Aybars kıvrak - Academia.edu (original) (raw)

Papers by Aybars kıvrak

Acibadem Universitesi Saglik Bilimleri Dergisi

Background Bibliometric analysis is a method that examines various aspects of a topic using numer... more Background Bibliometric analysis is a method that examines various aspects of a topic using numerical data from publications in the literature. This analysis is widely used especially to measure and evaluate the scientific contribution of a country, institution or author. Bibliometric analyzes are an important tool for evaluating the progress of scientific research, determining research strategies, and using resources effectively. In our study, bibliometric analysis of publications related to orthopedics in Turkey was made. Material method In the field of orthopedics, publications between 1980 and 2022 in SCIE journals were scanned. During this screening, publications such as letters to the editor, reviews, book chapters were excluded from the study, and only articles as document type were included in the study. The distribution of articles by years, the most frequently published topics, the authors who contributed the most, the journals in which they were published, the educational...

$Research paper thumbnail of The relationship between surgical treatment results of AO type-C radius distal end fractures in adults and patient age$

The Atlantic Journal of Medical Science and Research

Aim: To evaluate the results of the locking anatomic plate fixation method with volar interventio... more Aim: To evaluate the results of the locking anatomic plate fixation method with volar intervention according to age groups in the surgical treatment of unstable radius distal end fractures involving the joint. Materials and Methods: In this study, 72 adult patients with distal radius fractures who were treated with open reduction and locked volar plate fixation due to radius distal end fracture in group C according to AO classification between August 2010 and August 2018 were evaluated retrospectively. All our patients were evaluated for a post-op range of motion. We divided the age ranges into four groups: Group 1 for ages 17-30, Group 2 for ages 30-45, Group 3 for ages 45-60, and Group 4 for ages over 60. Results: The mean values of joint range of motion and grip strength in all our patients were; flexion 70.95° (Group 1 76.87°, Group 2 74.00°, Group 3 66.96°, and Group 4 64.16°), extension 67.38° (Group 1 71.87°, Group 2 68.33°, Group 3 61.15° and, Group 4 61.16°), radial deviati...

Introduction: Hallux Rigidus is a disease characterized by pain and weakness in the first metatar... more Introduction: Hallux Rigidus is a disease characterized by pain and weakness in the first metatarsophalangeal joint of the foot. Patients with this condition describe severe pain when walking and taking steps. Research on the quality of information available on the Internet is lacking. In our study, we aimed to analyze the videos about Hallux Rigidus on YouTube, one of the video sharing applications. Methods: Our research is based on data collected from a video sharing site (YouTube) on 12 July 2023. The search is done through the configuration process. "Change hallux" was typed into the search engine. The popularity of the video was analyzed using the Video Power Index (VPI) [(Like/(Like+Dislike)) x 100]. Videos were classified into five different groups based on the source they were uploaded to: [1] Community/Nonprofits, [2] Medical Professionals, [3] Medical Schools Patient, [4] Universities / Schools, and [5] Patients / Independent users / Other places. The quality of movies is evaluated with the Global Quality Score (GQS). All videos were evaluated by one surgeon. A modified DISCERN scale was used to assess the reliability and quality of information provided in the videos. Results: Fifty videos were analyzed in this study. The average number of views of the video is 6507, and the average length of the video is 958 seconds. When the video-based scores of the DISCERN variable were compared with the GQS, the scores of the patient/independent user/other group were lower, but it was not significant (p>0.05). Conclusion: We believe the content of this video is good and informative. Do not use channels other than healthcare providers or dubious channels, as videos uploaded by individuals can be misleading.

Introduction Atherosclerosis obliterans is a chronic disease with ischemia and necrosis in target... more Introduction Atherosclerosis obliterans is a chronic disease with ischemia and necrosis in target organs that causes stenosis or occlusion in peripheral vessels. Thromboangiitis obliterans or Buerger's disease is a non-atherosclerotic, inflammatory arteritis involving small and medium-sized artery and veins of the extremities, often causing gangrene and scarring (1, 2). During the clinical course of Buerger's disease, there is an active phase of disease and usually ceases after age 60 (3). It is strongly associated with tobacco use. However, the pathophysiology is still unclear.

