Serdar Toy - Academia.edu (original) (raw)

Papers by Serdar Toy

$Research paper thumbnail of Comparison of the clinical and radiographic outcomes of plate fixation versus new-generation locked intramedullary nail in the management of adult forearm diaphyseal fractures$

Acta Orthopaedica et Traumatologica Turcica, Oct 25, 2022

Objective:This study aimed to compare functional and radiographical outcomes following intramedul... more Objective:This study aimed to compare functional and radiographical outcomes following intramedullary nailing (IMN) versus plate and screw osteosynthesis in managing patients with diaphyseal forearm fractures.Methods:Forty-six patients (27 male, 19 female) were included in this retrospective study. Of these, 25 were treated with plate osteosynthesis and 21 with IMN. The mean age was 32.4 (range, 19–67) years in the plate group and 28.8 (range, 18–64) years in the IMN group. The mean follow-up was 22.3 (range, 12–36) months in the IMN group and 24.8 (range, 12–48) months in the plate group. Functional outcomes were evaluated based on the forearm pronation/supination range of motion, grip strength, Disabilities of the Arm, Shoulder, and Hand (DASH) score, and Grace-Eversmann scoring criteria.Results:The median time to union was 13.6 weeks in the plate group and 10.9 weeks in the IMN group (p<0.05). Union was achieved in 24 of 25 patients in the plate group (96%) and all patients in the IMN group (100%). The mean operative time was 69.7 (range, 45–110) minutes in the IMN group and 88.2 (range, 50–130) minutes in the plate group. The mean fluoroscopy time was 2.7 seconds in the plate group and 21.3 seconds in the IMN group. The mean length of hospital stay was five (range, 3–9) days in the plate group and four (range, 3–10) days in the IMN group. The mean operative time was significantly shorter in the IMN group (p < 0.05), while the mean fluoroscopy time was longer in the IMN group (p < 0.05). There was no significant difference between the groups in forearm pronation and supination, grip strength, DASH score, and Grace-Eversmann scoring criteria.Conclusion:Locked IMNs seem a viable alternative to ORIF with plate osteosynthesis for adult diaphyseal forearm fractures with similar healing rates, functional scores, and shorter operative times.Level of Evidence:Level III, Therapeutic Study

Annals of medical research, 2022

Prospective randomized, double-blind controlled trial. Purpose: Here, we aim to compare the effic... more Prospective randomized, double-blind controlled trial. Purpose: Here, we aim to compare the efficacy and safety of pain control between pre-and postoperative parecoxib administration in patients who have undergone major spine surgery. Overview of Literature: Several studies have compared the efficacy of pre-and postoperative administration of parecoxib, which led to inconclusive results owing to variation in operative time. Preincisional parecoxib administration reduces inflammatory response in major spine surgery requiring longer operative time; however, it may not reduce pain as much as parecoxib administration immediately after surgery would. Methods: Totally, 127 patients who underwent major spine surgery were randomly divided into three groups: pre-group, which received 40 mg parecoxib before skin incision and at 12 and 24 hours after the first dose; post-group, which received the same dose at wound closure and at 12 and 24 hours after the first dose; and control group, which did not receive any parecoxib. Efficacy and safety of parecoxib were measured based on pain score, morphine consumption, and side effects from both morphine and parecoxib at 24 hours after surgery. Results: Initial postoperative pain score, postoperative pain score at rest, and accumulative morphine consumption at 24 hours after surgery were similar between the pre-and post-groups. Despite the significantly lower pain score and morphine consumption in both pre-and post-groups compared with the control group, cumulative morphine consumption at 24 hours after surgery was reduced by approximately 50% in the pre-group and 46% in the post-group compared. Analgesic-related complication incidence was similar in all groups. Conclusions: The timing of parecoxib administration, either before or after major spinal surgery, did not affect the safety and analgesic efficacy of pain management.

The Journal of Hand Surgery, May 1, 2022

$Research paper thumbnail of Is it an asymptomatic tracheal injury or misdiagnosis in treatment of vertebral fracture: A case report$

International Journal of Surgery Case Reports, 2020

INTRODUCTION: Pedicle screws are durable and safe instruments frequently used to treat vertebra i... more INTRODUCTION: Pedicle screws are durable and safe instruments frequently used to treat vertebra injuries and deformities. There is also a possibility of medulla spinalis and visceral organ injury when the pedicle screws are delivered in unsuitable positions or dimensions. In this case, the authors want to draw attention to one of the visceral organ injuries during the thoracic pedicle screw placement. PRESENTATION OF CASE: A 31 years old man underwent posterior instrumentation and fusion for T4 vertebra fractures. The patient was not symptomatic in the postoperative period. Tracheal pressure was observed at the 3rd thoracic vertebra level on the second day after the operation. No complications were encountered in the 3-year follow-up of the patient, who did not accept a second surgery recommended for screw replacement. DISCUSSION: During surgery for thoracic vertebral fractures, the shoulder joint makes it difficult to imagine as the shoulder bones enter the field of view. Therefore, the number of misplaced screws increases. Moreover, it increases the risk of internal organ injury. CONCLUSION: The use of navigation systems or cannulated pedicle screws to treat thoracic vertebral fractures reduces internal organ injuries.

