan itibaren spor gibi aktivitelerden kaçınılmalıdır. Biz bu çalışmada açık yaralanması olan ve kapalı yöntemlerden fayda görmeyen çekiç parmak deformitesi olan hastaları cerrahi olarak tedavi ettik. Açık redüksiyon ve K teli tespiti etkili ve kolay metoddur.

Deep vein thrombosis (DVT) and pulmonary embolism (PE) are known collectively as venous thromboembolism (VTE). Venous thromboembolic events are common and potentially life-threatening complications following trauma with an incidence of 5 to 63%. DVT prophylaxis is essential in the management of trauma patients. Currently, the optimal VTE prophylaxis strategy for trauma patients is unknown. Traditionally, pelvic and lower extremity fractures, head injury, and prolonged immobilization have been considered risk factors for VTE; however it is unclear which combination of risk factors defines a high-risk group. Modalities available for trauma patient thromboprophylaxis are classified into pharmacologic anticoagulation, mechanical prophylaxis, and inferior vena cava (IVC) filters. The available pharmacologic agents include low-dose heparin (LDH), low molecular weight heparin (LMWH), and factor Xa inhibitors. Mechanical prophylaxis methods include graduated compression stockings (GCSs), pneumatic compression devices (PCDs), and A-V foot pumps. IVCs are traditionally used in high risk patients in whom pharmacological prophylaxis is contraindicated. Both EAST and ACCP guidelines recommend primary use of LMWHs in trauma patients; however there are still controversies regarding the definitive VTE prophylaxis in trauma patients. Large randomized prospective clinical studies would be required to provide level I evidence to define the optimal VTE prophylaxis in trauma patients.

Amaç: Bu çalışmada syndesmosis tibiofibularis’i şekillendiren tibianın insisura fibularis’inin ve fibula’nın distal ucunun anatomik karakteristikleri değerlendirildi ve her iki cinsiyette morfometrik verileri elde edildi. Gereç ve yöntem: Bu çalışma 35 adet yetişkin kuru tibia-fibula kemik seti (22 erkek ve 13 kadın) üzerinde gerçekleştirildi. Bulgular: İnsisura fibularis, her iki cinsiyette de olguların %35’inde derin konkav (?4 mm) ve %65’inde ise sığ bir şekil (, Objectives: The purpose of this study was to determine the anatomical characteristics of the fibular incisura of the tibia and the distal end of the fibula that form together the tibiofibular syndesmosis joint and to obtain the morphometric data in both genders. Materials and methods: Current study has been performed on 35 dry adult tibia-fibula sets (22 males and 13 females). Results: 35% of cases presented a significantly concave shape (?4 mm) and 65% had shallow concave fibular incisura (

WOS: 000269083100020, …

Many techniques have been described for the treatment of an acute achilles tendon rupture, but there is unfortunately no agreement between orthopedic surgeons regarding the best repair technique and post-treatment rehabilitation protocol. Overall, the surgical methods can be classified as either an open procedure or as a percutaneous procedure. While numerous techniques have been described for open surgical procedures, the strength of the repaired tendon, the healing time, the rerupture rates, and the changes in the range of motion due to adhesions may be the ultimate determining factors of the success of the procedure. In this case study, we report the results of treating a 35-year-old patient who suffered an achilles tendon rupture by combining two recently described surgical methods into a novel repair technique.

Osteoporosis is a systemic skeletal disease characterized by low bone mass and micro-architectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to bone fracture. Bone tissue undergoes constant remodeling. Under the physiologic conditions, bone formation and resorption are in a fair balance. After the third decade of life, bone resorption exceeds bone formation and leads to osteopenia and, in severe situations, osteoporosis. The result is fragile bones and an increased risk for fracture with even minimal trauma. Postmenopausal osteoporosis is thought to result from gonadal (ie, estrogen) deficiency. Estrogen deficiency have been reported to make decrease in 1-25 vitamin D, PTH levels and also calcium absorbsion and increased of some cytokines (ie. IL-1, TNF-alpha) may cause. it was noticed that Ursodeoxycholic acid (UDCA) may descrease these cytokines and increase fractional calcium absorbsion. Consequently, we hypotesize that UDCA might be useful Postmenopausal osteoporosis.

