Filtreler
Ayırıcı tanıda düşünülmesi gereken bir anomali: Pelvik kaburga

Keser, Selçuk | Bayar, Ahmet | Savranlar, Ahmet

Article | 2003 | Acta Orthopaedica et Traumatologica Turcica37 ( 5 ) , pp.414 - 416

Kalça ağrısı ile başvuran 44 yaşında bir erkek hastanın pelvis radyografisinde tesadüfi olarak pelvik kaburga saptandı. Kemik kitlenin sınırlarını daha iyi görebilmek için bilgisayarlı tomografi görüntülerinin üç boyutlu rekonstrüksiyonu alındı. Pelvis etrafında atipik bir kemik yapı görüldüğünde bu gelişimsel anomalinin de akılda tutulması, gereksiz tetkikler ve tedaviyi önlemede yardımcı olabilir. Pelvic digit was incidentally detected on plain pelvis radiography of a 44-year-old male patient who presented with right-sided hip pain. Three-dimensional reconstruction of computed tomography scans provided a more clear illustration of . . . the anatomy and localization of this anomaly. To avoid unnecessary investigation methods and treatment, this entity should be kept in mind when an atypical bone structure is noted around the pelvis Daha fazlası Daha az

Parosteal lipoma as a rare cause of peripheral neuropathy and local irritation: A report of 12 cases

Basarir, Kerem | Sahin, Ercan | Kalem, Mahmut | Karacac, Mustafa Onur | Yildiza, Yusuf | Saglik, Yener

Article | 2017 | Acta Orthopaedica et Traumatologica Turcica51 ( 6 ) , pp.474 - 477

Objective: The aim of this study was to evaluate the clinical features and functional results of patientswith parosteal lipomas.Methods: A total of 12 patients (8 females and 4 males; mean age: 45 (10e62) years) with parosteallipomas who were treated between April 1986 and April 2014, were included into the study. The medicalrecords of the patients were reviewed to analyze the clinical features and functional results of thepatients.Results: Of the 12 lipomas, 5 were localized in the proximal arm, 4 in the forearm, 1 in the distal arm, 1 inthe distal thigh and 1 in the distal tibia. All patients presented with a progressive, slow-gro . . .wing massthat was associated with thumb extension weakness in 1 case, and brachialgia-like symptoms in 1 case.Plain radiographs showed a juxtacortical mass in all cases and irregular ossiŞcation in 3 cases. In all cases,marginal excision was performed and no clinical recurrence was observed after a mean follow-up of 16months.Conclusion: Parosteal lipomas are uncommon tumors that can be diagnosed with their characteristicradiological features. Parosteal lipomas occurring in the proximal radius may easily cause paralysis of theposterior interosseous nerve or muscle weakness.Level of Evidence: Level IV, Therapeutic study. Objective: The aim of this study was to evaluate the clinical features and functional results of patientswith parosteal lipomas.Methods: A total of 12 patients (8 females and 4 males; mean age: 45 (10e62) years) with parosteallipomas who were treated between April 1986 and April 2014, were included into the study. The medicalrecords of the patients were reviewed to analyze the clinical features and functional results of thepatients.Results: Of the 12 lipomas, 5 were localized in the proximal arm, 4 in the forearm, 1 in the distal arm, 1 inthe distal thigh and 1 in the distal tibia. All patients presented with a progressive, slow-growing massthat was associated with thumb extension weakness in 1 case, and brachialgia-like symptoms in 1 case.Plain radiographs showed a juxtacortical mass in all cases and irregular ossiŞcation in 3 cases. In all cases,marginal excision was performed and no clinical recurrence was observed after a mean follow-up of 16months.Conclusion: Parosteal lipomas are uncommon tumors that can be diagnosed with their characteristicradiological features. Parosteal lipomas occurring in the proximal radius may easily cause paralysis of theposterior interosseous nerve or muscle weakness.Level of Evidence: Level IV, Therapeutic study Daha fazlası Daha az

Kalsifiye aponörotik fibrom: Olgu sunumu

Onak-kandemir, Nilüfer | Ege-gül, Aylin | Karadayı, Nimet

Article | 2008 | Acta Orthopaedica et Traumatologica Turcica42 ( 2 ) , pp.145 - 147

