Erden Erturer | Istanbul Bilim University (original) (raw)
Papers by Erden Erturer
Singapore medical journal, 2009
Tenosynovial giant cell tumours originate from synovial tissues of the joints, tendon sheaths, mu... more Tenosynovial giant cell tumours originate from synovial tissues of the joints, tendon sheaths, mucosal bursas or fibrous tissues adjacent to tendons. Tenosynovial giant cell tumours are rarely intra-articular. We report a giant cell tumour of the tendon sheath arising from the posterior cruciate ligament diagnosed by magnetic resonance imaging and resected arthroscopically in a 54-year-old woman.
SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 2018
The aim of the present study was to present the results of patients with unstable distal radius f... more The aim of the present study was to present the results of patients with unstable distal radius fracture treated with closed reduction and percutaneous fixation followed by application of the Pennig dynamic wrist fixator to allow early wrist motion. Methods: Twenty-five patients diagnosed with distal radius fracture and treated with closed reduction and percutaneous fixation followed by application of a dynamic wrist fixator were included in the study. There were 15 (60%) male and 10 (40%) female patients. The mean age of the patients was 47.32 (20-76) years. The mean period between initial trauma and operation was 8.52 (1-23) days. All patients were allowed active shoulder, elbow, and finger exercises immediately after surgery. Results: Radiological evaluation was performed according to the criteria described by Sarmiento and modified by Lidström. Results were excellent in 12 (46.15%), good in 11 (42.30%), and fair in 3 (11.55%) patients. No patient had poor result. Functional scores were assessed according to the Gartland-Werley classification and modified by Sarmiento. Results were excellent in 14 (56%), good in 8 (32%), and moderate in 3 (12%) patients. Conclusion: Use of the Pennig dynamic wrist fixator in the treatment of unstable distal radius fractures has advantages, such as ease of use, minimal surgical trauma, allowing early rehabilitation, and early return to daily activities as well as increased anatomical and functional results.
Acta Orthop Traumatol Turc, 2004
Joint Bone Spine, 2006
We present a case of polyostotic fibrous dysplasia with limited involvement in thoracic spine and... more We present a case of polyostotic fibrous dysplasia with limited involvement in thoracic spine and adjacent ribs. The patient underwent posterior instrumentation performed between Th3 and Th11 with pedicle screw system, followed by costotransversectomy of 7th and 8th costovertebral junctions and posterior spinal fusion for costal lesions. In the same operation, curettage was done for the lesion in Th6 vertebra and bone grafting and anterior total corpectomy were performed for Th7 and Th8 vertebrae. 360°spinal fusion was done using titanium mesh as strut graft and autogenous rib grafts. Fibrous dysplasia occurs rarely in axial bones than peripheral bones. The cystic lesions in segments of the whole spine should be evaluated for the possibility of fibrous dysplasia with detailed radiographical examination and biopsy.
European Spine Journal, 2010
We retrospectively studied the cases with tuberculous spondylitis of thoracolumbar region with tw... more We retrospectively studied the cases with tuberculous spondylitis of thoracolumbar region with two or more levels of involvement that underwent posterior instrumentation and fusion and anterior fusion with titanium mesh following anterior decompression using simultaneous successive posterior-anterior-posterior surgery. Among all patients with tuberculous spondylitis accompanied by medium or severe kyphosis, 20 patients who underwent simultaneous successive decompression, fusion and instrumentation with posterior-anterior-posterior surgery between 1999 and 2004 were included in the study. Patients were evaluated for fusion formation and neurological and functional status. Kyphosis angles were measured at early and long-term follow-up. Antituberculosis chemotherapy was initiated in all patients and continued for 9 months; initially as quadruple therapy for 3 months, and then as triple therapy. Average follow-up period was 52.7 months (range 37-94). Solid fusion was achieved in all patients. All patients returned to their previous occupation; 75% (15 subjects) with mild pain or no pain and 15% (3 subjects) with major limitations. There were 11 patients with neurological deficit, 9 of these achieved complete neurological recoveries. Regarding kyphosis angle, an average 35.1°correction (84.8%) was obtained in postoperative period (p \ 0.001) and there was no significant correction loss during the follow-up period (p \ 0.05). There were no grafts or instrumentation-related stabilization problems. In subjects with tuberculous spondylitis with involvements at two or more levels accompanied by medium and severe kyphosis, decompression, fusion and instrumentation by simultaneous successive posterior-anterior-posterior surgery is an effective and safe management method for effective kyphosis correction with high fusion rates.
