Yazar "Ciftdemir, Mert" seçeneğine göre listele
Listeleniyor 1 - 20 / 28
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe A 10-year-old boy with limping complaint(Galenos Yayincilik, 2015) Ciftdemir, Mert; Ciftdemir, Nukhet Aladag; Aydin, Deniz; Ozbek, Ulfet Vatansever; Saridogan, Kenan[Abstract Not Available]Öğe The analysis of the risk factors observed in patients with hip fracture(Galenos Publ House, 2011) Copuroglu, Cem; Unver, Kagan Volkan; Ozcan, Mert; Ciftdemir, Mert; Turan, Fatma Nesrin; Copuroglu, ElifObjective: Hip fractures are frequently seen in the elderly and an important reason of morbidity and mortality. We aimed to analyze the accompanying risk factors of the hip fractured patients who have been treated in our university clinic. Material and Methods: The data of 180 patients, who have been treated in our clinic between December 2008 and July 2010, were evaluated. The preoperative activity level of the patients, fracture type, mechanism of injury and patients' co morbid medical diseases were evaluated and compared with preoperative biochemical markers statistically. Results: The study group included 180 patients (72 male, 108 female) with a mean age of 73.9 (24-103). One hundred eighteen of the patients admitted because of intertrochanteric femur fracture, 54 because of femoral neck fractures and 8 because of subtrochanteric femur fractures. Forty-three (24%) patients had no medical co morbidity while 22 had hypertension, 10 had cancer, 7 had cardiac disease, 6 had diabetes mellitus and 75 (42%) had more than one accompanying co morbidity. Conclusion: Mostly low energy injuries cause osteoporotic fractures in women and medical co morbidities also exist. In order to decrease the morbidity and the mortality of the hip fractures, metabolic disorders should be taken under control simultaneously with the fracture treatment.Öğe The analysis of the variables, affecting outcome in surgically treated tibia pilon fractured patients(Elsevier Sci Ltd, 2013) Korkmaz, Aytel; Ciftdemir, Mert; Ozcan, Mert; Copuroglu, Cem; Saridogan, KenanIntroduction: Treatment of tibia pilon fractures is challenging. Outcome after tibia pilon fractures depend on multiple factors. Aim of this study is to evaluate the potential variables that are known to affect the outcome after tibia pilon fractures. Patients and methods: Forty patients with 42 tibia pilon fractures with a one-year follow-up, who had undergone surgical treatment between January 2007 and June 2011, were evaluated, retrospectively. Patients were divided into 3 groups regarding the choice of surgical treatment (Group A-22 patients treated with open reduction-internal fixation; Group B-9 patients treated with mini-open reduction-internal fixation and external fixation; and Group C-11 patients treated with closed reduction-external fixation). Fractures were classified using Muller-AO and Ruedi/Allgower classifications. Quality of reduction was evaluated using Ovadia and Beals' criteria. All patients underwent functional assessment using AOFAS ankle-hindfoot scale and Teeny-Wiss scoring system at the last follow-up. Results: Mean age of the patients was 49 (20-80). There were eight 43-B3, six 43-C1, twelve 43-C2 and sixteen 43-C3 fractures according to Muller-AO classification and ten type 1, ten type 2 and twenty two type 3 fractures according to Ruedi/Allgower classification. There were 15 (35.7%) open fractures. No statistically significant relation was found between quality of reduction and type of surgery. Also no significant relation was found between the type of surgery and functional scores. No significant correlation was found between functional scores and Muller-AO classification, but functional scores were found significantly worse in Ruedi/Allgower type 3 fractures. Functional scores were found significantly related to the quality of reduction. Early complications were seen in 22 and late complications were seen in 9 fractures. No statistically significant relation was found between complications, type of surgery and functional scores. Conclusion: The most important factor affecting outcome in surgically treated tibia pilon fractures was quality of reduction. Poor functional scores were found independent from the type of surgery and quality of reduction in Ruedi/Allgower type 3 fractures, which was characterized with articular surface comminution and metaphyseal impaction. (C) 2013 Elsevier Ltd. All rights reserved.