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    Analysis of orthopedic surgery of patients with metastatic bone tumors and pathological fractures
    (Sage Publications Ltd, 2018) Sevimli, Resit; Korkmaz, Mehmet Fatih
    Objective This study was performed to determine the most common causes, locations, and treatments of metastasizing primary tumors through evaluation of patients with metastatic bone tumors who were admitted to our clinic. Methods In total, 96 patients with metastatic bone tumors who were admitted to our clinic from 2000 to 2016 were included in the study. Results The breast (30 patients, 31.3%) and lung (18 patients, 18.8%) were the most commonly metastasized primary organs. The femur was the most commonly metastasized bone. Conclusions Bone tumors in patients of advanced age are, unless otherwise proven, considered to be metastatic, and the development of specific diagnostic and treatment algorithms is needed. Clinicians should attempt to improve the general condition of patients with tumors exhibiting bone metastasis to increase the patients' quality of life by providing early mobilization. Thus, appropriate patient selection and proper internal fixation are essential.
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    Analysis of orthopedic surgery of patients with metastatic bone tumors and pathological fractures
    (SAGE PUBLICATIONS LTD, 1 OLIVERS YARD, 55 CITY ROAD, LONDON EC1Y 1SP, ENGLAND, 2018) Sevimli, Reşit; Korkmaz, Mehmet Fatih
    Objective This study was performed to determine the most common causes, locations, and treatments of metastasizing primary tumors through evaluation of patients with metastatic bone tumors who were admitted to our clinic. Methods In total, 96 patients with metastatic bone tumors who were admitted to our clinic from 2000 to 2016 were included in the study. Results The breast (30 patients, 31.3%) and lung (18 patients, 18.8%) were the most commonly metastasized primary organs. The femur was the most commonly metastasized bone. Conclusions Bone tumors in patients of advanced age are, unless otherwise proven, considered to be metastatic, and the development of specific diagnostic and treatment algorithms is needed. Clinicians should attempt to improve the general condition of patients with tumors exhibiting bone metastasis to increase the patients' quality of life by providing early mobilization. Thus, appropriate patient selection and proper internal fixation are essential.
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    ANESTHESIA MANAGEMENT IN PEDIATRIC SCOLIOSIS PATIENTS: A RETROSPECTIVE CLINICAL STUDY
    (Journal of Turkish Spinal Surgery, 2019) Akbaş, Sedat; Korkmaz, Mehmet Fatih
    Öz: Introduction: Neurological, cardiovascular and respiratory system pathologies are frequently accompanied by pediatric scoliosis surgery. The aim of this retrospective clinical study was to evaluate the demographic characteristics, operation characteristics, and complications associated with anesthesia and surgery in pediatric patients undergoing scoliosis surgery. Material and Methods: In this study, 33 pediatric patients undergoing elective scoliosis surgery were reviewed retrospectively. Demographic characteristics, surgical procedure data, complications related anesthesia or surgery were examined in terms of anesthesia management. Medications, concomitant diseases, laboratory values, postoperative service and intensive care unit records were obtained from the university database. Results: The mean age of thirty-three patients was 13.09 ± 2.98 years. Three patients had meningomyelocele and one had neuromuscular disease. 72.7 % of patients (24 patients) have thoracolumbar scoliosis. The duration of anesthesia and surgery was 241.21 ± 55.55 min and 214.84 ± 54.55 min, respectively. The mean number of instrumented level was 10.78 ± 3.54. Blood transfusion was performed in 97 % of the patients (32 patients). All patients were transferred to the intensive care unit in the postoperative period. In each two patients, bradycardia and hypotension were observed. In the perioperative period, the mean blood loss of the patients was 843.93 ± 246.14 mL. Conclusion: Pediatric scoliosis surgery; is an important orthopedic procedure which may results in serious intraoperative blood loss and postoperative pain and can be accompanied by syndromes, difficult airway management, serious respiratory and circulatory system complications during perioperative and postoperative period. Evaluation of localization and the extent of curvature, length of surgery, concomitant diseases and congenital anomalies are important for the management of anesthesia in patients undergoing pediatric scoliosis surgery.
