Fatih Durgut - Academia.edu (original) (raw)

Papers by Fatih Durgut

Acta Orthopaedica Belgica, Dec 1, 2022

In this study, we assessed and compared the outcomes of two different fixation techniques for hum... more In this study, we assessed and compared the outcomes of two different fixation techniques for humeral diaphyseal fracture nonunions. A retrospective evaluation of 22 patients who underwent single-plate and double-plate fixation due to humeral diaphyseal nonunions was conducted. Union rates, union times, and functional outcomes of the patients were assessed. There was no significant difference between singleplate and double-plate fixation in terms of union rates or union times. The double-plate fixation group achieved significantly better functional outcomes. Nerve damage or surgical site infection were not encountered in either group.Due to its considerable effect on stability, double-plate fixation, offers both patients and surgeons confidence in terms of early adaptation to daily life in the postoperative period.

Turkish Journal of Medical Sciences, 2022

The aim of this study is to compare the perioperative complications and overall survival of patie... more The aim of this study is to compare the perioperative complications and overall survival of patients who underwent proximal femoral nail antirotation (PFNA) and patients who underwent cemented calcar-replacement hemiarthroplasty (CCRH) for unstable intertrochanteric fracture in patients aged 75 years and older. Materials and methods: A total of 94 patients who underwent PFNA or CCRH between 2010 and 2012 because of femur fracture (A2.2 and A2.3 according to the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification) were analyzed retrospectively. Hospitalization times, blood transfusion needs, reoperation rates, and overall survival were compared. Results: Forty-eight patients in the PFNA group and 46 patients in the CCRH group were included for analysis. There was no statistically significant difference between the two groups in terms of hospitalization times, blood transfusion needs, reoperation rates, and survival rates. Conclusions: Both PFNA and CCRH techniques can be used for surgical treatment of unstable intertrochanteric femur fractures.

Acta Orthopaedica Belgica

In this study, we assessed and compared the outcomes of two different fixation techniques for hum... more In this study, we assessed and compared the outcomes of two different fixation techniques for humeral diaphyseal fracture nonunions. A retrospective evaluation of 22 patients who underwent single-plate and double-plate fixation due to humeral diaphyseal nonunions was conducted. Union rates, union times, and functional outcomes of the patients were assessed. There was no significant difference between single- plate and double-plate fixation in terms of union rates or union times. The double-plate fixation group achieved significantly better functional outcomes. Nerve damage or surgical site infection were not encountered in either group.Due to its considerable effect on stability, double-plate fixation, offers both patients and surgeons confidence in terms of early adaptation to daily life in the postoperative period.

Journal of Applied Nursing and Health

A material created to interact with biological systems to enhance, treat or modify a tissue, orga... more A material created to interact with biological systems to enhance, treat or modify a tissue, organ, or body function is called a biomaterial. Sutures, dental fillings, needles, catheters, bone plates, and orthopedic implants are the most commonly used medical biomaterials. With the increasing use of orthopedic implants worldwide, there remains significant interest in developing new technologies to improve the effective clinical performance of contemporary treatment modalities and devices. Biomaterials used in orthopedics often require revision due to problems such as wear, corrosion, and infection. These revisions have become a significant burden for the patient and the healthcare system. Boron, with its unique properties, is an element that has the potential to overcome these problems. Therefore, in recent years, the importance of boron elements in the health field as well as in the industrial field has been noticed, making the use of boron in medicine very popular

Journal of Orthopaedic Surgery

Introduction and Objective Ankle injuries are the most common musculoskeletal injuries. Its incid... more Introduction and Objective Ankle injuries are the most common musculoskeletal injuries. Its incidence is also high among sports injuries. Direct X-ray, ultrasound and MRI can be requested after the history and physical examination in the patient who presents with ankle ligament injury. Some classifications are used for requesting direct X-ray after ankle injury. Since clear limits are not specified in the literature for MRI, the rate of unnecessary MRI examinations is high. We argue that the decision can be made according to the AOFAS score to be checked before MR is requested, and thus unnecessary MR requests can be reduced. Material and Method Ankle MRI images of patients who underwent ankle MRI due to ankle trauma between January 2018 and December 2020 were scanned. 328 patients who met the criteria were included in the study. Patients with AOFAS scores in their outpatient clinic records were identified. AOFAS scores of patients with at least one ligament injury and those with no...