Öğe Carpal tunnel syndrome in manual tea harvesters(Turkish Joint Diseases Foundation, 2013) Ciftdemir, Mert; Copuroglu, Cem; Ozcan, Mert; Cavdar, LeylaObjectives: This study aims to present the physiopathological and surgical aspects of carpal tunnel syndrome (CTS) related to manual tea harvesting based on nerve conduction studies and clinical scoring systems. Patients and methods: Clinical and neurophysiological scores as well as clinical and occupational variables were statistically analyzed using Boston questionnaire, modified criteria of Italian CTS study group, and modified neurophysiologic grading system of Italian CTS study group in 56 agricultural laborers who underwent surgery due to severe CTS. Results: A statistically significant correlation was found among the clinical stages of the patients and age, working duration and duration of symptoms. There was a statistically significant relationship among neurophysiologic grades of the CTS in patients and the duration of symptoms and functional outcomes before and after surgery. Conclusion: We concluded that manual tea harvesting might be an occupational risk factor for work-related CTS development. Surgical treatment of CTS among manual tea harvesters revealed satisfactory results.Öğe Clinicopathological and prognostic characteristics of acral metastases in patients with malignant disease: A retrospective study(Turkish Assoc Orthopaedics Traumatology, 2021) Ciftdemir, Mert; Ustabasioglu, Fethi Emre; Colbe, Suleyman Alp; Ustun, Funda; Usta, Ufuk; Cicin, IrfanObjective: This study aimed to investigate the clinical, pathological, and prognostic characteristics of acrel metastases in patients with malignant disease and to determine the impact of different types of acral metastasis treatment on patient survival. Methods: In this retrospective study, 64 acral metastatic lesions in 46 patients (17 women, 29 men; mean age, 61.5 years; age range, 35-82 years) who were evaluated by the Bone and Soft Tissue Tumors Council of our institute from 2015 to 2019 were included. The patients' primary tumor site, tumor type. localization of acrel metastases, main symptom, duration from the diagnosis of the primary tumor to the diagnosis of acral metastasis, duration from the diagnosis of acrel metastasis to death, and survival data were analyzed. The diagnosis of acral metastasis was confirmed by histopathological evaluation in 38 patients and clinical and radiological assessment of the lesions in 8 patients. The treatment type for each acral metastasis was individualized by the institutional Bone and Soft Tissue Tumors Council and categorized into 3 groups: excisional surgery (amputations and resections). palliative surgery (prophylactic fixation, intralesional curettage, and bone cement augmentation), and non-surgical treatment (chemotherapy. radiotherapy, and hormone therapy). Results: A total of 16 acral metastases (25%) were identified in the upper extremity and 48 (75%) in the lower extremity. The most common primary tumor site was the lungs (32.6%), and the most common tumor type was adenocarcinoma (43.2%). The most frequent symptom and the primary reason for admission was pain (58.7%). The mean duration between the diagnosis of primary tumor and the diagnosis of acral metastasis was 19.1 (range. 0-124) months. No significant correlation was determined between the primary tumor types and duration from the diagnosis of primary tumor to the diagnosis of acral metastasis (p=0.278). Acral metastases were treated by excisional surgery in 15 (32.6%) patients, palliative surgery combined with non-surgical treatment in 10 (21.7%) patients, and only non-surgical treatment modalities in 21 (45.7%) patients. No significant correlation existed between the treatment types and patient survival (p=0.058). At the final follow-up. 30 (65.2%) patients were dead owing to the disease. The mean overall survival of the entire study group was 24.9 (range. 3-55) months. The mean duration between the diagnosis of acral metastasis and death was 7.6 (range, 3-24) months in patients who were dead owing to the disease (p=0.012). Conclusion: When the diagnosis of acral metastasis is established, it should be borne in mind that the most common primary tumor site and type are most likely the lungs and adenocarcinoma, respectively. The treatment type for acral metastasis may have no significant impact on patient survival, but the extensiveness of the disease may be a critical factor for survival.