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    Problems encountered in screening study with ultrasound for early diagnosis of developmental dysplasia of hip in eastern region of Turkey
    (Yuzuncu Yil Universitesi Tip Fakultesi, 2018) Ceylan M.F.; Güner S.; Gökalp M.A.; Kurdoğlu Z.; Gözen A.; Korkmaz M.F.; Türközü T.
    The aim of this study is to evaluate results of the screening program of the development al dysplasia of the hip (DDH) examined in newborn period. The problems encountered in the applicability of the early screening program were e valuated. By interviewing with the family of 1680 newborns born in our institution or referred, the information was given about the DDH and its risk factors, obtained results were recorded. The families were told to bring their babies for examination and hip ultrasound at the 3rd or 4th week of birth. In addition, all the parents were called by telephone the day prior to their appointments. Five hundred and thirty-six babies (31.3%) were brought to the first appointment. Forty-two hips (3.9%) of the 30 infants (5.6%) were detected as dislocated (Type 2c, D, 3). The 8 of these 30 patients (26.7%) whom the treatment was started were brought for the second control. Asymmetry of thigh folds was positive in the highest rate as the finding of the examination in the infants brought to the appointment. The rate of swaddling at the first appointment was found to be 74.2%. Surprisingly, less than one third of children were brought to ultrasound examination at first control. Similarly, about 3/4 of the parents continued to use swaddling for their babies. For the success of national DDH screening program, additional precautions must be taken to ensure the participation of the families and re lease of the swaddling. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
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    Transtibial aperfix system in reconstruction of ACL injuries: Radiological and clinical two year follow-up results
    (SAGE Publications Ltd, 2014) Görmeli G.; Görmeli C.A.; Karakaplan M.; Korkmaz M.F.; Diliçıkık U.; Gözükara H.
    Objectives: The aim of this this study was to assess the clinical outcomes and fixation durability of the AperFix (Cayenne Madical, Scottsdale, Arizona) system and to determine the effect of patient’s age in arthroscopic reconstruction of the anterior cruciate ligament. Methods: Patients with symphtomatic anterior cruciat ligament rupture underwent arthroscopic reconstruction. Patients were evaluated in terms of range of motion values; Lysholm, Cincinati and Tegner activity scales; laxity testing and complications. Tunnel widening was assessed by AP and lateral radiographs. Early postoperative and last follow-up radiographs were compared. Results: Fifty-one patients were evaluated at a 29 months (range: 25-34 months) follow-up. Mean age at the surgery was 26.5 ± 7.2 years. Lysholm, Cincinati and Tegner activity scales were significantly higher from preop scores. (Lysholm scores: preop: 51.4 ± 17.2 postop: 88.6 ± 7.7 (p<0.001); Tegner activity scores: preop 3.3 ± 1.38 postop: 5,3 ± 1,6 (p<0,001); Cincinati scores: preop: 44.3±17 postop:81,3 ± 13.9 (p<0.001)). There was no significant difference for knee score, range of motion deficits and femoral tunnel enlargement of the patients with below and above 30 years. Conclusion: According to our results with <30 years and above >30 years patient comparison we think that patient’s age is less important than activity level for the surgical treatment decision. The AperFix system performed satisfactory clinical and radiological results with low complication rate. But long-term clinical and radiological results are needed to decide the ideal ACL reconcstruction method. © The Author(s) 2014.