Acta Orthop Traumatol …, 2004
... Üç-dört aydr sa¤ dizinden bafllayan, ayak bile¤ine ka-dar yaylan a¤r ve ayak bile¤ini kald... more ... Üç-dört aydr sa¤ dizinden bafllayan, ayak bile¤ine ka-dar yaylan a¤r ve ayak bile¤ini kaldramamadan yaknmakta idi. ... uzanan 2x2x2 cm boyutlarnda, yumuflak, a¤rl, ha-reketsiz kitle saptand (fiekil 1). Hasta desteksiz yü-rüyebiliyor, ancak sa¤ aya¤n ekinizm pozisyonun ...
Turkiye Klinikleri Journal of Surgical Medical Sciences, 2007
Revue du Rhumatisme, 2006
The Journal of the American Academy of Orthopaedic Surgeons, Jan 27, 2017
The aim of this prospective randomized study was to compare the traction table and lateral decubi... more The aim of this prospective randomized study was to compare the traction table and lateral decubitus position techniques in the management of unstable intertrochanteric fractures. Eighty-two patients with unstable intertrochanteric fractures between 2011 and 2013 were included in this study. All patients were treated surgically with the Proximal Femoral Nail Antirotation implant (DePuy Synthes). Patients were randomized to undergo the procedure in the lateral decubitus position (42 patients) or with the use of a traction table (40 patients). Patients whose procedure was not performed entirely with a semi-invasive method or who required the use of additional fixation materials, such as cables, were excluded from the study. The groups were compared on the basis of the setup time, surgical time, fluoroscopic exposure time, tip-to-apex distance, collodiaphyseal angle, and modified Baumgaertner criteria for radiologic reduction. The setup time, surgical time, and fluoroscopic exposure ti...
Acta Orthopaedica Et Traumatologica Turcica, Feb 1, 2002
We evaluated the long-term results of olecranon fractures treated with tension-band wiring (Zuggu... more We evaluated the long-term results of olecranon fractures treated with tension-band wiring (Zuggurtung) technique. The study included 41 patients (28 males, 13 females; mean age 48 years; range 20 to 85 years) who underwent tension-band wiring osteosynthesis for olecranon fractures. The involved side was the right in 25 patients, and the left in 16 patients. Associated bone and soft-tissue injuries were detected in 16 patients. There were open fractures of Gustilo type 1 in two patients, and type 2 in one patient. The fractures were classified according to the Schatzker's system, and the results according to the Murphy's system. The mean follow-up was 46.7 months (range 12 to 141 months). Complete union was obtained in all fractures. According to the Murphy's system, the results were very good and good in 31 patients (75.6%), fair in five patients (12.2%), and poor in five patients (12.2%). It was obvious that fracture type and accompanying trauma had influenced the treatment results. Of open fractures, the results were poor in two patients, and fair in one patient. Of 10 patients with a fair or poor outcome, eight patients had accompanying bone injuries. Complications included migration of the K-wire in two patients, and irritation related to K-wires in four patients. Osteosynthesis with tension-band wiring technique in olecranon fractures offers considerable advantages: a stable fixation is obtained at a very low cost, development of joint stiffness is avoided by early elbow range of motion, and minimal joint stiffness seen in the long term does not present as a functional disability.
