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Öğe Acute stress disorder and post-traumatic stress disorder following traumatic amputation(Acta Medica Belgica, 2010) Copuroglu, Cem; Ozcan, Mert; Yilmaz, Baris; Gorgulu, Yasemin; Abay, Ercan; Yalniz, ErolTraumatic amputations are important causes of acute stress disorder and post-traumatic stress disorder. In this study, we aimed to rind out the occurrence rate of symptoms of acute and post-traumatic stress disorder after traumatic amputations and according to this, to assess the psychiatric status of the patients in the postoperative period. Twenty-two patients with traumatic limb amputation who were treated in our institution were retrospectively evaluated. During the early post-traumatic period, the patients were observed to determine whether they needed any psychiatric supportive treatment. During the follow-up period, after the sixth month from the trauma, the patients were referred to the psychiatry department and they were evaluated to determine whether they needed any psychiatric supportive treatment, by clinical psychiatric examination and use of the 'post-traumatic stress disorder scale' (Clinician Administered Post traumatic Scale, or CAPS). Twenty-one (95.5%) of 22 patients were male, one (4.5%.) female. Mean age of the patients was 40.8 years (range : 15 to 69). During the early post-traumatic period, 8 (36.3%) of these patients consulted the psychiatry clinic following the orthopaedists' observations. Five (%22.7) of these patients needed psychiatric supportive treatment for acute stress disorder. After the 6th month (6 months to 5 years), 17 (77.2%) had chronic and delayed post-traumatic stress disorder and needed psychiatric supportive treatment. Patients who have sustained a traumatic amputation may need psychiatric supportive treatment in the late period after the trauma. As we orthopaedic surgeons treat these patients surgically we should be aware of their psychiatric status.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 Ankle stiffness and osteoarthritis in fracture-dislocation: an avoidable complication or natural history(Springer, 2008) Heybeli, Nurettin; Ozcan, Mert; Yalniz, Erol[Abstract Not Available]Öğe Balance Evaluation and Gait Analysis After Arthroscopic Partial Meniscectomy(Springer Heidelberg, 2022) Karahan, Menekse; Ozcan, Mert; Cigali, Bulent SabriPurpose The purpose of this study is to investigate how walking and balance are affected at different time intervals after arthroscopic partial meniscectomy (APM). Methods Forty-five patients with APM and a healthy control group of 46 people were included in the study. Gait and bipedal balance analysis were performed to the patient group twice in 4 weeks and 12 weeks after surgery. Results In the gait analysis performed after 4 weeks, stance phase (SP), step time (ST), and total double support (TDS) were higher, and step length (SL), swing phase (SWP), cadence (C), and speed (V) in the patient group were lower. After 12 weeks, SP, TDS, and step width (SW) data were higher in the patient group and SWP was lower. In both measurements, the gait of the patient group is not symmetrical. In open-eye balance test, it was observed that the data of length of ellipse (LoE), area of ellipse (AoE), and path length of CoP (PL) were different after 4 weeks but these differences disappeared after 12 weeks. Width of ellipse (WoE), LoE, AoE, and PL data were different in the test performed with eyes closed after 4 weeks. In addition to the same data after 12 weeks, the medio-lateral direction (ML) was also higher than the patient group. Conclusion After 12 weeks, walking has not fully recovered. There was no difference in the balance analysis with eyes open, but the differences were still present in the eyes-closed analysis.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 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 Evaluation and comparison of clinical results of femoral fixation devices in arthroscopic anterior cruciate ligament reconstruction(Elsevier Science Bv, 2016) Aydin, Deniz; Ozcan, MertBackground: Several femoral fixation devices are available for hamstring tendon autograft in anterior cruciate ligament (ACL) reconstruction, but the best technique is debatable. Purpose: We hypothesised that different suspensory femoral fixation techniques have no superiority over each other. The aim of this study was to evaluate and compare the clinical results of different suspensory femoral fixation devices in arthroscopic ACL reconstruction. Study design: This was a Level III, retrospective, comparative study. Methods: A total of 100 consecutive patients who underwent arthroscopic ACL reconstruction in a single institution with a mean follow-up time of 40 months (12-67 months) were divided into three groups according to femoral fixation devices as 'Endobutton' (n = 34), 'Transfix' (n = 35) and 'Aperfix' (n = 31). The length of painful period after surgery, time to return to work and sporting activities, final range of motion, anterior drawer and Lachman tests, knee instability symptoms, International Knee Documentation Committee (IKDC) subjective knee evaluation score, Short Form 36 (SF-36) score, Lysholm knee score and Tegner point of the patients were evaluated and compared between groups. Results: There were no significant differences between the groups. All techniques led to significant recovery in knee instability tests and symptoms. Conclusion: In this study, the clinical results of different suspensory femoral fixation techniques were found to be similar. We believe that different femoral fixation techniques have no effect on clinical results provided that the technique is correctly applied. The surgeon must choose a technique appropriate to his or her experience. (C) 2015 Elsevier B.V. All rights reserved.