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Öğe The absence of palmaris longus tendon and its contribution to pinch strength in the Anatolian population(Sage Publications Ltd, 2011) Ertem, K.; Karakoc, Y.; Pepele, D.[Abstract Not Available]Öğe Comparison of three conservative treatment protocols in carpal tunnel syndrome(Wiley, 2006) Baysal, O.; Altay, Z.; Ozcan, C.; Ertem, K.; Yologlu, S.; Kayhan, A.The aim of this study was to investigate and compare the therapeutic effect of three different combinations in the conservative treatment of carpal tunnel syndrome (CTS) by means of clinical and electrophysiological studies. The combinations included tendon- and nerve-gliding exercises in combination with splinting, ultrasound treatment in combination with splinting and the combination of ultrasound, splinting, tendon- and nerve-gliding exercises. A total 28 female patients (56 wrists) with clinical and electrophysiologic evidence of bilateral CTS were studied. In all patient groups, the treatment combinations were significantly effective immediately and 8 weeks after the treatment. The results of the long-term patient satisfaction questionnaire revealed that symptomatic improvement is more prominent in the group treated with splinting, exercise and ultrasound therapy combination. Our results suggest that a combination of splinting, exercise and ultrasound therapy is a preferable and an efficacious conservative type of treatment in CTS.Öğe Effects of different durations of treadmill training exercise on bone mineral density in growing rats(Inst Sport, 2008) Ertem, K.; Karakoc, Y.; Duzova, H.; Kekilli, E.; Emre, M. H.; Kilinc, E.; Yagmur, C.In this study, we aimed to investigate the effects of different durations of treadmill training exercise (daily for 30 min and 60 min) on bone mineral density (BMD) in young growing rats. Training consisted of treadmill running at 5 days per week during a period of 13 weeks. The rats in 30 min and 60 min exercise groups began to training on day 63 of life and had maintained for at least a week, with a minimal progression as a guide to the rats' training and adaptation to the treadmill. Running time was gradually increased from 15 min to 30 and 60 min per session for two exercise groups respectively. Control rats were kept in the cages at the same environmental conditions and daily inspected to control their health. At the end of 13 weeks, bone mineral densities of the bilateral tibia of all rats were measured with dual-energy X-ray absorptiometry (DEXA) (QDR 4500/W, Hologic Inc., Bedford, MA, USA) and results were evaluated. There were significantly increases in BMD of right and left tibia of rats in 30 min exercise group at post-exercise period (p<0.01 for both sides) when compared to the control group. BMD of right and left tibia of rats were also correlated with each other (r=0.556 and p=0.003). Otherwise, there is a positive correlation between pre- and post-exercise body weights of rats (r=0.588 and p=0.002). From our results, we concluded that subjects should perform moderate running exercise for development of bone mass and its protection during the lifelong. However, intensity and duration of performing exercise are required to put in order for every ages or actual physical conditions.Öğe An iatrogenic femoral nerve injury after open reduction and displacement iliac osteotomy for hip dysplasia: a case report(Springer, 2010) Ertem, K.; Karakoc, Y.; Cetin, A.; Bora, A.In this report, we present a 4-year-old female patient who came to our clinic complaining of symptoms that were then attributed to a right femoral nerve injury, 15 months after open reduction, and innominate osteotomy operations performed at another orthopedic center. The operations were performed using the Smith-Peterson incision technique and led to a neurotmetic femoral nerve injury. In our clinic, we repaired damaged femoral nerve by sural nerve graft using interfascicular technique. After 6 years, she was walking without additional device or hand to stabilize the knee.Öğe Mid term results of radial metaphyseal core decompression on Kienbock's disease(Verduci Publisher, 2017) Sevimli, R.; Ertem, K.; Aslanturk, O.; Ari, B.OBJECTIVE: Kienbock's disease is a commonly seen posttraumatic avascular necrosis characterized by avascular necrosis of the lunate bone of the wrist which involves the dominant hand. In our study, we aimed to present midterm outcomes of 12 cases treated with radial metaphyseal core decompression. PATIENTS AND METHODS: In our clinic, 12 patients who applied to our outpatient clinic with intractable pain despite at least six weeks of conservative treatment were previously diagnosed and evaluated as Kienbock's disease between the years 2006 and 2014. Patients at early stage received radial metaphyseal core decompression. RESULTS: The patients were evaluated as postoperative grip strength, flexion-extension gap, ulnar-radial deviation gap, VAS, Quick DASH and MAYO wrist scoring and patient satisfaction. CONCLUSIONS: We determined that interventions performed for Kienbock's disease cannot halt radiological progression. We are of the opinion that radial metaphyseal core decompression, aiming at increasing blood perfusion, improve early diagnosis and treatment of Kienbock's disease, increasing the patient satisfaction.