![Research paper thumbnail of [Radiographic and functional results of osteosynthesis with locked intramedulary nailing of subtrochanteric fractures of the femur]](https://attachments.academia-assets.com/74251350/thumbnails/1.jpg)
](Acta Orthopaedica Et Traumatologica Turcica, Feb 1, 2004
Acta Orthopaedica Et Traumatologica Turcica, 2010
We evaluated the functional and radiographic results of patients treated with open reduction and ... more We evaluated the functional and radiographic results of patients treated with open reduction and screw or K-wire fixation for isolated Mason type II radial head fractures. Methods: The study included 21 patients (14 men, 7 women; mean age 36 years; range 25 to 58 years) who were treated with open reduction followed by mini screw (n=11) or K-wire (n=10) fixation for isolated type II radial head fractures. Functional results were evaluated using the modified Morrey functional rating index. Radiographically, osteoarthritis or heterotopic ossification were investigated. The mean follow-up was 30.5 months for K-wire fixation, and 32.1 months for screw fixation. Results: Union was achieved in all the patients, within a mean of 6.2 weeks with screw fixation, and 5.8 weeks with K-wire fixation. The range of motion of elbow flexion-extension and pronation-supination were 131.4° and 144.4° with screw fixation, and 127.5° and 146.5° with K-wire fixation, respectively. The mean Morrey index was 94.5 (range 73 to 100) with screw fixation, yielding excellent or good results in 10 patients. One patient whose result was fair had a 2-mm step-off on the joint surface, resulting in osteoarthritis. The mean Morrey index was 92.1 (range 73 to 100) in the K-wire group, with excellent or good results in nine patients, and fair in one patient. All the patients returned to preinjury work in a mean of 11.7 weeks and 12.5 weeks in screw and K-wire groups, respectively. Heterotopic ossification was not observed. The two fixation groups were similar with respect to union time, joint range of motion, Morrey score, and time to return to work (p>0.05). Conclusion: Our results suggest that both methods provide sufficient fixation resulting in similar functional results in isolated type II radial head fractures.
Spine Deformity, 2016
To compare the functional outcomes of patients with idiopathic scoliosis who had surgical correct... more To compare the functional outcomes of patients with idiopathic scoliosis who had surgical correction and fusion with all pedicle screw construct down to L3 or L4 and to evaluate whether saving a mobile lumbar motion segment distally would demonstrate any difference in terms of disc degeneration (DD) and facet joint degeneration (FJD) after minimum 5 years follow-up. Selection of lowest instrumented vertebra (LIV) is often difficult when lumbar curve was included into the fusion (L3 vs L4). Saving L4 is believed to be beneficial for preserving motion and preventing degeneration of unfused lumbar spine. The L3 group included 21 patients (mean age of 21.4) and L4 group included 16 patients (mean age 22.9). Control group included 30 healthy individuals with no spinal deformities (mean age of 23.8). Follow-up lumbar magnetic resonance images (MRIs) were evaluated for each patient in terms of DD and FJD. Clinical evaluation was done by using the Scoliosis Research Society-22r, Oswestry Disability Index, and Numeric Rating Scale. Mean follow-up period was 7.4 (5-10) years in the L3 group and 9 (5-17) years in L4 group. Average correction rates for lumbar curve magnitudes were 78% in the L3 group and 79% in the L4 group, with no significant correction loss at the final follow-up. There was no statistical difference for DD in all groups (p > .05). FJD was significantly greater in both L3 and L4 groups compared to the control group (p < .001). Clinical outcome scores were similar among all three groups (p > .05). Spinal balance and corrections remained stable, without showing any decompensation over time. This midterm MRI study demonstrated similar disc and facet degeneration rates for L3 and L4 groups. FJD at the upper two levels adjacent to the LIV was significant for both surgically treated groups. Clinical outcome scores were similar for all groups at minimum 5 years follow-up.
The Spine Journal, 2006
BACKGROUND CONTEXT: Brucellosis can affect the musculoskeletal system, and bony involvement range... more BACKGROUND CONTEXT: Brucellosis can affect the musculoskeletal system, and bony involvement ranges from 2% to 70% in the literature. Spinal brucellosis is generally localized to the sacroiliac region; thoracic brucellosis is rarely seen. PURPOSE: To present a case with noncontiguous multilevel thoracic brucellosis with spinal cord compression. STUDY DESIGN: Case report. METHODS: The patient underwent aggressive surgical debridement (posterior decompression, fusion and stabilization, and two noncontiguous level anterior corpectomy and fusion procedures with titanium mesh cages). RESULTS: At the latest follow-up of 2 years, her clinical, radiological, and laboratory examination showed no recurrence of infection. The neurological examination was completely normal. CONCLUSION: Early aggressive debridement and stabilization together with medical treatment, especially in the elderly and immunocompromised patients, would be the most beneficial treatment for eradication of pathology.
