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Öğe Comparison of Bicortical Headless Cannulated Screw Fixations, Tension Band Fixations, and Kirschner Wire Fixations of a Jones Fracture A Biomechanical Study(Amer Podiatric Med Assoc, 2024) Yilmaz, Onur; Mutlu, Ibrahim; Kuru, Tolgahan; Bilge, Ali; Gungor, Berna; Kizilay, Hasan; Olcar, HaciBackground: The aim of study was to biomechanically compare the fixation of Jones fracture using headless cannulated screw, tension band, and two Kirschner wires.' Methods: A total of 60 fourth-generation, fifth metatarsal synthetic bone models were divided into three groups according to the fixation techniques. A vertical load, oriented from plantar to dorsal and lateral to medial, was applied to the metatarsal specimen that were potted with molding material. The stiffness and fatigue values were compared between the three fixation groups. Results: In the plantar to dorsal load test, the stiffness values were found to be significantly higher in Group 1 compared to the other groups (P = .034, P = .013). No significant difference was found in the analysis in terms of fatigue values in plantar to dorsal load testing (P = .348, P = .416). No significant difference was found between compression screw and tension band groups in lateral to medial loading test, in terms of stiffness and fatigue values (P = .096, P = .762). However, the stiffness values and fatigue values of these two groups were found to be statistically significantly higher than the Kirschner wire group (P = .003, P = .002, P = .016, P = .023). Conclusions: The result of this study showed that the bicortical fixation of headless compression screw provides a more stable fixation than other fixation methods, especially in plantar to dorsal loading. (J Am Podiatr Med Assoc 114(6), 2024; doi:10.7547/22-201)Öğe Comparison of Ozone and Extracorporeal Shockwave Therapy in the Treatment of Chronic Lateral Epicondylitis(2019) Bilge, Ali; Aydin, Canan GonenObjective: The aim of the current retrospective study was to compare the effects of ozone injections and Extracorporeal Shockwave Therapy in the alleviation of pain associated with chronic lateral epicondylitis.Method: A Retrospective Cohort Study was performed, and data was collected from the documented medical records of 89 patients with unilateral chronic lateral epicondylitis. Patients who received local injections of ozone (n=49) and Extracorporeal Shockwave Therapy (n=40) were evaluated. Pain assessment was made by means of Verhaar scores before and after the first injection and the at 1st, 3rd, 6th, and 9th months after treat-ment. The two groups were compared with respect to baseline demographics including age, gender, dominant and affected sides and Verhaar scores.Results: Evaluation of pain scores after the treatment showed significant differences between the two groups. Assessment of pain at the 3rd and 9th months after treat-ment demonstrated that the ozone group had statistically significantly better scores at rest (p<0.001), on compression (p<0.001) and during activity (p<0.001).Conclusion: Our results demonstrated that ozone injection may be superior over Extracorporeal Shockwave Therapy which is an effective therapeutic option for long-term pain relief in patients with chronic lateral epicondylitis who are refractory to conservative treatment.Öğe Endoscopic Plantar Fascia Release versus Cryosurgery for the Treatment of Chronic Plantar Fasciitis A Prospective Randomized Study(Amer Podiatric Med Assoc, 2020) Catal, Bilgehan; Bilge, Ali; Ulusoy, Ragip GokhanBackground: In a prospective randomized study, we compared two different surgical techniques used in plantar fasciitis surgery. Methods: Forty-eight patients diagnosed as having plantar fasciitis and treated for at least 6 months with no response to conservative modalities were included in this study. The patients were randomly assigned to receive endoscopic plantar fascia release (EPFR) or cryosurgery (CS). Patients were evaluated using the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AHS) as a primary outcome measurement at baseline and 3 weeks and 3, 6, and 12 months after surgery. At the final follow-up visit, the Roles-Maudsley score was used to determine patient satisfaction. Results: Five patients did not complete the 1-year follow-up examination (one in the EPFR group and four in the CS group). Thus, the study group included 43 patients. Although both groups showed significant improvement at the final evaluation, the patients in the EPFR group had significantly better AOFAS-AHS scores at 3 months. The success rate (Roles-Maudsley scores of excellent and good) in the EPFR group at 12 months was 87% and in the CS group was 65%. Conclusions: Both EPFR and CS were associated with statistically significant improvements at 1-year follow-up. At 3-month follow-up, EPFR was associated with better results and a higher patient satisfaction rate compared with CS.