Esra Demirel - Academia.edu (original) (raw)

Papers by Esra Demirel

İSTANBUL KANUNİ SULTAN SÜLEYMAN TIP DERGİSİ

Objective: Chronic coccydynia is frequently seen in middle-aged women. Especially depressed and a... more Objective: Chronic coccydynia is frequently seen in middle-aged women. Especially depressed and anxious patients may be resistant to medical treatment. This study aimed to evaluate the synergistic effects of steroid injection and psychiatric medical treatment in these patients. Method: Forty-four female patients with chronic coccydynia who scored at or above the threshold for at least one of the Hamilton Depression and Anxiety scales were included in the study. Patients who received only pericoccygeal cortisone injection were recorded as the 1 st group, and the patients who received SSRI treatment in addition to the injection were recorded as the 2 nd group. VAS scores were evaluated at baseline, 1 month, and 3 months. NCSS (Number Cruncher Statistical System) Statistical Software (Utah, USA) program was used for statistical analysis. Results: Median value of the pre-treatment VAS score was 7 and 8 in the 1 st and 2 nd groups, respectively. Median value of the 1 st month post-treatment VAS score was 4 and 4 in the 1 st and 2nd groups, respectively. Median value of VAS score at the 3 rd month after treatment was 4 and 2 in the 1 st and 2 nd groups, respectively. Conclusion: In depressed and anxious women, chronic coccydynia may become persistent due to anxiety and depression, even if there is an underlying pathoanatomy. In patients presenting with chronic coccydynia, combining local steroid injection and SSRI treatment is a practical and effective treatment method.

$Research paper thumbnail of Comparing lateral or supine positions without using traction table in the treatment of per-trochanteric femur fractures$

DOI: 10.4328/ACAM.20636 Received: 2021-04-02 Accepted: 2021-07-27 Published Online: 2021-08-10 Pr... more DOI: 10.4328/ACAM.20636 Received: 2021-04-02 Accepted: 2021-07-27 Published Online: 2021-08-10 Printed: 2021-09-15 Ann Clin Anal Med 2021;12(Suppl 4): S451-455 Corresponding Author: Kadri YILDIZ, Assoc. Prof., Kafkas University Medical School Orthopeadia and Traumatology Department, 36000, Kars, Turkey. E-mail: drkadri1980@hotmail.com P: +90 538 545 0559 / +90 474 225 2106-7625 Corresponding Author ORCID ID: https://orcid.org/0000-0002-8164-7687 Abstract Aim: This study aims to compare the duration of operation, quality of reduction, and complications in cases of per-trochanteric femur fractures fixed by proximal femoral anti-rotational nail at the lateral and supine positions without using a traction table. Material and Methods: A total of 160 patients between January 2008 and December 2014 (61 females, 99 males; mean age: 75.9) were presented. The proximal femoral anti-rotational nail was performed at the lateral and supine positions in 89 and 71 patients, ordinarily. All patients...

Objective: This study was intended to show the effects of melatonin (MEL) in the treatment of car... more Objective: This study was intended to show the effects of melatonin (MEL) in the treatment of cartilage damage in a rat model as a novel field of application. Materials and Methods: Male Sprague Dawley rats aged 3-4 months were assigned into four groups of six rats each. Group I represented the sham group. In groups 2, 3, and 4, the right knee medial meniscus was surgically destabilized. MEL was administered to groups 3 and 4 twice a week at dosages of 0.4 μg/ml and 4 μg/ml, respectively. The application continued for four weeks. Histological examinations, imaging studies [computed tomography and magnetic resonance imaging], and biochemical tests [cartilage and bone turnover markers (COMP and CTX-I)] were performed. Results: The application of MEL initiated regeneration in the damaged areas. However, cartilage repair was not observed in areas with experimental cartilage damage without MEL application. MEL-treated rats had higher T2 scores compared to Group 1 in the median femoral co...

Acta Orthopaedica et Traumatologica Turcica

Objective: In this experimental study, PRF (Platelet Rich Fibrin), HA (Hyaluronic Acid) gel and A... more Objective: In this experimental study, PRF (Platelet Rich Fibrin), HA (Hyaluronic Acid) gel and ADCON® Gel were compared in terms of preventing epidural fibrosis. Methods: Twenty-eight SpragueeDawley rats (mean weight, 400e450 g) were divided into 4 groups. L3-L4 laminectomy was performed in each group. Following laminectomy, Adcon® Gel, HA gel and PRF were applied onto the surgery site locally in Group 1, 2 and 3, respectively. Group 4 was maintained as control without any local application. After five weeks, L3-L4 vertebrae were removed totally and taken to histopathological evaluation for epidural fibrosis, acute inflammatory cell density, chronic inflammatory cell density, hemorrhage, angiogenesis and new bone formation. Results: Acute inflammation cell density, angiogenesis, and new bone formation levels were comparable among the study groups (p > 0.05). However, new bone formation was higher in the PRF group. Epidural fibrosis and chronic inflammatory cell density were significantly lower in the PRF group (p < 0.05). Conclusion: We concluded that PRF contributed to hemostasis and prevented epidural fibrosis.

$Research paper thumbnail of Long-term use of steroid and secondary ostoporosis to multiple displaced metatarsal stress fracture: with rheumatoid arthritis a case report$

INTERNATIONAL REFEREED JOURNAL OF ORTHOPAEDICS TRAUMATOLOGY AND SPORTS MEDICINE, 2016

TURKISH JOURNAL of CLINICS and LABORATORY, 2017

Romatoid artrite bagli olarak uzun sureli dusuk doz kortikosteroidlerle yapilan tedavi sonucu gel... more Romatoid artrite bagli olarak uzun sureli dusuk doz kortikosteroidlerle yapilan tedavi sonucu gelisen sekonder osteoporozla olusan coklu metatarsal kirik sunulmaktadir. Elli uc yasinda kadin hasta 12 yildir romatoid artrit nedeniyle dusuk doz kortikosteroid kullanmaktadir. Son klinik kontrollerde yaklasik 3 ay once coklu metatarsal kiriklar meydana gelmistir. Yapilan 3 aylik seri poliklinik kontrollerinde hastanin coklu metatars kirigi konservatif tedavi ile iyilesmistir. Romatoid artritli hastalarda uzun sureli, dusuk doz olsa bile, kortikosteroid kullanilan hastalarda, alisilmadik kemiklerde kiriklar acisindan gorulebilmektedir.

Spor Bilimleri Dergisi Hacettepe Universitesi, 2014

Izole ayak bilegi Ball-and-Socket (BAS) deformitesi, nadir bir deformitedir. Ball-and-Socket defo... more Izole ayak bilegi Ball-and-Socket (BAS) deformitesi, nadir bir deformitedir. Ball-and-Socket deformitesi malformasyonu, evresiyle iliskili olarak fiziki aktiviteleri olumsuz etkiler. Bu olgu sunumunda, izole ayak bilegi Ball-and-Socket deformitesinin spor aktivitelerine etkisi sunulmustur.

The Journal of Kartal Training and Research Hospital, 2014

Çalışmamızda distal klavikula kırıklarının cerrahi tedavisinde periakromiyal intramedüller K-teli... more Çalışmamızda distal klavikula kırıklarının cerrahi tedavisinde periakromiyal intramedüller K-teli fiksasyonunun omuz eklem hareketleri üzerine etkisini inceledik.