Öğe Co-Existence of Non-ossifying Fibroma and Osteoblastoma of the Tibia(Galenos Publ House, 2023) Alkan, Aykut; Ustabasioglu, Fethi Emre; Usta, Ufuk; Ciftdemir, Mert; Ustuen, Funda[Abstract Not Available]Öğe Comparison of AO, Schatzker, and three-column classification systems in tibial plateau fractures: Impact on functional outcomes(Turkish Joint Diseases Foundation, 2024) Selcuk, Esref; Erem, Murat; Copuroglu, Cem; Ozcan, Mert; Ciftdemir, MertObjectives: This study aimed to compare the AO, Schatzker, and Three-Column classification systems for tibial plateau fractures, focusing on their prognostic and functional outcome prediction and influence on clinical decisions across different trauma types. Patients and methods: In this retrospective study, we examined 49 patients (36 males, 11 females; mean age: 40.6 +/- 11.8 years; range, 19 to 67 years) with tibial plateau fractures between January 2011 and January 2017. The fractures were classified using the AO, Schatzker, and three-column systems. The main outcome measurements included functional scores (Knee Injury and Osteoarthritis Outcome Score [KOOS], Hospital for Special Surgery [HSS]), range of motion (ROM), duration of hospitalization, thigh atrophy, operation time, and the development of osteoarthritis. The impact of smoking was also assessed. Results: According to the AO classification, type B fractures obtained higher KOOS and HSS scores compared to type C fractures (p=0.013 and p=0.007, respectively). According to the Schatzker classification low-energy fractures achieved higher KOOS and HSS scores than high-energy fractures (p=0.013 and p=0.026, respectively). One-column fractures had higher KOOS and HSS scores compared to two-column and three-column fractures (p=0.007 and p=0.001, respectively). Two-column fractures had a lower ROM compared to other column fractures (p=0.022). Shorter hospital stays were recorded for Schatzker low-energy fractures (p=0.016), whereas higher thigh atrophy was found in Schatzker high-energy fractures (p=0.022) and AO type C fractures (p=0.018). Longer operation times were observed in AO type C fractures (p=0.037) and Schatzker high-energy fractures (p=0.017). According to the Kellgren-Lawrence classification, AO type C fractures and three-column fractures yielded worse outcomes (p=0.039 and p=0.001, respectively). Smoking had a negative impact on functional KOOS and HSS scores across all groups (p=0.022 and p=0.001, respectively). Conclusion: This study highlights the predictive value of the AO, Schatzker, and Three-Column classification systems in determining functional outcomes and clinical data in tibial plateau fractures. Each system provides unique insights into different outcomes, suggesting their concurrent application may yield a more comprehensive prognosis.Öğe Comparison of autogenous bone graft donor site haemostatic agents used in spinal surgery(Turkish Assoc Orthopaedics Traumatology, 2011) Copuroglu, Cem; Ercan, Selcuk; Ozcan, Mert; Ciftdemir, Mert; Turan, F. Nesrin; Yalniz, ErolObjective: The aim of our study was to investigate the effects of haemostatic agents used at the autograft donor sites in spinal fusion. Methods: The study included 66 patients (26 men, 40 women; mean age: 42.9 years) who underwent spinal fusion surgery between March 1999 and October 2002. Patients were randomly assigned to 4 different groups according to the haemostatic agents used during surgery. In Group 1, bone wax was used on the graft donor site. In Group 2, spongostan was used. In Group 3, spongostan was applied to the donor site and removed after 10 minutes. Group 4 Was the control group and no haemostatic agent was applied. Age, sex, diagnosis and incision shape were not taken into consideration during the selection of patient groups. Closed suction drainage systems were used for the evaluation of drainage amount. The drainage system was removed after 48 hours in patients with a daily drainage of less than 30 cc. Results: In Group 1, there was significantly less drainage than the other groups. Group 2 and Group 3 had less drainage than the control group. When a separate incision was used for graft harvesting, keeping the spongostan at the application site (Group 2) was more effective than its removal (Group 3). Conclusion: The application of bone wax and spongostan to bleeding cancellous bone surfaces at the donor site is a safe and effective method to reduce bleeding and hematoma. Bone wax is more effective than spongostan for haemostasis.