Context: Weight-bearing test (WBT) is a noninvasive quantitative test which has been used recentl... more Context: Weight-bearing test (WBT) is a noninvasive quantitative test which has been used recently to determine loading capability of the individuals. The aim of this study was to strengthen the evidence for using the WBT test for measuring weight-bearing capacity of the upper-extremity with the specific objective of examining the internal and external responsiveness and concurrent validity of the test in patients with triangular fibrocartilage complex injury. Design: Single-group repeated measures. Methods: Internal responsiveness was assessed using effect size statistics. The correlation coefficient was used to examine external responsiveness by testing 5 hypotheses regarding predefined correlations between the changes in the measurements. Concurrent validity was evaluated by analyzing correlations between the WBT and other measurements. Thirty-one patients with triangular fibrocartilage complex injury were included for the analysis of the concurrent validity. Eighteen patients wh...
A 35-year-old man was referred to our clinic by a neurosurgeon for hypersensitivity and severe pa... more A 35-year-old man was referred to our clinic by a neurosurgeon for hypersensitivity and severe pain in his right middle finger. History showed that the symptoms had been present for three years and he had made several attempts to seek medical attention. A sensitive, very painful mass was palpated under the eponychium of his right middle finger. The tumor was surgically removed and histological examination confirmed the clinical diagnosis of a glomus tumor. Inquiry into the family history revealed that the same problem existed in the same localization with similar complaints in the father and two daughters. Both the records of the father's operation 10 years before and clinical-radiological findings of the daughters were consistent with a familial entity. In the presence of hypersensitivity and pain in the finger, family members should be inquired and a diagnosis of familial glomus tumor should be considered.
A prospective randomized study was conducted in order to compare augmentation technique versus no... more A prospective randomized study was conducted in order to compare augmentation technique versus nonaugmentation technique, followed by early functional postoperative treatment, for operative repair of Achilles tendon ruptures. Twenty-four consecutive patients were assigned to two groups. Group I included 12 patients treated with Lindholm augmentation technique, whereas group II included 12 patients treated with modified Kessler end-to-end repair. Thereafter, these patients had postoperative management with a below-knee-cast for three weeks. The physioteraphy was initiated immediately after the cast was removed. Full weight bearing was allowed after five weeks postoperatively in the both groups. Two patients had reruptures in group II, whereas group I had prolonged operative time significantly. The patients with reruptures underwent reoperations and at the most final follow-up, it was observed that they could not resume to sporting activities. The other objective and subjective result...
OBJECTIVES Data were collected on disabilities from a sample population in order to estimate the ... more OBJECTIVES Data were collected on disabilities from a sample population in order to estimate the prevalence of orthopedic disabilities in the general population. METHODS A two-stage field study was conducted in Cay, a district of Afyon, Turkey. In the first stage, a list of all individuals with orthopedic disabilities was derived. Then, medical histories were elicited and examinations were made by a team of specialists of orthopedics and traumatology. Radiographic studies were made when necessary. Orthopedic disabilities were defined as any muscle or skeletal abnormality that was associated with a permanent functional loss and were classified as congenital, traumatic, cerebral palsy, poliomyelitis, and other causes. RESULTS The overall population was 35,571, of whom 189 had orthopedic disabilities (53/10,000). The male-to-female ratio was 1.8. The most common cause was congenital diseases (25.9%; 13.7/10,000), followed by trauma (23.8%; 12.6/10,000), cerebral palsy (21.7%; 11.5/10,0...
Of a large synpolydactyly kindred the distinctive phenotypes from each other, homozygous phenotyp... more Of a large synpolydactyly kindred the distinctive phenotypes from each other, homozygous phenotypes produced by the marriages of two heterozygote people and a few minor modifications are presented in this study. The kindred was described in 1995 and has been getting larger since then. We have been visiting the kindred since 2002 May. Evaluating the kindred, we found 125 affected people and described the different phenotypic features clinically and radiologically. Six hand and five foot phenotypes were discriminated. A few distinctive phenotypes undescribed in 1995 were found in the last generation mainly formed by the 89 people born after 1995. Development of different phenotypes may have resulted from incomplete penetrance, variable expressivity, consangineous marriages and multiple genetic factors affecting synpolydactyly inheritance. While the kindred’s expansion is a problem in view of public health, it is important surgical standpoint because of different defomities and modifie...