Öğe Endoscopic plantar fascia release versus cryosurgery for the treatment of chronic plantar fasciitis: A prospective randomized study(American Podiatric Medical Association, 2020) Çatal, Bilgehan; Bilge, Ali; Ulusoy, Ragıp GökhanBackground: In a prospective randomized study, we compared two different surgical techniques used in plantar fasciitis surgery. Methods: Forty-eight patients diagnosed as having plantar fasciitis and treated for at least 6 months with no response to conservative modalities were included in this study. The patients were randomly assigned to receive endoscopic plantar fascia release (EPFR) or cryosurgery (CS). Patients were evaluated using the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS-AHS) as a primary outcome measurement at baseline and 3 weeks and 3, 6, and 12 months after surgery. At the final follow-up visit, the Roles-Maudsley score was used to determine patient satisfaction. Results: Five patients did not complete the 1-year follow-up examination (one in the EPFR group and four in the CS group). Thus, the study group included 43 patients. Although both groups showed significant improvement at the final evaluation, the patients in the EPFR group had significantly better AOFAS-AHS scores at 3 months. The success rate (Roles-Maudsley scores of excellent and good) in the EPFR group at 12 months was 87% and in the CS group was 65%. Conclusions: Both EPFR and CS were associated with statistically significant improvements at 1-year follow-up. At 3-month follow-up, EPFR was associated with better results and a higher patient satisfaction rate compared with CS. © 2020, American Podiatric Medical Association. All rights reserved.Öğe Evaluation of the relationship between the topographical anatomy in the axillary region of the brachial plexus and the body mass index(Springer Heidelberg, 2018) Ozturk, Omur; Tezcan, Aysu Hayriye; Bilge, Ali; Ates, Hakan; Yagmurdur, Hatice; Erbas, MesutTo investigate the topographic anatomy of the median, musculocutaneous, radial and ulnar nerves with respect to the axillary artery and to seek whether these configurations are associated with baseline descriptive data including age, gender, and body-mass index. This cross-sectional trial was carried out on 199 patients (85 women, 114 men; average age: 46.78 +/- 15.45 years) in the department of anaesthesiology and reanimation of a tertiary care center. Topographic anatomy of the median, musculocutaneous, radial and ulnar nerves was assessed with ultrasonography. Localization of these nerves with respect to the axillary artery was marked on the map demonstrating 16 zones around the axillary artery. Frequencies of localizations of every nerve in these zones were recorded, and the correlation of these locations with descriptive data including age, gender and BMI was investigated. There was no difference between women and men for the distribution of the median (p = 0.74), ulnar (p = 0.35) and radial (p = 0.64) nerves. However, the musculocutaneous nerve was more commonly located in Zone A13 in men compared to women (p = 0.02). The localization of the median (p = 0.85), ulnar (p = 0.27) and radial (p = 0.88) nerves did not differ remarkably between patients with BMI < 25 kg/m(2) and patients with BMI 25 kg/m(2). Notably, the musculocutaneous nerve was more often determined in Zone A10 in cases with BMI 25 kg/m(2) (p = 0.001). Our results imply that the alignment of the musculocutaneous nerve may vary in men and overweight people. This fact must be considered by the anaesthetist before planning the axillary block of brachial plexus. All these informations may enlighten the planning stages of the brachial plexus blockade.Öğe Geriatrik Hastalarda Düşük Doz Hiperbarik Bupivakain ile Unilateral Anestezi Deneyimlerimiz(Çanakkale Onsekiz Mart Üniversitesi, 2014) Öztürk, Ömür; Bilge, Ali; Erbaş, MesutÇalışmamızda kliniğimizde femur kırığı nedeniyle opere olan geriartrik hastalarda düşük doz hiperbarik bupivakain ile yapılan unilateral spinal anestezi uygulamasının anestezi kalitesini ve hemodinamik etkilerini retrospektif olarak incelenmeyi amaçladık. Bu çalışmada Kahta Devlet Hastanesinde 2013 yılında spinal anestezi uygulanarak femur kırığı sebebiyle opere olmuş yaşlı ve ileri yaşlı 40 hasta retrospektif olarak incelendi. Hastaların blok özellikleri ve yan etkiler kaydedildi. Kayıtları incelenen 40 hastanın yaş ortalaması 81.6’dır. Duyusal blok başlama süresi 4.19 dk. olarak bulunmuştur. Motor blok oluşma süresi 6.36 dk. olarak saptanmıştır. Femur kırığı nedeniyle opere olan geriatrik hasta grubumuzda unilateral ve düşük doz spinal anestezi uygulamasının minimal düzeyde yan etkiye ilaveten etkin bir anestezi sağladığını düşünüyoruz.