Background: Preoperative arthroscopic examinations were carried out in patients with varus deformity among those with osteoarthritis of the ankle caused by malalignment, and to assess the severity of the disease on the basis of the arthroscopic findings, and the associations of these findings with X-ray findings and the indications for supramalleolar osteotomy were evaluated.

Methods: A total of 57 joints in 56 patients were investigated, and the mean follow-up period was 4 years. The proportion of the surface area of the ankle that had become hardened into an eburnation was classified according to a five-grade scale on the basis of preoperative arthroscopy: Grade 1 indicated fibrillation of the articular cartilage alone with no evident eburnation; Grade 2, eburnation was limited to the medial malleolar articular surface; Grade 3, eburnation extended across the medial shoulder of the talus, but covered <25% of the talocrural joint; Grade 4, eburnation covered ≥25% but <50% of the talocrural joint; and Grade 5, eburnation covered ≥50% of the talocrural joint. The surgical procedure used was lateral closing wedge osteotomy, and assessments were carried out using Takakura, et al.’s clinical score and Tanaka, et al.’s radiographic grading system.

Results: Initially, 3 joints were Grade 1, 19 were Grade 2, 15 were Grade 3, 16 were Grade 4, and 4 were Grade 5. Postoperatively, 30 joints were Grade 1, 14 were Grade 2, 7 were Grade 3, 4 were Grade 4, and 2 were Grade 5. Clinical scores showed an improvement from 63.9±11.2 points preoperatively to 81.9±13.2 points postoperatively.

Conclusion: Patients who were classed as Grade 3 or below by preoperative arthroscopy showed improved clinical outcomes and radiographic grades. To assess the proportion of cartilage, that may be affect postoperative outcomes, preoperative arthroscopy should be done prior to the supramalleolar osteotomy.

Background: The purpose of this study was to compare the usage of positive and negative pressure hemovac drain according to blood loss and blood transfusion requirements in patients who diagnosed primary osteoarthritis and scheduled to undergo Total Knee Arthroplasty (TKA).

Methods: Between January- May 2015 patients were reviewed retrospectively. Fifty patients who scheduled to undergo TKA were enrolled in the study. Patients were divided into two groups. In the first post operative day, hemovac drains were kept under positive pressure in the patients of Group I. In the second day, drains were removed by switching into a negative pressure after the passive range motion exercises. In Group II, it had been kept in negative pressure until the hemovac drain removed. Both groups underwent the same rehabilitation program after the surgeries. Age, gender and body mass index of patients were similar in both groups.

Results: Preoperative value of hemoglobin (g/dl), hematocrit (%) and the number of erythrocytes (mm3) were similar in both groups. These values were also similar in both groups in the first four days after the surgery. The average blood loss from hemovac drain, and the amount of erythrocytes us pension used postoperatively were found similar statistically in both groups (p>0.05). Furthermore, 9 of the 24 patients in Group I, and 13 of the 26 patients in Group II were performed the allogeneic erythrocyte suspension transfusion, and the need for allogeneic transfusion in both groups were found similar statistically (p>0.05).

Conclusion: Considering the consequences of the present study, early usage of the positive pressure hemovac drain does not reduce the amount of blood loss, the amount of transfused allogeneic erythrocyte suspension, and the need for allogeneic transfusion at the postoperative period.

Background: Successful posterior lumbar Interbody fusion requires excessive removal of posterior spinal elements and distraction of neural structures. It also requires a large amount of bone graft.

The authors were developed this technique to assess results of treatment of degenerative Spondylolisthesis by posterior lumbar Interbody fusion with preservation of posterior spinal elements and also to examine the safety and efficacy of the recapping T-saw laminoplasty technique for management of degenerative lumbar Spondylolisthesis using posterior lumbar Interbody fusion by Interbody cages with preservation of posterior elements.

Methods: Twenty-five patients with degenerative Spondylolisthesis underwent recapping T saw laminoplasty in the lumbar spine for posterior lumbar Interbody fusion with Interbody cage. The T-saw was used for division of the posterior elements. After discectomy and insertion of cages, the excised lamina was replaced exactly in situ to their original anatomic position. Patients were followed neurologically and radiologically.

Results: Only one lamina was excised and replaced again. Primary bone healing was obtained in all patients by 4-6 months after surgery. No complications such as postoperative spinal canal stenosis, facet arthrosis, or kyphosis were observed.

Conclusion: This technique of posterior lumbar Interbody fusion through recapping laminoplasty provide wide space for easier insertion of cages and allow anatomic reconstruction of the vertebral arch preserving its important mechanical roles.

We report a clinical case of a 31 -year- old patient with bilateral rupture of the quadriceps tendon secondary to hyperparathyroidism following minimal trauma. The objective of this case report is to present this clinical and radiological variety of bilateral quadriceps tendon rupture in a patient with hyperparathyroidism, as well and to discuss its therapeutic treatment. We opted for surgical treatment. The results at our last follow up at six months were satisfactory.

Boutonniere Deformity (BD) is a debilitating deformity where the Proximal Interphalangeal (PIP) joint of the finger is flexed, and the Distal Interphalangeal (DIP) joint is hyperextended.