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Öğe Adölesan amatör futbolcularda görülen spina iliaka anterior ve superior avulsiyon kırıklarının konservatif tedavisi: İki olgu sunumu(2015) Gölge, Umut Hatay; Kaymaz, Burak; Göksel, Ferdi; Kuyucu, Ersin; Kömürcü, ErkamSpina İliaka Anterior İnferior (SİAİ) ve Spina İliaka Anterior Superior (SİAS) avülsiyon kırıkları pelvisin nadir görülen yaralanmalarındandır. Genelde sporcularda ve futboloynarken şut çekme sırasında gerçekleştiği düşünülmektedir. Bu yüzden SİAİ ve SİAS avülsiyon kırıklarının gözden kaçmaması için ayrıntılı anamnez ve fizik muayeneile başlanmalıdır. Olgularımızın ikiside amatör düzeydefutbol oynarken şut çekme sonrasında kalça ağrısı vehareket kısıtlılığı ve yürümede zorluk nedeniyle poliklinikte görüldü. Yaşları 15 ve16 olan hastalarımızın fizikmuayene sonrası yapılan radyolojik değerlendirmelerinde bir olguda SİAİ diğer olguda da SİAS avülsiyon kırığısaptandı. Koltuk değnekleri ile tam yük vermeden yürümeve non-steroidal antiinflamatuar ilaçlar ile yaklaşık bir ayistirahat ettirilen olgularımızın konservatif tedavi sonrasımuayenede pasif kalça hareket açıklıkları tam ve ağrısızolarak değerlendirildi. İkinci ayın sonunda aktif spora dönüş gerçekleştirildi. SİAİ ve SİAS avulsiyon kırıkları adölesan futbolcularda daha sık gözlenen ancak nadir olanbu durumun gözden kaçmaması için ayrıntılı anamnez vedikkatli fizik muayene yapılması ve direkt grafinin yeterliolacağı kanaatindeyiz.Öğe Avulsion Fracture of Tendon of Extensor Carpi Radialis Longus(2015) Gölge, Umut Hatay; Kömürcü, Erkam; Kaymaz, Burak; Göksel, Ferdi[Abstract Not Available]Öğe Bilateral quadriceps tendon rupture in a end-stage renal disease patient: case report(Çanakkale Onsekiz Mart Üniversitesi, 2014) Kaymaz, Burak; Gölge, Umut Hatay; Göksel, Ferdi; Kömürcü, Erkam; Mermerkaya, Musa Uğur; Eroğlu, MehmetSimultaneous bilateral quadriceps tendon rupture is a very rare injury. Occurrence after minor trauma is predominantly associated with certain medical problems including chronic diseases and long-term use of certain drugs.We report the case of a 56-year-old patient with end stage renal disease who sustained a simultaneous bilateral quadriceps tendon rupture following minor trauma and succesful surgical treatment.Öğe Comparison of fixed-bearing and mobile-bearing total knee arthroplasties: Short-term clinical results(2015) Kaymaz, Burak; Sevinçhan, Cihan; Gölge, Umut Hatay; Nusran, Gürdal; Göksel, Ferdi; Kömürcü, Erkam; Eroğlu, MehmetObjectives: Mobile-bearing knee replacements were introduced as an alternative to fixed-bearing prosthesis to decrease the wear. Despite theoretical advantages of mobile bearings prosthesis, it is still controversial whether there is any clinically significant difference between the patients treated with fixed and mobile bearing prosthesis. The aim of this study is to compare the short-term clinical outcomes of fixed versus mobile-bearing prosthesises. Methods: Patients who were diagnosed as grade 4 gonartrosis and operated for total knee arthroplasty between years 2010- 2014 were evaluated and 33 patients (40 knees) were included in the study. From hospital medical and radiological databases, age and gender of the patients, duration of operation, number of blood tranfusions postoperatively and preoperative range of motions (ROM) of the operated knees were recorded and all the patients were assessed with Knee Society Knee Score. Results: Twenty-two knees (12 female, 10 male) were present in fixed bearing group (Group I) and 18 knees (13 female, 5 male) were present in mobile bearing group (Group II). There was no statistically significant difference between the groups in terms of pre-operative range of motions (ROM), post-operative range of motions (ROM), number of blood transfusions. Knee Society Knee Score was 167.7±23.4 in Group I and 178.1±22.4 in Group II. Mobile bearing prosthesis group was found to have better knee score and this difference was near to statistically significance (p=0.055). Conclusions: Clinical outcomes of mobile bearing prosthesis seems to be better in short-term follow-up but long-term results should also be investigated before recommending the mobile bearing prosthesises.Öğe Giant intramuscular lipoma localized in thigh and literature review(Anatolian Journal of Clinical Investigation, 2015) Gölge, Umut Hatay; Göksel, Ferdi; Kömürcü, Erkam; Kaymaz, Burak; Güzel, Yunus; Toman, Hüseyin; Şimşek, TuncerThe most commonly encountered benign mesenchymal tumor of human body is lipoma. Intramuscular lipoma is a rarely seen lipoma. Deep seaated lipomas of extremities are generally located in thigh and shoulder. Due to their large diameters, deep localization, infiltration into muscle tissues and local recurrence they can imitate malign tumors such as liposarcoma. Therefore, differential diagnosis should be done from other soft tissue tumors. Ultrasonography (US), computerized tomography (CT), magnetic resonance imaging (MRI) is essential in differential diagnosis. In this study, clinicopathological properties of thigh seated intramuscular lipoma in three adult patients, operated following a complaint of increasing pain and a giant mass growing seated in thigh are presented with literature. © 2015, Anatolian Journal of Clinical Investigation. All rights reserved.