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    Anesthesıa Management In Adult Scolıosıs Patıents
    (İnönü Üniversitesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Malatya, Türkiye, 2019) Özkan, Ahmet Selim; Korkmaz, Mehmet Fatih
    Abstract: Introduction: Adult scoliosis surgery management is challenging procedure for both orthopedic surgeons and anesthetists because of the long duration of surgery, difficulties in cannulation and intubation and serious bleeding. In this retrospective study, the anesthesia records of 25 adult patients who underwent scoliosis surgery under general anesthesia between 2010 and 2013 were evaluated in the light of current literature. Material and Methods: Twenty-five adult patients who underwent scoliosis surgery between January 2010 and December 2013 were included in the study. Demographic data, American Society of Anesthesiologists (ASA) classification, Mallampati (MP) score, duration of anesthesia, duration of operation, amount of blood loss data were recorded. Results: The mean age of 25 patients who underwent scoliosis surgery was 26.6 ± 8.80 years. 2 (8 %) of the patients were classified as ASA I, 19 (76 %) ASA II and 4 (4 %) ASA III. MP score was I in ten (40 %) patients, and was recorded as II in 10 (40 %) patients and III in 5 (20 %) patients. The mean duration of anesthesia was 289.80 ± 81.01 minute, the mean amount of blood loss was recorded as 1162 ± 466.72 ml. Twenty (88 %) patients underwent peroperative blood transfusion. Conclusion: Anesthesia management is important in scoliosis surgery due to many complications that may develop especially because of blood loss. Detailed preoperative evaluation should be performed and appropriate preparations should be planned before surgery.
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    Anterior Cruciate Ligament Rerupture Due to a Neglected Posterolateral Corner Injury
    (Derman Medical Publ, 2014) Gormeli, Gokay; Gormeli, Cemile Ayse; Korkmaz, Mehmet Fatih; Elmali, Nurzat; Ergen, Emre
    Anterior cruciate ligament reconstruction is performed frequently in orthopaedic surgery. The short-term results of the reconstruction is good but has relatively poorer long-term results Posterolateral corner injuries of the knee are rare injuries that result from high-energy trauma and failure to diagnose a posterolateral corner injury in patients with a tear of the anterior cruciate ligament. Posterolateral corner injuries negatively affect the success of the anterior cruciate ligament reconstruction. We aimed to present a case with an anterior cruciate ligament rerupture due to a neglected posterolateral corner injury and revision of the anterior cruciate ligarnent rerupture and posterolateral corner reconstruction in a single session.
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    Axillary Artery Injury Following Inferior Dislocation of the Glenohumeral Joint
    (Derman Medical Publ, 2013) Korkmaz, Mehmet Fatih; Disli, Olcay Murat; Karakaplan, Mustafa; Akca, Baris; Erdem, Mehmet Nuri
    In this paper, we described a case of axillary artery injury following a primary traumatic inferior shoulder dislocation. It is aimed at raising the index of awareness for identifying this limb threatening injury based on its pathognomonic triad of findings during clinical examination, and to consolidate current thinking on its subsequent management and outcome. To our knowledge, this is the only report in the English literature describing vascular injury in primary traumatic inferior shoulder dislocation in a young man.
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    Bilateral Achilles Tendon Xanthomas in a Patient with Cerebrotendinous Xanthomatosis A Case Report
    (Amer Podiatric Med Assoc, 2017) Karakaplan, Mustafa; Ergen, Emre; Gormeli, Gokay; Korkmaz, Mehmet Fatih; Elmali, Nurzat
    Cerebrotendinous xanthomatosis is a rare, autosomal recessive, lipid storage disease with accumulation of cholestanol in most tissues, particularly in the Achilles tendons. We described a 23-year-old female patient who had progressive painfull swelling of both Achilles tendons due to cerebrotendinous xanthomatosis. We performed surgery on both-side Achilles tendon tumors. Wide degenerative areas of the tendons were resected, and the flexor hallucis longus tendon was harvested and transferred to reconstruct motion function.
