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Öğe A Comparison of Three Different Surgical Treatments in Late Stage Kienböck's Disease(Thieme Medical Publ Inc, 2026) Ozdemir, Ferdi; Ozdes, Huseyin Utku; Karakaplan, Mustafa; Ergen, Emre; Aslanturk, Okan; Cicek, Ipek Balikci; Ertem, KadirObjective Different treatment options exist for the late-stage Kienb & ouml;ck disease (KD). The functional outcomes of patients undergoing scaphocapitate fusion (SCF), tendon ball arthroplasty (TBA), and radius metaphyseal core decompression in stages 3 to 4 KD were investigated. Materials and Methods This is a retrospective study spanning similar to 11 years, conducted at our clinic, involving the operated patient KD. The study included 51 patients with an average follow-up duration of 68 months (range: 16-130 months). Patients who underwent SCF, TBA, and radius metaphyseal core decompression were divided into three groups based on the surgical approach. The range of motion of the wrist joint and grip strength of the operated wrists were assessed alongside the unaffected wrist during follow-up evaluations. Satisfaction levels among patients were measured by comparing groups internally and based on disease stages. Functional outcomes were evaluated using quick disabilities of the arm, shoulder, and hand (Q-DASH) and Mayo wrist scoring scales. Results Of the patients, 28 were female (54.9%) and 23 were male (45.1%). The mean age was 34 years (range: 19-62 years). There were 12 patients (23.53%) in the radial decompression group, 10 patients (19.61%) in the SCF group, and 29 patients (56.86%) in the TBA group. When the wrist joint Range of motion (ROM)s are analyzed, the losses in both stages 3A and 3B disease are significant compared with the intact wrist in all three surgical methods. When the groups were compared, a higher loss of wrist joint ROM was observed in the TBA group, especially in Kienb & ouml;ck stage 3B patients ( p < 0.001). Furthermore, there were no differences between patient scores in stage 3A when assessments were made using Q-DASH and Mayo scores ( p = 0.156 for Q-DASH and p = 0.060 for Mayo). In stage 3B, Mayo's results were similar, while the radial decompression group was reported to be more favorable in terms of Q-DASH scores ( p = 0.035). Conclusion KD is surgically treated with various operations identified. In terms of functional outcomes, all three surgeries are considered satisfactory. However, in young and active patients, even in advanced stages of the disease, metaphyseal core decompression should be attempted as an initial treatment due to its easier approach and the avoidance of direct manipulation of the carpus.Öğe Anterior Cruciate Ligament Rerupture Due to a Neglected Posterolateral Corner Injury(Derman Medical Publ, 2014) Gormeli, Gokay; Gormeli, Cemile Ayse; Korkmaz, Mehmet Fatih; Elmali, Nurzat; Ergen, EmreAnterior cruciate ligament reconstruction is performed frequently in orthopaedic surgery. The short-term results of the reconstruction is good but has relatively poorer long-term results Posterolateral corner injuries of the knee are rare injuries that result from high-energy trauma and failure to diagnose a posterolateral corner injury in patients with a tear of the anterior cruciate ligament. Posterolateral corner injuries negatively affect the success of the anterior cruciate ligament reconstruction. We aimed to present a case with an anterior cruciate ligament rerupture due to a neglected posterolateral corner injury and revision of the anterior cruciate ligarnent rerupture and posterolateral corner reconstruction in a single session.Öğe Bilateral Achilles Tendon Xanthomas in a Patient with Cerebrotendinous Xanthomatosis A Case Report(Amer Podiatric Med Assoc, 2017) Karakaplan, Mustafa; Ergen, Emre; Gormeli, Gokay; Korkmaz, Mehmet Fatih; Elmali, NurzatCerebrotendinous xanthomatosis is a rare, autosomal recessive, lipid storage disease with accumulation of cholestanol in most tissues, particularly in the Achilles tendons. We described a 23-year-old female patient who had progressive painfull swelling of both Achilles tendons due to cerebrotendinous xanthomatosis. We performed surgery on both-side Achilles tendon tumors. Wide degenerative areas of the tendons were resected, and the flexor hallucis longus tendon was harvested and transferred to reconstruct motion function.