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    Öğe
    Askerlik Çağında Ayak Deformiteleri ve Omurga Anomalileri Prevelansı: Kesitsel Çalışma
    (Ankara EAH, 2023) Eren, Toygun Kağan; Ceritoğlu, Kubilay Uğurcan; Yolaçan, Hakan; Aktekin, Cem Nuri
    Askerlik Başvurusu Yapan Olgularda Ayak Deformiteleri ve Omurga Anomalileri Prevalansı ve İlişkisi: Kesitsel Çalışma Amaç: Askerlik çağındaki erkeklerde pes kavus, planus ve spinal anomalilerin prevalansını ve ilişkisini araştırmak.Amaç: Askerlik çağındaki erkeklerde pes kavus, planus ve spinal anomalilerin prevalansını ve ilişkisini araştırmak. Gereç ve Yöntem: Ocak 2019-Kasım 2019 tarihleri arasında askeri okul sağlık tarama programı için hastaneye başvuran 3524 hasta incelendi. Hastaların tamamı 22-30 yaş arasındaydı. Dışlama kriterleri; ayak ve/veya omurgalara ilişkin travma ve ameliyat öyküsü, sistemik musküler veya nörolojik hastalıklar, inflamatuar hastalıklar. Hastalar, radyolojik olarak; Pes planus, pes kavus deformiteleri, skolyoz, lomberizasyon, sakralizasyon ve spinia bifida deformiteleri açısından değerlendirildi. Ayak ve omurga anomalilerinin ilişkisi incelendi. Olgular Vücut Kitle İndeksine (VKİ) göre gruplara ayırıldı. Ayak ve omurga anomalileri ile VKİ ilişkisi değerlendirildi. Bulgular: Çalışmaya 450 oldu dahil edildi. Ortalama yaş 22,9 ±3,01 olarak bulundu. Ortalama VKİ ise 23,04 ±2,3 olarak bulundu. Hastaların 343’ünün (%80) normal VKİ değerine sahipken 82’sinin (%18,9) fazla kilolu, 3’ünün (%1) ise obez olduğu görüldü. 22 hastada (% 4,9) ayak deformitesi olduğu görüldü (21 hastada pes planus 1 hastada pes kavuş). Omurga deformitesi görülen hasta sayısı ise 82’ydi (%18,2). En sık görülen omurga deformitesi, 32 (%7,1) olgu ile posterior füzyon defektiydi. Hastalarda ayak deformitesi görülme sıklığı, omurga deformitesi görülme sıklığı ilişkisi incelendiğinde gruplar arasında anlamlı fark bulunamadı. (p =0,779) Hastalar VKİ açısından gruplandırıldığında, gruplar arasında anlamlı fark bulunmadı. Sonuç: Hastalarda pes planus görülme sıklığı pes kavus sıklığından daha fazla olduğu görülmüştür. En sık görülen omurga anomalisi posterior füzyon defekti olmuştur. Pes planus veya pes kavus sıklığının omurga anomalileri ile ilişkisi bulunmamıştır Prevalence and Relationship of Foot Deformities and Spinal Anomalies in Army Recruits: Cross-sectional study Aim: To investigate the prevalence and relationship of pes cavus, planus and spinal anomalies in military age males. Material and Methods: 3524 patients which applied to hospital for military school health screening program were recorded between January 2019 and November 2019. All of the patients were between 22 and 30 years old. Exclusion criteria were; trauma and surgery history regarding foot and / or vertebrae, systemic muscular or neurological diseases, inflamatuar diseases. Patients were radiologically evaluated for pes planus, pes cavus deformities and scoliosis, lumbarization, sacralization and spina bifida anomalies. The relationship between foot deformities and spine anomalies was examined. Cases were divided into groups according to Body Mass Index (BMI). The relationship between foot and spine anomalies and BMI was also evaluated. Results: 450 patients were included in the study. The mean age was 22.9 ±3.01 years. The mean BMI was 23.04 ±2.3. While 343 (80%) of the patients had normal BMI, 82 (18.9%) were overweight and 3 (1%) were obese. Foot deformity was observed in 22 (4.9%) patients (21 patients with pes planus and 1 patient with pes cavus). The number of patients with spinal deformity was 82 (18.2%). The most common spinal anomaly was posterior fusion defect with 32 (7.1%) cases. When the relationship between the prevalance foot deformities and spinal anomalies was examined, no significant difference was found between the groups. (p = 0.779) When the patients were grouped in terms of BMI, no significant difference was found between the groups. Conclusion: The prevalance of pes planus was higher than the prevalance of pes cavus in the patients. The most common spinal anomaly was posterior fusion defect. The frequency of pes planus or pes cavus was not found to be associated with spinal anomalies.