The Journal of Hand Surgery

Purpose This is a retrospective observational study that assessed the prevalence of positive diag... more Purpose This is a retrospective observational study that assessed the prevalence of positive diagnostic imaging and electrodiagnostic (EDX) findings in patients diagnosed with pronator syndrome (PS), who previously had a carpal tunnel syndrome (CTS) surgery. The other purpose of our study was to determine how often PS occurred and was missed in patients treated surgically for CTS. Methods The files of 180 patients who underwent CTS surgery were reviewed retrospectively. We assessed all patients for a diagnosis of PS. We accepted the clinical findings and patient history as the reference standard for the diagnosis of PS. Anteroposterior and lateral radiographs of the elbow, bilateral upper limb magnetic resonance imaging (MRI) studies, and bilateral dynamic forearm ultrasound (US) were performed on patients with clinical symptoms and physical examinations that indicated PS. Bilateral upper limb EDX was also performed for these patients. One patient refused additional tests. Results A total of 174 extremities in 146 patients were included in the study. Pronator syndrome was diagnosed by 2 hand surgeons in 22 extremities (19 patients) through a clinical evaluation that included a history and physical examination. Diagnostic testing was positive for findings of PS in 24% of extremities (5 of 21) tested by EDX, in 57% of extremities (12 of 21) tested by US, and 5% of extremities (1 of 21) tested by MRI. There was no lower humeral spur that could cause median nerve compression on any plain radiographs.

JPMA. The Journal of the Pakistan Medical Association, 2019

OBJECTIVE To compare the efficacies of intra-articular applications of tranexamic acid and adrena... more OBJECTIVE To compare the efficacies of intra-articular applications of tranexamic acid and adrenaline on postoperative bleeding after total knee arthroplasty. METHODS The single-center, retrospective, controlled study was conducted at Selcuk University , department of orthopedic surgery and comprised data of patients who underwent primary, unilateral, cemented total knee arthroplasty between July 2012 and December 2014. Group 1 had received tranexamic acid 1g after closure of articular capsule. Group 2 had received adrenalin. Group 3, the control group, received no medication intraarticularly after total knee arthroplasty. The amount of blood collected in the drain and postoperative alterations in haemoglobin and haematocrit values were compared. RESULTS Of the total 90 subjects, there were 30(33.33%) in each of the three groups. The decrease of haemoglobin and haematocrit values in Group 1 was statistically significant compared to both Group 2 and Group 3 (p<0.05). The amount of...

Annals of Plastic Surgery, 2021

Abstract We assessed and compared outcomes of 2 different flap techniques for thumb pulp defect r... more Abstract We assessed and compared outcomes of 2 different flap techniques for thumb pulp defect reconstruction. Twenty-three patients who underwent modified Moberg and first dorsal metacarpal artery flap because of thumb pulp defect were retrospectively evaluated. Flap survival; venous congestion; cold intolerance; static 2-point discrimination (s2-PD); Semmes-Weinstein monofilament (SWM) test scores; paresthesia; defect size; time to return to work; interphalangeal and metacarpophalangeal joint flexion of the thumb; Disability of the Arm, Shoulder and Hand questionnaire scores; and follow-up time were evaluated. Flap survival, venous congestion, time to return to work, paresthesia, defect size, SWM test scores, range of motion of the proximal interphalangeal and metacarpophalangeal joints, and Disability of the Arm, Shoulder and Hand questionnaire scores were similar in both groups. Cold intolerance and s2-PD were found to be statistically better in the modified Moberg flap group. Although these techniques provided similar results, the modified Moberg was found to be superior in terms of cold intolerance and s2-PD.