Öğe Does an abnormal infrapatellar plica increase the risk of chondral damage in the knee(Springer, 2011) Ozcan, Mert; Copuroglu, Cem; Ciftdemir, Mert; Turan, Fatma Nesrin; Calpur, Osman UgurThe aim of this study was to evaluate abnormal infrapatellar plicae that cause chondral lesions on the patellofemoral sulcus and superior aspect of intercondylar notch. In this study, 133 abnormal infrapatellar plicae were evaluated. The abnormal infrapatellar plicae may lead to chondral lesions on the superior portion of intercondylar notch and on the inferior portion of the patellofemoral sulcus with striking, friction, and compression forces during knee motion. The chondral lesions that were caused by abnormal infrapatellar plicae were more severe than the chondral lesions that were caused by normal infrapatellar plicae. The width of the plica did not affect the severity of chondral lesions. Abnormal infrapatellar plicae might be one of the causes of chondral lesions on the superior portion of intercondylar notch and on the patellofemoral sulcus. The width of the plica did not affect the severity of chondral lesions.Öğe Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?(Springer, 2015) Ciftdemir, Mert; Tuncel, Sedat A.; Ozcan, Mert; Copuroglu, Cem; Erem, MuratPurpose The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. Methods A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were evaluated regarding demographic features, injury mechanism, fracture type, interval between trauma and nailing, operation time and number of image intensifier shots during the operation at least one year after nailing. Patients were divided into two groups according to distal locking technique. All patients had also undergone clinical examination for lower extremity alignment and range of motion and filled out the SF-36 questionnaire and undergone ultrasound measurement of femoral anteversion angles to reveal any rotational femoral malalignment. Results Group 1 consisted of 47 patients (41.6 %) with electromagnetic-manual targeting guided distal locking and group 2 consisted of 66 patients (58.4 %) with free-hand distal locking. Both groups were statistically similar regarding demographic features, injury mechanism, fracture type, interval between trauma and nailing, clinical examination and SF-36 results. Operation time and number of image intensifier shots were significantly less in group 1. No statistically significant difference was found between the femoral anteversion angles of injured and uninjured sides of the patients in both groups. Conclusions Although there is no significant effect on malrotation, previously known advantages lead us to state that electromagnetic-manual guided distal interlocking is an advantageous treatment option in femoral shaft fractures.Öğe Effects of pregabalin on spinal fusion(Springer, 2020) Imre, Erdi; Ciftdemir, Mert; Tastekin, EbruPurpose Gamma-aminobutyric acid analogues are commonly used to treat neuropathic and chronic pain before and after spinal surgery in recent years. Aim of this study is to investigate the influence of pregabalin on spinal fusion and to determine the proper pregabalin dose for postoperative utilization in a validated rat intertransverse spinal fusion. Methods Lumbar intertransverse fusion surgeries performed in four groups of rats according to a previously established rat model for posterolateral spinal fusion. All rats were followed up for 6 weeks at the postoperative period by administering oral pregabalin doses of 10 (D10), 30 (D30) and 100 mg/kg/day (D100) except the control group. All rats were killed after 6 weeks and evaluated in terms of manual palpation, radiographic investigation and histological analysis to investigate posterolateral fusion. Results Assessment of fusion with manual palpation revealed lower fusion rates in D100 group. In histological analysis, scores were significantly lower in D30 and D100 groups compared to the control group; this finding was interpreted as inhibition of spinal fusion. Radiographic evaluation did not reveal any significant statistical difference between groups. Conclusions Histological analysis and manual palpation results showed inhibition of spinal fusion formation with high doses of pregabalin. According to these results, administration of high-dose pregabalin should be avoided at the postoperative period until successful fusion is obtained in patients who undergo spinal fusion surgery. Graphic abstract These slides can be retrieved under electronic supplementary material.