Clinical Rheumatology, 2009
Osteopoikilosis is a rare, usually asymptomatic, autosomal dominant bone disorder, which is usual... more Osteopoikilosis is a rare, usually asymptomatic, autosomal dominant bone disorder, which is usually found incidentally on X-ray. Klippel-Feil syndrome is a rare disorder characterized by the congenital fusion of any two of the seven cervical (neck) vertebrae. It is caused by a failure in the normal segmentation or division of the cervical vertebrae during the early weeks of fetal development. In this case report, we describe a woman with osteopoikilosis associated with type 2 Klippel-Feil syndrome. Additionally, four female members of her family had osteopoikilosis. We state that possible syndromes that can go with osteopoikilosis must be kept in mind in case of an incidental diagnosis in daily practice.
The Medical Journal of Goztepe Training and Research Hospital, 2013
SUMMARY With this paper, we presented our study series on modified open carpal tunnel decompressi... more SUMMARY With this paper, we presented our study series on modified open carpal tunnel decompression operation with mini incision, not crossing the wrist line, performed in three centers between 2000-2004. Regional wrist anesthesia was used in all patients. The ...
acta orthopaedica et traumatologica turcica
Amaç: ‹zole distal radyoulnar instabilite, travma sonras›nda lezyonun saptanma zorlu¤u nedeni ile... more Amaç: ‹zole distal radyoulnar instabilite, travma sonras›nda lezyonun saptanma zorlu¤u nedeni ile daha s›kl›kla ilerleyen dönemlerde kronik problemler olarak karfl›m›za ç›kmaktad›r. Bu çal›flmada Fulkerson-Watson ekstraartiküler ligaman rekonstrüksiyon tekni¤i ile distal radyoulnar eklem stabilizasyonu yap›lm›fl hastalar›n erken dönem sonuçlar›n› sunuyoruz. Çal›flma plan›: Radyografi ve manyetik rezonans görüntülerinde (MRG) kronik izole distal radyoulnar eklem instabilitesi saptanan 4 bayan 1 erkek hasta opere edildi. Artroskopik inceleme son-ras› 3 hastada 'triangüler fibrokartilaj kompleksi'nin (TFKK) radial ba¤lanma yerinden ayr›ld›¤›, 2 hastada periferik y›rt›k oldu¤u saptand›. Periferik y›rt›klar artroskopik olarak debride edildi. Sigmoid oyu¤un yeterli oldu¤u tespit edilen hastalara Fulkerson-Watson tekni¤i ile ligaman rekonstrüksiyonu uyguland›. Postoperatif de¤erlendirmeler MRG ile yap›ld›. Bulgular: Hastalar›n ortalama takip süresi 15.5 (6-26) ayd›. Tüm hastalarda distal radyoulnar eklem (DRUE) stabilitesi sa¤lanm›flt›r. Ameliyat öncesi Quick-DASH semptom skorlamas› ortalama 18.63 (15.90-22.72 aras›) iken, ameliyat sonras› 6.81 (2.27-9.09 aras›) saptand›. Ameliyat öncesi görsel analog skala (VAS) ortalama 7.32 (6.30-8.40 aras›) iken, ameliyat sonras› 1.88 (1.50-2.30 aras›) olarak bulundu. Ameliyat öncesi supinasyon de¤eri ortalama aktif 26°(pasif 44°)'den ameliyat sonras› ortalama aktif 47°(pasif 65°)'ye, ameliyat öncesi pronasyon de¤eri ortalama aktif 18°(pasif 45°)'den ameliyat sonras› ortalama aktif 49°(pasif 68°)'ye, ameliyat öncesi el bile¤i fleksiyonu ortalama aktif 20°(pasif 43°)'den ameliyat sonras› ortalama aktif 42°(pasif 60°)'ye ve ameliyat öncesi el bile¤i ekstansiyonu ortalama aktif 38°(pasif 52°)'den ameliyat sonras› ortalama aktif 45°(pasif 59°)'ye yükseldi. Ç›kar›mlar: Sigmoid oyu¤un yeterli oldu¤u olgularda, Fulkerson-Watson taraf›ndan tan›mlanan ameliyat tekni¤i intraartiküler tekniklere göre daha kolay uygulanabilen ve DRUE stabilitesinin sa¤lanmas›nda tatminkar sonuçlar al›nabilen bir tekniktir.