The Journal of Hand Surgery, 2018

Purpose The aim of this study was to investigate and compare outcomes of 2 different flap techniq... more Purpose The aim of this study was to investigate and compare outcomes of 2 different flap techniques for fingertip reconstruction: innervated digital artery perforator (IDAP) flap and homodigital reverse-flow flap. Methods Medical records of 33 patients who underwent fingertip reconstruction either with an IDAP flap (15 patients) or with a homodigital reverse-flow flap (18 patients), between 2014 and 2016, were evaluated retrospectively. In both study groups, full-thickness skin grafts harvested from the proximal/volar side of the forearm were used to cover the flap donor site. Flap survival, venous congestion, cold intolerance, static 2-point discrimination, flap size, duration of surgery, time to return to work, proximal and distal interphalangeal joint range of motion, Disability of the Arm, Shoulder, and Hand questionnaire scores, and follow-up time were evaluated. Results All the major outcomes, including flap survival, cold intolerance, static 2-point discrimination, flap size, time to return to work, range of motion values for proximal and distal interphalangeal joints, Disability of the Arm, Shoulder, and Hand questionnaire scores, and follow-up time, were similar between the 2 flap methods. Mean duration of surgery was shorter in the IDAP flap group. Marginal flap necrosis occurred in 1 IDAP flap, and there was complete survival of the remainder of the flap after debridement. Temporary venous congestion was seen in 3 IDAP flaps, all of which resolved with nonsurgical measures. Conclusions Similar success rates and satisfactory outcomes were achieved with IDAP flap and reverse-flow flap techniques used for fingertip reconstruction.

Acta orthopaedica et traumatologica turcica, 2015

The aim of this study was to evaluate the functional and radiological results of patients treated... more The aim of this study was to evaluate the functional and radiological results of patients treated with the percutaneous double-button technique for acute acromioclavicular (AC) joint dislocation. A retrospective evaluation was performed of 13 patients surgically treated for acute Type III AC joint dislocation with the percutaneous double-button fixation method. The coracoclavicular (CC) distance of the affected side was compared with that of the healthy side on anterior-posterior radiographs obtained at the final follow-up. In the functional evaluation, Disabilities of the Arm, Shoulder and Hand (DASH), Constant, and visual analog scale (VAS) scores were used. The 13 patients in the study included 12 males and 1 female with a mean age of 43.4 years (range: 22-60 years). The mean follow-up period was 13.61 months (range: 9-24 months). The mean CC distance on the operated side was 9.23 mm (range: 8-15 mm), and when compared with the healthy side, no statistically significant differenc...

Medicine Science | International Medical Journal, 2018

Agricultural accidents are important for Turkey as more than 20 million people are involved in ag... more Agricultural accidents are important for Turkey as more than 20 million people are involved in agriculture. The aim of this study was to evaluate orthopaedic lower limp injuries related to hoeing machine from a trauma centre localized in Middle Anatolia Region. 15 patients who hospitalized for hoeing machine were included to study due to lower limp injuries between April 2012 and May 2017. All the medical records were scanned retrospectively to evaluate "the demographic, epidemiologic characteristics of patients, cause of accidents, type of injury, duration of hospital stay and also hospital costs were evaluated retrospectively ". According to database, fifteen patients were hospitalised for lower limp injuries (14 were male, 1 female). The mean age was 45.2 (19-64) years old. The most frequent injury was tibia fracture (64 %). The mean hospital stay time was 14 days (between 1and 53). The mean cost was 11.140,16 (500 and 27.115,08) Turkish Liras. The rate of knee dislocation was 26 %. Most prevalent injury was tibia fracture. Simple precautions can be effective for preventing this kind of injuries. Meticulous examination is important as the rate of knee dislocation is high in these types of traumas.

