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Öğe A rare case: Epidermoid cyst development after groin flap for a fingertip following a gunshot injury(2025) Canbay, Ali; Ertem, Kadir; Köroğlu, Muhammed; Dalda, ÖzlemPedicled groin flaps are effective surgical techniques used in cases of defective skin injuries on the hand. However, various complications can arise postoperatively. In this report, we aim to present the development of an epidermoid cyst in the flap area ten years after performing a groin flap for a finger tip skin defect due to a fire arm injury. A 45-year-old male patient presented with defective skin injury to the distal phalanx of the second finger of his left hand due to a shotgun. The skin was closed with a pedicled groin flap. At the end of the 15th day, the flap was separated and it was observed that the flap maintained its viability. After 10 years of follow-up, he complained of swelling and pain in the area where the fingertip flap was applied. As a result of the examinations, it was seen that there was a cystic formation. The cyst was excised and the pathology was reported as epidermoid cyst. No problems or recurrences were observed in the flap area during follow-up. In our case of a rare epidermoid cyst developing years after a groin flap, total excision was successfully performed, preserving the flap's viability and achieving a successful surgical outcome. Epidermoid cyst development after groin flap surgery is extremely rare. Total excision of the cyst is important for treatment and prevention of relapses.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 Functional outcomes of titanium elastic nail procedure after femoral shaft fracture in pediatric patients(2023) Karakaplan, Mustafa; Ergen, Emre; Köroğlu, Muhammed; Aslantürk, Okan; Özdeş, Hüseyin Utku; Gündüz, EnesPediatric femur diaphyseal fractures are seen after serious traumas such as traffic accidents and fall from height. Although treatment algorithms are made according to age groups, treatment planning is individualized according to the patient and the degree of injury. In our study, we evaluated functional outcomes of pediatric femur fractures treated with titanium elastic nail (TEN). This is a retrospective study including pediatric femoral diaphyseal fractures treated with TEN between 2012 and 2021. Open fractures, pathological fractures, distal fractures involving the femoral condyles, and proximal fractures involving the trochanteric region were not included in our study. Thirty-three femoral diaphyseal fractures with complete data were identified as stable and unstable in length, and functional results and post-treatment complications were recorded by performing TEN in fracture fixation. Clinical functional results were analyzed with Flynn criteria. Thirty-three femoral fractures of 29 patients were included. Eighteen (62.1%) of our patients were boys and 11 (37.9%) were girls. The mean age was 6.51 years (4-13 years). The most common injury mechanism was traffic accidents seen in 19 patients (24.51%). The mean follow-up period after surgery was 26.6 (6-90 months) months. Stable fractures (transverse and short oblique) were found in 26 cases (78.7%) and unstable fractures (spiral/long oblique and comminuted) in 7 cases (21.7%). According to Flynn criteria, excellent results were found in 20 fractures (60.6%) and satisfactory results in 10 fractures (30.3%) and 3 poor (9.09%). There was no significant difference between stable and unstable fractures in terms of functional outcome (p=0.12). Femoral diaphyseal fractures are serious injuries that require surgery. Regardless of the type of fracture, stable or unstable in length, the results of treatment with TEN are very successful. Major complications such as nonunion and re-fracture are rarely seen with this treatment.