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Öğe Arthroscopic limited intercarpal fusion without bone graft in patients with Kienböck’s disease(2016) Ertem, Kadir; Görmeli, Gökay; Karakaplan, Mustafa; Aslantürk, Okan; Karakoç, YunusAmaç: Bu çalışmada Kienböck hastalığı olan hastalarda kemik grefti kullanmadan uygulanan artroskopik kısmi interkarpal füzyonda elde edilen klinik sonuçlarımız sunuldu.Hastalar ve yöntemler: Kienböck hastalığı olan ve Kasım 2012-Aralık 2013 tarihleri arasında artroskopik lunat eksizyonu ve skafokapitat füzyon uygulanan 11 hasta (6 erkek, 5 kadın; ort. yaş 28.9 yıl; dağılım 14-51 yıl) çalışmaya dahil edildi. Kienböck hastalığının evrelendirilmesinde Bain ve Begg Artroskopik Sınıflaması kullanıldı. Klinik değerlendirme için Hızlı Kol Omuz El Disabiliteleri ve Mayo El Bilek puanlamaları kullanıldı.Bulgular: İnterkarpal füzyon yaklaşık 7.2 haftada sağlandı. Hastaların ameliyat sonrası üçüncü ve altıncı ay Mayo El Bilek puanları arasında ve ameliyat öncesi ve sonrası Hızlı Kol Omuz El Disabiliteleri puanları arasında istatistiksel olarak anlamlı farklılık vardı. Ameliyat sonrası komplikasyon yoktu.Sonuç: Çalışma bulgularımıza göre, Kienböck hastalığı olan hastalarda artroskopik kısmi interkarpal füzyon kemik grefti kullanmaksızın gerçekleştirilebilmektedir. Evre 3 ve 4 Kienböck hastalarında bu yöntemle tedavi sonucunda tatmin edici klinik ve fonksiyonel sonuçlar elde edildiÖğe Cardiac Findings on Non-Contrast Thoracic Tomography in Patients with Acromegaly(2022) Keskin, Lezan; Ilgar, Mehtap; Yaprak, Bülent; Akçiçek, Mehmet; Aslantürk, OkanAim: Acromegaly occurs as a result of excessive and permanent secretion of growth hormone from the pituitary. Mortality is mostly related to cardiovascular system involvement. In our study, we aimed to evaluate the correlation between epicardial fat volume (EFV) and growth hormone level in thorax computed tomography in patients with acromegaly and coronary artery calcification, pulmonary artery diameter, ascending aorta diameter, cardiothoracic ratio (CTO) measurements with the control group patients. Method: Our study was retrospective and included 16 patients with acromegaly who were previously diagnosed and treated by the endocrinology clinic and a control group consisting of 32 patients matched for gender and age.In thorax CT, EFV measurement of the patients was performed and main pulmonary artery diameters, ascending aorta diameters, cardio thoracic ratios, presence of coronary artery calcification were evaluated. Results: The number of patients with large ascending aorta was higher in patients with acromegaly and it was statistically significant (p=0.041). Although the rate of patients with large main pulmonary artery diameter was higher in patients with acromegaly, no significant difference was found between the groups (p=0.355). There was no significant difference between the groups in terms of increased CTO (p=0.818) and coronary artery calcification (p=0.157). Conclusion: In our study, a difference was found between the acromegaly and control group patients only in terms of ascending aorta diameters, but no significant difference was found in terms of other parameters. We think that regular follow-up and treatment of patients is effective in this result. Cardiovascular risks can be reduced in patients with acromegaly with early diagnosis, regular follow- up and treatment.Öğe Clinical results of anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft: A prospective study(2018) Görmeli, Gökay; Görmeli, Ayşe Cemile; Yılmaz, Özgür; Ergen, Emre; Aslantürk, OkanAbstract: Aim: Anterior cruciate ligament(ACL) injury is the most common ligament injury of knee. Gold standard treatment of ACL rupture is reconstruction of ligament with autograft or allograft. There is still controversy in graft choice in literature. In this study, we aimed to present prospective follow-up results of patients who were reconstructed with bone-patellar tendon-bone autograft for ACL rupture. Material and Methods: Twenty-seven patients were operated for ACL rupture with bone-patellar tendon-bone(B-PT-B) autograft ACL reconstruction. Patients were followed for at least 2 years. Patients were evaluated preoperatively and postoperatively with Lysholm knee function score, IKDC objective score and Tegner activity level scale. Development of arthritis were evaluated radiologically. Results: All of operated patients were male. The mean age of the patients was 25.4 (range 19-35 years). The mean follow-up time was 27.9 (range 24-30 months). There was a statistically significant increase in all postoperative knee scores. Hematoma, requiring surgical drainage, developed in two patients. Six patients had anterior knee pain while kneeling at final follow up. Conclusion: ACL rupture causes knee instability that can lead early knee arthritis and meniscal injuries. Patients with ACL rupture showed increased knee stability and functional scores after reconstruction. Anterior cruciate ligament reconstruction with B-PT-B autograft incorporates and heals faster with low rerupture and complication rate.