Öğe Lomber Disk Hernili Hastalarda İntradiskal Ozon Enjeksiyon Tedavisinin Retrospektif Olarak İncelenmesi(2020) Öztürk, Ömür; Bilge, Ali; Erbaş, MesutAmaç: Lomber disk hernisi (LDH) toplumda giderek artan bir hastalık olarak karşımıza çıkmaktadır. Günümüzde minimal invaziv tedaviler hem maliyet hem de zaman açısından önemini artırmıştır. Bizde çalışmamızda LDH olan hastalarda minimal invaziv tedavilerden biri olan intradiskal ozon enjeksiyon tedavisinin retrospektif olarak radiküler ağrıda kısa ve uzun dönemde etkilerini incelendik.Gereç ve Yöntemler: Kafkas Üniversitesinde Ağustos 2015-Kasım 2016 tarihleri arasında, LDH sebebiyle ağrı polikliniğimize başvuran ve ameliyathanede C kollu floroskopi eşliğinde intradiskal ozon uygulanan 40 hastanın (13 erkek, 27 kadın) dosyaları geriye dönük olarak incelendi. Bulgular:İşlem öncesi vizuel analog skala (VAS), direk bacak kaldırma testi (DBKT) ve el parmak zemin mesafesi (EPZM) değerleri ile 1. ay ve 6. ay VAS, DBKT VE EPZM değerleri karşılaştırıldığında istatistiksel olarak anlamlı fark saptandı. Sonuç: Günümüzde disk hernilerinde cerrahi tedavi en son alternatif olarak düşünülmekte olup minimal invaziv yöntemler ön plana çıkmıştır. İntradiskal medikal ozon enjeksiyon tedavisinin kısa ve uzun dönemde etkin olduğu ve bu nedenle LDH olan hastalarda tercih edilebilecek bir tedavi yöntemi olduğunu düşünmekteyiz.?Öğe No Sedation, No Traction, and No Need for Assistance: Analysis of New Prakash's Method of Shoulder Reduction(Hindawi Ltd, 2020) Kuru, Tolgahan; Olcar, Haci Ali; Bilge, Ali; Nusran, Gurdal; Ozkilic, Recai; Akman, Canan; Prakash, LakshmananBackground and Objective. Shoulder dislocations, which often occur anterior, account for about half of all dislocations. There are numerous reduction methods reported for the conservative treatment of acute anterior dislocations. However, there is still an ongoing search for an optimal method given the procedure time, possible complications, success rates, and need for sedation/analgesia in existing methods. This study seeks to explore the effectiveness and safety of Prakash's method in the treatment of acute shoulder dislocations, which is a novel method in the treatment of anterior shoulder dislocations. Materials and Methods. A total of 19 patients who were admitted to the emergency department with the diagnosis of anterior shoulder dislocation participated in this study. The diagnosis of shoulder dislocation was established in the emergency department with physical examination and anteroposterior shoulder radiography. The method was applied only once to the patients in the sitting position by the same physician without using any help, traction, anesthesia, analgesia, and myorelaxant. Results. The mean age of the patients was 37.3 +/- 13.1 years. Among them, 36.8% n=4 of the patients. The success rate of the method was 94.7% n=18. No complication was noted in the patients. The mean procedure time was 243 +/- 38 seconds. Conclusion. Prakash's method is a safe method for anterior shoulder dislocations that can be quickly performed with no need for sedation, assistance, and traction and has a high success rate.Öğe Results of Surgical Management of Achilles Tendon Rupture Using the Modified Lindholm Procedure(Springernature, 2020) Bilge, Ali; Kuru, TolgahanObjectives Achilles tendon rupture (ATR) in adults often results from sporting activities, especially in young adults. There is no consensus in the literature on the best treatment approach in the treatment of these ruptures. The objective of this study was to evaluate the clinical long-term results of the augmented ATR repair using the modified Lindholm procedure (MLP). Methods Patients who underwent MLP due to ATR in the orthopedics and traumatology clinic of our hospital between 2007 and 2014 were retrospectively evaluated. Medical history of the patients was noted, and preoperative physical examination was routinely performed using the Thompson compression test. Patients' demographic data such as age and gender, tendon rupture side, postoperative follow-up duration, and gap range values were recorded and evaluated. Results The mean age of the patients was 