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    Arthrodesis for tuberculous coxarthritis - Good outcome in 32 adolescents
    (TAYLOR & FRANCIS AS, 2004) Ozdemir, HM; Yensel, U; Ogun, TC; Senaran, H; Kutlu, A
    Background There is no consensus on best treatment of advanced tuberculous coxarthritis in young patients. Patients and methods We report our results concerning hip arthrodesis for advanced tuberculous arthritis of the hip in 32 adolescents. The operation was preceded by standard antituberculous chemotherapy for 4 weeks, which was continued for 12 months after surgery. At the last follow-up, clinical and radiographic examinations of the ipsilateral knee, contralateral hip and lower back were done. We evaluated function, limitations, and presence of pain with our usual questions. Results Their average age at the time of operation was 16 (12-18) years and the average duration of follow-up 12 (10-18) years. Solid bony fusion occurred in all patients after mean 5 months and no complications developed in the postoperative period. 28 patients were satisfied with the fused hip. No patients had reactivation of tuberculosis in any part of their body. The results were comparable to those of arthrodesis performed for other causes. Interpretation Hip arthrodesis is an alternative method of treatment for advanced stages of tuberculous coxarthritis in the adolescent.
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    An easy and versatile method of coverage for distal tibial soft tissue defects
    (LIPPINCOTT WILLIAMS & WILKINS, 2001) Ogun, TC; Arazi, M; Kutlu, A
    Background: The distally based superficial sural artery flap, first described as a distally based neuroskin flap by Masquelet et al,, is a skin island flap supplied by the vascular asis of the sural nerve. In the difficult area of defects in the lower leg and the ankle and heel region, it has a nide variety of indications, even in the vascularly compromised patients. It has the largest are of rotation of all flaps that have been described in this region. The most important advantage is that it does not compromise a major artery. It is simple to dissect and has a low donor morbidity, Methods: We reported our experience with this new flap in 15 cases and also described a new indication for the patients with neglected ruptures of the Achilles tendon. Results: In 13 patients, the flap was successfully transferred. In two cases, partial necrosis of the flap ensued, which healed with secondary intention, Conclusion: This flap deserves a high degree of interest in the reconstructive armamentarium of the trauma surgeon.