Öğe A Clue Finding for to Detect the Localization of Pellet in Elbow Arthroscopy(2015) Ertem, Kadir; Görmeli, Gökay; Karakaplan, Mustafa; Aslantürk, Okan; Yılmaz, Özgür; Karakoç, YunusAbstract: In this case report, we aimed to share our experience of arthroscopic finding of chondral lesion can be helpful to detect the location of pellet that between brachial muscle and capsule in a 15 years male subject with left elbow gunshot injuryÖğe Corticosteroid-induced avascular necrosis of the femoral head is increased in the treatment of COVID-19 pandemic(2023) Oklu, Yunus; Ertem, Kadir; Aslantürk, OkanIschemia of an appendage caused by dressing, tourniquet or hair is a rare, but devastating clinical entity. A six-year-old girl presented to the emergency department with necrosis of her right thumb caused by compressive dressing for four days. The patient was treated with an immediate surgical decompression and the thumb was saved. The patient had a full range of the thumb at 10 months of follow-up. In conclusion, instead of waiting for full demarcation, timely surgical interventions may protect the fingers from being amputated.Öğe Flexor Digitorum Profundus Injury in a Newborn: A Case Report(2015) Köroğlu, Mehmet; Ertem, Kadir; Ergen, Emre; Aslantürk, Okan; Braam, De LepeleereAbstract: Injuries of flexor digitorum profundus tendons in children are rare, certainly in newborns. In this case report, we discuss the presentation, treatment and outcome of a profundus tendon injury of the fifth finger of a ten days old baby. The tendon injury in this case was caused by a knife cut, unrelated to cesarean sectio. To our knowledge, this is the first report about a flexor digitorum profundus injury and repair in a newborn of this ageÖğe An investigation of infection rate and seasonal effect level in total joint replacement cases(2018) Arslan, Aydın; Görmeli, Gökay; Harma, Ahmet; Ertem, Kadir; Aslantürk, Okan; Sevimli, ReşitAbstract: This study aims at evaluating gender, age range and seasonal differences in patients who developed articular infection after undergoing joint prosthesis in our clinic. This study is a retrospective screening of advanced articular arthrosis patients who had undergone total joint arthroplasty of the upper and lower extremities between 2009 and 2016. Of 504 patients who had been treated with total joint replacement, our study includes 468 patients we could follow up or contact by phone and who had been applied 559 primary or revision total knee arthroplasty. The mean age of these patients was 58.9 (ranging from 41 to 74). We detected infection in 22 (3.9%) total joint arthroplasty patients. Of these 14 (63.63%) were females and 8 (36.36) were males. There was no statistically significant difference between infection rates in terms of seasonal distribution nor gender or age range. In the light of our findings, we concluded that gender, age range and seasonal differences have no effect on infection rates in total joint replacement cases.Öğe Metacarpal osteomyelitis secondary to human bite: a case report(2017) Sevimli, Reşit; Salih, Arsan Hussien; Aslantürk, Okan; Canbay, AliThe injuries resulting from Human bite are rarely seen in the clinical practice. It accounts for approximately 0.1% of injuries presenting to emergency service (1), and for about 2% of all bite wounds (2). Human bite injuries happens usually during fights and rarely occurs accidentally during sports activityes. If neglected, human bites can cause serious infective complications due to the high concentration of microorganisms in the oral cavity. Wound dressing and oral antibiotics for the treatment of human bite is not an adequate method of treatment; Wound exploration, extensive debridement and adequate wash should be considered under operative condition followed by broad-spectrum intravenous antibiotics therapy. In this presentation we aimed to present a case of phalanx fracture after a human bite who received treatment for acute osteomyelitis.