Ortopedi ve Travmatoloji Anabilim Dalıhttp://hdl.handle.net/11616/117112024-03-28T13:54:56Z2024-03-28T13:54:56ZProblems encountered in screening study with ultrasound for early diagnosis of developmental dysplasia of hip in eastern region of TurkeyCeylan, Mehmet FethiKorkmaz, Mehmet Fatihhttp://hdl.handle.net/11616/128902019-07-24T06:24:29Z2018-01-01T00:00:00ZProblems encountered in screening study with ultrasound for early diagnosis of developmental dysplasia of hip in eastern region of Turkey
Ceylan, Mehmet Fethi; Korkmaz, Mehmet Fatih
The aim of this study is to evaluate results of the screening program of the development al dysplasia of the hip (DDH) examined in newborn period. The problems encountered in the applicability of the early screening program were e valuated. By interviewing with the family of 1680 newborns born in our institution or referred, the information was given about the DDH and its risk factors, obtained results were recorded. The families were told to bring their babies for examination and hip ultrasound at the 3rd or 4th week of birth. In addition, all the parents were called by telephone the day prior to their appointments. Five hundred and thirty-six babies (31.3%) were brought to the first appointment. Forty-two hips (3.9%) of the 30 infants (5.6%) were detected as dislocated (Type 2c, D, 3). The 8 of these 30 patients (26.7%) whom the treatment was started were brought for the second control. Asymmetry of thigh folds was positive in the highest rate as the finding of the examination in the infants brought to the appointment. The rate of swaddling at the first appointment was found to be 74.2%. Surprisingly, less than one third of children were brought to ultrasound examination at first control. Similarly, about 3/4 of the parents continued to use swaddling for their babies. For the success of national DDH screening program, additional precautions must be taken to ensure the participation of the families and re lease of the swaddling.
2018-01-01T00:00:00ZMini open surgical treatment of knee septic arthritis with local anesthesia: a prospective preliminary reportCeylan, Mehmet Fethihttp://hdl.handle.net/11616/127702019-07-19T06:38:20Z2018-01-01T00:00:00ZMini open surgical treatment of knee septic arthritis with local anesthesia: a prospective preliminary report
Ceylan, Mehmet Fethi
Aim: Good pain management is provided via spinal and general anesthesia during knee joint drainage to treat septic arthritis, but the side effects are greater than those associated with local anesthesia, and the preparation process is long. Arthroscopic drainage under local anesthesia for knee septic arthritis treatment have been described, but this method requires special equipment. In this study, we aimed to evaluate the applicability of mini-open surgery under local anesthetic infiltration in cases of septic knee arthritis. Material and Method: 14 consecutive patients (eight men, six women) were admitted for knee septic arthritis treatment. Patient age ranged from 18 to 56 years, with an average age of 33 years. Drainage procedure was performed under local anesthesia, and the results were evaluated clinically. Results: The visual analog scale scores were between two and four (mean 2.8). The follow-up period was 10-21 months (mean 14.3). The Tegner and International Knee Documentation Committee scores were acceptable except for one patient. Discussion: This prospective study included mini-open surgery performed under local anesthesia on 14 septic knees, and showed that this method is safe, effective, well tolerated and be alternative to conventional techniques.
2018-01-01T00:00:00ZMid-term outcomes of arthroscopic treatment in patients with a stiff elbowSevimli, ReşitAslanturk, OkanErgen, EmreErtem, Kadirhttp://hdl.handle.net/11616/127682019-07-20T00:02:22Z2018-01-01T00:00:00ZMid-term outcomes of arthroscopic treatment in patients with a stiff elbow
Sevimli, Reşit; Aslanturk, Okan; Ergen, Emre; Ertem, Kadir
Introduction
Loss of function and pain are the main complaints at the time of hospital admission for patients with a stiff elbow. In this study, we present mid-term radiological and functional results for the use of the arthroscopic release technique in patients admitted to the outpatient clinic with a stiff elbow.