Singapore medical journal, 2009
Tenosynovial giant cell tumours originate from synovial tissues of the joints, tendon sheaths, mu... more Tenosynovial giant cell tumours originate from synovial tissues of the joints, tendon sheaths, mucosal bursas or fibrous tissues adjacent to tendons. Tenosynovial giant cell tumours are rarely intra-articular. We report a giant cell tumour of the tendon sheath arising from the posterior cruciate ligament diagnosed by magnetic resonance imaging and resected arthroscopically in a 54-year-old woman.
SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital, 2018
The aim of the present study was to present the results of patients with unstable distal radius f... more The aim of the present study was to present the results of patients with unstable distal radius fracture treated with closed reduction and percutaneous fixation followed by application of the Pennig dynamic wrist fixator to allow early wrist motion. Methods: Twenty-five patients diagnosed with distal radius fracture and treated with closed reduction and percutaneous fixation followed by application of a dynamic wrist fixator were included in the study. There were 15 (60%) male and 10 (40%) female patients. The mean age of the patients was 47.32 (20-76) years. The mean period between initial trauma and operation was 8.52 (1-23) days. All patients were allowed active shoulder, elbow, and finger exercises immediately after surgery. Results: Radiological evaluation was performed according to the criteria described by Sarmiento and modified by Lidström. Results were excellent in 12 (46.15%), good in 11 (42.30%), and fair in 3 (11.55%) patients. No patient had poor result. Functional scores were assessed according to the Gartland-Werley classification and modified by Sarmiento. Results were excellent in 14 (56%), good in 8 (32%), and moderate in 3 (12%) patients. Conclusion: Use of the Pennig dynamic wrist fixator in the treatment of unstable distal radius fractures has advantages, such as ease of use, minimal surgical trauma, allowing early rehabilitation, and early return to daily activities as well as increased anatomical and functional results.
Acta Orthop Traumatol Turc, 2004
Joint Bone Spine, 2006
We present a case of polyostotic fibrous dysplasia with limited involvement in thoracic spine and... more We present a case of polyostotic fibrous dysplasia with limited involvement in thoracic spine and adjacent ribs. The patient underwent posterior instrumentation performed between Th3 and Th11 with pedicle screw system, followed by costotransversectomy of 7th and 8th costovertebral junctions and posterior spinal fusion for costal lesions. In the same operation, curettage was done for the lesion in Th6 vertebra and bone grafting and anterior total corpectomy were performed for Th7 and Th8 vertebrae. 360°spinal fusion was done using titanium mesh as strut graft and autogenous rib grafts. Fibrous dysplasia occurs rarely in axial bones than peripheral bones. The cystic lesions in segments of the whole spine should be evaluated for the possibility of fibrous dysplasia with detailed radiographical examination and biopsy.
European Spine Journal, 2010
We retrospectively studied the cases with tuberculous spondylitis of thoracolumbar region with tw... more We retrospectively studied the cases with tuberculous spondylitis of thoracolumbar region with two or more levels of involvement that underwent posterior instrumentation and fusion and anterior fusion with titanium mesh following anterior decompression using simultaneous successive posterior-anterior-posterior surgery. Among all patients with tuberculous spondylitis accompanied by medium or severe kyphosis, 20 patients who underwent simultaneous successive decompression, fusion and instrumentation with posterior-anterior-posterior surgery between 1999 and 2004 were included in the study. Patients were evaluated for fusion formation and neurological and functional status. Kyphosis angles were measured at early and long-term follow-up. Antituberculosis chemotherapy was initiated in all patients and continued for 9 months; initially as quadruple therapy for 3 months, and then as triple therapy. Average follow-up period was 52.7 months (range 37-94). Solid fusion was achieved in all patients. All patients returned to their previous occupation; 75% (15 subjects) with mild pain or no pain and 15% (3 subjects) with major limitations. There were 11 patients with neurological deficit, 9 of these achieved complete neurological recoveries. Regarding kyphosis angle, an average 35.1°correction (84.8%) was obtained in postoperative period (p \ 0.001) and there was no significant correction loss during the follow-up period (p \ 0.05). There were no grafts or instrumentation-related stabilization problems. In subjects with tuberculous spondylitis with involvements at two or more levels accompanied by medium and severe kyphosis, decompression, fusion and instrumentation by simultaneous successive posterior-anterior-posterior surgery is an effective and safe management method for effective kyphosis correction with high fusion rates.
