Yazar "Isikan, Ugur Erdem" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim
    Öğe
    Assessment of hip development in the early period in patients who underwent dega osteotomy due to developmental dysplasia of the hip
    (2017) Sarikaya, Baran; Sipahioglu, Serkan; Bekin Sarikaya, Zeynep; Bozkurt, Celal; Levent, Ali; Yapti, Metin; Altay, Mehmet Akif; Isikan, Ugur Erdem
    Objective: To examine hip development in a patient who underwent Dega osteotomy due to developmental dysplasia of the hip (DDH) by means of radiography. Materials and Methods: Dega osteotomy was performed on 43 hips (7 were bilateral) of 36 patients with DDH. In preoperative and final follow-up; the acetabular index (AI), acetabular depth ratio (ADR) and Wiberg's center-edge angle (CEA) were measured in anteroposterior pelvic radiographs. Hips were classified in accordance with Tönnis classification system. Radiological findings were evaluated in accordance with Severin classification system. Avascular necrosis (AVN) of the hips were evaluated according to Kalamchi-MacEwen classification system. Results: The mean age was 87 months (48-130 months), mean follow-up period was 30.5 months (15-62 months). The mean preoperative and final follow-up values of AI were 43° (28°to 60°) and 19° (6° to 34°), respectively. The mean preoperative and final follow-up values of ADR were detected as 14 (8 to 24) and 26 (18 to 42), respectively.The mean CEA was found as 38° (18° to 61°) at the final follow-up. Of the hips, 37 were Tönnis type 4 and 6 were Type 3. Totally 10 hips had AVN; of those, 6 were Type 1, 2 were Type 2 and 2 were Type 3 hips. According to Severin classification, 11 hips were Type 1a, 3 were Type 1b, 22 were Type 2a, 5 were Type 2b and 2 were Type 3. Conclusion: In patients who underwent Dega osteotomy, hip development can be detected radiographically with satisfactory levels.
  • Küçük Resim
    Öğe
    Outcomes of arthroscopic debridement and microfracture for osteochondral lesions of the talus
    (2017) Bozkurt, Celal; Sarikaya, Baran; Sipahioglu, Serkan; Altay, Mehmet Akif; Isikan, Ugur Erdem
    Aim: Osteochondral Lesions of the Talus (OLT) is a common pathology in orthopedic injuries. Recently arthroscopic microfracture treatment is widely used as a simple technique with clinically satisfactory outcomes. The present study aimed to reveal the outcomes of arthroscopic OLT treatment and determine the appropriate patient group. Material and Methods: 21 patients who underwent arthroscopic debridement and microfracture for OLT were evaluated retrospectively between March 2015 and May 2016. The clinical assessment was performed by using The American Orthopaedic Foot & Ankle Society (AOFAS) and Visual Analog Scale (VAS) prior to the surgery and at the final follow up. Results: The mean diameter of lesions were measured as 1.1 cm² (0.7-1.7) arthroscopically. The mean age of the patients was 35 (18-55) years. Lesions were located at the medial side in 17 patients and lateral side in 4 patients. The mean value of preop AOFAS score was 65.4±7.3 (55-78) and it was 86.6 ± 8.3 (68-100) at the final follow up. VAS scores of the patients were 6.7±1.2 (5-9) prior to the surgery and 2.2±1.3 (0-5) at the final follow up. Conclusion: Arthroscopic treatment of OLTs is a beneficial technique with low complication rate in broad range of patients. Patient’s age and lesion size are guideway in patients requiring arthroscopic treatment. As the age and lesion size increase, surgical treatment becomes less beneficial.