Acta Ortopedica Brasileira, 2023

Hand and Microsurgery, 2021

Kafkas Tıp Bilimleri Dergisi, Apr 1, 2021

Journal of the American Podiatric Medical Association

Background: Sinus tarsi syndrome is characterized by permanent pain on the anterolateral side of ... more Background: Sinus tarsi syndrome is characterized by permanent pain on the anterolateral side of the ankle. This pain occurs due to chronic inflammation, characterized by fibrotic tissue remnants and synovitis accumulation after repeated traumatic injuries. Few studies have documented the outcome of injection treatments for sinus tarsi syndrome. We sought to determine the effects of corticosteroid and local anesthetic, platelet-rich plasma, and ozone injection on the sinus tarsi syndrome. Methods: Sixty patients diagnosed with sinus tarsi syndrome were randomly divided into three groups. Patients in the first group received corticosteroid and local anesthetic, patients in the second group received platelet-rich plasma, and patients in the third group were given ozone injections. Outcome measures were Visual Analog Scale (VAS), American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS), Foot Function Index (FFI), and Foot-Ankle Outcome Score (FAOS). Outcome measures were...

$Research paper thumbnail of Results of cementless and cemented bipolar hemiarthroplasty in proximal femur fractures with Dorr type B morphology$

Balıkesır Health Sciences Journal

Supplemental material, sj-jpg-2-jhs-10.1177_17531934211073858 for Treatment of proximal scaphoid ... more Supplemental material, sj-jpg-2-jhs-10.1177_17531934211073858 for Treatment of proximal scaphoid waist nonunions with vascularized bone graft from the distal radius or medial femoral condyle by Oktay Polat, Serdar Toy and Birkan Kibar in Journal of Hand Surgery (European Volume)

Supplemental material, sj-jpg-3-jhs-10.1177_17531934211073858 for Treatment of proximal scaphoid ... more Supplemental material, sj-jpg-3-jhs-10.1177_17531934211073858 for Treatment of proximal scaphoid waist nonunions with vascularized bone graft from the distal radius or medial femoral condyle by Oktay Polat, Serdar Toy and Birkan Kibar in Journal of Hand Surgery (European Volume)

Supplemental material, sj-jpg-1-jhs-10.1177_17531934211073858 for Treatment of proximal scaphoid ... more Supplemental material, sj-jpg-1-jhs-10.1177_17531934211073858 for Treatment of proximal scaphoid waist nonunions with vascularized bone graft from the distal radius or medial femoral condyle by Oktay Polat, Serdar Toy and Birkan Kibar in Journal of Hand Surgery (European Volume)

Kafkas Journal of Medical Sciences, 2021

The Journal of hand surgery, European volume, 2022

Fractures of the proximal scaphoid waist are more prone to nonunion than distal scaphoid fracture... more Fractures of the proximal scaphoid waist are more prone to nonunion than distal scaphoid fractures. Thirty-nine patients (five females, 34 males; mean age 31 years) who had operation for proximal scaphoid waist nonunion between 2017 and 2020 were retrospectively analysed. Patients received a free vascularized medial femoral condyle graft (Group 1: 18 patients) or distal radial bone graft based on a 1,2 intercompartmental supraretinacular artery pedicle (Group 2: 21 patients). In Group 1, union was achieved in 17 of 18 cases, with mean time to union of 13 weeks and mean operation time was 221 minutes. In Group 2, union was achieved in 19 of 21 cases, with mean time to union of 15 weeks and mean operation time was 100 minutes. The radiological and functional results of both groups were similar. We recommend a distal radial bone graft based on the 1,2 intercompartmental supraretinacular artery pedicle for proximal scaphoid waist nonunions since the operation is shorter, technically mor...