Acta Orthop Traumatol …, 2004
... Üç-dört aydr sa¤ dizinden bafllayan, ayak bile¤ine ka-dar yaylan a¤r ve ayak bile¤ini kald... more ... Üç-dört aydr sa¤ dizinden bafllayan, ayak bile¤ine ka-dar yaylan a¤r ve ayak bile¤ini kaldramamadan yaknmakta idi. ... uzanan 2x2x2 cm boyutlarnda, yumuflak, a¤rl, ha-reketsiz kitle saptand (fiekil 1). Hasta desteksiz yü-rüyebiliyor, ancak sa¤ aya¤n ekinizm pozisyonun ...
Turkiye Klinikleri Journal of Surgical Medical Sciences, 2007
Revue du Rhumatisme, 2006
The Journal of the American Academy of Orthopaedic Surgeons, Jan 27, 2017
The aim of this prospective randomized study was to compare the traction table and lateral decubi... more The aim of this prospective randomized study was to compare the traction table and lateral decubitus position techniques in the management of unstable intertrochanteric fractures. Eighty-two patients with unstable intertrochanteric fractures between 2011 and 2013 were included in this study. All patients were treated surgically with the Proximal Femoral Nail Antirotation implant (DePuy Synthes). Patients were randomized to undergo the procedure in the lateral decubitus position (42 patients) or with the use of a traction table (40 patients). Patients whose procedure was not performed entirely with a semi-invasive method or who required the use of additional fixation materials, such as cables, were excluded from the study. The groups were compared on the basis of the setup time, surgical time, fluoroscopic exposure time, tip-to-apex distance, collodiaphyseal angle, and modified Baumgaertner criteria for radiologic reduction. The setup time, surgical time, and fluoroscopic exposure ti...
Acta Orthopaedica Et Traumatologica Turcica, Feb 1, 2002
We evaluated the long-term results of olecranon fractures treated with tension-band wiring (Zuggu... more We evaluated the long-term results of olecranon fractures treated with tension-band wiring (Zuggurtung) technique. The study included 41 patients (28 males, 13 females; mean age 48 years; range 20 to 85 years) who underwent tension-band wiring osteosynthesis for olecranon fractures. The involved side was the right in 25 patients, and the left in 16 patients. Associated bone and soft-tissue injuries were detected in 16 patients. There were open fractures of Gustilo type 1 in two patients, and type 2 in one patient. The fractures were classified according to the Schatzker's system, and the results according to the Murphy's system. The mean follow-up was 46.7 months (range 12 to 141 months). Complete union was obtained in all fractures. According to the Murphy's system, the results were very good and good in 31 patients (75.6%), fair in five patients (12.2%), and poor in five patients (12.2%). It was obvious that fracture type and accompanying trauma had influenced the treatment results. Of open fractures, the results were poor in two patients, and fair in one patient. Of 10 patients with a fair or poor outcome, eight patients had accompanying bone injuries. Complications included migration of the K-wire in two patients, and irritation related to K-wires in four patients. Osteosynthesis with tension-band wiring technique in olecranon fractures offers considerable advantages: a stable fixation is obtained at a very low cost, development of joint stiffness is avoided by early elbow range of motion, and minimal joint stiffness seen in the long term does not present as a functional disability.
