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Öğe 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, MArthroscopy 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.Öğe Deltoid (triangular)-shaped anterior cruciate ligament that caused notch impingement(W B Saunders Co-Elsevier Inc, 2004) Çalpur, OU; Özcan, M; Gürbüz, HIn 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.Öğe Evaluation of the late neurologic deficits accompanied by hypertrophic scars and keloids in children with elbow fractures(Lippincott Williams & Wilkins, 2001) Gürbüz, H; Birtane, M; Yalçin, ÖIn this study, the relation between hypertrophic scar and keloid (HSc) lesions around incisions and late neurologic deficits was investigated in operated elbow fractures in children. Six elbow fracture patients with HSc lesions were evaluated for neurologic deficits with late onset. The fractures were all closed and treated with open reduction and internal fixation. No neurologic deficit was detected before surgery and in the early postoperative periods. Late neurologic deficits observed in these patients were evaluated according to British Medical Research Committee scoring scale on admission and after therapy. In the reoperations for neurologic deficits, the nerve segments were found to be compressed in intensive scar tissue. Typical pseudoneuromas were observed in the proximal part of compression; however, the corporal integrity of the nerves was not interrupted. External neurolysis were performed in all patients. Excellent improvements in sensory and motor functions were detected and no recurrence occurred in followup. Elbow fracture patients, especially those with HSc lesions around their incisions, should be followed up for possible neurologic deficits with late onset.Öğe The extensor indicis et medii communis(Wiley-Liss, 2006) Yalçin, B; Kutoglu, T; Ozan, H; Gürbüz, HThe aim of this study was to examine the existence of the extensor indicis et medii communis in detail. Thirty-one randomly selected adult cadavers (62 upper extremities) were examined for this project (22 males and 9 females between the ages 38 and 87). The muscle was observed in 3 of 62 hands, an incidence of 4.8%. One was in the right and the other two were in the left hands. Mean length and width of the muscle belly were 4.5 +/- 0.8 and 0.8 +/- 0.3 mm, respectively. Although the muscle did not have a junctura tendinum attachment between its two tendons, in one hand, the tendon to the index finger gave a thin slip to the tendon of the extensor digitorum communis for the same finger. Knowledge of variant muscle may be important when one is assessing the traumatized or diseased hand.Öğe False aneurysm of perforating branch of the profunda femoris artery after external fixation for a complicated femur fracture(Edizioni Minerva Medica, 2002) Canbaz, S; Acipayam, M; Gürbüz, H; Duran, EFalse aneurysm of the profunda. femoris artery rarely occurs and is a serious complication following femur fracture. A 39-year-old man who developed a false aneurysm arising from the perforating branch of the profunda femoris artery following an external fixation for a complicated femur fracture was presented. Clinical diagnosis was confirmed by selective arterial angiography after occurrence of significant hemorrhage and swelling of the injured thigh. The false aneurysm was treated by ligation of the perforating branch of the profunda femoris artery and excision of the aneurysmal sac via the medial approach. Clinical status of the patient was uneventful postoperatively. The right thigh swelling decreased rapidly following the operation in 1 week. The patient was discharged on the 10th postoperative day with external fixation. False aneurysm in a branch of the profunda femoris artery is a very rare status following application of the external fixator due to complicated femur fracture. Related literatures and interventions were reviewed on the basis of this case.