Amaç: Kalkaneal spur (Topuk dikeni) hastalığının lokal kortikostreoid ve lokal anestezik madde karışım enjeksiyonu ile tedavisinin etkinliğini araştırmak. Materyal ve Metod: Ortopedi ve fizik-tedavi ve rehabilitasyon polikliniklerine topukta ağrı şikayeti ile müracaat eden 28 hastanın (17 kadın, ortalama yaş 45, dağılım 33-72 yıl; 11 erkek ortalama yaş 48, dağılım 29-69 yıl) radyolojik olarak topuk dikeni tespit edilmiş ve ağrı şikayeti yaratan 35 topuğu çalışmaya alındı. Her hastaya poliklinikte, steril şartlar altında plantar fasia'nın kalkaneusa yapışma yerine uyan ve en ağrılı olduğu tespit edilen bölgeden aynı enjektör içinde 2 cc. Depomedrol (metilprednizalon asetat) ve 5 cc. Citanest (Prilokain hidroklorür) enjekte edildi. Hastalar birinci hafta, birinci ve üçüncü aylarda kontrole çağrılarak değerlendirildi. Bulgular: Elde edilen sonuçlara göre topuk dikeni tedavisinde lokal kortikosteroid ve anestezik madde karışım enjeksiyonu özellikle kısa dönemde etkili bir yöntem olmakla beraber bu etkinlik zaman içinde belirgin şekilde azalmaktadır. Ancak tek enjeksiyon yapılmasına rağmen üçüncü aydaki kontrollerde elde edilen yaklaşık % 80 oranındaki çok iyi ve iyi sonuçlar bu tedavi yönteminin ilaç ve topuk yastığı tedavisinden yeterli yarar görmeyen hastalarda uygulanabileceğini düşündürmektedir. Sonuçlar: Birinci hafta kontrolünde 28 hastanın 22'si (% 78.5) şikayetlerinin tamamen geçtiğini (çok iyi), üçü (% 10.7) ağrının büyük oranda geçtiğini (iyi), üçü (% 10.7) ise şikayetlerinde bir değişiklik olmadığını (kötü) ifade ettiler. Birinci ayın sonunda iki hasta takipten çıktı ve bu oranlar sırasıyla % 61.5 (16 hasta), % 23 (6 hasta) ve % 15.3 (4 hasta) olarak tespit edildi. Üçüncü ayın sonunda da takipten çıkan iki hasta çıkarıldıktan sonra sonuçlar sırasıyla % 54.1 (13 hasta), % 25 (6 hasta) ve % 20.8 (5 hasta) olarak tespit edildi., Aim: To investigate the efficacy of local corticostroid and local anaesthetic injection in the treatment of calcaneal spur. Material and Method: Thirty-five heels (observed to cause local pain by palpation in physical examination) of 28 patients (17 female, mean age 45, range 33 to 72 years; 11 male, mean age 48, range 29 to 69 years) which have been shown to have calcaneal spur radiologically on admission to orthopaedics and physical therapy departments because of pain on calcaneal region were included in the study. Each patient had 2 cc. Depomedrol (metilprednisalon asetate) ve 5 cc. Citanest (Prilocain hidroclorure) injection under sterile conditions on the most painful point that was the region where plantar fascia attached calcaneus. Patients were examined on first week, first and third month. Results: In the first week twenty-two of 28 patients (78.5 %) stated complete releif of pain (excelent), three patients (10.7 %) stated incomplete releif of pain (good) and three patients (10.7 %) stated no difference in complaints (bad). Two patients were out of study in the end of the first month and the results were 61.5 % (16 patients), 23 % (6 patients), 15.3 % (4 patients) respectively. Another two patients were also out of study in the end of the third month and the results were 54.1 % (13 patients), 25 % (6 patients) and 20.8 % (5 patients) respectively. Conclusions: According to our results, local corticostroid and local anaesthetic injection in the treatment of calcaneal spur is an effective treatment method especially in short term. However it seems that this efficiency markedly diminishes by time. The high rate (80 %) of excelent and good results in the 3rd. month in spite of only one dose of injection inclined us to conclude that this method may be used in patients who had no satisfactory outcome with medical and heel cup treatments.

7th International Meeting on Cancer Induced Bone Disease -- JUN 29-JUL 02, 2008 -- -- Heriot Watt Univ, Edinburgh, SCOTLAND, WOS: 000257655800095, …, Canc & Bone Soc, Amgen, Novartis, Merck, Sharp & Dohme