Acta Orthopaedica Et Traumatologica Turcica, Feb 1, 2004
Acta Orthopaedica Et Traumatologica Turcica, 2010
We evaluated the functional and radiographic results of patients treated with open reduction and ... more We evaluated the functional and radiographic results of patients treated with open reduction and screw or K-wire fixation for isolated Mason type II radial head fractures. Methods: The study included 21 patients (14 men, 7 women; mean age 36 years; range 25 to 58 years) who were treated with open reduction followed by mini screw (n=11) or K-wire (n=10) fixation for isolated type II radial head fractures. Functional results were evaluated using the modified Morrey functional rating index. Radiographically, osteoarthritis or heterotopic ossification were investigated. The mean follow-up was 30.5 months for K-wire fixation, and 32.1 months for screw fixation. Results: Union was achieved in all the patients, within a mean of 6.2 weeks with screw fixation, and 5.8 weeks with K-wire fixation. The range of motion of elbow flexion-extension and pronation-supination were 131.4° and 144.4° with screw fixation, and 127.5° and 146.5° with K-wire fixation, respectively. The mean Morrey index was 94.5 (range 73 to 100) with screw fixation, yielding excellent or good results in 10 patients. One patient whose result was fair had a 2-mm step-off on the joint surface, resulting in osteoarthritis. The mean Morrey index was 92.1 (range 73 to 100) in the K-wire group, with excellent or good results in nine patients, and fair in one patient. All the patients returned to preinjury work in a mean of 11.7 weeks and 12.5 weeks in screw and K-wire groups, respectively. Heterotopic ossification was not observed. The two fixation groups were similar with respect to union time, joint range of motion, Morrey score, and time to return to work (p>0.05). Conclusion: Our results suggest that both methods provide sufficient fixation resulting in similar functional results in isolated type II radial head fractures.
Spine Deformity, 2016
To compare the functional outcomes of patients with idiopathic scoliosis who had surgical correct... more To compare the functional outcomes of patients with idiopathic scoliosis who had surgical correction and fusion with all pedicle screw construct down to L3 or L4 and to evaluate whether saving a mobile lumbar motion segment distally would demonstrate any difference in terms of disc degeneration (DD) and facet joint degeneration (FJD) after minimum 5 years follow-up. Selection of lowest instrumented vertebra (LIV) is often difficult when lumbar curve was included into the fusion (L3 vs L4). Saving L4 is believed to be beneficial for preserving motion and preventing degeneration of unfused lumbar spine. The L3 group included 21 patients (mean age of 21.4) and L4 group included 16 patients (mean age 22.9). Control group included 30 healthy individuals with no spinal deformities (mean age of 23.8). Follow-up lumbar magnetic resonance images (MRIs) were evaluated for each patient in terms of DD and FJD. Clinical evaluation was done by using the Scoliosis Research Society-22r, Oswestry Disability Index, and Numeric Rating Scale. Mean follow-up period was 7.4 (5-10) years in the L3 group and 9 (5-17) years in L4 group. Average correction rates for lumbar curve magnitudes were 78% in the L3 group and 79% in the L4 group, with no significant correction loss at the final follow-up. There was no statistical difference for DD in all groups (p > .05). FJD was significantly greater in both L3 and L4 groups compared to the control group (p < .001). Clinical outcome scores were similar among all three groups (p > .05). Spinal balance and corrections remained stable, without showing any decompensation over time. This midterm MRI study demonstrated similar disc and facet degeneration rates for L3 and L4 groups. FJD at the upper two levels adjacent to the LIV was significant for both surgically treated groups. Clinical outcome scores were similar for all groups at minimum 5 years follow-up.
The Spine Journal, 2006
BACKGROUND CONTEXT: Brucellosis can affect the musculoskeletal system, and bony involvement range... more BACKGROUND CONTEXT: Brucellosis can affect the musculoskeletal system, and bony involvement ranges from 2% to 70% in the literature. Spinal brucellosis is generally localized to the sacroiliac region; thoracic brucellosis is rarely seen. PURPOSE: To present a case with noncontiguous multilevel thoracic brucellosis with spinal cord compression. STUDY DESIGN: Case report. METHODS: The patient underwent aggressive surgical debridement (posterior decompression, fusion and stabilization, and two noncontiguous level anterior corpectomy and fusion procedures with titanium mesh cages). RESULTS: At the latest follow-up of 2 years, her clinical, radiological, and laboratory examination showed no recurrence of infection. The neurological examination was completely normal. CONCLUSION: Early aggressive debridement and stabilization together with medical treatment, especially in the elderly and immunocompromised patients, would be the most beneficial treatment for eradication of pathology.