Journal of Clinical Practice and Research, 2023

Objective: Fractures represent one of the most common pathologies encountered in orthopedic pract... more Objective: Fractures represent one of the most common pathologies encountered in orthopedic practice. Various factors can impact fracture healing, both negatively and positively. This study aimed to investigate the influence of omeprazole, a proton pump inhibitor prescribed to mitigate the side effects of non-steroidal anti-ınflammatory drugs (NSAIDs) used for pain management post-fracture treatment and for deep vein thrombosis (DVT) prophylaxis, on fracture union through an animal experiment. Materials and Methods: The study utilized 40 male Wistar-Albino rats obtained from the Experimental Research Laboratory. Employing the simple randomization method, the animals were divided into experimental and control groups, with tibia fractures induced and subsequently fixed intramedullarily. At the conclusion of the sixth week, comprehensive histological, radiological, and biomechanical assessments were conducted to compare fracture union and bone biomechanical strength with the control group. Results: Histological and radiological evaluations were conducted on the tibias of 40 male Wistar-Albino rats. In terms of biomechanical analysis, 14 tibias from the control group and 16 tibias from the study group were examined. Remarkably, the study group exhibited superiors union compared to the control group both histologically (p=0.033), radiologically (AP1 view; p=0.040, AP2 view; p=0.036, LAT1 view; p=0.081, LAT2 view; p=0.03), and biomechanically (p=0.047), following omeprazole use. Conclusion: The administration of omeprazole as a proton pump inhibitor following fracture treatment contributes positively to the process of fracture healing.

Journal of Clinical Medicine, Jul 26, 2023

This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY

DergiPark (Istanbul University), Oct 20, 2022

The aim of our study is to investigate the literature data comparing with demographic and clinica... more The aim of our study is to investigate the literature data comparing with demographic and clinical characteristics of shoulder dislocations in Mus city of Turkey. Patients and Methods: The patients who applied to our hospital with shoulder dislocation between January 2017 and December 2018 were examined retrospectively. The data of a total of 306 patients were obtained from the database. 125 patients which have no radiological imaging of shoulder dislocation were excluded from the study. Incidence, demographic characteristics, type of dislocation, presence of additional injuries, etiology of dislocation, recurrent dislocation, length of hospital stay and reduction of dislocation were evaluated. Results: A total of 181 patients, including 140 (77.34%) male and 41 (22.65%) female, ages ranging from 12 to 93 (mean 39.98 age) were included in the study. During the study year, the incidence of primary shoulder dislocation was 18.9/100,000 per year (14.4/100,000 for men and 4.4/100,000 for women). 153 of the patients (84.5%) had only one and 28 (15.4%) patients had at least two times history of shoulder dislocation. 172 of the patients' shoulder were closed reduced under sedation in the emergency department and nine of them were closed reduced in the operating room under general anesthesia. Conclusion: The incidence of the study is 18.9/100.000 and similar to the previous studies in the literature. This result may be explained by the regional demographic diversity of the patient population.

$Research paper thumbnail of Evaluation of the results of the proximal femoral nail surgery for intertrochanteric femur fractures$

Medicine Science | International Medical Journal, 2022

This study aimed to evaluate the clinical, functional, and radiological results of the patients w... more This study aimed to evaluate the clinical, functional, and radiological results of the patients who underwent proximal femoral nail (PFN) surgery due to intertrochanteric femur fractures (IFF). A total of 195 patients who underwent PFN surgery due to IFF in January 2014 and January 2018 in our institute and with at least six months follow-up periods were included in the study. Demographic data, comorbidities, Evans-Jensen fracture classification, anesthesia risk scores, hospitalization duration, time to surgery, duration of surgery, amount of blood loss, whether additional traumas exist, quality of reduction, complication rates, Harris hip scores (HHS), Fogagnolo Reduction Quality criteria and possible correlations between these variables were evaluated retrospectively. In our study, the majority of the patients were found to be between the ages of 70-90. Hypertension was found to be the most common comorbid disease in the patients (50.2%). The fracture type of the majority of the patients was determined as type 4. The majority of patients were identified as ASA III and ASA IV group patients (38.4% and 35.9%, respectively). Successful HHS was found at a rate of 77.5%. As the fracture type worsened, the HHS score worsened (p<0.05). Reoperation rates were significantly lower in those with good reduction quality than those with poor reduction (p<0.05). A significant association was found between the overall complication rate and reduction quality (p<0.05). A significant and negative correlation was found between HHS scores and total complication rates (p<0.05). Intertrochanteric femur fractures are frequently encountered by orthopedists. These fractures, which require surgical intervention in almost all of them, are important because the population is old and prone to complications, and accurate and rapid surgical intervention is required. Our results suggest that PFN surgery is an appropriate choice for IFF.