Öğe Bipartitism in tarsal bones: A retrospective analysis of clinical and radiological features(2024) Maras Ozdemir, Zeynep; Karakaplan, Mustafa; Ergen, Emre; Köroğlu, Muhammed; Aslantürk, Okan; Özdeş, Hüseyin Utku; Çoban, İdrisAim: Bipartitism in the foot, especially in the tarsal bones, is a rare anatomical variant characterized by dividing one bone into two separate ossification centers. This condition can be congenital or acquired, often remains asymptomatic, and is only discovered incidentally during radiological imaging. This study aims to present a comprehensive retrospective analysis of bipartitism in tarsal bones, assessing its prevalence, type of articulation, and associated clinical features in a cohort of patients. Materials and Methods: A total of 4,645 patients were retrospectively evaluated from 6,145-foot images consisting of 4,975 computed tomography (CT) and 1,170 magnetic resonance imaging (MRI) scans obtained between 2015 and 2023. 15 patients with tarsal bipartitism were identified and contacted through the hospital system for in-person medical history and examination. Radiological exams assessed partial and complete bipartition, diastasis, and exostosis in the tarsal bones. Age, sex, side, trauma history, pain, foot deformity, gait disturbance, and other clinical findings were also recorded. Results: Bipartitism was detected in 15 patients (0.32%), predominantly affecting males (87%). The most common variant was medial cuneiform bipartitism, observed in 13 patients (0.28%). Talus and calcaneus bipartitism were each observed in one patient (0.02%). Bilateral involvement was present in 67% of the cases, with 60% of patients reporting chronic pain. Complete dissociation of bipartite bones was noted in 80% of cases. Accompanying bipartitism, two patients had pes planovalgus, and one had hallux varus deformity. Conclusion: Although bipartitism of the tarsal bones is rare, it remains a diagnostic challenge due to variability in clinical presentation and possible association with other foot deformities. Accurate diagnosis through advanced imaging techniques is essential to differentiate these variants from fractures and guide appropriate treatment. This study contributes valuable insights into the prevalence and clinical impact of bipartitism in the tarsal bones, emphasizing the importance of early diagnosis and individualized treatment strategies.Öğe Cerebrotendinous Xanthomatosis patients with late diagnosed in single orthopedic clinic: two novel variants in the CYP27A1 gene(Bmc, 2024) Koroglu, Muhammed; Karakaplan, Mustafa; Gunduz, Enes; Kesriklioglu, Betul; Ergen, Emre; Aslanturk, Okan; Ozdemir, Zeynep MarasBackground Cerebrotendinous Xanthomatosis (CTX) is a rare autosomal recessive lipid storage disorder caused by loss of function variants in the CYP27A1 gene which encodes sterol 27-hydroxylase, on chromosome 2q35. Although the symptoms begin commonly in infancy, CTX diagnosis is often delayed. The aim of this study is to review the orthopedic findings of the disease by providing an overview of the clinical features of the disease. It is to raise awareness of this condition for which early diagnosis and treatment are important. Methods We retrospectively evaluated the clinical, laboratory, radiological, and genetic findings of eight patients from four families who were admitted to our Orthopedics and Traumatology Department between 2017 and 2022 due to bilateral Achilles tendon xanthomas, were found to have high cholestanol and CYP27A1 gene mutations. Results The mean age of patients was 37, and five of them were male. The mean age at the onset of symptoms was 9.25 years. The mean age of initial diagnosis was 33.75 years. Between symptom onset and clinical diagnosis, an average delay of 24.5 years was observed. All patients had bilateral Achilles tendon xanthoma. Notably, a novel variant (c.670_671delAA) in CYP27A1 gene was identified in three patients who also presented with peripheral neuropathy and bilateral pes cavus. One patient had osteoporosis and four patients had