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    Healing beyond bone: a qualitative study of the core decompression experience of physically active patients with stage II hip avascular necrosis
    (Bmc, 2025) Gokmen, Mehmet Yigit; Gokmen, Habibe Sevim; Uluoz, Mesut; Pazarci, Ozhan; Ozgozen, Alaaddin Levent; Uluc, Ender Ali; Ciloglu, Osman
    BackgroundAvascular necrosis (AVN) of the femoral head is a degenerative condition characterized by ischemic bone death, resulting in pain and impaired mobility. Core decompression, a surgical intervention, is widely performed for stage II AVN to alleviate symptoms and delay disease progression. While clinical and radiological outcomes are well-documented, the psychosocial dimensions of recovery remain underexplored. This study aims to understand the experiences of physically active patients diagnosed with stage II AVN who have undergone core decompression surgery during their follow-up period, allowing for a broader evaluation of the experiences of this patient group.MethodsThis study used semi-structured interviews, in-depth follow-up questions, and thematic analysis to explore the experiences of physically active patients who underwent core decompression surgery for stage II AVN of the femoral head. The participants were assessed 1-3 years post-surgery. Conducted in the Orthopaedics and Traumatology outpatient clinic of Adana City Training and Research Hospital, the study included 31 patients who had core decompression surgery between January 2020 and January 2024, with at least one year of follow-up data. Data collection, including demographic and qualitative information, was carried out during the first week of April 2024, followed by the member-checking process in the third week. A thematic analysis checklist and COREQ guidelines were used to ensure analysis reliability.ResultsThe experiences of 31 patients (mean age 37.19 +/- 8.21 years, 12 females, 19 males) were summarized into five main themes that emerged from the data analysis process: 'Expectations and Concerns Before Surgery,' 'Postoperative Physical Experiences,' 'The Psychological and Emotional Process,' 'Social Support and Family Relationships,' and 'Health Services and Medical Support.'' Twelve sub-themes emerged from the main themes.ConclusionsCore decompression offers significant benefits to patients with stage II AVN by improving mobility and reducing pain. However, psychological support, patient education, and robust social networks are essential to address the holistic needs of recovery. These findings highlight the importance of integrating patient-centered approaches into surgical care to optimize outcomes and satisfaction. Further qualitative research is needed to explore the experiences of AVN patients at different stages to inform multidisciplinary care strategies.
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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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    Relationship Between Second to Fourth Digit Ratios and Obesity, Muscle Mass2.
    (Derman Medical Publ, 2015) Golge, Umut Hatay; Sivasli, Zeynep; Pazarci, Ozhan; Goksel, Ferdi; Kaymaz, Burak; Kuloglu, Huseyin Emre
    Aim: Transmitted through genetic inheritance and later unchanging, the ratio of 2nd and 4th fingers (2D: 4D) is related to the hormone testosterone. We aimed to investigate the correlation of this ratio to muscle mass and obesity. Material and Method: Adult patients attending the diet clinic were categorized by body type analysis, age and gender. Body mass index (BMI) was calculated from height and weight, and body analysis was completed with a Tanita (TANITA BC-418 MA III) device. Additionally patients had the index and ring fingers of both hands separately measured with the aid of digital calipers and recorded. The ratio of the values was determined and compared with the values obtained by the Tanita device. Result: Of 216 patients at the diet clinic, 168 were female and 48 were male. The measurements of individuals with 2D: 4D of both hands above 1 were compared with those of individuals with 2D: 4D of both hands below 1. Differences were observed in terms of total fat (TF), fat free mass (FFM) and fat mass (FM). While there was a positive correlation of the 2D: 4D of both hands with BMI, FM and TF; there was a negative correlation observed with FFM. Discussion: We believe the 2D: 4D may be directly related to obesity and inversely related to body muscle mass.
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    The treatment of intertrochanteric fractures comparison of PFN and hemiar-throplasty 3-year mortality study
    (Acta Medica Belgica, 2016) Golge, Umut Hatay; Pazarci, Ozhan; Kilinc, Seyran; Nusran, Gurdal; Kaymaz, Burak; Goksel, Ferdi; Komurcu, Erkam
    Intertrochanteric 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.