OBJECTIVES We investigated the relationship between the mechanical-anatomic axes and angles of th... more OBJECTIVES We investigated the relationship between the mechanical-anatomic axes and angles of the knee joint and functional levels of patients with primary osteoarthritis. METHODS A total of 35 patients (27 females, 8 males; mean age 58+/-9 years; range 42 to 77 years) with knee osteoarthritis were included. After physical examination, weight-bearing anteroposterior x-rays of the knees were obtained, on which measurements of the following were made: mechanical axis deviation (MAD), medial proximal tibial angle (MPTA), anatomic tibiofemoral angle (aTFA), mechanical lateral distal femoral angle (mLDFA), and joint line congruence angle (JLCA). Pain was evaluated by both the Western Ontario McMaster Osteoarthritis Index (WOMAC) and a visual analog scale (VAS). Functional capacity was assessed using the physical function and global indices of WOMAC. RESULTS There was a moderate correlation between body mass index and the WOMAC global index (r=0.47, p<0.05). Radiographic evaluations r...
Introduction: One of the most frequently seen complications of structural allograft recontruction... more Introduction: One of the most frequently seen complications of structural allograft recontructions are either delayed or nonunion. The effect of the periosteum on union of autoclaved segmental bone grafts were investigated in rabbits. Method: Segmental bone defects, 10 milimeters long, in the middle of the left radius were created in 16 adult rabbits. The resected bones, autoclaved 15 minutes at 120 C and reimplanted and fixed with intramedullary Kirchner wires. In group one, 8 rabbits’ graft-host bone junctions were covered with periosteal fiap and in group two, graft-host bone junctions were deperiostized. The plain X-rays were taken at 2, 4, 6 and 8 weeks. The rabbits were sacrificed at the end of 8 weeks. Specimens were also examined histologically. Results: Both radiological and histological results were evaluated. In group one, the results revealed more callus and healing than group two, and they were found statistically significant. Discussion: Periosteal fiaps are easy to pe...
A prospective randomized study was conducted in order to compare augmentation technique versus no... more A prospective randomized study was conducted in order to compare augmentation technique versus nonaugmentation technique, followed by early functional postoperative treatment, for operative repair of Achilles tendon ruptures. Twenty-four consecutive patients were assigned to two groups. Group I included 12 patients treated with Lindholm augmentation technique, whereas group II included 12 patients treated with modified Kessler end-to-end repair. Thereafter, these patients had postoperative management with a below-knee-cast for three weeks. The physioteraphy was initiated immediately after the cast was removed. Full weight bearing was allowed after five weeks postoperatively in the both groups. Two patients had reruptures in group II, whereas group I had prolonged operative time significantly. The patients with reruptures underwent reoperations and at the most final follow-up, it was observed that they could not resume to sporting activities. The other objective and subjective result...
A 35-year-old man was referred to our clinic by a neurosurgeon for hypersensitivity and severe pa... more A 35-year-old man was referred to our clinic by a neurosurgeon for hypersensitivity and severe pain in his right middle finger. History showed that the symptoms had been present for three years and he had made several attempts to seek medical attention. A sensitive, very painful mass was palpated under the eponychium of his right middle finger. The tumor was surgically removed and histological examination confirmed the clinical diagnosis of a glomus tumor. Inquiry into the family history revealed that the same problem existed in the same localization with similar complaints in the father and two daughters. Both the records of the father's operation 10 years before and clinical-radiological findings of the daughters were consistent with a familial entity. In the presence of hypersensitivity and pain in the finger, family members should be inquired and a diagnosis of familial glomus tumor should be considered.
This paper is about a primary extracranial meningioma case of a 40-year-old male patient who pres... more This paper is about a primary extracranial meningioma case of a 40-year-old male patient who presented with a complaint of a rapidly growing painless stiff mass located in his left thigh. The magnetic resonance imaging examination revealed that the lesion was well-circumscribed and with isosignal intensity to muscle on T1-weighted images and with a relatively hiperintense on T2-weighted images. The histopathological analysis of the specimens both from the incisional biopsy and the excisional surgery were typical of meningioma showing spindle cell proliferation with a whirling pattern. Although extracranial meningiomas are very rare, it should be considered in the differential diagnosis of a spindle cell neoplasm.
... Hipokalsemik Kriz* Hypocalcemic Chrisis During Spinal Anaesthesia Hüseyin FİDAN1, Gökhan MARA... more ... Hipokalsemik Kriz* Hypocalcemic Chrisis During Spinal Anaesthesia Hüseyin FİDAN1, Gökhan MARALCAN2, Serap DEMİR3, İlhami KURU2, Banu TAYLAN1 ... Yapılan tüm tam kan sayımı ve biyokimya değerleri normal sınırlar içindeydi. ...