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    Clinical features and follow-up results of the patients with methicillin-resistant Staphylococcus aureus (MRSA) in orthopedic practice
    (2018) Erdemir, Nuri; Korkmaz, Mehmet Fatih; Duman, Yücel; Arslan, Aydın; Sevimli, Reşit
    Abstract: Treatment of the infections caused by methicillin-resistant Staphylococcus aureus (MRSA) strains in orthopedic patients is a difficult and laborious process for both the patient and physician. Staphylococcus aureus(S. aureus) is one of the leading causes of community-acquired and nosocomial infections. In this study, we aimed to investigate the susceptibilityof the MRSA strainsisolated in orthopedic patients cultured for different reasons in our clinic to various antibiotics, and to evaluate clinical characteristics of the patients and factors affecting the prognosis. A total of 40 patients with MRSAisolated in our orthopedics clinic between December 2012 and November 2016 were retrospectively analyzed. Data including age, sex, comorbidities, previous surgeries, and previous antibiotic treatments were obtained from patients’ files and electronic information system. Of 40 patients, 60% were male, and 56% were over 60 years old. While 80% of the patients underwent an orthopedic surgery, 20% of them received no surgical intervention before the diagnosis. A total of 90% were in-patients, and the mean length of hospital stay was 22 days. The mean time from the date of hospitalization to the isolation of MRSA was 12 days. According to the consultation findings, in the clinical recovery process of the patients and in the treatment algorithm given to those patients, vancomycin and teicoplanin were found to be among the most important treatment options, in addition to significant debridement to be done, for MRSA strains. Our study results suggestthat, in addition to the surgical debridement, timely antibiotherapy is of utmost importance to reduce mortality and morbidity in MRSA-positive orthopedic patients.
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    Comparison of %6 Hydroxyethyl Starch and %4 Gelatine Solutions in Major Surgery
    (Journal of Clinical and Analytical Medicine, 2015) Korkmaz, Mehmet Fatih; Özkan, Ahmet Selim
    Yıl: 2015Cilt: 6Sayı: 2ISSN: Sayfa Aralığı: 277 - 277 Metin Dili: İngilizce Öz: Başlık ( ): %4 Jelatin Solüsyonu ve %6 Hidroksietil Nişastanın Major Cerrahilerde Karşılaştırılması Öz ( ):
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    Comparison of femur intertrochanteric fracture fixation with hemiarthroplasty and proximal femoral nail systems
    (Turkısh assoc trauma emergency surgery, koprulu mehmet pasa soc, denız abdal mah, dadasoglu ap, 25-1 sehremını, ıstanbul, 00000, turkey, 2015) Gormeli, Gokay; Korkmaz, Mehmet Fatih; Gormeli, Cemile Ayse; Adanas, Cihan; Karatas, Turgay; Simsek, Sezai Aykin
    BACKGROUND: The aim of this study was to compare the outcomes of intertrochanteric femur fractures treated with proximal femoral nail (PFN) and bipolar hemiarthroplasty (BPH) in elderly patients. METHODS: A total of one hundred and forty-three patients with intertrochanteric femur fractures treated surgically between January 2008 and January 2012 were included into the study. Patient demographics, type of fracture according to Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF) classification, and the American Society of Anesthesiologists (ASA) classification system scores; type of surgical procedure (BPH or PFN), operative details, complications and follow-up scores (Harris Hip Score [HHS]; Mean Mobility Score [MMS]) were recorded. RESULTS: The preoperative characteristics of the patients in both PFN and BPH groups were similar. BPH had higher operation times, blood loss in operation and mortality rates (p < 0.005). Reoperation times were higher in PFN group (p < 0.005). There were no differences with regard to the HHS and the reduction in MMS at the last follow-up with a 30.4 (10.9) months follow-up (p > 0.05). CONCLUSION: Although both PFN and BPH had satisfactory outcomes in surgically treated patients with intertrochanteric femur fractures, we recommend intertrochanteric femur fractures in the elderly tobe treated with PFN; which is an effective and appropriate treatment modality with less surgery related trauma and lower mortality rates.