Bezmialem Science

Objective: The purpose of this study is to assess and compare outcomes of two different timing su... more Objective: The purpose of this study is to assess and compare outcomes of two different timing surgery for moderately carpal tunnel syndrome (CTS). Methods: Eighty-eight patients who underwent early and late due to CTS were evaluated retrospectively. Patients with early surgery and late surgery were divided into two groups. Preoperative and postoperative visual analog scale (VAS) score and postoperative Boston Carpal Tunnel Questionnaire (BCTQ) scores of both groups were compared. Results: Preoperative and postoperative VAS scores were compared, there was a significant decrease in both groups. When BCTQ results of both groups were compared, the results of patients who underwent early surgery were statistically better. Conclusion: In conclusion, we think that early surgery is better clinically in patients with moderately CTS.

Acta Orthopaedica et Traumatologica Turcica

Joint Diseases and Related Surgery Case Reports, 2022

limping. Avulsions may often go undiagnosed in the emergency setting, and patients may receive a ... more limping. Avulsions may often go undiagnosed in the emergency setting, and patients may receive a conservative treatment with the diagnosis of soft tissue trauma. However, avulsion fractures of AIIS can be diagnosed with medical history and thorough investigation of radiographs.

Joint Diseases and Related Surgery Case Reports, 2022

on how to sterilize extruded bone segments in the literature. In this article, we report a case w... more on how to sterilize extruded bone segments in the literature. In this article, we report a case with open fracture in which the extruded bone fragment was implanted after it was autoclaved. CASE REPORT An 18-year-old male who suffered a motorcycle accident was admitted to the emergency department. On physical examination, there were dermal abrasions on the left half of the face and left arm, as well as open fractures in the left femur and left tibia. According to the Gustilo-Anderson classification, the femur fracture was type III, and the tibia fracture was type II. Tetanus prophylaxis and antibiotic prophylaxis (first-generation cephalosporin) were administered to the patient in the emergency room. Radiographs revealed that an approximately 12 cm femoral bone segment was extruded from the 5 cm wound at the anterior thigh (Figure 1). It was thought that a longitudinal deforming force had

ÖZ Amaç: Bu çalışmada total diz artroplastisi (TDA) hastalarında eklem içi tranekzamik asit (TA) ... more ÖZ Amaç: Bu çalışmada total diz artroplastisi (TDA) hastalarında eklem içi tranekzamik asit (TA) uygulamasının drenlerdeki kan miktarına, kan transfüzyonu miktarına, hastanede kalış süresine ve toplam maliyete etkisi değerlendirildi. Hastalar ve yöntemler: Çalışmaya TDA cerrahisi uygulanan toplam 118 hasta dahil edildi (24 erkek, 94 kadın; ort. yaş 67.0; dağılım 52-81 yıl). Hastalar eklem kapsülünün kapatılmasının ardından eklem içi 2 g TA uygulanan 58 hasta (TA grubu; 10 erkek, 48 kadın ort. yaş 65.6; dağılım 55-80 yıl) ve herhangi bir eklem içi enjeksiyon uygulanmayan 60 hasta (TA'sız grup; 14 erkek, 46 kadın; ort. yaş 68.3; dağılım 52-81 yıl) olarak iki gruba ayrıldı. Her hastanın ameliyat öncesi ve sonrası hemoglobin düzeyleri arasındaki maksimum farklılık, drenlerdeki kan miktarı, kan transfüzyonu miktarı, hastanede kalış süresi ve maliyeti kaydedildi. Bulgular: Ameliyat öncesi ve sonrası hemoglobin düzeylerindeki ortalama farklılık TA'sız grupta daha yüksek idi (1.7 ...

