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    Demographic analysis of non-melanoma skin cancers in the southeastern anatolia
    (2020) Kapukaya, Rana; Cetin, Alpay; Ciloglu, Osman
    Aim: To make a demographic analysis of patients operated on because of skin cancer in the last ten years in the Diyarbakir region of Turkey. Information was mapped related to age, gender, localization, grade, and size of skin cancers other than melanoma.Material and Methods: A retrospective examination was made of patient data in the computerized information system from the last ten years. Age and gender of the relevant patients, tumour diagnosis, size, and localization were recorded. Results: From the archive scan, the data of 733 patients were retrieved. The diagnosis was basal cell carcinoma (BCC) in 540 cases, squamous cell carcinoma (SCC) in 154, and basosquamous cell carcinoma (BSCC) in 32. BCC was determined more in males (M/F:280/260), localization was mostly in the nasal region and it was seen most in the 60-70 years age range. SCC was diagnosed more in males (M/F:92/62) in the 70-80 years age group, and the most common localization was on the cheek. BSCC was observed more often in females (M/F:14/18). Conclusion: Diyarbakir is geographically located in the South-east Anatolian region of Turkey, those who live there are exposed to long hours of intense sunlight in certain months of the year. In this region, BCC and SCC were seen more in males and BSCC was determined more in females. When it is considered that UV exposure is significant in the etiology of skin cancers, it can be concluded that characteristics change according to geographic region and epidemiological characteristics (skin type, genetic factors, regional working conditions).
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    The effect of previous arthroscopic surgery on total knee arthroplasty outcomes and complication rates
    (2020) Karaali, Evren; Ciloglu, Osman
    Aim: This study aimed to evaluate the effect of previous arthroscopic surgery on total knee arthroplasty outcomes and complication rates.Material and Methods: This retrospective study included patients who underwent total knee arthroplasty due to grade 4 osteoarthritis, according to the Kellgren-Lawrance classification system in a tertiary hospital, between January 2012 and December 2016. The patients were divided into two groups according to whether or not they had undergone previous knee arthroscopy. The arthroscopic procedure included degenerative meniscus tear subtotal excision and synovectomy. The data of the two groups were compared. Outcome measures were the visual analog scale, McMaster Universities Osteoarthritis Index, Knee Society scoring system and knee range of motion.Results: The previous arthroscopy-free group comprised 94 patients (35 males, 59 females), and the previous undergoing arthroscopy group included 73 patients (23 males, 50 females). The mean age of previous arthroscopy-free group was 63.12 ± 2.8 years (range, 57 to 68), and the mean age of previous undergoing arthroscopy group was 62.42 ± 3.9 years (range, 55 to 73). The groups were similar in terms of age, gender, body mass index, follow-up periods, sides, and complications (p > 0.05 for all). In assessments at the end of 4 years, the groups were similar in respect of visual analog scale, McMaster Universities Osteoarthritis Index, Knee Society scoring system and knee range of motion. Conclusions: The results of this study showed that clinical outcomes and complications were similar in patients with primary total knee arthroplasty and no previous procedure and those who had previously undergone knee arthroscopy. In the light of these preliminary results, previous knee arthroscopy has no negative effect on the outcomes of total knee arthroplasty and complication rates.
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    Evaluation of the clinical and demographic data of patients requiring revision after lumbar spinal stenosis surger
    (2020) Karaali, Evren; Ciloglu, Osman
    Aim: This study aimed to evaluate the clinical and demographic data of patients requiring revision surgery after lumbar spinal stenosis (LSS) surgery and to provide a guide us in choosing primary surgical options.Material and Methods: This study was conducted as a single-center, descriptive, and retrospective study. LSS patients, who were operated upon using the same implant technique between 2012 and 2017, and subsequently underwent revision surgery due to implant failure and operated by the same surgeon were included. Medical records, preoperative and postoperative two-plan radiographs, and computed tomography (CT) scans of the primary and revision surgeries of the patients were evaluated.Results: A total of 19 patients (5 males, 14 females) with a mean age of 64.16 ± 7.9 years (range: 47 to 77 years) were included in the study. Most of the patients who underwent revision surgery were over 65 years of age and had a normal body mass index (BMI). In addition, 16 patients (84.2%) who underwent revision surgery were operated without transforaminal lumbar inter-body fusion (non-TLIF). L5-S1 was the most commonly seen level for spinal stenosis revision. The mean revision time was 245.26 ± 65.1 days (range: 135 to 342).Conclusion: Debates are ongoing between transforaminal lumbar inter-body fusion (TLIF) and non-TLIF surgery. In light of the data obtained through this study, we think that TLIF cage surgery should be included in the primary surgical procedure, especially at the lumbosacral junction, where it is difficult to obtain fusion to avoid revision in patients undergoing LSS surgery.