Öğe An Evaluation of the Effect of the Biological Dose of Fluoroscopic Radiation Exposure in the Operating Room(Aves, 2018) Yilmaz, Baris; Copuroglu, Cem; Tabakcioglu, Kiymet; Pala, Funda Sibel; Ozcan, Mert; Ciftdemir, MertObjective: Through an evaluation of the biological dose, we aimed to evaluate the risks of ionizing radiation to which physicians and auxiliary healthcare personnel working in orthopedic operating rooms are exposed to via diagnostic use of fluoroscopy. Methods: Blood samples were collected from physicians and auxiliary healthcare personnel working in the orthopedic operating room. The biological dose was evaluated using micronucleus and dicentric analysis. To assess the effects of physical and chemical agents together, a total of 31,000 binucleate cells were evaluated using the micronucleus method and 16,500 metaphase plaques were evaluated using dicentric analysis, which is accepted as the most important indicator in determining the effects of radiation. Results: The study participants comprised 18 males and 5 females (16 physicians, 4 nurses, and 3 patient carers) with a mean age of 34.1 years (range, 22-58 years) who were thought to have been exposed to ionizing radiation in the working environment. The mean duration of working under ionizing radiation was 73.6 months (range, 1.5-420 months). In the blood samples, the total micronucleus frequency was determined as 8.8 +/- 1.4. In the evaluation of the 16,500 metaphysis plaques, radiation-specific dicentric was observed in 5 subjects (normal frequency: 5/10,000). As a result of the analysis made use both methods, the dose was determined to be slightly above background level, and below risk level in 6 subjects. The dose was related with medical applications in 4 of these subjects. Conclusion: Fluoroscopy should be attempted in the operating room within a restricted time as far as possible and at measurements of high kV and low mA. kV-mA values are of utmost importance for providing the best results according to the nature of the operation; the tube outlet is predefined away from the patient's skin.Öğe Evaluation of the factors affecting survival and local recurrence in thigh soft tissue sarcomas(Turkish Joint Diseases Foundation, 2024) Yildirim, Savas; Ciftdemir, Mert; Ustabasioglu, Fethi Emre; Ustun, Funda; Usta, UfukObjectives: The aim of this study was to evaluate the factors affecting local recurrence and survival in patients with soft-tissue sarcomas located in the thigh.Patients and methods: This retrospective cross-sectional study evaluated 41 soft tissue sarcoma patients (21 males, 20 females; mean age: 57.9 +/- 13.7 years; range, 18 to 90 years) with thigh involvement between January 2010 and December 2020. All surgical intervention was performed by one surgeon with an experience of 15 years in orthopedic oncologic surgery. Epidemiological, radiological, histopathological, and metabolic features, as well as surgical and oncological treatments and prognoses, were assessed. The data was statistically analyzed to determine factors affecting local recurrence and survival in these cases, staged using Enneking and the American Joint Committee on Cancer classifications.Results: Liposarcomas were the most common type of tumor (39%), followed by undifferentiated pleomorphic sarcomas (32%). Tumors >10 cm were associated with decreased survival rates. High-grade tumors, tumor necrosis, Ki-67 index >20%, and positive surgical margins were also associated with lower survival rates. Metastatic patients had significantly lower survival rates. Local recurrence was significantly more frequent in patients with positive surgical margins. Survival rates were significantly lower in metastatic patients.Conclusion: There are many factors that affect local recurrence and survival of soft tissue sarcomas. The size of the mass, the presence of necrosis, a high Ki-67 index, positive surgical margins, and the presence of metastasis are the main factors that should be taken into consideration.Öğe FREQUENCY OF HIP FRACTURES ADMITTED TO A UNIVERSITY HOSPITAL FOR THE LAST TEN YEARS(Gunes Kitabevi Ltd Sti, 2011) Copuroglu, Cem; Ozcan, Mert; Ciftdemir, Mert; Unver, Kagan Volkan; Saridogan, KenanIntroduction: Hip fractures are an important cause of morbidity and mortality. We aimed to analyze the annual rate and demographic properties of the hip fractured patients who were operated in our university hospital. Materials and Method: We evaluated 923 patients ove a 10-year period. Data on age, sex, injury patterns, and types of fractures were evaluated retrospectively. Results: Sixty-eight (7.4%) of the patients had subtrochanteric femur fractures, 513 (55.5%) had inter-trochanteric femur fractures, and 342 (37.1%) had collum femoris fractures. According to years, in year 2000; 41 hip fractured patients were operated, in 2001; 58, in 2002; 48, in 2003; 63, in 2004; 65, in 2005; 121, in 2006; 111, in 2007; 123, in 2008; 154 and in 2009; 139 hip fractures were operated in our clinic. Mean age of the patients were 70.5 years. Five hundred thirty eight of them were females and 385 of them were males. Six hundred forty five of the injuries were due to low energy, the others were due to high energy injuries. Conclusion: Hip fractures are frequent. In order to decrease the morbidity and mortality of the osteoporotic fractures, fracture prevention strategies should be developed and the patients should be returned to their daily activity levels as soon as possible.