osteopenia. Five patients had a history of bilateral cataracts. Furthermore, three of the patients had early-onset chronic diarrhea and three of the patients had ataxia. Two of the patients had epilepsy and seven of the patients had behavior-personality disorder. All patients had low intelligence, but none of them had cardiac disease. Conclusion We present the diagnostic process and clinical features which the largest CTX case series ever reported from single orthopedic clinic. We suggest that patients with normal cholesterol levels presenting with xanthoma being genetically analyzed by testing at their serum cholestanol level, and that all siblings of patients diagnosed with CTX be examined.Öğe Chainsaw-Related Extremity Injuries(Mdpi, 2025) Ozdes, Hueseyin Utku; Ergen, Emre; Koroglu, Muhammed; Karakaplan, Mustafa; Acet, Omer; Al, Firat; Coban, IdrisBackground: 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.Öğe Clinical outcomes of scaphoid nonunions treated with 1,2 intercompartmental supraretinacular artery pedicled vascularized bone graft and compression screw(2017) Arslantürk, Okan; Ergen, Emre; Özen, Metehan; Ertem, KadirAbstract: Scaphoid fractures are the most common fracture of the carpal bones and account for 60% carpal injuries. Nonunion may occur in 5-12% of scafoid fractures. Aim of this study is to present result of scaphoid nonuinon treated with 1-2 intercompartmental pedicled artery bone graft and canullated screw in our clinic. Between 2009-2012, 19 scaphoid nonunions (18 males, 1 female) were treated with 1-2 intercompartmental pedicled artery bone graft and canullated screw. The average age of patients were 31,2 (range 12-47 years). The average time from initial injury to operation was 40.8 months (range 8 months -20 years). All scaphoid nonunions healed with union at an average of 9,4 weeks( range 6-12 weeks) after surgery. The average Mayo score of patients were 76,6 (range-25100). We determined that treatment with 1-2 intercompartmental pedicled artery bone graft and canullated screw is good option in scaphoid nonunions regardless of avascular necrosisÖğe 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 Clinical results of anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft: A prospective study(2018) Aslanturk, Okan; Ergen, Emre; Gormeli, Ayse Cemile; Gormeli, Gokay; Yilmaz, OzgurAim: 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 Clinical results of surgical neurectomy of Morton’s neuroma(2024) Koroglu, Muhammed; Karakaplan, Mustafa; Turkmen, Ersen; Ozdes, Huseyin Utku; Acet, Omer; Ergen, Emre; Aslanturk, OkanAim: Morton’s neuroma (MN), specifically with its forefoot placement, sometimes significantly impacting patients’ quality of life. The aim of this study is to present the outcomes of neurectomy surgeries performed for MN disease. Investigating the impact of this surgery, which has a complication such as hypoesthesia, on postoperative patient satisfaction, is the targeted objective. Materials and Methods: Seventeen masses of 16 patients were studied. In patients diagnosed with MN mass through physical examination and imaging techniques, a 3 cm incision was made to excise the nerve mass either dorsally or plantar under spinal anesthesia. During routine outpatient follow-ups, the American Orthopedic Foot and Ankle Society (AOFAS) score, Visual Analog Scale (VAS) score, and Coughlin’s criteria were assessed both preoperatively and postoperatively. The effects of conservative treatments such as preoperative orthoses and steroid injections on pain scores were recorded and evaluated. Recurrence of mass development and wound issues were investigated to evaluate the outcomes. Results: The mean age at the time of surgery was 46.75 years (26-58 years). The mean follow-up period was 23.12 (6-75 weeks) weeks. After surgery, excellent results were achieved in 9 patients (64.3%), and good results were obtained in 4 patients (28.6%). Recurrent mass development occurred in two patients (12.5%). Two patients (12.5%) were operated on with a plantar approach, and one patient with recurrent massbelonged to this group. Hypoesthesia was described in 15 out of 16 patients. There were significant improvements between patients’ preoperative VAS and AOFAS scores and postoperative VAS and AOFAS scores, which were statistically significant (p <0.001). Conclusion: Numerous studies have been conducted on the diagnosis and treatment of MN disease, yet a common procedure has not been developed. Among existing treatments, excision of the mass with some healthy nerve tissue and a dorsal approach to the foot are commonly employed methods. Dorsal neurectomy surgeries demonstrate a success rate exceeding 80%. Informing patients about the possibility hypoesthesia before surgery and establishing realistic expectations can make this procedure safely applicable.