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    Our clinical results in the management of proximal humeral fractures
    (2020) Key, Sefa; Demir, Şükrü; Emeli, Adem; Gürger, Murat; Sevimli, Reşit; Önce, Gökhan
    Abstract: Aim: The aim of this study was to evaluate the clinical, radiological and functional results of patients treated with different methods in our clinic for proximal humerus fracture. Material and Methods: A total of 106 patients with a diagnosis of proximal humerus fracture, who were scheduled for treatment, received management and followed up periodically after discharge were included. Patient files, X-RAY radiographs in the PACS system, surgical notes and outpatient epicrisis were used. Functional results were evaluated according to Constant shoulder score at the last visit. Results: The mean age of the patients was 53.6 years (17-94). The mean follow-up period was 11.3 months (6-40 months). 55 (51.9%) had Type II, 35 (33%) had Type III and 16 (15.1%) had Type IV proximal end humeral fractures. As a result of the evaluation performed at the last follow-up of the patients, Constant-Murley’s total score was 64.50 out of 100 (31-88). Score distribution according to Neer classification of patients; A Constant-Murley score median with a Neer Type II fracture was 74.00 (36-88), a Constant-Murley Score median with a Neer Type III fracture was 61.00 (31-78), and a Constant-Murley score median with a Neer Type IV fracture was 44.50 (33-70). Conclusion: When the fracture type and functional outcome of the patients were compared, functional outcome decreased as the fracture type increased. Young patients had better functional results than older patients.
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    Relationship between anesthesia method and recurrence rate after surgical treatment of ganglion cysts
    (2020) Demir, Şükrü; Kazez, Muhammet; Sevimli, Reşit; Key, Sefa; Gürger, Murat; Önce, Gökhan
    Aim: Recurrence is frequently reported in patients operated on with the diagnosis of ganglion cyst. In this study, it was aimed to investigate the relationship between relapse and anesthesia method in patients who underwent total surgical excision.Material and Methods: 133 patients who were operated with a preliminary diagnosis of ganglion cyst in the orthopedics and traumatology Clinic between 2015-2019 were included in the study. The demographic features of the patients, the location of the cyst and the anesthesia method applied were evaluated retrospectively.Results: Of the 120 patients operated on, 76 (63.3%) were female and 44 (36.7%) were male. General anesthesia was performed in 44 (37%), sedation anesthesia in six (5%), regional anesthesia in 42 (35%), and local anesthesia in 28 (23%). During routine follow-up, 19 (15.8%) patients showed recurrence on average 6-12 months after the operation. When anesthesia method of patients who developed recurrence after surgery was examined, it was found that local anesthesia was performed in 13 (46.4%) of 19 patients.Conclusion: It has been determined that ganglion cysts are more likely to recur with local anesthesia during surgery than other anesthesia methods. The result obtained suggests that local anesthesia causes surgical failure due to the limited working field of the surgeon, the patients feel pain when deeper tissues are reached and the lack of adequate exposure.