Yazar "Pazarci, Ozhan" seçeneğine göre listele

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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.