Acta Orthopaedica et Traumatologica Turcica, 2020

The role of the platelet-to-lymphocyte ratio and neutrophil-to-lymphocyte ratio in the prediction... more The role of the platelet-to-lymphocyte ratio and neutrophil-to-lymphocyte ratio in the prediction of length and cost of hospital stay in patients with infected diabetic foot ulcers: A retrospective comparative study

Acta Orthopaedica Belgica, Dec 1, 2022

In this study, we assessed and compared the outcomes of two different fixation techniques for hum... more In this study, we assessed and compared the outcomes of two different fixation techniques for humeral diaphyseal fracture nonunions. A retrospective evaluation of 22 patients who underwent single-plate and double-plate fixation due to humeral diaphyseal nonunions was conducted. Union rates, union times, and functional outcomes of the patients were assessed. There was no significant difference between singleplate and double-plate fixation in terms of union rates or union times. The double-plate fixation group achieved significantly better functional outcomes. Nerve damage or surgical site infection were not encountered in either group.Due to its considerable effect on stability, double-plate fixation, offers both patients and surgeons confidence in terms of early adaptation to daily life in the postoperative period.

Turkish Journal of Medical Sciences, 2022

The aim of this study is to compare the perioperative complications and overall survival of patie... more The aim of this study is to compare the perioperative complications and overall survival of patients who underwent proximal femoral nail antirotation (PFNA) and patients who underwent cemented calcar-replacement hemiarthroplasty (CCRH) for unstable intertrochanteric fracture in patients aged 75 years and older. Materials and methods: A total of 94 patients who underwent PFNA or CCRH between 2010 and 2012 because of femur fracture (A2.2 and A2.3 according to the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification) were analyzed retrospectively. Hospitalization times, blood transfusion needs, reoperation rates, and overall survival were compared. Results: Forty-eight patients in the PFNA group and 46 patients in the CCRH group were included for analysis. There was no statistically significant difference between the two groups in terms of hospitalization times, blood transfusion needs, reoperation rates, and survival rates. Conclusions: Both PFNA and CCRH techniques can be used for surgical treatment of unstable intertrochanteric femur fractures.

Acta Orthopaedica Belgica

In this study, we assessed and compared the outcomes of two different fixation techniques for hum... more In this study, we assessed and compared the outcomes of two different fixation techniques for humeral diaphyseal fracture nonunions. A retrospective evaluation of 22 patients who underwent single-plate and double-plate fixation due to humeral diaphyseal nonunions was conducted. Union rates, union times, and functional outcomes of the patients were assessed. There was no significant difference between single- plate and double-plate fixation in terms of union rates or union times. The double-plate fixation group achieved significantly better functional outcomes. Nerve damage or surgical site infection were not encountered in either group.Due to its considerable effect on stability, double-plate fixation, offers both patients and surgeons confidence in terms of early adaptation to daily life in the postoperative period.

Journal of Applied Nursing and Health

A material created to interact with biological systems to enhance, treat or modify a tissue, orga... more A material created to interact with biological systems to enhance, treat or modify a tissue, organ, or body function is called a biomaterial. Sutures, dental fillings, needles, catheters, bone plates, and orthopedic implants are the most commonly used medical biomaterials. With the increasing use of orthopedic implants worldwide, there remains significant interest in developing new technologies to improve the effective clinical performance of contemporary treatment modalities and devices. Biomaterials used in orthopedics often require revision due to problems such as wear, corrosion, and infection. These revisions have become a significant burden for the patient and the healthcare system. Boron, with its unique properties, is an element that has the potential to overcome these problems. Therefore, in recent years, the importance of boron elements in the health field as well as in the industrial field has been noticed, making the use of boron in medicine very popular

Journal of Orthopaedic Surgery

Introduction and Objective Ankle injuries are the most common musculoskeletal injuries. Its incid... more Introduction and Objective Ankle injuries are the most common musculoskeletal injuries. Its incidence is also high among sports injuries. Direct X-ray, ultrasound and MRI can be requested after the history and physical examination in the patient who presents with ankle ligament injury. Some classifications are used for requesting direct X-ray after ankle injury. Since clear limits are not specified in the literature for MRI, the rate of unnecessary MRI examinations is high. We argue that the decision can be made according to the AOFAS score to be checked before MR is requested, and thus unnecessary MR requests can be reduced. Material and Method Ankle MRI images of patients who underwent ankle MRI due to ankle trauma between January 2018 and December 2020 were scanned. 328 patients who met the criteria were included in the study. Patients with AOFAS scores in their outpatient clinic records were identified. AOFAS scores of patients with at least one ligament injury and those with no...

