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    Steroid Injection Versus Open Surgery in the Treatment of De Quervain's Tenosynovitis
    (Emergency Medicine Physicians Assoc Turkey, 2019) Acar, Erdinc; Memik, Recep
    Aim: This study aimed to compare steroid injection and open surgery in the treatment of De Quervain's tenosynovitis. Materials and Methods: Between January 2013 and April 2015, a total of 82 patients (65 females, 17 males; mean age=40.3 years; range, 20 to 71 years) who were admitted were included retrospectively. The patients were assigned into two groups, including group I undergoing open surgery, and group II receiving steroid injections. The rates of recurrence and satisfaction were evaluated. The patients undergoing surgery were also evaluated for the wound site infection, nerve injury, wound opening, and limited range of motions of the joints. The patients receiving steroid injections were evaluated for subcutaneous atrophy, fat necrosis, weakening or rupture of tendons, and depigmentation. Results: The mean follow-up was 12 months (range: 6 to 22). Recurrence occurred in eight patients (20%) in the steroid injection group; however, no recurrence was seen in patients undergoing open surgery. Satisfactory or very satisfactory results were achieved in all patients in the surgery group (p=0.04). There were no complications in both groups. Conclusion: Although steroid injection is a therapeutic option in De Quervain's tenosynovitis, open surgery appears to be a more beneficial method with relatively low recurrence and complication rates.
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    Surgical Treatment Results in Pediatric Supracondylar Humerus Fractures
    (Emergency Medicine Physicians Assoc Turkey, 2020) Acar, Erdinc; Memik, Recep
    Aim: This study aims to evaluate the outcomes of cross fixation with Kirschner wire (K-wire) following closed reduction of displaced supracondylar humerus fractures in children. Materials and Methods: Between December 2012 and June 2015, a total of 32 patients with suprachondral humerus fractures were retrospectively analyzed. Data including demographic data, causes and types of fracture, associated injuries, postoperative complications, radiological parameters, and cosmetic and functional outcomes were recorded. Results: Of the patients, 24 (75%) were male and eight (25%) were female with a mean age of 6.5 years (range: 2 to 12 years). The mean follow-up was 19 months (range: 13 to 26 months). None of the patients developed iatrogenic vascular or nerve injuries. No postoperative complications were observed during follow-up. The functional result according to the Flynn criteria was excellent in 93.4% and good in 6.6% patients, while cosmetic results were excellent in 93.4%, good in 5.2%, and fair in 1.4%. Conclusion: Percutaneous fixation with K-wire following closed reduction of displaced supracondylar humerus is a reliable method which can be applied with high success rates in pediatric cases.