Öğe Effect of microfracture and autologous-conditioned plasma application in the focal full-thickness chondral defect of the knee: an experimental study on rabbits(Biomed Central Ltd, 2015) Karakaplan, Mustafa; Elmali, Nurzat; Mirel, Efe; Sahin, Nurhan; Ergen, Emre; Elmali, CandanPurpose: The aim of the present study was to evaluate the effect of microfracture and intraarticular autologous conditioned plasma (ACP) injection on cartilage regeneration in a focal full-thickness chondral defect model created in the knee joint. Methods: Full-thickness chondral defects of 3 x 6 mm(2) were surgically created in right medial femoral condyles (MFC) of New Zealand rabbits, and the rabbits were then divided into three groups according to treatment: Group 1 received only microfracture (mfx), Group 2 received mfx plus intraarticular ACP, and Group 3 received mfx; the defect was covered by the periosteum, and then, ACP was applied subperiosteally and intraarticularly. Twelve weeks after injection, the animals were sacrificed and the femoral condyles were evaluated macroscopically and histologically by hematoxylin-eosin staining. Then, histological sections were scored using the International Cartilage Repair Society (ICRS) visual histological scale. Results: Findings showed that in both mfx/ACP-treated groups, the defects were filled regularly and smoothly, the defects had a greater fill and good integration into the surrounding host tissue, and the repair matrix had more hyaline-like character. On the other hand, defects were filled with an irregular, fibrous cartilage in the mfx-treated group. Histological scores in Group 2 and Group 3 were better compared to Group 1. Conclusion: In the present study, we were able to demonstrate a beneficial effect of intraarticular administration of ACP as a coadjuvant of microfractures in order to regenerate hyaline-like cartilage in full-thickness chondral lesions in a rabbit model.Öğe Effectiveness of the Thermal Genicular Nerve Radiofrequency Ablation Therapy Under Fluoroscopy in Patients with Non-operative Advanced Stage Knee Osteoarthritis: 1-Year Follow-Up Results(Springer Heidelberg, 2022) Kaya, Oguz; Senel, Ahmet; Batur, Omer Cihan; Gonder, Nevzat; Ergen, Emre; Peker, BarisBackground In this study, our aim was to present the 1-year results of the effect of thermal genicular nerve radiofrequency ablation (GNRFA) therapy on pain and functional outcomes in patients with advanced knee osteoarthritis. Materials and Methods After retrospectively examining the hospital records, 49 knees of 35 patients who had undergone thermal RFA of the superior medial, superior lateral, and inferior medial branches of the genicular nerve under fluoroscopic guidance between July 2019 and December 2020 were included in the study. The visual analog scale (VAS) scores of the patients were recorded before RFA, on the day of RFA, and at the first, sixth, and 12th months postoperatively, as well as their Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores before RFA and at the 12th month postoperatively. Complications developed after the procedure and during the follow-up period were screened. Results Twenty-five of the patients were females and 10 males, with a mean age of 77.3 +/- 7.9 years (range 61-92 years). The mean VAS score was 8.4 +/- 0.9 before RFA, and as 1.7 +/- 1.0 right after the procedure, 2.4 +/- 1.7 at the first month, 3.4 +/- 1.8 at the sixth month, and 4.4 +/- 1.9 at the 12th month (p < 0.01). In terms of the WOMAC score, the average value was 69.7 +/- 6.4 before the treatment and 36.1 +/- 11.8 at the final follow-up at the 12th month (p < 0.01). No complications were observed in any patient during the treatment or the follow-up period. Conclusion Non-surgical thermal GNRFA therapy of knee osteoarthritis provides significant outcomes in terms of pain and functionality, with no significant systemic or local side effects. Therefore, the technique can be considered as an alternative to other methods when treating advanced osteoarthritis.