Kalsifiye aponörotik fibrom nadir rastlanan, histopatolojik özellikleri iyi tanımlanmış, benign fibröz bir tümördür. Genellikle çocuk ve gençlerde distal ekstremitelerde görülür. Yirmi üç yaşında erkek hastada sol el palmar yüzde yaklaşık beş yıldır var olan ağrısız serbest yumuşak doku kitlesi cerrahi olarak çıkarıldı. Histopatolojik incelemede kalsifikasyon ve kondroid metaplazi alanlarını çevreleyen fibroblastik proliferasyon alanları ve yoğun kollajenöz stroma izlendi. Lezyona kalsifiye aponörotik fibrom tanısı kondu. Hastanın bir yıllık izleminde nüks görülmedi. Calcified aponeurotic fibroma is a rare benign fibrous tumor with . . .well-characterized histopathologic features. It is usually seen in distal extremities of children and youngsters. A 23-year-old male patient underwent surgical excision of a free, painless soft tissue mass that developed in the palmar aspect of the left hand. Histopathologic examination showed fibroblastic proliferation areas and dense collagenous stroma surrounding calcifications and chondroid metaplasia. The diagnosis was made as calcified aponeurotic fibroma. No recurrences were detected within a year follow-up Daha fazlası Daha az

Comparison between locked intramedullary nailing and anatomical locking plating in the treatment of displaced clavicular midshaft fractures

Zehir S. | Çalbiyik M. | Sahin E. | Ipek D.

Article | 2016 | Acta Orthopaedica et Traumatologica Turcica50 ( 3 ) , pp.291 - 297

Objective: The aim of this study was to compare the results of expandable flexible locked intramedullary nailing and anatomical locking plating in clavicular midshaft fractures. Methods: Thirty-three patients (21 male, 12 female) who had displaced fractures and at least 2-cm shortening fixed with expandable flexible locked intramedullary nailing and 38 patients (24 male, 14 female) who underwent anatomical locking plating were recruited. Duration of surgery, incision size, duration of hospital stay, union time, and early and late complications were compared between the groups. Functional results were compared with Constant scoring s . . .ystem. Results: Mean duration of surgery was 32.4±9.1 minutes (range: 20-42 minutes) in the nailing group and 54.1±11.9 minutes (range: 42-70 minutes) in the plating group. The incision was 4.1±0.9 cm (range: 3-5 cm) in the nailing group and 9.5±1.7 cm (range: 7-12 cm) in the plating group. Mean union time was 14.8 weeks (range: 10-24 weeks) in the nailing group and 21.3 weeks (range: 12-33 weeks) in the plating group. Mean duration of hospital stay was 3.6±1.1 days (range: 2-4 days) in the plating group, whereas it was 2.3±0.8 days (range: 1-3 days) in the nailing group. In the plating group, an average of 2.7-mm (range: 0-7 mm) shortening was determined in the clavicles that underwent surgery as compared to the intact clavicles, whereas shortening was 2.3 mm (range: 0-6 mm) in the nailing group. Conclusion: Expandable flexible locked intramedullary nailing can provide more successful outcomes than plating in displaced clavicular midshaft fractures, due to advantages such as shorter union time, lower complication rate, and better cosmetic outcomes. © 2016 Turkish Association of Orthopaedics and Traumatology Daha fazlası Daha az

Bonesetter interventions and consequences

Zehir S. | Zehir R. | Şahin E. | Akgül T. | Zehir S. | Subaşi M.

Article | 2015 | Acta Orthopaedica et Traumatologica Turcica49 ( 4 ) , pp.416 - 420

Objective: Delaying the treatment of bone and tendon injuries may cause unmanageable complications. Bonesetters continue to cause delays in treatment. The purpose of this study was to analyze the medical outcomes of delay due to bonesetter intervention and factors affecting patient treatment preference. Methods: Among outpatients treated at our clinic between January 2010-December 2012, bonesetter- intervened patients were included, and patient demographics, clinical outcomes, and possible social factors were retrospectively analyzed. Clinical examinations and radiological screening measurements were used to evaluate outcomes. Resul . . .ts: Of the 162 patients, 97 (59.8%) were male, and mean age was 27.5±9.4 years. Eighty-nine (54.9%) of the patients lived in a rural area, and 108 (66.7%) underwent surgery. Bonesetter preference was dictated primarily by elderly relatives (47.6%) or neighbors (33.3%). Patients with a primary school education and unemployed patients mostly preferred bonesetters (p=0.03 and Daha fazlası Daha az

Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries

Zehir S. | Elmali N. | Sahin E. | Çalbiyik M. | Karakaplan M. | Tasdemir Z.