Öğe Management of fracture and dislocation associated with vascular injuries(Anatolian Journal of Clinical Investigation, 2014) Kömürcü, Erkam; Özden, Raif; Kaymaz, Burak; Gölge, Umut Hatay; Göksel, Ferdi; Özcan, Sedat; Yener, Ali ÜmitThe purpose of this study is to identify the factors that affect mortality and morbidity and that contribute to disability in vascular injuries associated with fracture and dislocation. Ninety-seven patients with vascular injuries associated with orthopedic fracture and dislocation in the study by searching hospital files retrospectively.Sixtytwo and thirty-five patients were male and female, respectively. Mean age of the patients was 36.6±12.1 years. The time elapsed between injury and surgical intervention was 3.6±1.9 hours. Tibia, femur and humerus fractures were the most encountered injuries with MESS value of 6.2±2. 2. External fixation and internal fixation osteosynthesis were used in 76 and 12 patients respectively. Vascular injuries were localized most frequently in femoral artery, popliteal artery. Preoperative arteriography was performed in 22 patients. 41 patients had isolated arterial injuries, 54 patients both artery and vein injuries. Priority was given to vascular repair in 68 patients; orthopedic stabilization was performed before the vascular treatment only in 22 patients. Only 4 patients lost their life in the postoperative period. Vascular injuries associated with fracture and dislocation, are major pathologies that must be diagnosed without delay and repaired urgently. There are still disputed issues in the algorithm of the treatment of these injuries and prospective studies are needed with wide patient series. © 2014, Anatol J Clin Investig. All rights received.Öğe Non-union of the great toe in a 4-year-old child(BMJ Publishing Group, 2015) Göksel, Ferdi; Ermutlu, Cenk; Gölge, Umut Hatay; Kaymaz, BurakPhalangeal fractures of the foot are very rare in children. They are treated with closed reduction and splinting. Cases reported of non-union in children are rare. We report on treatment of a 4-year-old child with non-union of the proximal phalanx of the great toe foot following an open fracture caused by a motor vehicle accident 4 months prior. No graft was used. We present this case with good clinical outcome at 1 year follow-up. Copyright 2015 BMJ Publishing Group. All rights reserved.Öğe The effect of intraoperative sounds of saw and hammer on psychological condition in patients with total knee arthroplasty: Prospective randomized study(Hindawi Publishing Corporation, 2015) Kömürcü, Erkam; Kiraz, Hasan Ali; Kaymaz, Burak; Gölge, Umut Hatay; Nusran, Gürdal; Göksel, Ferdi; Şahin, HasanPurpose. Surgical procedures are likely to be stressful for patients and their families. Total knee arthroplasty (TKA) is a major surgical procedure used in the treatment of osteoarthritis. During this procedure the sounds of the saw and hammer may irritate the patient and adversely affect mood. The present study examines the effect of these intraoperative sounds during TKA on postoperative mood and anxiety, by comparing two different anesthetic procedures. Methods. A total of 40 patients who underwent TKA for grade IV gonarthrosis participated in the study. Patients were randomly divided into two groups: 20 patients in the general anesthesia group and 20 patients in the spinal anesthesia group. Mood and anxiety changes were evaluated using the Profile of Mood States (POMS) and State-Trait Anxiety Inventory (STAI) instruments, respectively. Results. The postoperative POMS value in the spinal anesthesia group was definitively higher than the general anesthesia group, though the difference in preoperative and postoperative POMS and STAI scores between the two groups was not significant. Conclusion. It would seem that sounds of hammer and saw have no evident negative effect on patient's mood. Regional anesthesia is advisable for TKA patients and appropriate sedation can be administered during the operation if needed. © 2015 Erkam Kömürcü et al.