$Research paper thumbnail of Correction: How high is the quality of the videos about children’s elbow fractures on Youtube?$

Journal of Orthopaedic Surgery and Research, Mar 23, 2023

Healthcare, Mar 6, 2023

Acta Orthopaedica et Traumatologica Turcica, Dec 1, 2017

The aim of this study was to determine factors associated with the likelihood of a better clinica... more The aim of this study was to determine factors associated with the likelihood of a better clinical outcome after the peritendinous injection of PRP for the treatment of chronic tendinopathy and identify whether PRP represents an effective treatment option for chronic tendinopathies. Methods: The study included 214 patients (86 males and 128 females; mean age: 39.3 (18e75) years) who received PRP injections for tendinopathy refractory to conventional treatments. The mean duration of symptoms at the moment of the PRP treatment was 8.3 months. Primary outcome measurement was perceived improvement in symptoms for each anatomic compartment for upper and lower limbs at 6 months after treatment. Also, a visual analog scale (VAS) score (pain intensity on a 0e10 scale) was used for pain scoring questionnaire before treatment, 6 weeks and 6 months following the PRP injection(s). To identify factors associated with the likelihood of a better clinical outcome, patients were categorized on the basis of their perceived improvement in symptoms 6 months after the PRP injection(s)dthat is, as lower (less than 50% global improvement) or higher (more than 50% global improvement). Results: A visual analogue scale score and perceived improvement in symptoms were significantly lower after peritendinous injection in 6-week and 6-month follow-ups compared with the baseline (P < 0.001) except for peroneal and Achilles tendons. Overall, 83% of patients indicated moderate to complete improvement in symptoms. The most common injection sites were the lateral epicondyle, Achilles, and patellar tendons. Furthermore, 30% of patients received only 1 injection, 30% received 2 injections, and 40% received 3 or more injections. A total of 85% of patients were satisfied (more than 50% global improvement) with the procedure. In addition, upper limb tendons, increase in the age, and female gender were associated with a higher likelihood of perceived improvement in symptoms. Conclusions: In the present retrospective study assessing PRP injections in the treatment of chronic tendinopathy, a moderate improvement (>50%) in pain symptoms was observed in most of the patients. Our research found that results were most promising with patellar and lateral epicondylar tendinopathy in the short to medium term. Female patients, patients with upper extremity tendinopathy and older patients appeared to benefit more from PRP injection.

Medical records-international medical journal, Jul 12, 2023

While numerous geographic locations have been examined in the literature regarding the morphologi... more While numerous geographic locations have been examined in the literature regarding the morphological characteristics of ankle bones, no studies have been conducted specifically in Turkey. Our study aims to assess the morphological features of ankle bones in individuals residing in Turkey, utilizing ankle computed tomography (CT) images obtained from patients. Material and Methods: In our single-centre study, the data between 2018 and 2022 were scanned. The criteria for inclusion in the study were determined as being a citizen of the Republic of Turkey, being over the age of 18, and being under the age of 65. Results: 200 patients (100 men, 100 women) and 200 ankle CT images were selected by stratified sampling using the computerassisted randomisation method. APA, APG, MalW, MDA, MDV, MTiTh, SRTa, SRTi, TaAL, TaW, TiAL, Th, and TiW values were measured on computed tomography images. Conclusions: The morphological structure of the ankle bone varies from society to society and according to gender. These factors should be considered in implant design (especially in prosthetic design) and the application of these implants. Our study will guide the design of ankle implants (especially prostheses) for communities living in Turkey.

Journal of Orthopaedic Surgery and Research, Jun 24, 2023

Objective There may be biomechanical changes in the adjacent hip joint after lumbosacral fusion. ... more Objective There may be biomechanical changes in the adjacent hip joint after lumbosacral fusion. The literature has limited information on how these biomechanical changes may result in hip joint space. Material method Our retrospective study examined hip joint space narrowing in patients who underwent lumbosacral fusion between 2020 and 2022. In addition, spinopelvic parameters such as sacral slope, the sagittal vertical axis, pelvic incidence, lumbar lordosis, and pelvic tilt were compared in patients who underwent short-segment (up to three levels, S group) and long-segment (4 and higher levels, L group) fusions. Results Our study found no significant relationship between spinopelvic parameters and joint space narrowing in the S and L groups. In addition, it was determined that there was more narrowing in the hip joint space in the longsegment group, and there was a positive correlation between the segment length and the narrowing in the hip joint space. Conclusion After lumbosacral fusion, narrowing of the hip joint space was observed. Particularly patients with longsegment lumbosacral fusion should be followed closely regarding hip osteoarthritis risk.

The ulutas medical journal, 2023

Introduction: Supracondylar femur fractures are usually seen after high-energy trauma. Our study ... more Introduction: Supracondylar femur fractures are usually seen after high-energy trauma. Our study evaluated the surgical results of patients who underwent retrograde intramedullary nailing surgery. Materials and Methods: Thirty patients were treated with retrograde intramedullary nailing for femoral supracondylar fractures in a single clinic between January 2015 and September 2018. The clinical, functional, and radiological findings were analyzed retrospectively. Demographic data of the patients in our study, length of hospital stay, time until surgery, presence of additional trauma, complication rates, type of trauma, HSS and NEER scoring criteria for functional evaluation, and AO classification were used to determine fracture types. Results: Eighteen (60%) patients had high-energy trauma as the etiological cause, while 12 (40%) had fractures due to low-energy trauma. There were four open fractures and 26 closed fractures in the patients. The patients were evaluated according to the HSS and NEER evaluation systems. According to the HSS scoring system, 8 (26.7%) had excellent, 9 (30%) good, 12 (40%) moderate, and 1 (3%) poor results. According to the NEER scoring system, 7 (23.3%) excellent, 10 (33.3%) good, and 13 (43.4%) intermediate results were obtained. Conclusion: In supracondylar femur fractures, retrograde intramedullary nailing is a method that should be preferred in appropriate cases because of the low amount of bleeding, rapid mobilization, good union since the fracture hematoma is not evacuated, and good postoperative functional results.