Öğe From Pathology to Diagnosis: A Symptom-Free Patient with a Rheumatoid Nodule in the Foot(Turkish League Against Rheumatism, 2012) Tastekin, Ebru; Birtane, Murat; Kilinc, Serdar; Ciftdemir, Mert; Usta, Ufuk; Tastekin, NurettinSubcutaneous rheumatoid nodules (RNs) are most commonly seen superficial soft tissue lesions which occur in 20-30% of patients with rheumatoid arthritis (RA). The foot involvement is rare and only seen in about 1% of all rheumatoid nodules. In this article, we present a 39-year-old female case with a pathologically verified as RN in an uncommon localization with no clear clinical symptoms of RA at onset. The possible role of RNs in early RA was stressed in the patient presenting with inflammatory joint signs in the course of follow-up.Öğe Functional results of patients treated with modular prosthetic replacement for bone tumors of the extremities(Turkish Assoc Orthopaedics Traumatology, 2008) Yalniz, Erol; Ciftdemir, Mert; Memisoglu, SerdarObjectives: We evaluated functional results of patients who were treated with cemented modular prosthetic replacement for bone tumors of the extremities. Methods: The stud included 23 patients (12 males, 11 fey males mean age 49 years, range 14-81 years) who underwent wide resection and cemented endoprosthetic replacement with the TMTS (Turkish Musculoskeletal Tumor Society) prosthesis for bone tumors. Twelve patients (52.2%; mean age 63.5 years) had metastatic, 11 patients (47.8%; mean age 38 years) had primary tumors. The most common site of involvement was the femur (n=17). followed by the humerus (n=5). Functional evaluations were made with the Musculoskeletal Tumor Society (MSTS) scoring system. The mean followup up period was 24 months (range I to 108 months), being 30 months for primary, and 3 months for metastatic tumors. Results: Postoperative complications were seen in seven patients (30.4%), being local recurrences in three patients. During the follow-up period, I I patients died due to tumoral causes, distant metastasis developed in three patients, and nine patients were tumor-free. Survival was significantly better in patients with primary tumors (p<0.001). All the patients were able to walk without crutches in the postoperative period. The mean MSTS score was 58.9% (range 40% to 90%) in survivors, which was 71.5% (range 60% to 90%) for primary tumors, and 47.4% (range 40% to 73%) for metastatic tumors (p<0.001). Conclusion: Reconstruction with cemented modular endoprostheses is an appropriate surgical alternative in the treatment of large segmental defects after resection of extremity tumors, with satisfactory functional results particularly in primary tumors.Öğe Iatrogenic gluteus medius muscle insertion injury while trochanteric entry nailing due to trochanteric fractures: a comparative study in forty patients with gray-scale ultrasound and shear-wave elastography(Springer, 2021) Colbe, Suleyman Alp; Ciftdemir, Mert; Ustabasioglu, Fethi Emre; Ozgur, CihanIntroduction Trochanteric entry nailing potentially causes damage to the gluteus medius (GM) tendon. The aim of this study is to determine the amount of iatrogenic damage to the tendon during reaming by measuring the thickness and stiffness of the GM muscle in patients with trochanteric fractures who are treated with trochanteric entry nails using gray-scale ultrasound (GSUS) and shear-wave elastography (SWE). Methods Thickness and stiffness values of bilateral GM muscles in 40 patients with trochanteric fractures treated with PFN-A were measured using GSUS and SWE at post-operative sixth week or later. Harris Hip Scores and bilateral active hip abduction measurements of the patients were recorded. The data was analyzed using statistical methods to assess the extent and amount of iatrogenic injury that occurred during trochanteric entry. Results Mean age of the patients was 70. Thirty-three fractures occurred with low-energy trauma. In the SWE evaluation, there was no statistically significant difference between ipsi- and contralateral GM muscle thickness measurements or ipsi- and contralateral GM muscle stiffness measurements. Also, the difference between the clinical