Öğe Endoscopic assisted retrograde release of posterior interosseous nerve: Preliminary results of a new technique(Elsevier Sci Ltd, 2018) Ertem, Kadir; Aslanturk, Okan; Ergen, Emre; Karakaplan, Mustafa; Canbay, Ali; Martin Ferrero, Miguel Angel[Abstract Not Available]Öğe Endoscopic assisted retrograde release of posterior interosseous nerve: Preliminary results of a new technique(Journal of plastıc reconstructıve and aesthetıc surgery, 2018) Ertem, Kadir; Aslanturk, Okan; Ergen, Emre; Karakaplan, Mustafa; Canbay, AliÖğe Erişkin femur trokanterik bölge kırıklarında proksimal femur çivisi ile cerrahi tedavi sonuçları(İnönü Üniversitesi, 2016) Ergen, EmreAmaç: İnönü Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Kliniği'nde Ekim 2009–Ocak 2015 tarihleri arasında intertrokanterik femur kırığı nedeniyle Veronail® proksimal femur çivisi ile osteosentez uygulanan 109 hastanın fonksiyonel ve radyolojik sonuçları değerlendirildi. Gereç ve Yöntem: Hastalar demografik özelliklerinin yanı sıra, kırık tipi, eşlik eden sistemik hastalıkları, travma tipi, cerrahiye kadar geçen süre, ameliyat süresi ve komplikasyonlar açısından değerlendirildi. American Society of Anaesthesiologist (ASA) sınıflamasına göre ameliyat risk değerlendirmesi yapıldı. Radyolojik olarak kaynama varlığı ve implant pozisyonu açısından değerlendirildi. Fonksiyonel değerlendirmede Harris kalça skorlama sistemi kullanıldı. Bulgular: Hastaların 59'u erkek, 50'si kadındı. Ortalama yaşı 77,69 yıl (17-102 yıl) idi. Ortalama takip süresi 32,9 ay (12-61 ay) idi. Kırıkların % 89,9'u basit düşme, % 1,8'i trafik kazası ve % 7,3'ü yüksekten düşme sonucu oluşmuştur. Vakalarımız hastanemize başvuru anından itibaren ortalama olarak 3,54 (0-17) günde ameliyat edilmiştir. Hastalar ortalama 7,76 (2 –56 ) gün hastanede yatmışlardır. Bir hastada kaynamama ve implant yetmezliği, bir hastada düşme sonrası diafiz kırığı, iki hastada vida sıyrılması, bir hastada kaynamama iki hastada da sekonder varus malpozisyonu gelişmiştir. Son takipteki Harris skoru ortalama 79,6 (48-100) idi. Bir yıllık mortalite oranımız % 29,6 olarak hesaplanmıştır. ASA skoru yüksekliğinin ve yaşın 80 üzerinde olmasının mortalite ve kötü fonksiyonel sonuç açısından istatistiksel olarak anlamlı risk artışı oluşturduğu bulunmuştur. Sonuç: Trokanterik bölge kırıkları, genellikle yaşlı kişilerde, düşük enerjili travmalar sonucu görülür. Hastaların kırık öncesi aktivite düzeylerine erken dönebilmeleri için ilk seçenek cerrahi tedavi olmalıdır. Proksimal femur çivilerinin kapalı redüksiyon ile uygulanabilmesi, anatomik ve biyolojik tespit sağlaması, kısa ameliyat süresi, düşük kan kaybı, düşük komplikasyon oranları ve erken yük verme gibi avantajları nedeniyle bu bölge kırıklarının tedavisinde etkili ve güvenilir bir yöntemdir. Anahtar Sözcükler: Trokanterik bölge kırıkları, proksimal femur çivisi, Harris kalça skoru.Öğe Extensor carpi radialis longus tendon ball interposition arthroplasty for treatment of late-stage Kienbock's disease: Short-term results of a novel technique(Sage Publications Ltd, 2018) Aslanturk, Okan; Ertem, Kadir; Ergen, Emre; Koroglu, MuhammedPurpose:The aim of this study was to evaluate short-term clinical and radiological results of extensor carpi radialis longus (ECRL) tendon ball arthroplasty for treatment of late-stage Kienbock's disease. Methods: We retrospectively reviewed data of 19 patients suffering from Kienbock's treated with ECRL tendon ball arthroplasty between December 2014 and December 2016. Patients' clinical functions were assessed using grip strength, range of motion (ROM) of the wrist, QuickDASH, Mayo wrist score, and visual analog scale score. Radiological examination was performed to assess carpal height ratio and progression of arthritis. Results: The median follow-up was 30 months (range, 12-36 months). At final follow-up, ROM of operated wrist was 71% of the nonoperated side. Thirteen (86.6%) patients were pain free. Carpal height ratio was statistically significantly reduced compared with preoperative values. All patients declared their satisfaction with the results due to their preoperative status. Conclusions: ECRL tendon ball arthroplasty is a new and good option for treatment of late-stage Kienbock's disease with low complication rate.