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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 Which is more dangerous, earthquake, or the panic? Evaluation of the 24 January 2020 Elazig/T?rkiye earthquake related musculoskeletal injuries(Turkish Assoc Trauma Emergency Surgery, 2022) Ergen, Emre; Kaya, Oguz; Yilmaz, Ozgur; Ozdes, FlUseyin Utku; Batur, Omer Cihan; Karaman, Serdar; Guzel, IsmailBACKGROUND: The aim of this study is to evaluate the musculoskeletal injuries related with 24 January 2020 Elazig/Turkiye earthquake and their treatment protocols. METHODS: Data of patients applied to Inonu University Medical Faculty Hospital, Elazig Training and Research Hospital and Malatya Training and Research Hospital emergency departments within 48 h after the earthquake, were evaluated retrospectively. Age, gender, soft tissue injuries and sites, fracture sites and types, fracture etiology, and treatment methods were evaluated.RESULTS: 247 patients were evaluated. 118 were women and 139 were men. There were 24 (9.7%) pediatric patients. Mean age was 37.3 (1-92) years. Waist majority of injuries were simple soft-tissue injuries. There were 103 fractures in 86 patients. Thirty-eight patients' fractures were treated surgically.CONCLUSION: Every major disaster warrants retrospective studies so we can learn how to improve all levels of Emergency Medical Services. Great proportion of Elazig earthquake victims had only simple soft tissue injuries such as sprain, laceration, or contusion. Many patients were injured due to reasons indirectly related to the destruction brought by the earthquake. Panic caused by the earthquake caused more injury than the destruction it brought.