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    Can Anatomical Differences Contribute to the Etiology of Danis-Weber Type B Lateral Malleolus Fractures?
    (Springernature, 2024) Ceritoğlu, Kubilay Uğurcan; Danışman, Murat
    Introduction Lateral malleolus fractures are among the most common ankle fractures, but the anatomical factors that may predispose individuals to this specific type of fracture are not fully understood. This study aims to explore whether distinct anatomical characteristics of the ankle joint contribute to an increased susceptibility to lateral malleolar fractures. Methods A retrospective analysis was conducted on 73 patients diagnosed with isolated lateral malleolar fractures between 2020 and 2023. An array of radiologic parameters, including distal tibial articular surface (DTAS) angle, bimalleolar tilt (BMT), medial malleolar length (MML), lateral malleolar length (LML), medial malleolar relative length (MMRL), lateral malleolar relative length (LMRL), medial malleolar slip angle (MMSA), talocrural angle (TCA), anterior inclination of the tibia (AI), and fibular position (FP), were meticulously measured on anteroposterior and lateral ankle radiographs for each study participant. We also measured the same parameters in 126 individuals who had not experienced an ankle fracture for comparison. Results Statistically significant differences were observed between the fracture group and the control group for DTAS angle, BMT, MML, MMRL, LMRL, TCA, AI, and FP (p<.05). Conversely, LML and MMSA displayed no significant variations between the two groups (p=0.745 and p=0.623). Effect sizes were notably large for DTAS and TCA, medium for MMRL, BMT, and AI, and small for LMRL, MML, and FP. Conclusion Our findings indicate an increased risk of lateral malleolus fractures in individuals with a relatively longer medial malleolus, a valgus-oriented ankle, reduced anterior inclination of the tibia, and an anteriorly positioned fibula. Taking protective measures during risky activities in individuals with these differences may help to prevent fractures.
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    Post-Operative Modified All-Inside ACL Reconstruction Technique's Clinical Outcomes and Isokinetic Strength Assessments
    (Mdpi, 2023) Genç, Ahmet Serhat; Güzel, Nizamettin; Yılmaz, Ali Kerim; Ermiş, Egemen; Pekesen Kurtca, Mine; Agar, Anıl; Ceritoğlu, Kubilay Uğurcan
    Background and Objective: Anterior cruciate ligament (ACL) injuries are very common among the athletic population. ACL reconstruction (ACLR) performed because of these injuries is one of the procedures performed by orthopedic surgeons using different grafting methods. This study aims to compare the data related to post-operative 6-month isokinetic strength values, strengthrelated asymmetry rates, time parameters, and joint angle in athletes who underwent ACLR with the Modified All-inside (4ST) technique, on both the healthy knee (HK) and the ACLR-applied sides. Materials and Methods: A total of 20 athletes from various sports on whom the 4ST ACLR technique had been applied by the same surgeon were evaluated retrospectively. Lysholm, Tegner, and International Knee Documentation Committee (IKDC) scores of the patients were obtained preoperative and at 6 months post-operative. Isokinetic knee extension (Ex) and flexion (Flx) strengths on the HK and ACLR sides of the patients were evaluated with a series of four different angular velocities (60, 180, 240, and 300(circle)/s). In addition to peak torque (PT) and hamstring/quadriceps ratio (H/Q) parameters, the findings were also evaluated with additional parameters such as joint angle at peak torque (JAPT), time to peak torque (TPT), reciprocal delay (RD), and endurance ratio (ER). Results: There was a significant improvement in the mean Lysholm, Tegner, and IKDC scores after surgery compared with pre-operative levels (p < 0.05). As for PT values, there were significant differences in favor of the HK in the 60, 180, and 300(circle)/s Ex phases (p < 0.05). In terms of the H/Q and (hamstring/hamstring)/(quadriceps/quadriceps) (HH/QQ) ratios, there were significant differences at 300(circle) /s (p < 0.05). In terms of JAPT, there were significant differences in the 300(circle)/s Ex and 180(circle)/s Flx phases (p < 0.05). In terms of TPT, there were significant differences in the 300ffi /s Ex phase (p < 0.05). In terms of RD and ER, no significant difference was observed between the HK and ACLR sides at any angular velocity. Conclusions: Although differences were observed in PT values, particularly in the Ex phase, this did not cause a significant change in H/Q ratios. Similar results were observed for additional parameters such as JAPT, TPT, RD, and ER. The results show that this ACLR technique can be used in athletes in view of strength gain and a return to sports.