THE ULTRASONOGRAPHIC EVALUATION OF HEMODYNAMIC CHANGES IN PATIENTS WITH DIABETIC POLYNEUROPATHY AFTER TARSAL TUNNEL DECOMPRESSION

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dc.authoridTaner, Omer Faruk/0000-0002-1362-6593;
dc.authorwosidTaner, Omer Faruk/ABG-2274-2021
dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.authorwosidBektas, Hesna/AAG-3958-2019
dc.contributor.authorTekin, Fatih
dc.contributor.authorAgladioglu, Kadir
dc.contributor.authorSurmeli, Mehmet
dc.contributor.authorCeran, Candemir
dc.contributor.authorBektas, Hesna
dc.contributor.authorFalcioglu, Mehmet Cagatay
dc.contributor.authorYildirim, Ismail Okan
dc.date.accessioned2024-08-04T20:41:11Z
dc.date.available2024-08-04T20:41:11Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Nerve decompression procedures have shown to have promising roles in patients with diabetic polyneuropathy. It is known that not only nerves but also arteries pass through the same compressed anatomical tunnels. The aim of the study is to reveal whether the surgical decompression procedures have a positive effect on hemodynamic and morphological parameters of the arterial structures passing through these anatomic tunnels. Methods: Twenty-seven patients who underwent posterior and anterior tarsal tunnel release procedures were retrospectively scanned for preoperative and 3 months postoperative arterial Doppler ultrasound imaging. The preoperative and third month postoperative measurements were compared for flow pattern of artery, flow lumen diameter, pulsatility index (PI), resistance index (RI), and flow volumes by evaluating the hemodynamic and morphological parameters of dorsalis pedis (DPA) and tibialis posterior arteries (TPA). Results: For TPA, mean PI values were 5.76 +/- 2.78 preoperatively, 7.17 +/- 3.08 postoperatively. Mean RI values were 0.94 +/- 0.04 preoperatively and 0.89 +/- 0.05 postoperatively. For DPA, mean PI values were 5.06 +/- 2.14 preoperatively and 6.35 +/- 2.31 postoperatively. Mean RI values were 0.93 +/- 0.05 preoperatively and 0.86 +/- 0.06 postoperatively. When the results are analyzed for both of the arteries, PI values were significantly increased; RI values were significantly decreased when the preoperative measurements were compared with the postoperative measurements (P<0.05). Conclusion: According to these results, it can be suggested that the nerve release procedures have a positive effect on the hemodynamic and morphological parameters of the arteries as they pass through the anatomical tunnels as well as its positive effects on the neurological functions of the entrapped nerves. (C) 2015 Wiley Periodicals, Inc.en_US
dc.identifier.doi10.1002/micr.22467
dc.identifier.endpage462en_US
dc.identifier.issn0738-1085
dc.identifier.issn1098-2752
dc.identifier.issue6en_US
dc.identifier.pmid26235134en_US
dc.identifier.scopus2-s2.0-84942195469en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage457en_US
dc.identifier.urihttps://doi.org/10.1002/micr.22467
dc.identifier.urihttps://hdl.handle.net/11616/96979
dc.identifier.volume35en_US
dc.identifier.wosWOS:000363416300007en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofMicrosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNerve Decompressionen_US
dc.subjectPeripheral-Nervesen_US
dc.subjectNeuropathyen_US
dc.subjectFooten_US
dc.subjectLimben_US
dc.subjectComplicationsen_US
dc.subjectCompressionen_US
dc.subjectNeurolysisen_US
dc.subjectUlcersen_US
dc.titleTHE ULTRASONOGRAPHIC EVALUATION OF HEMODYNAMIC CHANGES IN PATIENTS WITH DIABETIC POLYNEUROPATHY AFTER TARSAL TUNNEL DECOMPRESSIONen_US
dc.typeArticleen_US

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