Öğe The effects of ozone therapy on extremity ischemiareperfusion injury in a rabbit model(2019) Kaymaz, Burak; Çoban, Ganime; Göksel, Ferdi; Toman, Hüseyin; Gölge, Umut Hatay; Kömürcü, ErkamIntroduction: Ischemia is reversible or irreversible cell/tissue damage that is secondary to insufficient blood flow to tissues or organs. Ischemia causesmany metabolic and structural changes at the cellular level. Ozone therapy is often used as an antioxidant remedy. This study aimed to investigate theeffects of ozone therapy on extremity ischemia-reperfusion (IR) injury.Methods: Twenty-four New Zealand White (NZW) rabbits were randomly allocated into three groups. Each group consisted of eight rabbits. Group Iwas the control group, Group II was the ischemia group, and Group III, the ozone group. Femoral arteries of the right legs were dissected, and femoralarterial occlusion was performed in Group II and III. Hematological and histopathological evaluation was performed in all groups.Results: The levels of total antioxidant status (TAS) after the surgical procedure was higher in the ozone group compared to the ischemia group(p=0.036). In addition, the levels of malondialdehyde (MDA) after the surgical procedure were lower in the ozone group compared to the ischemiagroup but not statistically significant (p=0.093). The control and ozone groups were histopathologically similar.Conclusions: Ozone therapy may be used as an alternative treatment modality with its anti-inflammatory and antioxidant effects for the treatment ofextremity IR injuryÖğe The inevitable outcome of chronic recurring actinomyces osteomyelitis of the hand(2015) Gölge, Umut Hatay; Göksel, Ferdi; Kömürcü, Erkam; Kaymaz, Burak; Kılınç, Nihal[Abstract Not Available]Öğe The treatment of intertrochanteric fractures comparison of PFN and hemiarthroplasty 3-year mortality study(ARSMB-KVBMG, 2016) Gölge, Umut Hatay; Pazarci, Özhan; Kilinç, Seyran; Nusran, Gurdal; Kaymaz, Burak; Göksel, Ferdi; Kömürcü, ErkamIntertrochanteric fractures in elderly patients can increase mortality due to complications and negative functional results. The aim of this study is to retrospectively compare the follow-up and mortality rates among patients given a proximal femoral nail (PFN), the current routine treatment for these types of fractures, with those given hemiarthroplasty.The study retrospectively investigated 202 patients over the age of 60 who completed at least 3 years of follow-up after hemiarthroplasty or PFN for intertrochanteric fractures between 2007 and 2012. While 132 patients underwent cemented hemiarthroplasty, 70 had PFN. The monitoring duration for those with PFN surgery was 31.25±1.3 months while the duration of follow-up for those with hemiarthroplasty surgery was 20.0±1.2 months. At the end of 3 years of monitoring of the 202 patients, 99 were deceased. There was a statistically significant difference found in terms of patient life expectancy between those with PFN and those with hemiarthroplasty; Cox regression analysis identified that the mortality rate of those with hemiarthroplasty was 5.1 times greater.As a result, patients undergoing hemiarthroplasty should be carefully chosen and if possible, PFN should be preferred. © 2016, Acta Orthopædica Belgica.Öğe Treatment of juvenile hallux valgus interphalangeus with a double compression headless bone screw(BMJ Publishing Group, 2015) Göksel, Ferdi; Ermutlu, Cenk; Gölge, Umut Hatay; Kaymaz, BurakA 14-year-old girl presented with idiopathic valgus deformity of her left great toe at the interphalangeal joint (IPJ). The deformity, which had been present but asymptomatic for the past 4 years, began to enlarge and cause discomfort. The measured IPJ angle on anteroposterior standing X-ray was 26°. We treated the toe by medial closing wedge osteotomy and fixation with a double compression headless bone screw (DCHBS). Postoperative hallux valgus interphalangeus (HVI) angle was 14°.Öğe Türkiye'nin İki Farklı Bölgesindeki Osteoporozun Karşılaştırılması(2014) Gölge, Umut Hatay; Kömürcü, Erkam; Kaymaz, Burak; Göksel, Ferdi; Güzel, Yunus; Adam, Gürhan; Erbay, PırılAmaç: İklim ve coğrafi farklılıklarının kemik mineral dansitometrisi üzerine etkisinin incelenmesi.Gereç ve Yöntem: İki farklı bölgedeki osteoporoz düşünülen ve bu nedenle Dual Enerji X-ray Absorpsiyometri (DXA) çekilen toplam 2457 hastanın dosyaları retrospektif olarak değerlendirildi ve çalışmaya dahil edildi. Ayrıca hastaların; yaşları, cinsiyetleri, vücut kitle indeksi (VKİ) ve osteoporoz etyolojileri kaydedildi.Bulgular: Çalışmaya dahil edilen hastaların femur boynu ve lomber omurga DXA ölçümleriyle osteoporoz tanısı konulan 927 hasta ile osteopeni tanısı konulan 907 hasta tespit edildi. Gruplar arası yaş, cinsiyet, VKİ açısından anlamlı fark izlenmedi. Her iki bölgedeki aynı yaş ve cinsiyetteki hastaların lumbal bölge L1-4 T skoru ile femur boyun T skoru karşılaştırıldığında anlamlı bir fark olduğu görüldü (p<0,001).Sonuç: Osteoporozla mücadele ve tedavisinde coğrafi ve iklim farklılıklarının kemik yoğunluğu üzerine etki etmesinden dolayı bu farklılıkların da gözönüne alınarak koruyucu ve tedavi edici metodlar konusunda bölgesel yeni stratejiler geliştirilmelidir.