Methods
A total of 22 patients (six females, 16 males; mean age: 36 years, range: 18 to 56 years) who underwent an arthroscopic intervention for traumatic or non-traumatic stiff elbow and arthrosis between January 2005 and November 2015 were included in the study. All patients started elbow movement after the first day following surgery. Pre- and postoperative radiological evaluations of patients were carried out, in addition to functional evaluation to measure the range of motion of the elbow joint and the Disabilities of the Arm, Shoulder and Hand (DASH) scores before and after surgery.
Results
The mean follow-up was 28.4 (range: 21 to 118) months. The mean preoperative flexion-extension arc of the patients was 89 degrees (range: 0 degrees to 115 degrees), and the mean flexion-extension arc increased to 103.5 degrees (range: 52 degrees to 128 degrees) at the final follow-up visit (p < 0.05). The mean preoperative DASH score was 42.17 (range: 33 to 81), decreasing to 30.35 (range: 9.7 to 41.3) postoperatively (p<0.05). In the final visit, none of the patients were found to require additional surgical interventions for the elbow.
Conclusions
Arthroscopic release can be considered a safe and effective option to obtain range of motion in joints in post-traumatic stiff elbow cases.
2018-01-01T00:00:00ZInvestigation of the presence of pantone-valentine leukocidin in staphylococcus aureus strainsısolated from orthopedic surgical site ınfectionsDuman, YücelSevimli, Reşithttp://hdl.handle.net/11616/127372019-07-19T00:00:45Z2018-01-01T00:00:00ZInvestigation of the presence of pantone-valentine leukocidin in staphylococcus aureus strainsısolated from orthopedic surgical site ınfections
Duman, Yücel; Sevimli, Reşit
Staphylococcus aureus is one of the most clinically important bacteria causing infection in humans. It is an important pathogen in surgical site infections (SSIs), especially after orthopedic surgery. Pantone-valentine leukocidin (PVL) has a great importance in the virulence of S.aureus because it can destroy polymorphonuclear cells by necrosis or apoptosis. The spread of PVL positive S.aureus is a great concern, since it may become an important factor for increased morbidity and mortality in SSIs, especially after surgery. In this study, we aimed to investigate the presence of PVL in S.aureus strains isolated from patients who had surgical site infections after orthopedic surgery, and also the clinical status of these patients. Between 2013 and 2017, 101 patients who had SSIs due to S.aureus after orthopedic surgery were included in the study. Identification of the strains was determined by conventional methods and "Matrix-Assisted Laser Desorption Ionization-Time of Flight Mass Spectrometry" (MALDI-TOF MS). Methicillin resistance was determined by Kirby-Bauer disc diffusion method and automated system (Vitek 2, bioMerieux, France). The PVL gene region was investigated by polymerase chain reaction (PCR) method by using the primers Luk-PV-1 and Luk-PV-2. The duration of the patients' hospitalization, C-reactive protein (CRP) and sedimentation levels and clinical status were obtained from the hospital information system, retrospectively. Fifteen (14.9%) of the isolates were methicillin resistance S.aureus (MRSA) and 86 (85.1%) were methicillin susceptibility S.aureus (MSSA). PVL positivity was detected in 14 (13.9%) isolates (3 MRSA, 11 MSSA). The mean hospital stays in PVL-negative patients were 17 (5-73) days and 46 (21-103) days in PVL-positive patients. It was observed that the serologic markers CRP and sedimentation were between 5-7 and 40-60 in PVL negative patients, and between 11-20 and 90-110 in PVL positive patients, respectively. In PVL-negative patients, serologic markers improved in 7-10 days, while in PVL-positive patients they were improved in 17-32 days. Osteomyelitis occurred in six patients (2 PVL positive MRSA, 1 PVL positive MSSA and 3 PVL negative MRSA). In two of the patients who have developed osteomyelitis with PVL-positive MRSA, PVL gene positive S.aureus isolates were observed in their orthopedic SSIs. We also determined that these isolates increased the hospitalization days, improvement time of serological markers and mortality. It is worrisome to isolate PVL-positive S.aureus strains in SSIs. Therefore, we believe that it would be useful to take infection control measures to prevent the spread of these strains in the hospital setting.
2018-01-01T00:00:00Z