The Journal of Hand Surgery

Purpose This is a retrospective observational study that assessed the prevalence of positive diag... more Purpose This is a retrospective observational study that assessed the prevalence of positive diagnostic imaging and electrodiagnostic (EDX) findings in patients diagnosed with pronator syndrome (PS), who previously had a carpal tunnel syndrome (CTS) surgery. The other purpose of our study was to determine how often PS occurred and was missed in patients treated surgically for CTS. Methods The files of 180 patients who underwent CTS surgery were reviewed retrospectively. We assessed all patients for a diagnosis of PS. We accepted the clinical findings and patient history as the reference standard for the diagnosis of PS. Anteroposterior and lateral radiographs of the elbow, bilateral upper limb magnetic resonance imaging (MRI) studies, and bilateral dynamic forearm ultrasound (US) were performed on patients with clinical symptoms and physical examinations that indicated PS. Bilateral upper limb EDX was also performed for these patients. One patient refused additional tests. Results A total of 174 extremities in 146 patients were included in the study. Pronator syndrome was diagnosed by 2 hand surgeons in 22 extremities (19 patients) through a clinical evaluation that included a history and physical examination. Diagnostic testing was positive for findings of PS in 24% of extremities (5 of 21) tested by EDX, in 57% of extremities (12 of 21) tested by US, and 5% of extremities (1 of 21) tested by MRI. There was no lower humeral spur that could cause median nerve compression on any plain radiographs.

JPMA. The Journal of the Pakistan Medical Association, 2019

OBJECTIVE To compare the efficacies of intra-articular applications of tranexamic acid and adrena... more OBJECTIVE To compare the efficacies of intra-articular applications of tranexamic acid and adrenaline on postoperative bleeding after total knee arthroplasty. METHODS The single-center, retrospective, controlled study was conducted at Selcuk University , department of orthopedic surgery and comprised data of patients who underwent primary, unilateral, cemented total knee arthroplasty between July 2012 and December 2014. Group 1 had received tranexamic acid 1g after closure of articular capsule. Group 2 had received adrenalin. Group 3, the control group, received no medication intraarticularly after total knee arthroplasty. The amount of blood collected in the drain and postoperative alterations in haemoglobin and haematocrit values were compared. RESULTS Of the total 90 subjects, there were 30(33.33%) in each of the three groups. The decrease of haemoglobin and haematocrit values in Group 1 was statistically significant compared to both Group 2 and Group 3 (p<0.05). The amount of...

Annals of Plastic Surgery, 2021

Abstract We assessed and compared outcomes of 2 different flap techniques for thumb pulp defect r... more Abstract We assessed and compared outcomes of 2 different flap techniques for thumb pulp defect reconstruction. Twenty-three patients who underwent modified Moberg and first dorsal metacarpal artery flap because of thumb pulp defect were retrospectively evaluated. Flap survival; venous congestion; cold intolerance; static 2-point discrimination (s2-PD); Semmes-Weinstein monofilament (SWM) test scores; paresthesia; defect size; time to return to work; interphalangeal and metacarpophalangeal joint flexion of the thumb; Disability of the Arm, Shoulder and Hand questionnaire scores; and follow-up time were evaluated. Flap survival, venous congestion, time to return to work, paresthesia, defect size, SWM test scores, range of motion of the proximal interphalangeal and metacarpophalangeal joints, and Disability of the Arm, Shoulder and Hand questionnaire scores were similar in both groups. Cold intolerance and s2-PD were found to be statistically better in the modified Moberg flap group. Although these techniques provided similar results, the modified Moberg was found to be superior in terms of cold intolerance and s2-PD.

