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    Bladder Rupture and Urine Fistula Between-Bladder and Supracondylary Pin Tract After Pelvis Fracture: A case Report
    (Derman Medical Publ, 2015) Oztemur, Zekeriya; Golge, Umut Hatay; Picakci, Omer; Tezeren, Gunduz; Bulut, Okay
    One of the most important complications of pelvic fractures is bladder rupture. Potential complications of pelvic fractures caused by bladder ruptures are vesicovaginal. vesicorectal, vesicoutedne and urethra rectal fistulas. Along with bladder rupture, which is rarely encountered in the literature, the case of urinary fistula from pin tract in femur supracondylar region was represented. The case of the bladder rupture induced by pelvic fracture that associated with urinary fistulisabon between bladder and pin tract from femur supracondylar region was reported.
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    Comparing extracorporeal shock wave and hyaluronic acid in a rabbit cartilage defect model: the effects of ESW on cartilage defect
    (Tubitak Scientific & Technological Research Council Turkey, 2013) Oztemur, Zekeriya; Ozer, Hatice; Golge, Umut Hatay; Altuntas, Emine Elif; Bulut, Okay
    Aim: To compare the efficiency of extracorporeal shock wave (ESW) treatment with hyaluronic acid (HA) viscosupplementation in an experimental rabbit cartilage defect model. Materials and methods: A total of 24 New Zealand rabbits were randomly divided into 4 groups: HA, ESW, ESW + HA, and control. Chondral defects were created in the left knees of the rabbits. HA viscosupplementation was performed on the HA and ESW + HA groups, and after 24 h, 0.16 mJ/mm2 ESW was performed on the ESW and ESW + HA groups. After an 8-week follow-up, the rabbits were sacrificed and histopathological examination of the defects was carried out. In addition, immunohistochemistry was performed by the avidin-biotin peroxidase method using vascular endothelial growth factor (VEGF), transforming growth factor beta 1 (TGF-beta 1), and type II collagen antibodies, and the results were evaluated semiquantitatively. Results: There was a significant difference between the control group and the ESW group in terms of Pineda score and type II collagen expression; between the control group and the HA group in terms of Pineda score, VEGF expression, type II collagen expression, and TGF-beta 1 expression; and between the control group and the ESW + HA group in terms of Pineda score, VEGF expression, type II collagen expression, and TGF-beta 1 expression. Conclusion: The results show that both treatment methods have positive therapeutic effects on the articular cartilage defect model in terms of the parameters studied.
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    Investigation of mechanical strength of teicoplanin and ciprofloxacin impregnated bone cement on Day 1 and Day 15
    (Turkish Assoc Orthopaedics Traumatology, 2014) Golge, Umut Hatay; Oztemur, Zekeriya; Parlak, Mesut; Tezeren, Gunduz; Ozturk, Hayati; Bulut, Okay
    [Anstract Not Available]
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    Isolated Gluteus Maximus Muscle Hydatid Cyst: A Case Report
    (Derman Medical Publ, 2015) Kilinc, Seyran; Golge, Umut Hatay; Bulut, Okay; Tezeren, Gunduz; Ozturk, Hayati
    Hydatid cyst disease is a parasitic infection caused by Echinococcus granulosus. Hydatid cyst disease is endemic in our country. This disease is most commonly detected in the liver and lung. Primary soft tissue involvement is very rare, causing a diagnostic challenge. Turkey is an endemic area for hydatid cyst disease and we should bear this disease in mind as a differential diagnosis in all cystic lesions. In this study, we mentioned a hydatid cyst case in gluteus maximus muscle without any primary lesion.