Öğe Metacarpal osteomyelitis secondary to human bite: a case report(Turgut Özal Tıp Merkezi Dergisi, 2017) Sevimli, Reşit; Salih, Arsan Hussien; Aslantürk, Okan; Canbay, AliAbstract The injuries resulting from Human bite are rarely seen in the clinical practice. It accounts for approximately 0.1% of injuries presenting to emergency service (1), and for about 2% of all bite wounds (2). Human bite injuries happens usually during fights and rarely occurs accidentally during sports activityes. If neglected, human bites can cause serious infective complications due to the high concentration of microorganisms in the oral cavity. Wound dressing and oral antibiotics for the treatment of human bite is not an adequate method of treatment; Wound exploration, extensive debridement and adequate wash should be considered under operative condition followed by broad-spectrum intravenous antibiotics therapy. In this presentation we aimed to present a case of phalanx fracture after a human bite who received treatment for acute osteomyelitis. Keywords: Bite; Osteomyelitis; Trauma.Öğe Multiple PRP injections are more effective than single injections and hyaluronic acid in knees with early osteoarthritis a randomized double blind placebo controlled trial(Arthroscopy, 2015) Görmeli, Gökay; Görmeli, Cemile Ayşe; Ataoğlu, Baybars; Çolak, Cemil; Aslantürk, Okan; Ertem, KadirPurpose To compare the effectiveness of intraarticular (IA) multiple and single platelet-rich plasma (PRP) injections as well as hyaluronic acid (HA) injections in different stages of osteoarthritis (OA) of the knee. Methods A total of 162 patients with different stages of knee OA were randomly divided into four groups receiving 3 IA doses of PRP, one dose of PRP, one dose of HA or a saline injection (control). Then, each group was subdivided into two groups: early OA (Kellgren–Lawrence grade 0 with cartilage degeneration or grade I–III) and advanced OA (Kellgren–Lawrence grade IV). The patients were evaluated before the injection and at the 6-month followups using the EuroQol visual analogue scale (EQ-VAS) and International Knee Documentation Committee (IKDC) subjective scores. Adverse events and patient satisfaction were recorded. Results There was a statistically significant improvement in the IKDC and EQ-VAS scores in all the treatment groups compared with the control group. The knee scores of patients treated with three PRP injections were significantly better than those patients of the other groups. There was no significant difference in the scores of patients injected with one dose of PRP or HA. In the early OA subgroups, significantly better clinical results were achieved in the patients treated with three PRP injections, but there was no significant difference in the clinical results of patients with advanced OA among the treatment groups. Conclusion The clinical results of this study suggest IA PRP and HA treatment for all stages of knee OA. For patients with early OA, multiple (3) PRP injections are useful in achieving better clinical results. For patients with advanced OA, multiple injections do not significantly improve the results of patients in any group.Öğe Multiple PRP injections are more effective than single injections and hyaluronic acid in knees with early osteoarthritis a randomized double blind placebo controlled trial(Knee Surgery, Sports Traumatology, Arthroscopy, 2015) Görmeli, Gökay; Görmeli, Cemile Ayşe; Ataoğlu, Baybars; Çolak, Cemil; Aslantürk, Okan; Ertem, KadirPurpose To compare the effectiveness of intraarticular (IA) multiple and single platelet-rich plasma (PRP) injections as well as hyaluronic acid (HA) injections in different stages of osteoarthritis (OA) of the knee. Methods A total of 162 patients with different stages of knee OA were randomly divided into four groups receiving 3 IA doses of PRP, one dose of PRP, one dose of HA or a saline injection (control). Then, each group was subdivided into two groups: early OA (Kellgren–Lawrence grade 0 with cartilage degeneration or grade I–III) and advanced OA (Kellgren–Lawrence grade IV). The patients were evaluated before the injection and at the 6-month followups using the EuroQol visual analogue scale (EQ-VAS) and International Knee Documentation Committee (IKDC) subjective scores. Adverse events and patient satisfaction were recorded.