Treatment outcomes of intertrochanteric femur fractures treated with DLT™ nail

Özet

Objective: Intramedullary nails frequently use in proximal femur fractures. In this study, 49 patients with intertrochanteric fractures were evaluated clinical and radiological results treated with dyna locking trochanteric (DLT™) nail retrospectively.Methods: Twenty-two (44.9%) patients were male and 27 (55.1%) patients were female. Mean age was 74.29±1.98 (28-99) years and Followed up for a mean of 14.35±3.43 (9-24) months. Thirty-seven (75.6%) of the fractures resulted from simple falls while 6 (12.2%) caused from traffic accidents and 6 (12.2%) fall down from height. There were 24 (49.0%) left and 25 (51.0%) right lower extremities fractured. According to Orthopaedic Trauma Association classification system; 21 (42.9%), 21 (42.9%) and 7 (14.2%) fractures were classified as 31A1, 31A2, and 31A3 respectively. One (2.0%) patient had claviculae fracture, 3 (6.1%) patients had radius distal fracture and 1 (2.0%) patient had total knee arthroplasty. After surgery, X-ray was used for radiological results and functional outcomes were evaluated according to the Harris hip scoring system.Results: The average waiting time for the surgery was 2.02±0.18 (1-7) days and hospitalization time was 6.23±0.29 (4-15) days. Mean fracture healing time was 11.74±1.82 (8-15) weeks. Three patients had screw cut-out in the follow-up time and performed hemiarthroplasty. The average Harris hip score was 88.02±1.21 (42-97) points and included 29 (59.2%) excellent cases, 17 (34.7%) good and 3 (6.1%) poor.Conclusion: DLT ™ nail is a safe and successful method because of low complication rates, and capability of detection.Key words: Intertrochanteric fracture, PFN, DLT™ nail

Abstract

Objective: In this study, it was aimed to compare the sensitivity of diagnostic tests in patients with a preliminary diagnosis of brucellosis.Methods: We have compared the serological methods, standard tube agglutination test (STA), Coombs Test (CT), Rose Bengal (RBT), and the gel centrifugation test. In patients with a preliminary diagnosis of brucellosis, subjects with a positive test result of RBT has been included in the research and other diagnostic tests STA, CT and Coombs Gel centrifugation tests were performed within the range of same titration.Results: Total 132 patient’s serums were studied. In RBT positive 92 patients’ serums, negative test results were found in 11 with STA, in 9 with CT and in 6 with gel test. While 35 patients were identified to be positive by using Brucella gel test at 1/5120 titer, no positive test results were seen with STA and CT at the same titer. Generally, CT results were one titration below the gel centrifugation test results.Conclusion: In conclusion, RBT and STA were not always adequate to determine the diagnosis of brucellosis. Low titer STA results should be supported by tests such as CT or gel centrifugation and the seroconversion must be monitored. Due to giving fast results, gel centrifugation test can be preferred in diagnosis of Brucellosis.Key words: Brucellosis, gel centrifugation, Coombs test