A prospective randomized study was conducted in order to compare augmentation technique versus no... more A prospective randomized study was conducted in order to compare augmentation technique versus nonaugmentation technique, followed by early functional postoperative treatment, for operative repair of Achilles tendon ruptures. Twenty-four consecutive patients were assigned to two groups. Group I included 12 patients treated with Lindholm augmentation technique, whereas group II included 12 patients treated with modified Kessler end-to-end repair. Thereafter, these patients had postoperative management with a below-knee-cast for three weeks. The physioteraphy was initiated immediately after the cast was removed. Full weight bearing was allowed after five weeks postoperatively in the both groups. Two patients had reruptures in group II, whereas group I had prolonged operative time significantly. The patients with reruptures underwent reoperations and at the most final follow-up, it was observed that they could not resume to sporting activities. The other objective and subjective results were similar between two groups. Because of quite high rerupture rate in the group of patients treated with nonaugmentation technique, we favor functional postoperative treatment with early ankle movement in the patients treated with augmentation technique for the management of acute rupture of the Achilles tendon. Key PointsA prospective randomized study was conducted in order to compare augmentation technique versus nonaugmentation technique, followed by early functional postoperative treatment, for operative repair of Achilles tendon ruptures.Group I included 12 patients treated with Lindholm augmentation technique, whereas group II included 12 patients treated with modified Kessler end-to-end repair.Functional postoperative treatment with early ankle movement in the patients treated with augmentation for the management of acute rupture of the Achilles tendon is recommended.
Eklem Hastalıkları Ve Cerrahisi Joint Diseases Related Surgery, Aug 1, 2011
This paper is about a primary extracranial meningioma case of a 40-year-old male patient who pres... more This paper is about a primary extracranial meningioma case of a 40-year-old male patient who presented with a complaint of a rapidly growing painless stiff mass located in his left thigh. The magnetic resonance imaging examination revealed that the lesion was well-circumscribed and with isosignal intensity to muscle on T1-weighted images and with a relatively hiperintense on T2-weighted images. The histopathological analysis of the specimens both from the incisional biopsy and the excisional surgery were typical of meningioma showing spindle cell proliferation with a whirling pattern. Although extracranial meningiomas are very rare, it should be considered in the differential diagnosis of a spindle cell neoplasm.
Context: Weight-bearing test (WBT) is a noninvasive quantitative test which has been used recentl... more Context: Weight-bearing test (WBT) is a noninvasive quantitative test which has been used recently to determine loading capability of the individuals. The aim of this study was to strengthen the evidence for using the WBT test for measuring weight-bearing capacity of the upper-extremity with the specific objective of examining the internal and external responsiveness and concurrent validity of the test in patients with triangular fibrocartilage complex injury. Design: Single-group repeated measures. Methods: Internal responsiveness was assessed using effect size statistics. The correlation coefficient was used to examine external responsiveness by testing 5 hypotheses regarding predefined correlations between the changes in the measurements. Concurrent validity was evaluated by analyzing correlations between the WBT and other measurements. Thirty-one patients with triangular fibrocartilage complex injury were included for the analysis of the concurrent validity. Eighteen patients wh...
A 35-year-old man was referred to our clinic by a neurosurgeon for hypersensitivity and severe pa... more A 35-year-old man was referred to our clinic by a neurosurgeon for hypersensitivity and severe pain in his right middle finger. History showed that the symptoms had been present for three years and he had made several attempts to seek medical attention. A sensitive, very painful mass was palpated under the eponychium of his right middle finger. The tumor was surgically removed and histological examination confirmed the clinical diagnosis of a glomus tumor. Inquiry into the family history revealed that the same problem existed in the same localization with similar complaints in the father and two daughters. Both the records of the father's operation 10 years before and clinical-radiological findings of the daughters were consistent with a familial entity. In the presence of hypersensitivity and pain in the finger, family members should be inquired and a diagnosis of familial glomus tumor should be considered.
A prospective randomized study was conducted in order to compare augmentation technique versus no... more A prospective randomized study was conducted in order to compare augmentation technique versus nonaugmentation technique, followed by early functional postoperative treatment, for operative repair of Achilles tendon ruptures. Twenty-four consecutive patients were assigned to two groups. Group I included 12 patients treated with Lindholm augmentation technique, whereas group II included 12 patients treated with modified Kessler end-to-end repair. Thereafter, these patients had postoperative management with a below-knee-cast for three weeks. The physioteraphy was initiated immediately after the cast was removed. Full weight bearing was allowed after five weeks postoperatively in the both groups. Two patients had reruptures in group II, whereas group I had prolonged operative time significantly. The patients with reruptures underwent reoperations and at the most final follow-up, it was observed that they could not resume to sporting activities. The other objective and subjective result...