Article | 2015 | Acta Orthopaedica et Traumatologica Turcica49 ( 6 ) , pp.579 - 585

Objective: The aim of this study is to report our institution's experience regarding the use of open tibial inlay technique in patients undergoing single-stage combined posterior cruciate ligament (PCL) reconstruction. Methods: Records of 17 patients who underwent PCL reconstruction with tibial inlay technique were retrospectively reviewed. Patients with ipsilateral femoral or tibial osteochondral avulsion fractures or ipsilateral concomitant tibia and femur shaft fractures were excluded. Out of these 17 patients, six cases underwent anterior cruciate ligament (ACL) + PCL reconstruction, nine cases underwent ACL+ PCL + posterolatera . . .l corner reconstruction, one case underwent ACL + PCL + MCL reconstruction and one case underwent ACL+ PCL + posterolateral corner + MCL reconstruction. Mean follow-up was 14.27±6.77 (range: 6-30) months. Results: In preoperative assessments, all patients had 3+ posterior laxity in posterior drawer test; at final follow-up, 6 patients had 0 laxity, 7 patients had 1+ laxity, and 4 patients had 2+ laxity ( Daha fazlası Daha az

Kapitellum ve radius başı kırığının birlikte görüldüğü nadir bir olgu

Keser, Selçuk | Demirel, Nurettin | Bayar, Ahmet | Ege, Ahmet

Article | 2007 | Acta Orthopaedica et Traumatologica Turcica41 ( 1 ) , pp.69 - 73

Dirsek ekleminde kapitellum ve radius başı kırıklarının beraber bulunması nadir bir durumdur. Otuz altı yaşında bir erkek hasta, düşme sonrasında sağ dirseğinde şişlik, ağrı ve hareket kısıtlılığı yakınmalarıyla başvurdu. Düz radyografi, bilgisayarlı tomografi ve üçboyutlu rekonstrüksiyon incelemelerinde kapitellum ve radius başında ayrılmış, parçalı kırıklar görüldü. Bu kırıklara lateralden açık redüksiyon, kapitellum ve radius başındaki osteokondral parçalara Herbert vidaları ile tespit yapıldı. Hastanın üç yıllık takibinde klinik ve radyografik olarak başarılı sonuç alındığı görüldü. The coexistence of fractures of the capitellum . . . and the radial head in the elbow joint is a rare entity. A 36-year-old man presented with complaints of pain, swelling, and limited range of motion in the right elbow after a fall. Radiography, computed tomography, and three-dimensional reconstruction of computed tomography images revealed displaced and comminuted fractures in the capitellum and the radial head. The fractures were treated with open reduction via a lateral approach and osteochondral fragments were fixed with Herbert screws. Clinical and radiographic results were excellent at the end of a three-year follow-up Daha fazlası Daha az

Effect of intramuscular botulinum toxin-A in a rat rotator cuff repair model: An experimental study

Şahin E. | Kalem M. | Zehir S. | Songur M. | Demirtaş M.

Article | 2015 | Acta Orthopaedica et Traumatologica Turcica49 ( 4 ) , pp.447 - 452

Objective: Rotator cuff repair is associated with multiple complications, significant morbidity, and reintervention, which could be mitigated by postoperative chemodeneveration with botulinum toxin-A (BTX-A). This study evaluated the antinociceptive and paralytic effects of BTX-A on an experimental supraspinatus repair rat model and its effect on functional outcomes (running performance). Methods: Thirty rats were grouped into the surgical repair group (group A), repair + intramuscular BTX-A group (group B), or control group (group C). At the end of the 3-month follow-up, running performance of the rats on a motorized treadmill was . . .evaluated in four time periods (0-30 min, 30-60 min, 60-90 min, and 90-110 min), and penalty points (i.e., number of shock stimuli per lane) were recorded. Afterwards, the supraspinatus muscles were removed and evaluated histologically. Results: Regarding running performance, group B received significantly fewer penalty points than did group A ( Daha fazlası Daha az

Prevalence of untreated hip dislocation in Turkish children aged 6 months to 14 years

Songür M. | Akel I. | Karahan S. | Kuzgun Ü. | Tümer Y.

Article | 2011 | Acta Orthopaedica et Traumatologica Turcica45 ( 4 ) , pp.215 - 220

Objective: In this study, our aim was to determine the prevalence of untreated hip dislocation and subluxation in Turkey. Methods: Pelvic radiographs of 4,947 children, aged between 6 months and 14 years, taken for non-orthopedic purposes were requested from 23 provinces around the country. 3,723 radiographs met the study criteria and were evaluated. Dislocated and subluxated hips were identified according to the relationship of femoral head using Perkin's line and quadrants. Results: Thirty-five hips in 22 children were found to be dislocated or subluxated. The prevalence rate was calculated as 5.9‰. Conclusion: Despite appearing t . . .o have decreased when compared to limited regional prevalence studies, hip dislocation and subluxation prevalence is still unacceptably high. More extensile work should be done to avoid external factors in the etiology of developmental dysplasia of the hip and to organize screening programs in newborns. © 2011 Turkish Association of Orthopaedics and Traumatology Daha fazlası Daha az

İskelet kası iskemi-reperfüzyon hasarının hangi evresinde lokal soğuk uygulaması daha etkilidir?