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    A comparison of general versus regional anesthesia in patients over 100 years old: A retrospective cohort study
    (2021) Akbas, Sedat; Özkan, Ahmet Selim; Korkmaz, Mehmet Fatih
    Abstract: Aim: As the life expectancy maintains to rise, the number of centenarians applied for surgery is increasing. Functional and anatomical changes in elderly patients may cause postoperative morbidity and mortality. The aim of this retrospective cohort study is to analyze and compare general and regional anesthesia in centenarians underwent different surgeries. Material and Methods: Patients aged over 100 years (American Society of Anesthesiology scores of II–IV) were included in our study. The centenarians were divided into two study groups: general anesthesia (Group GA, n=20) and regional anesthesia (Group RA, n=18). The demographic characteristics, procedure, and hospital data were evaluated. Results: There were no significant differences betveen two groups with regards to gender, height, weight, body mass index, ASA scores, perioperative colloid and crystalloid fluid consumptions. Duration of anesthesia and procedure in Group RA was shorter than that in Group GA. The requirement for invasive arterial monitorization, central venous catheterisation, and nasogastric tube in Group GA was higher than that in Group RA. Postoperative delirium was similar in both groups. Heart rate, mean arterial pressure, and peripheral oxygen saturation were similar. In-hospitality mortality was 26.3% in the entire group of centenarians. Conclusions: This study examined the role of different anesthetic methods in extremely elderly patients over 100 years old during different surgeries. Anesthetic agent preferences, long duration of anesthesia and surgery, and hemodynamic instability can cause serious complications. We therefore conclude that careful considerations are required in extremely elderly patients.
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    Comparison of Lag Screw Versus Buttress Plate Fixation of Posterior Malleolar Fractures
    (Sage Publications Inc, 2014) Erdem, Mehmet Nuri; Erken, H. Yener; Burc, Halil; Saka, Gursel; Korkmaz, Mehmet Fatih; Aydogan, Mehmet
    Background: The goal of this study was to report the results of selective open reduction and internal fixation of fractures of the posterior malleolus with a posterolateral approach and to compare the results of the 2 techniques. Methods: We prospectively evaluated 40 patients who underwent posterior malleolar fracture fixation between 2008 and 2012. The patients were treated with a posterolateral approach. We assigned alternating patients to receive plate fixation and the next screw fixation, consecutively, based on the order in which they presented to our institution. Fixation of the posterior malleolus was made with lag screws in 20 patients and a buttress plate in 20 patients. We used American Orthopaedic Foot and Ankle Society (AOFAS) scores, range of motion (ROM) of the ankle, and radiographic evaluations as the main outcome measurements. The mean follow-up was 38.2 (range, 24-51) months. Results: Full union without any loss of reduction was obtained in 38 of the 40 patients. We detected a union with a step-off of 3 mm in 1 patient in the screw group and a step-off of 2 mm in 1 patient in the plate group. At the final follow-up, the mean AOFAS score of the patients regardless of fixation type was 94.1 (range, 85-100). The statistical results showed no significant difference between the patients regardless of the fixation type of the posterior malleolus in terms of AOFAS scores and ROM of the ankle (P > .05). Conclusions: Good (AOFAS score of 94/100) and equivalent (within 3 points) results were obtained using the 2 techniques (screws or plate) for fixation after open reduction of posterior malleolar fragments.