29.43 +/- 7.10 years. The mean postoperative follow-up duration was 50.1 +/- 8.20 months. Of the patients, 16 were injured during football, 10 during basketball, 2 during volleyball, and the remaining 8 during other sporting activities. When Arner-Lindholm scores were evaluated during follow-up, excellent outcome was achieved in 30 patients and good outcome was achieved in 6 patients, whereas there was no patient with poor outcome. None of the patients developed tendon re-rupture. At the end of the fourth postoperative month, the range of ankle motion was 100% in all patients. Conclusions In patients with spontaneous AT tendon rupture, MLP seems to prevent the re-rupture in the long-term period and should be considered as a safe procedure to repair ATR.Öğe The effects of systemic ozone application and hyperbaric oxygen therapy on knee osteoarthritis: an experimental study in rats(Springer Science and Business Media Deutschland GmbH, 2021) Yılmaz, Onur; Bilge, Ali; Erken, H. Yener; Kuru, TolgahanObjective: To evaluate the effects of systemic medical ozone (O3) application and hyperbaric oxygen (HBO) therapy on surgically induced knee osteoarthritis (OA) in a rat model. Materials and methods: We performed anterior cruciate ligament transection (ACLT) in order to create experimental OA in the right knees of 27 male rats. The left knee joints of all rats were sham-operated without ACLT as the negative control group. The rats were randomly assigned into three groups: (1) control group, which received no treatment; (2) O3 group, which received intraperitoneal 30 μg medical O3; (3) HBO group, which received HBO therapy for 60 minutes twice a day. We sacrificed the rats on the tenth week after the operation. We evaluated the degree of OA using Mankin scores. Results: As a result of histopathological examination, the mean Mankin scores in the right knees with ACLT were 8.17 ± 2.12 in the control group, 6.22 ± 1.56 in the HBO group, and 4.72 ± 1.30 in the O3 group. The differences between the O3 group and the HBO group and the O3 group and the control group were found to be statistically significant (p 0.001, p 0.039, respectively). There was no difference between the HBO group and the control group (p 0.086). Conclusions: The results of the present study show that systemic medical O3 application was more effective than HBO therapy and may reduce development of cartilage damage and prevent OA formation.Öğe The Investigation of the Effect of Ozone Therapy on Gout in Experimental Rat Models(Kafkas Univ, Veteriner Fakultesi Dergisi, 2019) Bilge, Ali; Tuysuz, Murat; Ozturk, Omur; Adali, Yasemen; Eroglu, Huseyin Avni; Makav, Mustafa; Atilla Uslu, GozdeThe effect of ozone treatment in experimental rat gout arthritis was investigated. Twenty adult albino male rats were divided into 4 groups: Group 1 (Control) was followed without any medication, Group 2 (Gout control) was injected with a single dose of 0.2 mL (10 mg) monosodium urate (MSU) intraarticulary to 1st metatarsophalangeal joint to create experimental Gouty arthritis. Group 3 (Gout + Ozone) was injected intraarticulary to 1st metatarsophalangeal joint with a single dose of 0.2 mL (10 mg) MSU to generate experimental gout, followed by ozone therapy to the rats a single dose of 1 mL (10 mu g/mL) intraperitoneally daily for 3 weeks. The Group 4 (Ozone control) ozone therapy was given a single dose of 1 mL (10 mu g/mL) intraperitoneally daily for 3 weeks without gout formation. The results were recorded and compared statistically between the groups. In conclusion, the low level of inflammation in the third group (Gout + Ozone) was considered statistically significant as compared to the second group. With Ozone treatment the gout joint has been shown to have reduced acute inflammation, it has not been affected by the chronic proliferation process.Öğe Tibia Kırıklarında Cerrahi Tedavi Yöntemlerinin Kompartman Basıncına Etkisi(2017) Öztürk, İbrahim Avşin; Ertürk, Cemil; Bilge, Ali; Altay, Mehmet Akif; Altay, Nuray; Işıkan, Uğur ErdemKarşılaştırılmasında kompartmanda; İMN grupta ameliyat sonundaki bazı ölçüm değerleri İlizarov grubuna göre anlamlı olarak yüksek iken (p<0.05), posterior kompartmandaki ölçümlerde fark yoktu (p>0.05). Sonuç: Her iki tedavi grubunda ameliyat sonrasındaki kompartman basınç değerleri ameliyat öncesi değerlere göre düşerken, İMN yapılan gruptaki ölçümler İlizarov grubuna göre anterior ve lateral kompartmanda daha yüksek gözlenmiştir. Sonuç olarak, tibia diafiz kırıklarının cerrahi tedavisinde; İlizarov eksternal fiksatörün kompartman basıncını daha fazla düşürdüğü saptandı.