Clinical Rheumatology, 2009
Osteopoikilosis is a rare, usually asymptomatic, autosomal dominant bone disorder, which is usual... more Osteopoikilosis is a rare, usually asymptomatic, autosomal dominant bone disorder, which is usually found incidentally on X-ray. Klippel-Feil syndrome is a rare disorder characterized by the congenital fusion of any two of the seven cervical (neck) vertebrae. It is caused by a failure in the normal segmentation or division of the cervical vertebrae during the early weeks of fetal development. In this case report, we describe a woman with osteopoikilosis associated with type 2 Klippel-Feil syndrome. Additionally, four female members of her family had osteopoikilosis. We state that possible syndromes that can go with osteopoikilosis must be kept in mind in case of an incidental diagnosis in daily practice.
The Medical Journal of Goztepe Training and Research Hospital, 2013
SUMMARY With this paper, we presented our study series on modified open carpal tunnel decompressi... more SUMMARY With this paper, we presented our study series on modified open carpal tunnel decompression operation with mini incision, not crossing the wrist line, performed in three centers between 2000-2004. Regional wrist anesthesia was used in all patients. The ...
acta orthopaedica et traumatologica turcica
Amaç: ‹zole distal radyoulnar instabilite, travma sonras›nda lezyonun saptanma zorlu¤u nedeni ile... more Amaç: ‹zole distal radyoulnar instabilite, travma sonras›nda lezyonun saptanma zorlu¤u nedeni ile daha s›kl›kla ilerleyen dönemlerde kronik problemler olarak karfl›m›za ç›kmaktad›r. Bu çal›flmada Fulkerson-Watson ekstraartiküler ligaman rekonstrüksiyon tekni¤i ile distal radyoulnar eklem stabilizasyonu yap›lm›fl hastalar›n erken dönem sonuçlar›n› sunuyoruz. Çal›flma plan›: Radyografi ve manyetik rezonans görüntülerinde (MRG) kronik izole distal radyoulnar eklem instabilitesi saptanan 4 bayan 1 erkek hasta opere edildi. Artroskopik inceleme son-ras› 3 hastada 'triangüler fibrokartilaj kompleksi'nin (TFKK) radial ba¤lanma yerinden ayr›ld›¤›, 2 hastada periferik y›rt›k oldu¤u saptand›. Periferik y›rt›klar artroskopik olarak debride edildi. Sigmoid oyu¤un yeterli oldu¤u tespit edilen hastalara Fulkerson-Watson tekni¤i ile ligaman rekonstrüksiyonu uyguland›. Postoperatif de¤erlendirmeler MRG ile yap›ld›. Bulgular: Hastalar›n ortalama takip süresi 15.5 (6-26) ayd›. Tüm hastalarda distal radyoulnar eklem (DRUE) stabilitesi sa¤lanm›flt›r. Ameliyat öncesi Quick-DASH semptom skorlamas› ortalama 18.63 (15.90-22.72 aras›) iken, ameliyat sonras› 6.81 (2.27-9.09 aras›) saptand›. Ameliyat öncesi görsel analog skala (VAS) ortalama 7.32 (6.30-8.40 aras›) iken, ameliyat sonras› 1.88 (1.50-2.30 aras›) olarak bulundu. Ameliyat öncesi supinasyon de¤eri ortalama aktif 26°(pasif 44°)'den ameliyat sonras› ortalama aktif 47°(pasif 65°)'ye, ameliyat öncesi pronasyon de¤eri ortalama aktif 18°(pasif 45°)'den ameliyat sonras› ortalama aktif 49°(pasif 68°)'ye, ameliyat öncesi el bile¤i fleksiyonu ortalama aktif 20°(pasif 43°)'den ameliyat sonras› ortalama aktif 42°(pasif 60°)'ye ve ameliyat öncesi el bile¤i ekstansiyonu ortalama aktif 38°(pasif 52°)'den ameliyat sonras› ortalama aktif 45°(pasif 59°)'ye yükseldi. Ç›kar›mlar: Sigmoid oyu¤un yeterli oldu¤u olgularda, Fulkerson-Watson taraf›ndan tan›mlanan ameliyat tekni¤i intraartiküler tekniklere göre daha kolay uygulanabilen ve DRUE stabilitesinin sa¤lanmas›nda tatminkar sonuçlar al›nabilen bir tekniktir.