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    Comparison of lateral deltoid splitting and deltopectoral approaches in the treatment of proximal humerus fractures
    (Turkish Assoc Trauma Emergency Surgery, 2015) Korkmaz, Mehmet Fatih; Erdem, Mehmet Nuri; Karakaplan, Mustafa; Gormeli, Gokay; Selcuk, Engin Burak; Maras, Zeynep; Karatas, Turgay
    BACKGROUND: Fractures of the proximal humerus that limit function are quite common. The objective of this retrospective study was to compare deltoid splitting and deltopectoral approaches by using the same fixation method. METHODS: Eighty-six patients who underwent surgical treatment between September 2005 and July 2011 were included into the study group. Deltoid splitting approach was used by exploring the axillary nerve on Group A patients as described by Codman, and deltopectoral approach was used on Group B patients. Group A consisted of a total of fifty-six patients of whom twenty-two were male and thirty-four were female patients, with a mean age of 62.5 years (range, 26 to 90 years). Group B consisted of a total of thirty patients of whom fourteen were male and sixteen were female patients, with a mean age of 54.8 years (range, 24 to 84 years). PHILOS plate system was utilized as an internal fixation tool in all patients. Functional results and complications of the two groups were compared using Constant scores. RESULTS: It was observed that humeral head and tubercular fragment reduction were better with lateral deltoid splitting approach, and Constant shoulder scores were higher in the early stages (66.8-57.4 consecutively; p0.05). DISCUSSION: Deltoid splitting approach, especially with AO/ASIF B and C type fractures, enables reduction and plate fixing under 270 degree control of the proximal humerus without forceful retraction and soft tissue damage, providing easy access to posterior tubercular fragment. Compared to deltopectoral approach, patients treated with deltoid splitting approach achieved higher Constant scores at an earlier stage. Lateral deltoid splitting approach, by exploring the axillary nerve, is a useful surgical technique which provides an expansive and multi-dimensional control without risking the deltoid muscle function and the axillary nerve.
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    Comparsion of %6 Hydroxyethyl Starch and %4 Gelatine Solutions in Major Surgery
    (Derman Medical Publ, 2015) Korkmaz, Mehmet Fatih; Ozkan, Ahmet Selim
    [Abstract Not Available]
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    COMPREHENSIVE MANAGEMENT OF TRAUMATIC THORACOLUMBAR VERTEBRAL FRACTURE
    (2014) Korkmaz, Mehmet Fatih; Karatas, Mehmet; Sevimli, Reşit; Erdem, Mehmet Nuri
    Öz: Vertebral omurganın orta bölümü çubuk ve plakaların oluşan üç boyutlu trabeküler ağından oluşur. Bu trabeküler yapı özellikle bel omurları içinde basınç dayanımının % 90'ı sağlar. Ayrıca, trabeküler ağ içindeki kemik iliği basınç dayanımı ve enerji emilimini artırır. Belkemiğinin anterior bileşenleri (silindirik vertebral gövde ve disk) sıkıştırıcı kuvvetlere karşı direnç sağlarken, posterior ligamantöz elemanlar gerilme kuvvetlerine karşı direnç sağlar. Anterior ve posterior elemanlar diyagonal ve rotasyonel kuvvetlere ve eğilme momentinede direnç sağlar
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    Corona mortis in vivo anatomical knowledge and the risk of injury in totally extraperitoneal inguinal hernia repair
    (Hernia, 2015) Ateş, Mustafa; Kınacı, Erdem; Köse, Evren; Soyer, Vural; Sarıcı, Kemal Barış; Çuğlan, Songül; Korkmaz, Mehmet Fatih; Dirican, Abuzer
    Purpose Corona mortis (CMOR) is the arterial and/or venous vascular communication(s) between the obturator and external iliac vessels. Totally extraperitoneal (TEP) inguinal hernioplasty can be associated with vascular complications especially during the fixation of the mesh. Theoretically, CMOR is an important nominee. But, the data in literature are insufficient about CMOR injury. Additionally, most of the studies about CMOR have been usually performed on cadavers. We aimed to reveal the preperitoneal vascular anatomy of inguinal area and provide in vivo knowledge about CMOR. The risk of arterial injury was also evaluated. Materials The data of preperitoneal vascular anatomy of 321 patients who underwent TEP procedure between January 2005 and July 2014 were retrospectively evaluated. Results Mean age was 46 ± 8.9 years, 53 females vs 268 males. 391 hemipelvises were evaluated. Two types of arterial structure were identified; (1) an aberrant obturator artery forming an anastomosis with branches of ordinary obturator artery; (2) a pubic branch of inferior epigastric artery. The incidence of arterial CMOR was 28.4 % and of any arterial structure was 45.0 %. An arterial CMOR was considered as thick (C2 mm) or thin (\2 mm). Injury of arterial CMOR during tack stapling on Cooper’s ligament was seen in six cases (1.5 %). All of them were thin (\2 mm) in structure. Venous CMOR was visible only under low pressure in work space. Conclusion During TEP hernia repair, CMOR and/or pubic branch of inferior epigastric artery can be damaged. To prevent this complication, tacks should be stapled to Cooper’s ligament close to symphysis pubis and dissection should be careful on the posterior surface of superior pubic ramus. Small caliber (\2 mm) arterial CMOR is more prone to be injured during TEP procedure. To explore venous structures properly, pressure in workspace should be kept as low as possible.