Current Medical Research, 2022

Background: Shoulder dislocations are frequent orthopedic injuries encountered in emergency servi... more Background: Shoulder dislocations are frequent orthopedic injuries encountered in emergency services. Increasing the arthroscopic experience of physicians and developing technology has left the place of open surgical repair to arthroscopic reconstruction procedures. This study aimed to examine the results of arthroscopic reconstruction procedures for anterior and posterior shoulder instability. Methods: In this study, 89 patients diagnosed with shoulder instability and treated arthroscopically in our clinic between January 1, 2013, and September 1, 2020, postoperative range of motion and functional results are evaluated with Rowe and WOSI scores. Results: Fifty-seven of 89 patients had anterior, and 32 patients had posterior glenohumeral instabilities. In our study, 14 patients (15.7%) were under 20 years old, 55 patients (61.8%) between 21-30 years, 16 patients (18.0%) between 31-40 years, and 4 patients (4.5%) over 40 years. A total of 72 males (80.9%) were included in the study, with 17 females (19.1%). In the postoperative period, the mean shoulder joint flexion of all patients was recorded as 166.6 degrees, internal rotation 79.8 degrees, and external rotation was 79.9 degrees. The mean preoperative total WOSI score of all patients was 1062.6, whereas this score was 150.7 postoperatively. According to the Rowe score, there were poor results in all patients in the preoperative period, whereas the Rowe score of 70 patients was excellent; three patients were good, 11 patients were moderate, and five patients were poor in the postoperative period. Conclusions: Arthroscopic treatment of glenohumeral instability could provide predictable success in unidirectional shoulder instability.

Annals of the Rheumatic Diseases, 2007

Objectives: Ultrasonography (US) has shown increased crosssectional area of the median nerve in c... more Objectives: Ultrasonography (US) has shown increased crosssectional area of the median nerve in carpal tunnel syndrome (CTS). Knowledge of the normal distribution of the areas is a prerequisite to evaluate pathology. Presently, the distribution of cross-sectional areas of the median nerve was explored in patients with rheumatoid arthritis (RA). Methods: The median nerves of patients with RA having no symptoms or signs of CTS were examined with bilateral US at the entrance of the carpal tunnel. Results: A total of 154 patients with RA were included. The median nerve was divided in 11.7% of the hands. The mean (SD) cross-sectional areas of the undivided median nerves were not significantly different on either sides (8.3 (1.5) mm 2 on the right side and 8.3 (1.4) mm 2 on the left side). The areas of the examined 308 median nerves ranged from 5.0 to 12.8 mm 2 , with the 97.5 centile being 11.1 mm 2. Areas .10.0 mm 2 were found in 10% of the patients. Conclusions: The mean cross-sectional areas of the median nerve in patients with RA were similar to those reported in healthy controls. However, 10% of the patients had values that overlap with areas commonly reported in patients with mild idiopathic CTS.

$Research paper thumbnail of Surgical outcomes of scaphoid fracture osteosynthesis with magnesium screws$

Joint Diseases and Related Surgery, 2021

Objectives This study aims to evaluate the mid-term functional and radiological outcomes of magne... more Objectives This study aims to evaluate the mid-term functional and radiological outcomes of magnesium-based screws in the treatment of scaphoid fractures. Patients and methods Between February 2015 and February 2018, a total of 21 patients (18 males, 3 females; mean age: 28.5±5.8 years; range, 19 to 39 years) with acute scaphoid waist fractures who underwent fracture fixation with biologically degradable magnesium-based compression screws were retrospectively analyzed. Fractures were classified according to the Herbert and Fisher classification. The absence of pain on palpation and painless active range of motion were accepted as the signs of union. Results The mean follow-up was 43.3±5.3 (range, 36 to 52) months. According to the Herbert and Fisher classification, nine patients had type B1 and 12 patients had type B2 scaphoid fractures. Union was achieved in all cases. The mean time to union was 11.2±1.5 (range, 9 to 14) weeks. The mean grip strength, flexion, and extension were 43...

Kafkas Journal of Medical Sciences

$Research paper thumbnail of Comparison of single and double dorsal wires in the extension block technique for mallet fractures$

Medicine, 2021

Mallet fractures are avulsion fractures of the extensor tendon from the distal phalanx base and o... more Mallet fractures are avulsion fractures of the extensor tendon from the distal phalanx base and often occur due to sudden flexion or axial loading. In this study, we aimed to compare the clinical and radiological results of patients treated with single and double dorsal wires from the dorsal in the extension block method. Patients to whom a single wire from dorsal was applied were assigned to Group 1 (n: 22), and those to whom double wires were applied were assigned to Group 2 (n: 23). Surgical treatment was decided for patients with more than 1/3 of the fracture fragment containing the joint surface and volar subluxation. The range of motion of the distal interphalangeal (DIP) joint was measured with a goniometer. The displacement of the fragment was measured before and after surgery on lateral radiographs. The presence of bridging callus formation on anterior-posterior and lateral radiographs was evaluated for a union. There were 30 male (66.7%) and 15 (33.3%) female patients. The...