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Öğe Bağ kesen total diz protezi uygulamalarımızın kısa ve orta dönem klinik ve radyolojik sonuçlarının değerlendirilmesi(İnönü Üniversitesi, 2021) Özdemir, Ekrem; Sevimli, ReşitAmaç: Çalışmamızda bağ kesen total diz protezi uygulanan olgularda retrospektif klinik ve radyolojik olarak kısa ve orta dönem sonuçlarımızın ortaya konulması ve litaratürle karşılaştırılması amaçlanmıştır. Materyal Metod: İnönü Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı'nda Ocak 2015-2020 yılları arasında primer bağ kesen çimentolu total diz protezi uygulanan 114 hastadan düzenli takipleri yapılan 55 hastanın 74 dizi bu çalışmaya dahil edilmiştir. Çalışmamız retrospektif bir çalışma olup hastalarımız klinik olarak Amerikan Diz Cemiyeti skorlama sistemine göre ameliyat öncesi ve sonrası değerlendirilirken radyolojik olarak Total Diz Protezi Radyolojik Değerlendirme Kriterlerine göre değerlendirilmiştir. Analizler IBM SPSS 25.0 programı ile gerçekleştirilmiş olup p<0.05 değerleri istatiksel olarak anlamlı kabul edilmiştir. Bulgular: Bağ kesen total diz protezi uyguladığımız hastaların 9'u (%16.3) erkek 46'sı (%83.7) kadın olup yaşları 51 ile 88 arasındaydı (ortalama 66.7). Takip süreleri 2-60 ay arasında olup ortalama 22.9 ay idi. Tek taraflı diz protezi uygulanan hasta sayısı 36, aynı seansta bilateral total diz protezi uygulanan hasta sayısı 19 idi. Diz Cemiyeti Diz Protezi Değerlendirme Kriterleri'ne göre yapılan değerlendirmede hastaların diz skoru ameliyat öncesi 22-60 arasında ortalama 40 iken, ameliyat sonrası diz skoru 40-96 arasında ortalama 85 olarak saptanmıştır. Fonksiyonel diz skoru ise ameliyat öncesi 20-56 arasında, ortalama 40 iken; ameliyat sonrası 20-100 arasında ortalama 85 olarak saptanmıştır. Bir hastamızda septik zeminde, bir hastamızda ise aseptik zeminde gevşeme bulguları saptanmış revizyon cerrahileri yapılmıştır. Sonuç: Çalışmamızda bağ kesen total diz protezinin uygun hastaya uygun endikasyon dahilinde uygulandığı takdirde fonksiyonellik ve memnuniyet açısından yüz güldürücü sonuçlarının olduğu belirtilmiştir.Öğe Evaluation of clinical results after arthroscopic meniscus repair and partial meniscectomy(2020) Canbay, Ali; Sevimli, Reşit; Görmeli, Gökay; Oklu, Yunus; Özdemir, EkremAbstract: Aim: The aim of our study was to evaluate the clinical results of arthroscopic repair and partial meniscectomy in the patients who had with meniscal tear. Material and Method: A total of 113 patients who were admitted to our clinic for meniscal tear between 2009 and 2017 were included in our study. Sixty one patients who underwent arthroscopic meniscal repair and 52 underwent partial meniscectomy. All inside meniscal repair technique was used for all meniscal repairs. Clinical assessments included physical examination findings, Lysholm score, the IKDC score and visual analog score(VAS). Barret criteria were used for the clinical assessment of healing status. Results: The patients who underwent meniscal repair, 54 (88.5%) were male 7 (11.5%) were female. The mean age was 32 (19- 45) years. Our mean follow-up period was 47 (range; 24-109) months. Number of patients underwent only meniscal repair was 29 and concurrent anterior cruciate ligament reconstruction was 32. According to the Barret’s criteria’s patients had 18% surgical failure. The patients who underwent partial meniscectomy33 were male 19 were female. Our mean follow-up period was 29.5 (range; 24- 101) months. Eight patients (15.4%) had surgical failure. IKDC, Lysholm and VAS scores were statistically significantly improved postoperatively both in repair and partial meniscectomy group Conclusion: Meniscus repair should be performed whenever possible independent from age of patient. When repair is not possible, partial meniscectomy also have good results at least in short term follow-up.Öğe Posterior interosseous nerve palsy due to lipoma: A rare case report(2023) Özdeş, Hüseyin Utku; Özdemir, Ekrem; Köse, Harun; Ertem, KadirThe posterior interosseous nerve is the terminal motor branch of the radial nerve without a sensory component. The nerve may be compressed for various reasons along the course of the forearm. Two different clinical pictures occur due to compression of the nerve in the forearm. In radial tunnel syndrome, entrapment of the nerve in the radial tunnel, pain in the elbow is at the forefront, while in the second clinical picture, posterior interosseous nerve syndrome, wrist and finger extension are affected. Posterior interosseous nerve syndrome is rare and develops due to many causes such as trauma, previous surgeries around the elbow, neurologic diseases and abnormal anatomical structures. A rare condition in the etiology of posterior interosseous nerve syndrome is mass lesions causing compression of the forearm.Öğe Short and mid-term clinical and radiological results in ligament-cutting total knee arthroplasty(2022) Özdemir, Ekrem; Sevimli, ReşitAim: In our study, it was aimed to present our retrospective clinical and radiological short and medium-term results in patients who underwent total knee prosthesis and compare them with the literature. Materials and Methods: 74 knees of 55 patients who were followed-up regularly from 114 patients who underwent primary ligament-cutting cementitious total knee prosthesis between January 2015 and 2020 in the Department of Orthopedics and Traumatology of our clinic were included in this study. Our study is a retrospective study, and our patients were evaluated clinically according to the American Knee Society scoring system before and after surgery, while they were evaluated radiologically according to the Total Knee Replacement Radiological Evaluation Criteria. Analyzes were performed with IBM SPSS 25.0 program and p < 0.05 values were considered statistically significant. Results: Nine (16.3%) of the patients who underwent a total knee prosthesis with ligament-cutting were male and 46 (83.7%) were female, and their ages were between 51 and 88 (mean, 66.7). Follow-up periods were between 2-60 months, with an average of 22.9 months. The number of patients who underwent unilateral knee prosthesis was 36, and the number of patients who underwent bilateral total knee prosthesis in the same session was 19. In the evaluation made according to the Knee Society Knee Prosthesis Evaluation Criteria, the knee score of the patients was 40 on average between 22and 60 before the operation, while the average knee score was 85 between 40 and 96 after the operation. The functional knee score was between 20 and 56 preoperatively, with an average of 40; It was found to be 85 on average between 20 and 100 after surgery. Revision surgeries were performed on septic ground in one patient and loosening findings on aseptic ground in one patient. Conclusion: In our study, it was stated that the total knee prosthesis that cuts the ligament has satisfactory results in terms of functionality and satisfaction if it is applied to the appropriate patient within the appropriate indication.