The Journal of Hand Surgery, 2018

Purpose The aim of this study was to investigate and compare outcomes of 2 different flap techniq... more Purpose The aim of this study was to investigate and compare outcomes of 2 different flap techniques for fingertip reconstruction: innervated digital artery perforator (IDAP) flap and homodigital reverse-flow flap. Methods Medical records of 33 patients who underwent fingertip reconstruction either with an IDAP flap (15 patients) or with a homodigital reverse-flow flap (18 patients), between 2014 and 2016, were evaluated retrospectively. In both study groups, full-thickness skin grafts harvested from the proximal/volar side of the forearm were used to cover the flap donor site. Flap survival, venous congestion, cold intolerance, static 2-point discrimination, flap size, duration of surgery, time to return to work, proximal and distal interphalangeal joint range of motion, Disability of the Arm, Shoulder, and Hand questionnaire scores, and follow-up time were evaluated. Results All the major outcomes, including flap survival, cold intolerance, static 2-point discrimination, flap size, time to return to work, range of motion values for proximal and distal interphalangeal joints, Disability of the Arm, Shoulder, and Hand questionnaire scores, and follow-up time, were similar between the 2 flap methods. Mean duration of surgery was shorter in the IDAP flap group. Marginal flap necrosis occurred in 1 IDAP flap, and there was complete survival of the remainder of the flap after debridement. Temporary venous congestion was seen in 3 IDAP flaps, all of which resolved with nonsurgical measures. Conclusions Similar success rates and satisfactory outcomes were achieved with IDAP flap and reverse-flow flap techniques used for fingertip reconstruction.

Acta orthopaedica et traumatologica turcica, 2015

The aim of this study was to evaluate the functional and radiological results of patients treated... more The aim of this study was to evaluate the functional and radiological results of patients treated with the percutaneous double-button technique for acute acromioclavicular (AC) joint dislocation. A retrospective evaluation was performed of 13 patients surgically treated for acute Type III AC joint dislocation with the percutaneous double-button fixation method. The coracoclavicular (CC) distance of the affected side was compared with that of the healthy side on anterior-posterior radiographs obtained at the final follow-up. In the functional evaluation, Disabilities of the Arm, Shoulder and Hand (DASH), Constant, and visual analog scale (VAS) scores were used. The 13 patients in the study included 12 males and 1 female with a mean age of 43.4 years (range: 22-60 years). The mean follow-up period was 13.61 months (range: 9-24 months). The mean CC distance on the operated side was 9.23 mm (range: 8-15 mm), and when compared with the healthy side, no statistically significant differenc...

Medicine Science | International Medical Journal, 2018

Agricultural accidents are important for Turkey as more than 20 million people are involved in ag... more Agricultural accidents are important for Turkey as more than 20 million people are involved in agriculture. The aim of this study was to evaluate orthopaedic lower limp injuries related to hoeing machine from a trauma centre localized in Middle Anatolia Region. 15 patients who hospitalized for hoeing machine were included to study due to lower limp injuries between April 2012 and May 2017. All the medical records were scanned retrospectively to evaluate "the demographic, epidemiologic characteristics of patients, cause of accidents, type of injury, duration of hospital stay and also hospital costs were evaluated retrospectively ". According to database, fifteen patients were hospitalised for lower limp injuries (14 were male, 1 female). The mean age was 45.2 (19-64) years old. The most frequent injury was tibia fracture (64 %). The mean hospital stay time was 14 days (between 1and 53). The mean cost was 11.140,16 (500 and 27.115,08) Turkish Liras. The rate of knee dislocation was 26 %. Most prevalent injury was tibia fracture. Simple precautions can be effective for preventing this kind of injuries. Meticulous examination is important as the rate of knee dislocation is high in these types of traumas.