Öğe Functional results after surgical treatment of pediatric femoral neck fractures(2023) Köroğlu, Muhammed; Aslantürk, Okan; Özdeş, Hüseyin Utku; Çoban, İdrisThis study aims to present the functional outcomes of patients who were treated surgically for childhood femoral neck fractures. In addition, to obtain information about the complications seen after these fractures, especially avascular necrosis of the femoral head (AVN), and to investigate the relationship with the treatment process. Our study is a retrospective study including 22 fractures of 22 patients operated for femoral neck fractures between 2012 and 2021. Thirteen of the patients were boys and 9 were girls The mean age at the time of trauma was 12.6 years (5-17 years). The fractures were classified based on the Delbet/Colonna classification. Fracture type and its effect on functional outcomes and the effect of fracture type on complications were investigated. The relationship between the time and type of treatment and AVN was evaluated. The mean follow-up period of the patients included in the study was 36.9 (12-132 months) months. Orthopedic injury in combination with femoral neck fracture was seen in 4 patients. Femoral neck fractures were classified as type 1 in 1 patient, type 2 in 15 patients, type 3 in 4 patients, and type 4 in 2 patients. In our study, 5 of 8 complications were AVN. The clinical results of the patients were classified with Ratliff score and 14 patients had good, 3 patients had fair and 5 patients had poor results. According to this classification system, 5 patients who developed AVN had a poor outcome, but no significant correlation was found between AVN and the timing of surgery and treatment method. All of the cases with AVN were Type 1 and Type 2 fractures. Pediatric femoral neck fractures are inherently difficult fractures for orthopedists who need long-term follow-up. Although the appropriate time, methods, and materials for surgical management are frequently discussed, the severity of the injury and the anatomical location of the fracture is most important in the development of AVN.Öğe Hipotenar bölgede Guyon kanalına bası yapan dev Ganglion kisti(Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi, 2014) Arı, Bünyamin; Ertem, Kadir; Ergen, Emre; Yılmaz, Özgür; Köroğlu, MuhammedÖz: Ganglion kistleri eklem ve tendon k ı l ı fı üzerinde bunları fı tı kla ş mas ı ile olu ş an kistik olu ş umlard ı r. Ganglion kistleri en s ı k el bile ğ i, el ve ayaklarda görülen yumu ş ak doku tümörleridir. Bulundukları yer ve kaynakland ı kları anatomik bölgelere göre intraosseöz, subperiostal ve yumu ş ak doku kistleri olarak adland ı rı l ı rlar. Tedavisinde, gözlem, aspirasyon, skleroterapi ve cerrahi eksizyon gibi yöntemler uygulanmaktad ı r. Cerrahi sonras ı %13 40 oran ı nda tekrarlama riski mevcuttur. Guyon kanal ı na bas ı yaparak ulnar sinir tuzak nöropatisi yapan hipotenar bölge ganglion kistleri ise s ı k görülmez. Bu çal ı ş madaki amacı m ı z sa ğ el hipotenar yerle ş imli ve ulnar sinir bas ı s ı bulguları veren dev ganglion kisti olgusunu sunmaktad ı r.Öğe Repair of Radial Nerve with Sural Nerve Greft: Less Often Complication of Supracondylar Humerus Fracture(2016) Köroğlu, Muhammed; Aslantürk, Okan; Ergen, Emre; Yılmaz, Özgür; Ertem, KadirAbstract: Neurological problems following supracondylar fractures are clinically challenging problem. Neurological damage has been reported about 10-20% of pediatric supracondyler fractures. Nerve injury caused by primarily directly damage of the fracture fragments, excessive stretching,entrapment of nerve in fracture line, or iatrogenically. Radial nerve injury is at least often seen by rate of %21 after supracondylar humerus fractures. Neural injuries of pediatric patients have mostly recover spontaneously. But in case of nerve defect; nerve grafting is needed for repairÖğe The role of arthroscopy in the treatment of common wristdisorders: A retrospective clinical study(2021) Köroğlu, Muhammed; Ertem, Kadir; Aslantürk, OkanAim: The purpose of this research was to evaluate clinical and functional results of patients that we treated them with wrist arthroscopy. Material and Methods: Patients treated with wrist arthroscopy between February 2012 and June 2017 were retrospectively evaluated. Patients’ disease, treatment, effected side, preoperative and postoperative Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) score and postoperative Mayo score were recorded. Results: There were 78 (49 female and 29 male) patients. Mean age was 38±14.91 (16-81 years) years. Mean follow-up time was 45,4±17.93 (range, 6-72 months) months. There were 22 (28.2%) ganglion cyst, 15 (19.2%) triangular fibrocartilage complex tears, 11 (14.1%) Kienböck’s disease and 8 (10.3%) intraarticular distal radius fracture. All patients Quick-DASH scores statistically significantly improved at final follow-up compared to preoperative status (p<0.001). There was no major complication in any of the patients. Conclusion: The wrist arthroscopy is efficient and minimal invasive technique with low complication rates and good clinical results for common wrist pathologies.