OBJECTIVES Data were collected on disabilities from a sample population in order to estimate the ... more OBJECTIVES Data were collected on disabilities from a sample population in order to estimate the prevalence of orthopedic disabilities in the general population. METHODS A two-stage field study was conducted in Cay, a district of Afyon, Turkey. In the first stage, a list of all individuals with orthopedic disabilities was derived. Then, medical histories were elicited and examinations were made by a team of specialists of orthopedics and traumatology. Radiographic studies were made when necessary. Orthopedic disabilities were defined as any muscle or skeletal abnormality that was associated with a permanent functional loss and were classified as congenital, traumatic, cerebral palsy, poliomyelitis, and other causes. RESULTS The overall population was 35,571, of whom 189 had orthopedic disabilities (53/10,000). The male-to-female ratio was 1.8. The most common cause was congenital diseases (25.9%; 13.7/10,000), followed by trauma (23.8%; 12.6/10,000), cerebral palsy (21.7%; 11.5/10,0...
Of a large synpolydactyly kindred the distinctive phenotypes from each other, homozygous phenotyp... more Of a large synpolydactyly kindred the distinctive phenotypes from each other, homozygous phenotypes produced by the marriages of two heterozygote people and a few minor modifications are presented in this study. The kindred was described in 1995 and has been getting larger since then. We have been visiting the kindred since 2002 May. Evaluating the kindred, we found 125 affected people and described the different phenotypic features clinically and radiologically. Six hand and five foot phenotypes were discriminated. A few distinctive phenotypes undescribed in 1995 were found in the last generation mainly formed by the 89 people born after 1995. Development of different phenotypes may have resulted from incomplete penetrance, variable expressivity, consangineous marriages and multiple genetic factors affecting synpolydactyly inheritance. While the kindred’s expansion is a problem in view of public health, it is important surgical standpoint because of different defomities and modifie...
OBJECTIVES We investigated the relationship between the mechanical-anatomic axes and angles of th... more OBJECTIVES We investigated the relationship between the mechanical-anatomic axes and angles of the knee joint and functional levels of patients with primary osteoarthritis. METHODS A total of 35 patients (27 females, 8 males; mean age 58+/-9 years; range 42 to 77 years) with knee osteoarthritis were included. After physical examination, weight-bearing anteroposterior x-rays of the knees were obtained, on which measurements of the following were made: mechanical axis deviation (MAD), medial proximal tibial angle (MPTA), anatomic tibiofemoral angle (aTFA), mechanical lateral distal femoral angle (mLDFA), and joint line congruence angle (JLCA). Pain was evaluated by both the Western Ontario McMaster Osteoarthritis Index (WOMAC) and a visual analog scale (VAS). Functional capacity was assessed using the physical function and global indices of WOMAC. RESULTS There was a moderate correlation between body mass index and the WOMAC global index (r=0.47, p<0.05). Radiographic evaluations r...
Introduction: One of the most frequently seen complications of structural allograft recontruction... more Introduction: One of the most frequently seen complications of structural allograft recontructions are either delayed or nonunion. The effect of the periosteum on union of autoclaved segmental bone grafts were investigated in rabbits. Method: Segmental bone defects, 10 milimeters long, in the middle of the left radius were created in 16 adult rabbits. The resected bones, autoclaved 15 minutes at 120 C and reimplanted and fixed with intramedullary Kirchner wires. In group one, 8 rabbits’ graft-host bone junctions were covered with periosteal fiap and in group two, graft-host bone junctions were deperiostized. The plain X-rays were taken at 2, 4, 6 and 8 weeks. The rabbits were sacrificed at the end of 8 weeks. Specimens were also examined histologically. Results: Both radiological and histological results were evaluated. In group one, the results revealed more callus and healing than group two, and they were found statistically significant. Discussion: Periosteal fiaps are easy to pe...
A prospective randomized study was conducted in order to compare augmentation technique versus no... more A prospective randomized study was conducted in order to compare augmentation technique versus nonaugmentation technique, followed by early functional postoperative treatment, for operative repair of Achilles tendon ruptures. Twenty-four consecutive patients were assigned to two groups. Group I included 12 patients treated with Lindholm augmentation technique, whereas group II included 12 patients treated with modified Kessler end-to-end repair. Thereafter, these patients had postoperative management with a below-knee-cast for three weeks. The physioteraphy was initiated immediately after the cast was removed. Full weight bearing was allowed after five weeks postoperatively in the both groups. Two patients had reruptures in group II, whereas group I had prolonged operative time significantly. The patients with reruptures underwent reoperations and at the most final follow-up, it was observed that they could not resume to sporting activities. The other objective and subjective result...