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 Fat Embolism Syndrome after Lower Extremity Fracture(Aves, 2016) Sayhan, Mustafa Burak; Salt, Omer; Ozcan, Mert; Mumcu, Volkan; Filizay, BurcuIntroduction: Fat embolism syndrome (FES) is a potentially lethal complication of long bone fractures and is commonly seen after femur fractures. The clinical manifestations of FES are as follows: petechiae, pulmonary dysfunction, mental status changes, tachycardia, fever, thrombocytopenia, and anemia. FES can result in multiorgan dysfunction such as that of the brain, skin, and lungs. In this case report, we present a rare case of FES after traumatic fracture of the tibia and fibula. Case Report: A 32-year-old male patient was admitted to our emergency department 18 h after a traffic accident. He was previously healthy and had no medical history. At initial examination, a right shoulder fracture and dislocation and left tibia and fibula open fractures were detected. Almost 2 h after admission, he started to complain of difficulty in breathing. At the same time, petechiae appeared on his chest wall. With these clinical features, FES was diagnosed. Conclusion: With the presentation of this case report, we aim to improve the awareness and knowledge of Emergency Physicians regarding FES, such that they might keep in mind the diagnosis of FES in patients admitted to emergency departments with a long bone fracture and respiratory impairment.Öğe Fractures of the femoral head: what are the reasons for poor outcome?(Turkish Assoc Trauma Emergency Surgery, 2011) Ozcan, Mert; Copuroglu, Cem; Saridogan, KenanBACKGROUND In this article, we aimed to discuss treatment strategies in fracture of the femoral head, which is a very rare injury. METHODS We reviewed five patients (six fractures) who admitted to our emergency department due to femoral head fracture between March 2006 and December 2007. Functional outcomes of the patients who were treated operatively and nonoperatively were compared. RESULTS Half of the fractures were treated nonoperatively and half of them surgically. We observed a rate of 50% excellent to good results. Avascular necrosis developed in a patient with bilateral injury. The functional results were poor for this patient. Early posttraumatic arthritis was observed in a patient who was treated surgically; this patient had moderate results. CONCLUSION We should aim at anatomic reduction of the fragments with minimum soft tissue injury. The best approach should be chosen for excellent view of the fragments. We should not forget that half of these patients will have a poor outcome despite all treatment strategies.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 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 Is success objective or subjective in knee prosthesis?(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2009) Copuroglu, Cem; Ozcan, Mert; Aykac, Bilal; Yilmaz, Baris; Yalniz, ErolObjective: To analyze the relation between the radiological and functional results and satisfaction of the knee prosthesis. Material and Methods: In this study, knee prosthesis applied to 43 patients' 76 knees were retrospectively evaluated. As a radiologic parameter; anatomical alignment, and as a functional measurement; range of motion was evaluated. Visual analogue scale (VAS) was measured as a pain score. The relation of functional and radiological measurements with VAS scores was analyzed. All the patients were re-evaluated with Oxford knee score. Results: Study group included 37 women and 6 men with a mean age of 63 (26-76). A total number of 76 knees (33 bilateral, 10 unilateral) were evaluated. Mean follow up time was 16.25 months (2-29 months). In the last evaluation; according to the preoperative evaluation, varus deformity improved, functional improvement could not be gained and VAS decreased, in 23 knees. In 21 knees, no radiological and functional improvement could be gained, VAS decreased. In 13 knees, no radiological difference was obtained, functions got worse, VAS decreased. In 3 knees, no radiological difference was obtained, functions were better, VAS decreased. Three knees were radiologically worse, without any change in functions, VAS decreased. In 2 knees, radiological and functional results improved, VAS decreased. In 2 knees, although there was postoperative infection, VAS decreased. In only 3 knees, radiological and functional results were worse and VAS score did not change. Mean Oxford knee score was 9.7. Conclusions: Although radiological and functional results are not so good, application of the knee prosthesis decreases the patients' pain and increases the patients' satisfaction.Öğe Isolated synovial chondromatosis of the proximal tibiofibular joint(Turkish Assoc Orthopaedics Traumatology, 2009) Heybeli, Nurettin; Ozcan, Mert; Copuroglu, Cem; Yalniz, ErolSynovial chondromatosis is a chronic, progressive disease of the synovial tissue where free chondral loose bodies are formed after metaplasia. It is mostly seen as a monoarticular disease in the knee, hip, shoulder, ankle, and elbow joints. To our knowledge, isolated synovial chondromatosis of the proximal tibiofibular joint has not been reported. A 36-year-old male patient presented with a complaint of pain on the lateral side of the right knee, whose severity gradually increased within the past two years. Radiological findings were suggestive of synovial chondromatosis of the proximal tibiofibular joint. The patient was treated with resection of the fibular head. including the satellite lesions. Histopathological examination confirmed the diagnosis. At one-year follow-up, the patient was symptomless, had full range of motion of the knee without pain, and had no problems in maintaining daily activities. Pathologies of the proximal tibiofibular joint must be kept in mind in patients with lateral knee pain.Öğe Late-diagnosed bilateral intertrochanteric femur fracture during an epileptic seizure(Turkish Assoc Trauma Emergency Surgery, 2012) Copuroglu, Cem; Ozcan, Mert; Dulger, Hakan; Yalniz, ErolAlthough spontaneous and simultaneous bilateral hip fractures without trauma are seen rarely, epileptic seizures may lead to these fractures. We present an 82-year-old female patient with poor bone quality and a 20-year history of epilepsy. She had been using anticonvulsant drugs for almost 20 years. Following a convulsive epileptic attack, bilateral intertrochanteric femur fractures occurred (causing bilateral hip pain), which was diagnosed on the 12th day. An earlier pelvic anteroposterior roentgenogram would be helpful for early diagnosis. It should not be forgotten that bone fractures may be observed without trauma in epilepsy patients.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.
