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  • Küçük Resim
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    Clinical outcomes of surgical management of acute achilles tendon rupture with the open technique and effect of tendoflex polytendon complex as a dietary supplement
    (2020) Topal, Murat; Tuncer, Kutsi; Engin, Muhammed Cagatay; Yilar, Sinan; Senocak, Eyup
    Aim: In this study, we aimed to evaluate the effect of the use of the oral polytendon complex (Tendoflex Mega-Farma Pharmaceutical Company) as a nutritional supplement after the open repair of Achilles tendon rupture cases on clinical outcomes.Material and Methods: This study included 29 consecutive patients with Achilles tendon ruptures who had undergone open repair of the Achilles tendon and took postoperative oral Tendoflex treatment as a dietary supplement. Patients have been followed up in the postoperative 8th 12th and 48th weeks. The ranges of motions and visual analog scale (VAS) score for pain was noted. The Achilles tendon Total Rupture Score(ATRS) was also pointed out at the last follow up.Results: There were no cases of re-rupture. There were no cases of infection and or nerve injury. 48th week follow up results were plantar flexion 47.1 degrees, dorsiflexion 17.8 degrees, eversion 17.1degrees, inversion 28.2 degrees with a mean VAS score of 0.6 and a mean ATRS of 93.Conclusion: The open repair of Achilles tendon ruptures has certain advantages like lower re-rupture rates and lower iatrogenic neural injury rates. Including Tendoflex to the treatment protocol, may also have prevented re-ruptures and provided rapid amelioration of pain.
  • Küçük Resim
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    A retrospective comparison of olecranon osteotomy and paratricipital approach in treatment of distal humerus intra-articular fractures
    (2021) Kose, Mehmet; Topal, Murat; Iden, Gurkan; Yilar, Sinan; Engin, Muhammed Cagatay
    Aim: Paratricipital approach and Olecranon osteotomy are most commonly used to treat intra-articular distal humerus fractures in adults. In this study we have analysed the patients in whom we performed open reduction and internal fixation with and without olecranon osteotomy and evaluated the advantages and disadvantages of both methods. Materials and Methods: Between 2014 and 2018, 36 adult patients with intra-articular distal humerus fracture were retrospectively analysed. According to AO classification system 9, patient has Type B2, 1 Type B3, 7 Type C1, 10 Type C2 and 9 Type C3 fractures. Mayo Elbow Performance Score for evaluation of the elbow joint stability and Disabilities of Arm, Shoulder and Hand score to evaluate the functionality of shoulder, arm and hand was used. Results: Paratricipital approach was used in 12 patients (8 male , 4 female) and olecranon osteotomy in 24 patients. Mayo Elbow Performance Score and Disabilities of Arm, Shoulder and Hand scores were found respectively 15.808 and 81.25 in the Paratricipital group whereas those values were determined as 17.37 and 79.17, respectively. No statistically significant difference was found between two groups in terms of these two scorings (p=0.147 and p=0.244, respectively) A statistically significant difference was detected between the groups in terms of heterotopic ossification ( p=0.008). In the paratricipital group; no heterotopic ossification was found in 7 (58.3%) patients whereas Type 1 heterotopic ossification was detected in 5 (41.7%) patients. In the olecranon osteotomy group; no heterotopic ossification was found in 4 (16.7%) patients whereas Type 1 and Type 2 heterotopic ossification were detected in 16 (66.7%) and 4 (17.7%) patients, respectively (p=0.008). A statistically significantly higher rate of elbow degeneration and heterotopic ossification was observed in the patients who underwent osteotomy compared with those who were not performed osteotomy (p=0.008) Conclusions: Paratricipital approach can be performed as an alternative treatment option in the distal humerus fractures to reduce the postoperative complications even though it does not allow to perform a comprehensive preoperative evaluation of the joint as well as olecranon osteotomy approach.