Öğe Mid-term Results of Two-Stage Tendon Reconstruction of Zone II Flexor Tendon Injuries(Wolters Kluwer Medknow Publications, 2021) Karakaplan, M.; Kilinc, O.; Ceylan, M. F.; Ertem, K.; Aslanturk, O.Background: Secondary repair of flexor tendon injuries remains a challenging procedure for hand surgeons. Usually, secondary reconstruction should be performed by a staged approach. Two-stage surgical reconstruction of the flexor tendons by the Hunter technique is the salvage option in case of a severely damaged fibro-osseous canal or neglected flexor tendon injury. Aims: We report the results of staged flexor tendon reconstruction in 10 patients (10 fingers) with neglected or failed primary repair of flexor tendon injuries in zone II. Materials and Methods: Between 2012-2016, patients who underwent two-stage tendon reconstruction due to flexor digitorum profundus (FDP) sectioning or tearing in zone II with destruction of flexor pulleys and extensive scarring in the flexor tendon bed were included in the study. Results: Ten patients included to study with a mean follow-up of 34 months (range 12-70 months) and the results were assessed by clinical examination and questionnaire. According to the Strickland score, one (20%) of the results were excellent, five (50%) were good, two (20%) were fair and two (20%) were poor. After the second stage, good to excellent results were achieved in 60% of patients, one patient needed graft tenolysis. These results were similar to the subjective scores given by the patients, four of whom complained of functional problems in daily life at follow-up. There was no complication after the first stage. But after the second stage, there was one bowstringing and one adhesion that require tenolysis. Conclusions: Hunter technique is still the reference procedure for the reconstruction of flexor tendons. The results of our study showed that two-stage tendon reconstruction which is applied in patients with tendon sheath disruption as a result of acute or delayed tendon injuries which are not possible for primary repair is reliable and satisfactory.Öğe Review of Anterior Submuscular Transposition of Ulnar Nerve for Cubital Tunnel Syndrome(Wolters Kluwer Medknow Publications, 2021) Ergen, E.; Ertem, K.; Karakaplan, M.; Kavak, H.; Aslanturk, O.Objective: In this study, we report the results of patients who underwent ulnar nerve submuscular anterior transposition surgery due to cubital tunnel syndrome. Methods: Data of 46 patients who underwent anterior submuscular transposition surgery due to cubital tunnel syndrome between January 2010 and December 2014 were retrospectively reviewed. Twenty-seven patients with preoperative and postoperative complete medical records available and who had completed at least 24 months follow-up were included in the study. Results: According to preoperative McGovan staging system, 1 patient was classified as stage 1, 8 were stage 2A, 3 were stage 2B, and 15 were stage 3. The mean follow-up time was 61.4 (35-88) months. The mean DASH score of the patients was calculated as 19 (0-81.81). Mayo elbow performance score was excellent in 13 patients, good in 7, fair in 6, and poor in 1. Conclusion: Anterior submuscular transposition of ulnar nerve had resolved symptoms 89% of our patients. The technique is a successful method with a low recurrence and complication rate.Öğe Transient Bone Loss of Distal Radius and Ulna Following Clean-Cut Tendon Injuries, Repair and Passive Mobilization(Springer, 2005) Kekilli, E.; Ertem, K.; Yagmur, C.; Atasever, A.; Elmali, N.; Harma, A.; Ceylan, F.[Abstract Not Available]Öğe What are the Factors that Impact the Outcomes of Arthroscopic Rotator Cuff Repair?(Wolters Kluwer Medknow Publications, 2024) Kilinc, O.; Ertem, K.; Ergen, E.; Aslanturk, O.Background:The cuff is a complex structure with many factors affecting it. How much it is affected after repair is still being investigated. Aim:The aim of this study was to analyze the functional results of individuals who received arthroscopic rotator cuff repair and assess the various factors that could impact these outcomes. Methods:The study included 57 patients with a mean age of 58.8 years (range: 39-71) who underwent arthroscopic rotator cuff repair between 2013 and 2020, with a minimum of 6 months after the operation. Functional and clinical outcomes of the patients were evaluated using preoperative and postoperative scores (QDASH, ASES, and VAS). The study also analyzed how demographic factors, type and duration of the tear, comorbidities such as diabetes mellitus (DM) and hypertension (HT), and other pathologies may have affected the patients' scores. Results:The effect of the operation on the scores in rotator cuff tears was highly significant (P < 0.05). Age, gender, tear size, fatty degeneration, anchor configuration, comorbidities, and additional procedures presented variable values on postoperative scores, but were not statistically significant. The effect of DM and HT on VAS scores was statistically significant (P < 0.05). Conclusion:The results of rotator cuff repair appear to be influenced by several factors, including the sex of the patient, type and duration of tear, comorbidities, and surgical procedures used. Although these factors had an effect on the scores, they were not statistically significant.
