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    Evaluation of femoral shaft fractures in the neonatal intensive care unit
    (2020) Sevencan, Ahmet; Buyukkuscu, Mehmet Ozbey; Gur, Volkan
    The first of the patients presented in this article was born in the 36th week with a weight of 2100 grams and was admitted to the neonatal intensive care unit due to neonatal pneumonia. The second patient was born at the 33rd week and 1830 grams. The patient was hospitalized with the diagnosis of prematurity. On postnatal 5th day, newborn pneumonia developed and treatment was started. The last patient was born with a cesarean section weighing 2300 grams at 37th week. She was hospitalized in the neonatal intensive care unit with the preliminary diagnosis of neonatal transient tachypnea and neonatal pneumonia due to respiratory distress. The femur shaft fracture occurred in these 3 patients during long follow-up intensive care. The splint was applied and healing was achieved. This study was aimed that being affected by families psychologically, socially and financially and also it was thought that healthcare workers could shed light on similar cases that might occur upon medical problems.
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    Previous hip surgery due to developmental dysplasia of the hip affects major complication rates but not revision rates in total hip arthroplasty
    (2020) Buyukkuscu, Mehmet Ozbey; Camurcu, Ismet Yalkin; Misir, Abdulhamit; Gursu, S Sarper; Sahin, Vedat
    Aim: Total hip arthroplasty in patients with developmental dysplasia of the hip is challenging due to accompanying acetabular and femoral deformities, soft-tissue contractures and shortening of the affected limb. In addition, changed anatomy after pelvic and/or femoral osteotomies can also make the total hip arthroplasty procedure challenging. This study aimed to evaluate the effect of previous hip surgery on clinical and radiological outcomes after total hip arthroplasty in previously operated patients due to developmental dysplasia of the hip. Material and Methods: A total of 55 developmental dysplasia of the hip patients, twenty-five patients (29 hips) with a previous hip surgery (Group 1) and 30 patients (31 hips) without previous hip surgery (Group 2) were included. The primary outcome measures were major complication and revision rates. The secondary outcome measure was the Harris Hip Score.Results: Major complications were found significantly higher in group I (p = 0.009). However, no significant difference was observed between groups regarding revision rates (p = 0.514). No significant difference was observed between groups in the preoperative and the last follow-up Harris Hip scores.Conclusion: Although similar revision rates, patients with a previous hip surgery due to developmental dysplasia of the hip who underwent total hip arthroplasty are more prone to major complications than patients without previous hip surgery patients. Level of Evidence IV. Case-Control Study.
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    Relationship of serum vitamin D level with the clinical course of Adhesive Capsulitis
    (2021) Buyukkuscu, Mehmet Ozbey; Buyukkuscu, Ali; Basaran, Betul; Basar, Hakan
    Aim: To investigate the relationship between adhesive capsulitis and serum vitamin D levels. Materials and Methods: Patients who were diagnosed with primary adhesive capsulitis between 2015 and 2019 and had regular follow-up data were retrospectively evaluated. Age, gender, body mass index, affected side, disease duration, serum 25-OH vitamin D levels, range of shoulder motion, the Visual Analog Scale (VAS) score, the Constant-Murley score, and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire score were evaluated. Patients with a diagnosis of diabetes, history of rheumatic diseases, presence of cervical pathologies, history of fracture and/or shoulder surgery, history of infection, and full-thickness rotator cuff tear were excluded from the study. The serum 25 (OH) D levels below 20 ng/ml were accepted as deficiency. The patients were divided into two groups according to the serum vitamin D level (Group 1 if 20 ng/mL and Group 2 if ≥20 ng/mL). The VAS score, functional scores, range of motion (flexion, abduction, external and internal rotation) of the patients in the two groups were compared.Results: Of the 74 patients included in the study, 59 (79.2%) were female and 15 (20.3%) were male, with a mean age of 50.6 ± 9.74 years. The mean duration of pain was 8.21 ± 2.3 months. The serum vitamin D level was below 20 ng/ml in 43 patients (58.1%) who were then allocated to Group 1, and Group 2 comprised 31 patients. The mean VAS score was 7.8 for Group 1 and 5.2 for Group 2. The mean Constant-Murley and DASH scores were 54.4 ± 15.9 and 21.6 ± 9.78, respectively in Group 1 and 52.04 ± 12.2 and 24.3 ± 6.4, respectively in Group 2. No significant difference was observed between the groups according to the range of joint motion, Constant scores, or DASH scores. Conclusion: Vitamin D deficiency may be associated with shoulder pain in patients with adhesive capsulitis. However, the serum vitamin D level had no effect on the functional results. Conclusion: In the present study, serum CRP, TNF-α and H.pylori IgA levels were significantly higher than normal pregnant women.