A 35-year-old man was referred to our clinic by a neurosurgeon for hypersensitivity and severe pa... more A 35-year-old man was referred to our clinic by a neurosurgeon for hypersensitivity and severe pain in his right middle finger. History showed that the symptoms had been present for three years and he had made several attempts to seek medical attention. A sensitive, very painful mass was palpated under the eponychium of his right middle finger. The tumor was surgically removed and histological examination confirmed the clinical diagnosis of a glomus tumor. Inquiry into the family history revealed that the same problem existed in the same localization with similar complaints in the father and two daughters. Both the records of the father's operation 10 years before and clinical-radiological findings of the daughters were consistent with a familial entity. In the presence of hypersensitivity and pain in the finger, family members should be inquired and a diagnosis of familial glomus tumor should be considered.
This paper is about a primary extracranial meningioma case of a 40-year-old male patient who pres... more This paper is about a primary extracranial meningioma case of a 40-year-old male patient who presented with a complaint of a rapidly growing painless stiff mass located in his left thigh. The magnetic resonance imaging examination revealed that the lesion was well-circumscribed and with isosignal intensity to muscle on T1-weighted images and with a relatively hiperintense on T2-weighted images. The histopathological analysis of the specimens both from the incisional biopsy and the excisional surgery were typical of meningioma showing spindle cell proliferation with a whirling pattern. Although extracranial meningiomas are very rare, it should be considered in the differential diagnosis of a spindle cell neoplasm.
... Hipokalsemik Kriz* Hypocalcemic Chrisis During Spinal Anaesthesia Hüseyin FİDAN1, Gökhan MARA... more ... Hipokalsemik Kriz* Hypocalcemic Chrisis During Spinal Anaesthesia Hüseyin FİDAN1, Gökhan MARALCAN2, Serap DEMİR3, İlhami KURU2, Banu TAYLAN1 ... Yapılan tüm tam kan sayımı ve biyokimya değerleri normal sınırlar içindeydi. ...
A prospective randomized study was conducted in order to compare augmentation technique versus no... more A prospective randomized study was conducted in order to compare augmentation technique versus nonaugmentation technique, followed by early functional postoperative treatment, for operative repair of Achilles tendon ruptures. Twenty-four consecutive patients were assigned to two groups. Group I included 12 patients treated with Lindholm augmentation technique, whereas group II included 12 patients treated with modified Kessler end-to-end repair. Thereafter, these patients had postoperative management with a below-knee-cast for three weeks. The physioteraphy was initiated immediately after the cast was removed. Full weight bearing was allowed after five weeks postoperatively in the both groups. Two patients had reruptures in group II, whereas group I had prolonged operative time significantly. The patients with reruptures underwent reoperations and at the most final follow-up, it was observed that they could not resume to sporting activities. The other objective and subjective results were similar between two groups. Because of quite high rerupture rate in the group of patients treated with nonaugmentation technique, we favor functional postoperative treatment with early ankle movement in the patients treated with augmentation technique for the management of acute rupture of the Achilles tendon. Key PointsA prospective randomized study was conducted in order to compare augmentation technique versus nonaugmentation technique, followed by early functional postoperative treatment, for operative repair of Achilles tendon ruptures.Group I included 12 patients treated with Lindholm augmentation technique, whereas group II included 12 patients treated with modified Kessler end-to-end repair.Functional postoperative treatment with early ankle movement in the patients treated with augmentation for the management of acute rupture of the Achilles tendon is recommended.
Eklem Hastalıkları Ve Cerrahisi Joint Diseases Related Surgery, Aug 1, 2011
This paper is about a primary extracranial meningioma case of a 40-year-old male patient who pres... more This paper is about a primary extracranial meningioma case of a 40-year-old male patient who presented with a complaint of a rapidly growing painless stiff mass located in his left thigh. The magnetic resonance imaging examination revealed that the lesion was well-circumscribed and with isosignal intensity to muscle on T1-weighted images and with a relatively hiperintense on T2-weighted images. The histopathological analysis of the specimens both from the incisional biopsy and the excisional surgery were typical of meningioma showing spindle cell proliferation with a whirling pattern. Although extracranial meningiomas are very rare, it should be considered in the differential diagnosis of a spindle cell neoplasm.
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