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    Criteria for Ending the Distal Fusion at the L3 Vertebra vs. L4 in Surgical Treatment of Adolescent Idiopathic Scoliosis Patients with Lenke Type 3C, 5C, and 6C Curves: Results After Ten Years of Follow-up
    (CUREUS INC, PO BOX 61002, PALO ALTO, CA 94306 USA, 2018) Korkmaz, Mehmet Fatih
    Introduction The selection of the most distal caudal vertebra in spinal fusion surgeries in adolescent idiopathic scoliosis patients with structural lumbar curvatures is still a matter of debate. The aim of this study was to determine the preoperative radiological criteria on the traction X-rays under general anesthesia (TrUGA) for selection between the L3 and L4 vertebrae and to assess the efficacy of these criteria via the long-term results of patients with Lenke Type 3C, 5C, and 6C curves. Methods Radiological data of 93 patients (84 females, 9 males) who met the inclusion criteria were retrospectively evaluated. The relationship between the L3 vertebra and the central sacral vertebral line, the portion of the L3 vertebra in the stable zone of Harrington, the parallelism of the L3 with the sacrum, and the tilt and rotation of the L3 on TrUGA radiographs were evaluated for the selection of the lowest instrumented vertebrae (LIV). Clinical results were analyzed using the Scoliosis Research Society-22 (SRS-22) questionnaire. Results The mean follow-up period of the study group was 149.3 months. According to the Lenke classification, 29 patients had Type 3C, 33 had Type SC, and 31 had Type 6C curves. The preoperative analysis was based on standing anteroposterior (AP), supine traction, and bending X-rays, and the L3 vertebra was selected as the LIV in 37 patients (40%). These X-rays suggested IA as the LIV in 56 patients (60%); however, based on our study criteria, the L3 vertebra was selected. No significant loss of correction was observed nor additional surgery due to decompensation was required in the follow-up period. Conclusion The use of TrUGA radiographs with the identified criteria is an efficient alternative method in the selection of the LIV in patients with Lenke Type 3C, 5C, and 6C curves.