Öğe Ortopedik cerrahi yara enfeksiyonları: mikroorganizmaların direncine ilişkin veriler(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2015) Görmeli, Gökay; Duman, Yücel; Karakaplan, Mustafa; Korkmaz, Mehmet Fatih; Tekerekoğlu, Mehmet Sait; Selçuk, Engin Burak; Aslantürk, OkanAmaç: Postoperatif dönemde modern ortopedik cerrahinin en önemli ve korkulan komplikasyonlarından biri cerrahi yara enfeksiyonlarıdır. Çalışmamızda ortopedik cerrahi sonrası bir yıllık sürede yara enfeksiyonlarından izole edilen mikroorganizmaların ve antimikrobiyallere direnç oranları araştırılmıştır. Yöntem: İzole edilen mikroorganizmaların konvansiyonel yöntemler ve otomatize sistemle (Phoenix Becton Dickinson ID) tür tayini yapılmıştır. Elde edilen türlerin antimikrobiyal duyarlılık testleri Clinical Laboratory Standards Institute önerileri doğrultusunda çalışıldı. Sonuçlar: İki yüz elli yedi yara örneğinden 96 (%37)’sında mikroorganizma izole edilmiştir. İzole edilen bakteriler sırasıyla Acinetobacter spp. 24 (%25), P. aeruginosa 19 (%20), S. aureus 15 (%16), E. coli 10 (%10), K. pneumonia 10 (%10), Koagulaz negatif stafilokok (KNS) 8 (%8), P. mirabilis 5 (%5), Enterobacter spp. 4 (%4) ve Enterococcus spp. 1 (%1) olarak belirlenmiştir. Acinetobacter spp. suşlarında imipeneme %92, amikasine %83, siprofloksasin %89 ve sulbaktam-ampisiline (SAM) %62 oranında direnç gözlenmiştir. E.coli suşlarında %10, K.pneumonia suşlarında ise %40 oranında GSBL (genişlemiş spektrumlu beta laktamaz) pozitifliği saptanmıştır. S.aureus suşlarının %7’si, KNS’lerin %50’si metisiline dirençli bulunmuştur. Sonuç: Sonuç olarak; gelişen cerrahi yara enfeksiyonu tedavisinde lokal epidemiyolojik verilerin dikkate alınmasının tedavideki başarı şansını arttıracağını, akılcı ve rasyonel antibiyotik kullanımını sağlayarak direnç oranlarını azaltacağı kanısındayız.Öğe Pediatrik hastada monteggia kırığının nadir bir komplikasyonu radial sinir tuzaklanması: olgu sunumu(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2013) Ergen, Emre; Korkmaz, Mehmet Fatih; Aslantürk, Okan; Özen, Metehan; Ertem, KadirMonteggia fracture-dislocation is combination of proximal ulna fracture with radial head dislocation. When a child is falling on his/her arm in an extension and pronation position, body weight forces the elbow joint to external rotation by applying torsional strength to humerus and ulna. In this situation, deformed ulna will continue to force the radial head to hiperpronation. If the torsional force is large enough radial head will be out if the plastic deformation of the ulna is exceeded,it will break the ulna. Complications of this fracture are non-union, radiohumeral ankylosis, radioulnar synostosis and posterior interosseoz nevre or radial nerve palsy. Nerve palsy usually recovers spontaneously and rarely indicates exploration. In this article; we report a case of radial nerve entrapment caused by radial head compression after Monteggia fracture-dislocation and treated by external and internal microsurgical neurolysis in a 7 year-old girl patient.Öğe Pediatrik Hastada Monteggia Kırığının Nadir Bir Komplikasyonu Radial Sinir Tuzaklanması: Olgu Sunumu(İnönü Üniversitesi Tıp Fakültesi Dergisi, 2013) Ergen, Emre; Korkmaz, Mehmet Fatih; Aslantürk, Okan; Özen, Metehan; Ertem, KadirMonteggia kırıklı çıkığı proksimal ulna kırığıyla radius başı çıkığının kombinasyonudur. Çocuk ekstansiyon ve pronasyondaki kolu üzerine düşerken vücut ağırlığı dirsek ekleminde torsiyonel bir güç uygulayarak humerus ve ulnayı dış rotasyona zorlar. Ulna deforme olduğunda radius başının hiperpronasyona zorlanması devam eder. Eğer torsiyonel kuvvet yeterince büyükse radius başı çıkacak ayrıca ulna plastik deformasyonu da aşılırsa ulna kırılacaktır. Bu kırığın komplikasyonları kaynamama, radiohumeral ankiloz, radioulnar sinostoz, tekrarlayan radius başı çıkığı ve posterior interosseoz ya da radial sinir felcidir. Sinir felci genellikle kendiliğinden iyileşir ve nadiren eksplorasyon gerekir. Bu makalede, 7 yaşındaki kız hastada Monteggia kırıklı çıkığı sonrası radius başı basısına bağlı gelişen ve cerrahi olarak tedavi edilen radial sinir felci olgusu sunulmaktadır.Öğe Relation of vitamin D levels with sunlight, genetics and nutrition(2019) Sevimli, Reşit; Encan, Mehmet Esref; Eriten, Semih; Aslantürk, Okan; Oklu, YunusAbstract: Aim: We aimed to reveal the effects of reduced exposure to sunlight and insufficient nutrition due to urbanization and altered cultural life on Vitamin D levels in medical students. Materials and Methods: A hundred (56 female, 44 male) first year medical students were included in our study. A vitamin D screening form, which included 16 questions, was used to obtain data regarding medical students’ genetic, nutrition and cultural life. Results: Out of 100 medical students, 25 hydroxyl vit- D3 levels was below 5 ng/ml in 10%, 5-10 ng/ml in 10%, 10-20 ng/ml in 30%, 20-30 ng/ml in 40% and above 30 ng/ml in 10% medical students. While it has been found out that urbanization causes vitamin D deficiency and insufficiency in both females and males by negatively affecting sunlight exposure and nutrition, females have less sunlight exposure and their vitamin D levels are lesser when compared with males. Conclusions: In conclusion, urbanization decreases exposure to sunlight and changes nutritional habits and forms a basis for vitamin D deficiency. So, this shows that lack of vitamin D, which is a major cause of bone fractures in older ages, is actually mainly seen in younger ages.