Yazar "Çalpur, OU" seçeneğine göre listele

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    Arthroscopic mediopatellar plicaectomy and lateral retinacular release in mechanical patellofemoral disorders
    (Springer-Verlag, 2002) Çalpur, OU; Tan, L; Gürbüz, H; Moralar, U; Çopuroglu, C; Özcan, M
    Arthroscopy was performed on 168 knees of 164 patients with anterior knee pain by a single arthroscopic surgeon between April 1993 and March 2000, with a mean follow-up of 29 months. There were 168 mediopatellar plicae, 16 infrapatellar plicae, 8 suprapatellar plicae, and 30 lateral plicae, and all plicae were excised. Lateral retinacular release was performed in 74 patients with patellar lateral compression syndrome, patellar lateralization, and patellar lateral subluxation through anterolateral portal without using a third portal with the help of a hook knife. Debridement and drilling were performed in type 3 and 4 chondropathies (Outerbridge classification), and cartilage debridement was performed in type 2 chondropathies. We examined the effect on morbidity and prognosis of the arthroscopic lateral retinacular release through the standard anterolateral portal; the results of condylar chondropathies and debridement and drilling applied to the chondropathies were also evaluated. Mediopatellar plica was seen to play a mechanical role in the development of medial femoral chondropathy, which confirms that excision of plica is a prophylactic procedure. A further successful method is lateral retinacular release applied through the standard anterolateral portal with conventional methods without using a third portal at the cases with patellar lateral compression syndrome, patellar lateralization, and patellar lateral subluxation. Classical debridement and drilling methods are cheap and easy for the treatment of chondropathy. We consider these methods still to be useful methods of treatment.
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    Deltoid (triangular)-shaped anterior cruciate ligament that caused notch impingement
    (W B Saunders Co-Elsevier Inc, 2004) Çalpur, OU; Özcan, M; Gürbüz, H
    In this article, we present 2 previously unreported cases of anterior cruciate ligaments (ACL) that had a wide deltoid (triangular)-shaped tibial insertion in the coronal plane that caused impingement at the intercondylar notch, inferior parts of patellofemoral sulcus, and the posterior cruciate ligament (PCL). Ligamentoplasty was used in both cases. Inferomedial and inferolateral parts of the ACL that caused impingement were excised, and the normal width of the tibial insertion of the ACL was provided.
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    The use of intraarticular tramadol for postoperative analgesia after arthroscopic knee surgery
    (Springer, 2004) Alagöl, A; Çalpur, OU; Kaya, G; Pamukçu, Z; Turan, FN
    We aimed to determine the optimal dose of tramadol when administered intraarticularly after arthroscopic knee surgery under general anesthesia in patients with an American Society of Anesthesiologists (ASA) physical status score of I-II. When the surgical procedure was completed, patients were assigned to one of seven groups (n=30 for each) in a double-blinded and randomized manner according to a table of random numbers. Group I received 100 mg tramadol, Group II received 50 mg tramadol, Group Ill received 20 mg tramadol and Group IV received 0.9% NaCl intraarticularly in 20 ml solutions. Group V received 100 mg tramadol, Group VI received 50 mg tramadol and Group VII received 20 mg tramadol intravenously. Pain was evaluated by using the Visual Analogue Scale (VAS) at 0 min (when the patient was cooperated after extubation), 3 0 min, 1 h, 4 h, 6 h, 12 h, 18 h and 24 h postoperatively. Patients were administered diclofenac sodium 75 mg intravenously (i.m.) when they experienced pain. The intraarticular tramadol groups had longer duration of analgesia than i.v. tramadol groups who were administered the same doses (I vs V, II vs VI; III vs VII; p <0.001). Group I had the longest duration of analgesia (p<0.001). Group II had a longer time to the first analgesic request than all other groups (p<0.001) except Group I. Consequently, Group I and II needed less analgesics than other groups (p<0.001). Pain scores were 0-3 on the VAS in Groups I, II and V at first assessment, in Groups I and II at 30 min and 1 h, and in Group I at 4 h and 6 h postoperatively (p<0.01). In Group V, vomiting was more a more frequent complication than with other groups (p<0.05). It is concluded that tramadol provides analgesia with a peripheral mechanism when administered intraarticularly. The side effects of intraarticular 100 mg tramadol were no more severe than those for intraarticular 50 mg tramadol. Moreover, intraarticular 100 mg tramadol provided excellent analgesia after arthroscopic surgery.