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    Clinical Comparison of Patients Undergoing Anterior Cruciate Ligament Reconstruction Using an Allograft or Autograft
    (Duzce Univ, Fac Medicine, 2022) Altunkilic, Tarik; Ari, Bunyamin; Sahin, Ercan; Guzel, Ismail; Inceoglu, Feyza
    Aim: The purpose of this study was to examine the clinical results of individuals who underwent an autograft or allograft repair of the anterior cruciate ligament (ACL). Material and Methods: Retrospective analysis was done on the patient files of patients who underwent ACL reconstruction between 2014 and 2020 using semitendinosus-gracilis tendon autografts (SGT-A) and tibialis anterior tendon allografts (TAT-A). In this study, the data of 30 patients in each group were included. Knee laxity tests, the Lysholm knee grading system, the Tegner activity score, and the International Knee Documentation Committee (IKDC) score were used to compare patient results. Results: While there was no significant difference in the Tegner activity score between the preoperative and the final measurement (p=0.241), the IKDC scores and the Lysholm knee ratings changed statistically significantly between the preoperative measurement and the last control visit (p=0.020, and p=0.038, respectively) for both groups in this study. The SGT-A group's Lysholm knee score had a preoperative value of 60.97% and a final control value of 90.48%. The preoperative Lysholm knee score for the TAT-A group was 61.31%, and the final control value was 95.03%. The anterior drawer and Lachman test findings showed statistically significant intergroup (autograft and allograft) alterations in both the autograft and allograft groups (both p<0.001). Conclusion: In terms of knee function and laxity, this study achieved a better clinical outcome in the allograft group compared to the autograft group.
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    Results of total hip artroplasty in our clinic
    (2019) Altunkilic, Tarik; Emeli, Adem; Sevimli, Reşit; Yilmaz, Erhan
    Aim: Patients undergone total hip replacement, performed in our clinic were retrospectively reviewed and discussed in the light of the available literature. The aim of this study was to determine our clinical results.Materials and Methods: The records of patients with total hip arthroplasty performed in our clinic between 2002 and 2008 were evaluated retrospectively. Laboratory values, Harris hip score and complications of these patients were examined.Results: The mean preoperative VAS of the 72 patients with a mean follow-up of 28.9 months was 81.6 preoperatively and the mean VAS was 35.7 in the last control. Harris hip score was 36.7 before the operation and 70.3 in the last control. According to Harris hip score of the patients in the preoperative period, 30 patients were evaluated as moderate and 42 patients as poor. In the postoperative period, 10 patients (13.8%) were excellent, 19 (26.3%) were very good, 30 (41.6%) were good, 6 (8.3%) were moderate, 7 (10%) were poorly rated according to Harris hip score. Biochemical laboratory values measured from venous blood taken at the time of arrival of patients, mean HsCRP 11.67±15.4 mg / l, insulin 14.87±29.53 IU / ml, glucose level 139.11±74.3 mg / dl, CK 426 9±12x8.9 mg / dl and CK-MB were determined as 41.1±46.8 mg / dl.Conclusion: As a result, we think that total hip arthroplasty is still an effective method in advanced hip arthrosis.Keywords: Arthroplasty; hip pain; loosening; complication.