PubMed, May 1, 2023

Objective: Lateral epicondylitis is a common disorder in the community. Identification of risk fa... more Objective: Lateral epicondylitis is a common disorder in the community. Identification of risk factors plays an important role in the prevention and treatment of the disease. In our study, the relationship between risk factors in lateral epicondylitis and blood group, which has not been mentioned before in the literature, will be examined. Patients and methods: In our study, patients' age, height, weight, body mass index (BMI), dominant upper extremity, affected upper extremity, duration of symptoms, duration between onset of symptoms and hospital admission, occupation, number of children and youngest child age (if the patient is a mother), smoking, alcohol use, presence of additional diseases, sports activities, job requiring repetitive movements and strength in the upper extremities in daily life, marital status, where he/she lives and his/her blood type were questioned. In our study, there were 304 patients in the patient group and 304 patients in the control group. Results: In our study, blood type 0 was significantly more common in the patient group (p<0.001). Conclusions: In our study, it was concluded that there is a relationship between 0 blood group and lateral epicondylitis.

Research Square (Research Square), Jan 4, 2023

$Research paper thumbnail of How high is the quality of the videos about children's elbow fractures on Youtube?$

Journal of Orthopaedic Surgery and Research, Mar 3, 2023

Objective Pediatric elbow fractures are children's most common fractures. People use the internet... more Objective Pediatric elbow fractures are children's most common fractures. People use the internet to get information about their illnesses and also to search for treatment options. Videos uploaded to Youtube do not go through the review process. The aim of our study is to determine the quality of videos related to child elbow fractures on Youtube. Material method The study was carried out with the data obtained from the video-sharing site www. youtu be. com on 01.12.2022. Pediatric elbow fractures are written in the search engine section. Information about the number of views of the videos, upload date, view rate (number of views per day), number of comments, number of likes and dislikes, duration, whether they contain animation and the publishing source were evaluated. The videos are divided into 5 groups according to their sources: medical society/non-profit organization, physician, healthrelated website, university/academic, and patient/independent user/other. The quality of the videos was evaluated using the Global Quality Scale (GQS). All videos have been evaluated by 2 researchers. Results In the study, 50 videos were included. In the statistical evaluation, no significant correlation was found between the modified discern score and GQS found by both researchers, and the number of views, the rate of views, comments, likes and dislikes, video duration and VPI. In addition, when the GQS and modified discern scores were compared according to the source of the video, it was found that the patient/independent user/other group scores were lower numerically, but there was no statistically significant difference in comparison. Conclusion Most of the videos about child elbow fractures have been uploaded by healthcare professionals. Therefore, we concluded that the videos are quite informative in terms of accurate information and quality content.

SDÜ Tıp Fakültesi Dergisi

Amaç Erişkinlerde görülen suprakondiler femur kırıkları eklem yüzeyini ilgilendiren veya ilgilend... more Amaç Erişkinlerde görülen suprakondiler femur kırıkları eklem yüzeyini ilgilendiren veya ilgilendirmeyen kırıklar olup farklı cerrahi tespit seçenekleri bulunmasına rağmen, tedavisi kolay olmayan bir kırık çeşididir. Bu kırıklarda yapılan plak uygulamalarında geniş insizyonlar sebebiyle yumuşak doku ve periost canlılığı korunamayıp kaynamama gibi sonuçlarla karşılaşıldığından dolayı cerrahlar tarafından retrograd intramedullar çivileme metoduna bir yönelim meydana gelmiştir. Gereç ve Yöntem Çalışmamızda retrograd intrameduller çivileme ve plak ile tespit edilen iki grup hastada karşılaştırma yapıldı. 2005-2016 tarihleri arasında kliniğimizde tedavi olan 20 hasta çalışmaya dahil edildi, bu hastaların 11’i plak ile 9’u ise retrograd çivi ile tedavi edildi. Bu hastalarda subjektif memnuniyet derecesi ameliyat sonrası VAS, HSS, Neer skorları, artroz gelişimi, kuadriseps kası gücü, uyluk atrofisi ve kısalık açısından araştırıldı ve karşılaştırıldı. Bulgular Yapılan karşılaştırmalarda her...