Bezmialem Science

Objective: The purpose of this study is to assess and compare outcomes of two different timing su... more Objective: The purpose of this study is to assess and compare outcomes of two different timing surgery for moderately carpal tunnel syndrome (CTS). Methods: Eighty-eight patients who underwent early and late due to CTS were evaluated retrospectively. Patients with early surgery and late surgery were divided into two groups. Preoperative and postoperative visual analog scale (VAS) score and postoperative Boston Carpal Tunnel Questionnaire (BCTQ) scores of both groups were compared. Results: Preoperative and postoperative VAS scores were compared, there was a significant decrease in both groups. When BCTQ results of both groups were compared, the results of patients who underwent early surgery were statistically better. Conclusion: In conclusion, we think that early surgery is better clinically in patients with moderately CTS.

Acta Orthopaedica et Traumatologica Turcica

Joint Diseases and Related Surgery Case Reports, 2022

limping. Avulsions may often go undiagnosed in the emergency setting, and patients may receive a ... more limping. Avulsions may often go undiagnosed in the emergency setting, and patients may receive a conservative treatment with the diagnosis of soft tissue trauma. However, avulsion fractures of AIIS can be diagnosed with medical history and thorough investigation of radiographs.

Joint Diseases and Related Surgery Case Reports, 2022

on how to sterilize extruded bone segments in the literature. In this article, we report a case w... more on how to sterilize extruded bone segments in the literature. In this article, we report a case with open fracture in which the extruded bone fragment was implanted after it was autoclaved. CASE REPORT An 18-year-old male who suffered a motorcycle accident was admitted to the emergency department. On physical examination, there were dermal abrasions on the left half of the face and left arm, as well as open fractures in the left femur and left tibia. According to the Gustilo-Anderson classification, the femur fracture was type III, and the tibia fracture was type II. Tetanus prophylaxis and antibiotic prophylaxis (first-generation cephalosporin) were administered to the patient in the emergency room. Radiographs revealed that an approximately 12 cm femoral bone segment was extruded from the 5 cm wound at the anterior thigh (Figure 1). It was thought that a longitudinal deforming force had

ÖZ Amaç: Bu çalışmada total diz artroplastisi (TDA) hastalarında eklem içi tranekzamik asit (TA) ... more ÖZ Amaç: Bu çalışmada total diz artroplastisi (TDA) hastalarında eklem içi tranekzamik asit (TA) uygulamasının drenlerdeki kan miktarına, kan transfüzyonu miktarına, hastanede kalış süresine ve toplam maliyete etkisi değerlendirildi. Hastalar ve yöntemler: Çalışmaya TDA cerrahisi uygulanan toplam 118 hasta dahil edildi (24 erkek, 94 kadın; ort. yaş 67.0; dağılım 52-81 yıl). Hastalar eklem kapsülünün kapatılmasının ardından eklem içi 2 g TA uygulanan 58 hasta (TA grubu; 10 erkek, 48 kadın ort. yaş 65.6; dağılım 55-80 yıl) ve herhangi bir eklem içi enjeksiyon uygulanmayan 60 hasta (TA'sız grup; 14 erkek, 46 kadın; ort. yaş 68.3; dağılım 52-81 yıl) olarak iki gruba ayrıldı. Her hastanın ameliyat öncesi ve sonrası hemoglobin düzeyleri arasındaki maksimum farklılık, drenlerdeki kan miktarı, kan transfüzyonu miktarı, hastanede kalış süresi ve maliyeti kaydedildi. Bulgular: Ameliyat öncesi ve sonrası hemoglobin düzeylerindeki ortalama farklılık TA'sız grupta daha yüksek idi (1.7 ...

Acta Orthopaedica et Traumatologica Turcica, 2020

The role of the platelet-to-lymphocyte ratio and neutrophil-to-lymphocyte ratio in the prediction... more The role of the platelet-to-lymphocyte ratio and neutrophil-to-lymphocyte ratio in the prediction of length and cost of hospital stay in patients with infected diabetic foot ulcers: A retrospective comparative study