Ege, Ahmet | Turhan, Ahmet | Bektaş, Sibel | Pamuk, Kamuran | Bayar, Ahmet | Keser, Selcuk

Article | 2008 | Acta Orthopaedica et Traumatologica Turcica42 ( 3 ) , pp.193 - 200

Amaç: Sıçan modelinde lokal hipotermi uygulamasının iskemi-reperfüzyon hasarının farklı evrelerindeki etkileri incelendi. Çalışma planı: Grasilis kası iskemi-reperfüzyon modeli için, her birinde altı sıçan olan dört grup oluşturuldu. Femoral arterin altı saat süreyle klemplenmesiyle iskemik hasar oluşturulan kaslara sadece iskemik dönemde (İH), sadece dört saatlik reperfüzyon döneminde (RH) veya iskemi ve reperfüzyon dönemlerinde (İRH) 10 °C’de lokal hipotermi uygulandı. Kontrol grubuna hipotermi uygulanmadı. Yirmi dört saatlik perfüzyon dönemi sonunda yaşamları sonlandırılan deneklerin grasilis kasları çıkarıldı ve örneklerde kas ö . . .demi (yaş/kuru ağırlık oranı), polimorfonükleer lökosit (PMNL) sayımı ve nekroz yüzdesi incelendi. Sonuçlar:Kontrol grubuyla karşılaştırıldığında (193.7 ±38.9), PMNL sayıları İH grubunda (111.5±36.2; Daha fazlası Daha az

Impact of echocardiography on one-month and one-year mortality of intertrochanteric fracture patients

Kalem M. | Kocaoğlu H. | Şahin E. | Kocaoğlu M.H. | Başarır K. | Kınık H.

Article | 2018 | Acta Orthopaedica et Traumatologica Turcica52 ( 2 ) , pp.97 - 100

Objective: The aim of this study was to analyze the effects of preoperative echocardiography on patient survival, timing of surgery in length of hospital stay in patients who will undergo hip nailing for an intertrochanteric fracture. Methods: The clinical records of the patients who were admitted to a tertiary university hospital with an intertrochanteric femur fracture were retrospectively analyzed. The age, gender, American Society of Anesthesiologists (ASA) score, days to surgery, total hospital stay, cardiac drug prescription/modification, cardiac intervention and presence of an echocardiography assessment including detailed fi . . .ndings were reviewed. Mortality data were accessed from the national civil registration system. Results: 181 (110 women and 71 men; mean age 81 (44–98)) cases were studied whom 65 underwent pre-operative echocardiography. Time to surgery and total hospital stay was 2 days longer at transthoracic echocardiography (TTE) group (p < 0.001). At one month control group survival rate was 93.1% on contrary it was 75.4% at TTE group. One-year survival rates were 77.3% and 55.1% respectively. Likewise mean expected survival time was 21.6 ± 1.03 months for control group and 15.12 ± 1.64 months for TTE group (p < 0.001). Only increased left ventricular end diastolic diameter (LVEDD) was showed to be associated with increasing one-year mortality with a hazard ratio of 10.78 (2.572–45.19) at multivariate model. Conclusion: Cardiac findings and requisite for preoperative TTE and increased LVEDD is a strong predictor for mortality. TTE significantly lengthens the time to surgery. Also LVEDD measurement can be easily performed in the bedside which we believe would save time and reduce mortality. Level of evidence: Level III Diagnostic study. © 2017 Turkish Association of Orthopaedics and Traumatolog Daha fazlası Daha az

Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries

Zehir, Sinan | Elmalı, Nurzat | Şahin, Ercan | Çalbıyık, Murat | Karakaplan, Mustafa | Taşdemir, Zeki

Article | 2015 | Acta Orthopaedica et Traumatologica Turcica49 ( 6 ) , pp.579 - 585

Objective: The aim of this study is to report our institution's experience regarding the use of open tibial inlay technique in patients undergoing single-stage combined posterior cruciate ligament (PCL) reconstruction.Methods: Records of 17 patients who underwent PCL reconstruction with tibial inlay technique were retrospectively reviewed. Patients with ipsilateral femoral or tibial osteochondral avulsion fractures or ipsilateral concomitant tibia and femur shaft fractures were excluded. Out of these 17 patients, six cases underwent anterior cruciate ligament (ACL) + PCL reconstruction, nine cases underwent ACL+ PCL + posterolateral . . . corner reconstruction, one case underwent ACL + PCL + MCL reconstruction and one case underwent ACL+ PCL + posterolateral corner + MCL reconstruction. Mean follow-up was 14.27±6.77 (range: 6-30) months.Results: In preoperative assessments, all patients had 3+ posterior laxity in posterior drawer test; at final follow-up, 6 patients had 0 laxity, 7 patients had 1+ laxity, and 4 patients had 2+ laxity ( Daha fazlası Daha az

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