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    MRI clasification in developmental dysplasia of the hip with reference to soft tissue changes
    (2016) Pazarcı, Özhan; Bulut, Okay; Kılınç, Seyran; Gölge, Umut Hatay; Öztemür, Zekeriya
    Amaç: Sunulan prospektif çalışmanın amacı kapalı ya da açık redüksiyon yapılan GKD'li olgularda patolojik yumuşak doku değişikliklerinin; redüksiyonun devamı üzerine etkisinin MRG ile incelenmesidir. Gereç ve Yöntemler: 2003 ve 2012 yılları arasında tedavi edilen 34 olgunun 46 kalça prospektif takip edildi. Redüksiyon sonrası tüm çocuklara MRG uygulandı. MRG sınıflaması (Kashiwagi) triradiat kıkırdak düzeyindeki aksiyel kesitlerdeki posterior asetebular kenara göre yapıldı. Kashiwagi MRG sınıflamasından farklı olarak; Grup 2 MRG'deki patolojik yumuşak doku değişikliklerine göre iki alt gruba ayrıldı (2A ve 2B). Bulgular: Keskin posterior asetebular rim bulunan 27 kalça grup 1 olarak değerlendirildi. Yuvarlak posterior asetebular kenar olan 16 hasta grup 2'de yer aldı. Bunlardan patolojik yumuşak doku değişikliği bulunmayan 6 olgunun 9 kalçası grup 2A'da yer aldı. Patolojik yumuşak doku değişikliklerinden en az biri bulunan 6 olgunun 7 kalçası grup 2B'de yer aldı. İnverte labrum bulunan 3 kalça grup 3'te yer aldı. Grup 2B ve 3 kalçalarda redüksiyon sonrası dislokasyon ve ek cerrahi işlem gereksinimi olduğu izlendi. Sonuç: Kashiwaginin Pavlik bandajı ile redükte oluna bilirlik hakkında bilgi veren MRG sınıflaması kapalı ya da açık redüksiyon yapılan daha ileri yaş olgularda da faydalıdır. Bu olgularda değerlendirmede redüksiyona engel yumuşak doku yapılarıda dikkate alınmalıdır. Sınıflamanın bu modifikasyonu ile ileri yaş olgularda tedavi seyri açısından daha yararlı bilgiler verdiğini düşünmekteyiz
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    Neutrophil to Lymphocyte Ratio May Be a Diagnostic Marker for Prosthetic Joint Infection
    (Derman Medical Publ, 2016) Golge, Umut Hatay; Kaymaz, Burak; Pazarci, Ozhan; Kilinc, Seyran; Oztemur, Zekeriya; Bulut, Okay
    Aim: Total knee arthroplasty (TKA) is an effective and successful procedure but the outcome may occasionally be compromised by complications such as periprosthetic joint infection (PJI). Blood neutrophil to lymphocyte ratio (NLR) is a simple marker of subclinical inflammation that can be easily obtained from the differential White Blood Cell count. This study aims to to analyze the predictive ability of NLR for the diagnosis of PJI. Material and Method: Patients who were diagnosed as grade 4 gonartrosis and operated for total knee arthroplasty between years 2007-2014 were evaluated. Thirty patients with PJI were included in the study as Group I and hematological tests including erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), white blood cell count (WBC) and neutrophil to lymphocyte ratio (NLR) of the patients were evaluated retrospectively. Preoperative and postoperative 6th month NLR values of the patients were compared. Also 103 age matched patients operated for total knee arthroplasty with no sign of infection were included in the study as controls (Group II). Patients in Group I and Group II were also compared in terms of NLR. Results: Thirty patients (17 female, 13 male) were present in Group I (patients with PJI and treated with two staged revision surgery) and 103 patients (94 female, 9 male) were present in Group II (patients operated for total knee arthroplasty and had no sign of infection during the follow up period). NLR has been found to decrease from 3.2+/-0.7 to 2.2+/-0.5 when compared between the preoperative and postoperative 6th month period (p=< 0,001). NLR has been found to be 2.1+/-0.7 in Group II and 3.2+/-0.7 in Group I at preoperative period. (p=< 0,001). The value of 2.45 was found to be cut-off point for infection. Discussion: NLR can be used as marker for PJI together with the other markers as ESR and CRP to increase the accuracy of the diagnosis.
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    Vancomycin-resistant enterococci infection in the orthopedic and traumatology clinic
    (Anatolian Journal of Clinical Investigation, 2015) Pazarci, Orhan; Gölge, Umut Hatay; Kilinç, Seyran; Şahintürk, Mehmet; Bulut, Okay; Öztemur, Zekeriya; Öztürk, Hayati
    Our study aimed to identify the incidence of patients with vancomycin-resistant enterococci (VRE) colonization in the orthopedics and traumatology clinic and to present an approach for these patients. The anal swab samples of 781 patients applying to and inpatient in the orthopedic and traumatology clinic from August 2013-December 2013, taken by the infection control committee under the auspices of the VRE infection surveillance program, were investigated. Of the 781 samples investigated, 14 patients (1.79%) were found to have VRE colonization. In 4 patients there was a history of diabetes mellitus, 5 patients had dirty wounds and 5 patients had repeated inpatient stay and surgery history. Cultures taken from the patients produced E. species and E. casseliflavus/gallinarum. In Turkey, the first vancomycin-resistant E. faecium strain was reported from Akdeniz University in 1998. Since this date, VRE is encountered more and more often in the hospital environment. Resistant bacteria easily propagate in the hospital environment and this increases the possibility of colonization and infection incidence. Early identification of resistant enterococci colonization in inpatients is important for control of enterococcal infections. As a result, we believe identifying patients in the risk group may reduce VRE infections. © 2015, Anatolian Journal of Clinical Investigation. All rights reserved.