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    Chainsaw-Related Extremity Injuries
    (Mdpi, 2025) Ozdes, Hueseyin Utku; Ergen, Emre; Koroglu, Muhammed; Karakaplan, Mustafa; Acet, Omer; Al, Firat; Coban, Idris
    Background: Chainsaw-related injuries vary from skin lacerations to amputation and may cause serious loss of work time in addition to temporary or permanent disability. Most studies in the literature have reported injuries to the lower or upper extremities separately. The aim of our study is to compare the loss of work time between upper- and lower-extremity chainsaw-related non-occupational injuries in rural areas. Methods: Chainsaw-related injuries that occurred in rural areas and were treated in our center between 2012 and 2022 were retrospectively reviewed. The patients' demographics, the injured side and structures, the hand dominance of operators, lengths of hospital stays, the numbers of operations, complications, and loss of work time were recorded. Results: In total, 185 patients (181 males and four females) were enrolled in this study. The mean age was 45.5 years (range: 17-81). The mean follow-up time was 9.3 months (range: 6-24). The lower extremities were affected in 109 patients, while the upper extremities were affected in 76. The loss of work time was 60 and 75 days for lower- and upper-extremity injuries, respectively, and was statistically significantly higher for upper-extremity injuries (p < 0.001). The fracture rate was higher in the upper than the lower extremities, at 50% and 26.6%, respectively. Conclusions: Chainsaws may cause severe injuries in both the upper and lower extremities, and while the lower extremities were affected more frequently, upper-extremity injuries caused a greater loss of work time. Through the use of protective gear and simple precautions, chainsaw-related injuries and the associated loss of work time can be prevented.
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    Iliacus hematoma causing late femoral nerve palsy
    (Wiley, 2024) Al, Firat; Koroglu, Muhammed; Ozdes, Huseyin Utku; Aslanturk, Okan
    Femoral nerve palsy is rare and may progress insidiously, leading to late clinical presentation. Identifying the underlying cause is very important for treatment. An iliacus hematoma causing nerve palsy is perhaps the most innocent etiology. However, this hematoma sometimes causes only abdominal pain and may even be misdiagnosed as a late intra-abdominal pathology. image
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    The Arthroscopic Wafer Procedure in Patients with Ulnar Impaction Syndrome
    (Thieme Medical Publ Inc, 2025) Ergen, Emre; Ertem, Kadir; Al, Firat; Kilic, Murat; Kabadayi, Bilal; Cicek, Ipek Balikci; Ozdes, Huseyin Utku
    Aim We aimed to show the outcomes of patients with ulnar impaction syndrome who had surgical treatment with the arthroscopic wafer procedure between 2013 and 2024. Materials and Methods We analyzed data from 22 patients (22 wrists) treated with the arthroscopic wafer procedure. Visual analogue scale (VAS) score, Disabilities of Arm, Shoulder and Hand (DASH), and Mayo Wrist scoring systems were used for clinical evaluation, grip strength, and wrist range of motion (ROM) were compared with the nonoperative side, local tenderness examination at triangular fibrocartilage complex location between pisiform bone and ulnar head and ulnar grind test were evaluated. Patients were also asked to rate their satisfaction with the surgery. In radiological evaluations, preoperative and postoperative ulnar variance was measured. Results The mean follow-up period was 58.6 months. The mean VAS score was 2.86, the mean DASH score was 24.58, and the mean MAYO score was 72.64. There was no significant difference in wrist ROM between the operated side and the contralateral side ( p > 0.05). The mean time to return to work after surgery was 6 weeks. A total of 77.3% of the patients had good or very good results. No complications were encountered in our study. Conclusion According to our study findings, arthroscopic wafer procedure as a minimally invasive method provided satisfactory clinical and functional results with lower complication rates in patients with ulnar impaction syndrome.