Öğe Repair of Radial Nerve with Sural Nerve Greft: Less Often Complication of Supracondylar Humerus Fracture(2016) Köroğlu, Muhammed; Aslantürk, Okan; Ergen, Emre; Yılmaz, Özgür; Ertem, KadirAbstract: Neurological problems following supracondylar fractures are clinically challenging problem. Neurological damage has been reported about 10-20% of pediatric supracondyler fractures. Nerve injury caused by primarily directly damage of the fracture fragments, excessive stretching,entrapment of nerve in fracture line, or iatrogenically. Radial nerve injury is at least often seen by rate of %21 after supracondylar humerus fractures. Neural injuries of pediatric patients have mostly recover spontaneously. But in case of nerve defect; nerve grafting is needed for repairÖğe The role of arthroscopy in the treatment of common wristdisorders: A retrospective clinical study(2021) Köroğlu, Muhammed; Ertem, Kadir; Aslantürk, OkanAim: The purpose of this research was to evaluate clinical and functional results of patients that we treated them with wrist arthroscopy. Material and Methods: Patients treated with wrist arthroscopy between February 2012 and June 2017 were retrospectively evaluated. Patients’ disease, treatment, effected side, preoperative and postoperative Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) score and postoperative Mayo score were recorded. Results: There were 78 (49 female and 29 male) patients. Mean age was 38±14.91 (16-81 years) years. Mean follow-up time was 45,4±17.93 (range, 6-72 months) months. There were 22 (28.2%) ganglion cyst, 15 (19.2%) triangular fibrocartilage complex tears, 11 (14.1%) Kienböck’s disease and 8 (10.3%) intraarticular distal radius fracture. All patients Quick-DASH scores statistically significantly improved at final follow-up compared to preoperative status (p<0.001). There was no major complication in any of the patients. Conclusion: The wrist arthroscopy is efficient and minimal invasive technique with low complication rates and good clinical results for common wrist pathologies.Öğe Sciatic nerve palsy secondary to heterotopic bone formation occurred after surgery for posterior acetabulum fracture and hip dislocation(2018) Karakaplan, Mustafa; Ergen, Emre; Aslantürk, Okan; Ertem, KadirAbstract: Sciatic nerve paralysis can be seen after hip joint traumatic dislocations and fractures of the posterior wall of acetabulum. In this article, we report sciatic nerve palsy due to heterotopic bone formation in early postoperative phase that was treated with heterotopic bone resection and sciatic nerve neurolysis in a patient who underwent open reduction and internal fixation for hip dislocation and fracture of posterior wall of right acetabulum.Öğe Treatment of a neglected flexor digitorum profundus entrapment after closed reduction of both bone forearm fracture: A case report(2021) Koluaçık, Serdar; Yılmaz, Özgür; Aslantürk, OkanAbstract: Flexor tendon entrapment (FTE) is a rare and usually lately diagnosed complication of pediatric forearm fractures. In this case report, we present a case of a neglected ring and little finger flexor digitorum profundus (FDP) entrapment after closed reduction of both bone forearm fracture and treated five years later due to late diagnosis. A 20-year-old man presented to outpatient clinic with flexion contracture of ring and little finger that occurred after both-bone forearm fracture treated with closed reduction and long arm cast five years ago. On his physical examination, flexion contracture of ring and index fingers was thought to be due to entrapment of tendons at the level of forearm and surgically released. Five years after surgical treatment for FTE, the patient had full range of motions at both fingers. He had no additional complaint. In conclusion, FTE is a rare complication after both bone forearm fractures. It should be kept in mind in the treatment of both bone forearm fractures. Surgical treatment of FTE in late cases is an effective procedure with excellent results.