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    Developed Diplopia After Spinal Anesthesia
    (DERMAN MEDICAL PUBL, 2015) Özkan, Ahmet Selim; Korkmaz, Mehmet Fatih
    [Abstract Not Acailable]
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    The Effect of Electrical Muscle Stimulation (EMS) Enhanced Schroth Method Training on Cobb Angle and Quality of Life in Patients with Scoliosis
    (Lahore Medical Research Center Llp, 2022) Kurak, Kemal; Altunhan, Abdullah; Acak, Mahmut; Korkmaz, Mehmet Fatih; Duz, Serkan
    Aim: Different treatment models are applied in cases that affect the quality of life of individuals with scoliosis. It has been stated that exercise applications, especially used in addition to physical therapy, are effective in the treatment process of patients with scoliosis. In recent years, Electrical muscle stimulation (EMS) has been used to increase the performance of athletes. Accordingly, this study was planned to examine the effect of Electrical muscle stimulation (EMS) application on scoliosis cobb angle and quality of life in patients with scoliosis. Methods: Twenty-four female scoliosis patients with scoliosis Cobb angle between 250 and 400 in the thoracic region between the ages of 14-26 participated in the study. The patients participating in the study were divided into three different groups as EMS Schroth exercise group (EMSS=8), Schroth exercise group (SE=8) and control group (CG=8). In addition, height, body weight, body mass index (BMI), Cobb angle measurements were taken for each group before and after the study. Scoliosis Research Society 22 scale (SRS-22) was used for these measurements. SPSS 25 statistical package program was used to evaluate the data. Since the data were not normally distributed, Mann Whitney U-test was used for pairwise comparisons. Kruskal Wallis H-tests were used to compare more than two groups. The level of significance was accepted as P<0.05 in the evaluations. Results: It was determined that there was no statistically significant difference between the age, weight, height and BMI of the EMSS, SE and CG participants and it was found that the EMSS cobb angle decreased statistically. Also, it was stated that there was a stable and very slight decrease in the SE cobb angle. It was determined that there was a statistically significant difference in the negative direction in the CG cobb angle. It was determined that there was a significant change in SRS-22 scale values in all sub-dimensions of EMSS and SE, and there was no statistically significant difference in the pre-test and post-test mean scores of the other sub dimensions except the pain sub-dimension of the CG scale. Conclusion: EMS exercises will save time in terms of faster recovery of patients in the treatment of scoliosis. Besides, it will be very beneficial in terms of time and cost by shortening the rehabilitation period of athletes after sports injuries.
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    THE EFFECT OF POSTURAL KINESIOTAPING IN THE TREATMENT OF THORACIC KYPHOSIS
    (Journal of Turkish Spinal Surgery, 2019) Çavuş, Fatih; Çetin, Aymelek; Korkmaz, Mehmet Fatih; Şenol, Deniz; Köse, Evren; Özbağ, Davut
    Öz: Purpose: The purpose of this study is to find out whether postural kinesio taping (KT) contributes to decreasing kyphosis angle in adolescents who have increased thoracic kyphosis. Within this context, our purpose was to contribute to treatment of thoracic kyphosis as an additional method. Material and Method: 50 adolescents between 10 and 18 years of age who referred to Orthopedics and Traumatology Polyclinic and who were diagnosed with thoracic kyphosis after required examinations participated in the study voluntarily. The patients were randomly grouped in two. One of the groups was exercise group (Ex), while the other was both exercise and taping (Ex-KT) group. At the beginning of the study, thoracic kyphosis values of all the patients in the study were measured by an orthopedist based on Cobb method. The groups consisted of 25 patients. Consent was taken from all participants with pediatric informed consent form. The same exercises were given to both groups. The patients were asked to make two types of exercises daily. The first exercise was 20 body hyperextensions in prone position. The second exercise was a rhythmic swimming movement done as if diving into the water and coming out of the water. This swimming movement would be done 5 minutes each day. The exercises were followed daily under the supervision of a physiotherapist. Only these exercises were given to Ex group. After Ex-KT group made the exercises, KT was applied on their upper backs. KT application was renewed each week. The participants were referred to the orthopedist again for measurement following a 6-week program. Final measurement results the orthopedist conducted with Cobb method were compared with the first measurement results. Results: No statistically significant difference was found between the average pre- treatment and post-treatment kyphosis degrees of males and females in the Ex group (p> 0,05). Statistically significant difference was found between the average pre-treatment and post-treatment kyphosis degrees of males and females in the Ex-KT group (p<0,05). Conclusion: In the present study, it was found that KT technique had positive results in terms of decreasing increased thoracic kyphosis. We are of the opinion that it will be useful to apply KT technique with other treatment protocols in the treatment of increased thoracic kyphosis. We believe that the results of this study will be a reference for future studies. We are of the opinion that studies with longer periods of time should be conducted to have a clear idea about the effects of KT on thoracic kyphosis.