Öğe Extensor carpi radialis longus tendon ball interposition arthroplasty for treatment of late-stagekienbock's disease: short-term results of a novel technique(Sage publıcatıons ınc, 2455 teller rd, thousand oaks, ca 91320 usa, 2018) Aslanturk, Okan; Ertem, Kadir; Ergen, Emre; Koroglu, MuhammedPurpose:The aim of this study was to evaluate short-term clinical and radiological results of extensor carpi radialis longus (ECRL) tendon ball arthroplasty for treatment of late-stage Kienbock's disease. Methods: We retrospectively reviewed data of 19 patients suffering from Kienbock's treated with ECRL tendon ball arthroplasty between December 2014 and December 2016. Patients' clinical functions were assessed using grip strength, range of motion (ROM) of the wrist, QuickDASH, Mayo wrist score, and visual analog scale score. Radiological examination was performed to assess carpal height ratio and progression of arthritis. Results: The median follow-up was 30 months (range, 12-36 months). At final follow-up, ROM of operated wrist was 71% of the nonoperated side. Thirteen (86.6%) patients were pain free. Carpal height ratio was statistically significantly reduced compared with preoperative values. All patients declared their satisfaction with the results due to their preoperatiÖğe 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 Fourteen-year outcome of unilateral leg replantation after bilateral lower leg and unilateral upper extremity amputation following traumatic injury(Turkish Assoc Trauma Emergency Surgery, 2025) Ozdes, Huseyin Utku; Ergen, Emre; Coban, Idris; Koroglu, Muhammed; Karakaplan, Mustafa; Ertem, KadirIn cases of traumatic major extremity amputations, particularly ofthe lower extremity, every stage-from decision-making to implementation and outcomes-remains a matterof debate. Managing such cases, which carry high mortality rates, is extremely challenging both at the time of injury and throughout treatment. We present a rare and severe case of a 30-year-old patient who sustained injuries from a concrete machine, resulting in bilateral lower extremity amputations and a unilateral proximal arm amputation. A replantation was successfully performed at the proximal ankle level on one side. Our patient has been followed for 14 years, during which we achieved a satisfactory outcome through meticulous surgical intervention, evaluated using the American Orthopaedic Foot & Ankle Society (AOFAS) and Maryland foot scores. We attained a limb with intact plantar sensation and near-complete range of motion in the ankle and toe joints. Although the clinical application of the Mangled Extremity Severity Score (MESS) score has established criteria for replantation in traumatic amputation cases, we believe there maybe relative indications for limb salvage, particularly in cases of multiple traumatic amputations, especially bilateral lower extremity amputations. In such injuries, the patient's life should be prioritized. Subsequently, at least one amputated extremity and its stump should be thoroughly evaluated. Rather than opting for stump closure, we advocate attempting replantation.Öğe Fracture of the Fifth Finger Sesamoid: A Rare Injury(Wolters Kluwer Medknow Publications, 2019) Aslanturk, Okan; Ergen, EmreFracture of the hand sesamoid bones is rare. Fractures are usually missed initially. Mechanism of injury is usually reported as hyperextension and less frequently as direct compression of metacarpophalangeal joint. Fracture of the hand sesamoid bones has been usually reported in the thumb. We report a case of fifth-digit sesamoid fracture, treated conservatively. In 6 months of followup, the patient had a full range of motion without pain.
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