In acute myocardial infarction, mural thrombi occur in approximately 20 per cent of patients who do not receive anticoagulant therapy and about 10 percent of thrombi result in systemic embolization. Threrfore, in acute phase of myocardial infarction, heparinization is considered as essential therapeutic regimen which afterwards acute phase, might have no clinical significance. We experienced a patient with recurrent LV apical thrombi inspite of an sufficient anticoagulation. This patient was treated with primary balloon PTCA and optimal duration of anticoa-gulation with IV heparin was maintained. At predischarge follow-up, TTE revealed huge LV apical thrombi and warfarinization was started. Three episodes of appearance and disappearance of thrombi have been noted and we report this patient as thrombophilia associated with acute myocardial infarction.
Follow-Up Studies ; Heparin ; Humans ; Myocardial Infarction* ; Thrombophilia* ; Warfarin

PURPOSE: To evaluate the clinical results of displaced transverse patella fractures which were treated with figure-eight wiring by means of parallel cannulated screws. MATERIALS AND METHODS: Ten patients who had displaced non-comminuted transverse patella fractures were seen between August 1998 to March 2000 and then followed up for more than one year, were prospectively evaluated with regard to their clinical and radiologic results. RESULTS: Clinical union occurred at an average of eight weeks and radiologic union at twelve weeks. Clinical results were evaluated at six months and one year postoperatively. The flexion contracture was 3.3degrees, the further flexion was 127.6degrees At six months the flexion contracture was 2degrees, and the further flexion was 135degrees at one year. Functional results according to the Wilkinson classification system were excellent in 8 cases, good in 2 cases at six months excellent in 9 cases, and good in 1 case at twelve months. There was no soft tissue irritation caused by the wire and screw, loosening or an implant migration. CONCLUSION: Cannulated screw fixation and figure-eight wiring is one of the useful methods for the repair of displaced transverse patella fractures.
Classification ; Contracture ; Humans ; Patella* ; Prospective Studies