evaluation results of the ipsi- and contralateral hip functions was not statistically significant. Discussion In this study, we used the Harris Hip Score and hip abduction range of motion in addition to SWE and GSUS in order to assess the patients' functional status. There are studies in the literature that report significant injury to the GM tendon with cephalomedullary nailing. The majority of these studies are cadaver studies with only clinically irrelevant or uncertain evidence. In this study, we aimed to evaluate the potential negative effects of the iatrogenic damage to the bone-tendon junction during nailing, by measuring the stiffness (consistency) and atrophy of the GM muscle alongside the functional evaluation. Conclusion We have found no statistically significant difference between operated and intact side GM muscles in terms of stiffness, atrophy, and functional evaluation in patients with TFs treated using PFN-A. The results of our study should not be interpreted as trochanteric entry nailing does not cause any damage on the GM tendon.Öğe Is olecranon osteotomy necessary fort he surgical treatment of distal humerus fractures located close to intra-articular area?(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2017) Yilmaz, Baris; Copuroglu, Cem; Ciftdemir, Mert; Ozcan, Mert; Imge, Erdi; Saridogan, KenanObjective: The aim of this study is to evaluate the clinical results and necessary of olecranon osteotomy by open reduction and internal fixation by parallel plating of distal humerus located close to intra-articular surface of distal humerus. Materials and Methods: 43 patients were evaluated in this study separated into two groups. In group 1 olecranon osteotomy was performed and in group 2 paratricipital approach was performed to all patients. All patients were evaluated by hospital stay time, follow-up, surgical time, range of motion (ROM), complications and Mayo elbow performance scoring system functions. Results: Mean age was 44.35 +/- 11.61 (19-62) years. There was no statistically significant difference by age, sex, side distribution, hospital stay, follow-up time and ROM. Operation time was 133.04 +/- 18.14 minutes in Group 1 and 171 +/- 15.1 minutes in Group 2. There was statistically significant decrease in surgical time in Group 1 compared to group 2 (p:0.001; p<0.05). There was not any postoperative complication and union was achieved clinically and radiologically in both groups. Mayo elbow score was 85.65 +/- 4.34 while 90.25 +/- 4.13 in group 2 (p:0.001; p<0.05). Conclusion: There was better ROM and functional scores in paratrisipital approach group while only surgical time increased in this group. In conclusion, olecranon osteotomy should not be performed in intra-articular fractures of distal humerus whom treated by open reduction and parallel plating if it is not necessary to protect congruity of joint.Öğe Local Recurrence of Metatarsal Aneurysmal Bone Cyst after Percutaneous Sclerotherapy(Galenos Publ House, 2022) Gunay, Burak; Ustabasioglu, Fethi Emre; Ciftdemir, Mert; Uslu, Burak; Usta, Ufuk[Abstract Not Available]Öğe Major Extremity Injuries Associated with Farmyard Accidents(Hindawi Ltd, 2012) Copuroglu, Cem; Heybeli, Nurettin; Ozcan, Mert; Yilmaz, Baris; Ciftdemir, Mert; Copuroglu, ElifBackground. The aim of the study is to analyze the major agricultural injuries related to the extremities. Patients. We evaluated a 3-year period including 41 patients. Data on age, sex, injury patterns, anatomical localizations, injury season, length of stay in the hospital, and infections were evaluated, and the patients were examined with SF-36 in the follow-up period. Results. Hand was the most commonly injured part (n: 9) followed by the distal part of the lower limb (cruris) (n: 7) and foot (n: 7). Mean time between trauma and emergency-department arrival was 115 minutes (60-360). Mean length of stay was 24 days (4-150), and mean number of operations during hospitalization was 2.4 (1-30). Deep wound infection was seen in 8 patients. Seasonal distribution for accidents was even for spring and fall (27% each), high for summer (36%), and less for winter (10%). Conclusions. Distal parts of the elbow and knee were affected more frequently. Due to the high microbiological load and high incidence of crush-type injuries, repetitive debridements and long duration of hospital stay were needed. Attention should be paid in the harvesting times to the farmyard injuries. Due to the seasonal variation, more resources should be allocated to treat the increasing incidence of injury over the period from spring to fall.
