Kubitus varus deformitesi, sıklıkla çocuklarda suprakondiler humerus kırıklarının komplikasyonu o... more Kubitus varus deformitesi, sıklıkla çocuklarda suprakondiler humerus kırıklarının komplikasyonu olarak ortaya çıkar. Deformite, kozmetik veya fonksiyonel problem yaratacak kadar şiddetli ise suprakondiler humeral osteotomi ile düzeltilir. 1984 ile 1994 yılları arasında Çukurova Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Kliniğinde 12 çocuğun kubitus varus deformitesi için düzeltici suprakondiler osteotomi yapıldı. Ortalama kubitus varus açısı 35.3° olan olgularımızın deformiteleri üç değişik osteotomi (6 lateral wedge, 4 step-cut ve 2 pentalateral osteotomi) ile düzeltildi. Hastalar ortalama 25 ay izlendiler. Düzeltme sonrası nörovasküler komplikasyon görülmedi. Bütün hastaların, postoperatif kozmetik ve fonksiyonel sonuçları tatminkardı
TEZ715Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 1991.Kaynakça (s. 52-57) var.57 s. : res. ;... more TEZ715Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 1991.Kaynakça (s. 52-57) var.57 s. : res. ; 30 cm.
Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollici... more Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollicis longus tendon with an unknown etiology. In this study, treatment outcomes of 47 trigger thumbs of 36 children were evaluated. There were 18 males and 18 females with a mean age of 34 months (9 months-13 years). Average age of recognition of pathology by the family was 20.5 months (0-8 years). In seven of 11 bilateral cases pathology was recognized simultaneously while in the other four, diagnosis was made at different times. We used conservative treatment for all patients under three years of age, which was unsuccessful. Thus, surgical relase was performed in all cases. In the mean follow-up of seven years (range 5-15), contracture and palpable nodules disappeared. In conclusion, we believe trigger thumb in childhood should be treated surgically and that the term “congenital trigger thumb ” should be changed to “developmental trigger thumb”. Trigger thumb of childhood is known as a pat...
... Hüseyin Bayram(1), Mustafa Herdem(2), Mahir Gülşen(1), Yaman Sarpel(3), ismet Tan(1), Gürbüz ... more ... Hüseyin Bayram(1), Mustafa Herdem(2), Mahir Gülşen(1), Yaman Sarpel(3), ismet Tan(1), Gürbüz Baytok(4) ... Bu makalede, do-ğumsal sağ fibula yokluğu nedeniyle 19 cm kısalığı olan, kısallğmı kabul edilebilir hale getirmek amacıyla, fonksiyonelolmayan ayağm uzunlamasma ...
The aim of this study was to determine whether simple anthropometric measurements, such as height... more The aim of this study was to determine whether simple anthropometric measurements, such as height, weight, body mass index (BMI), age, and thigh circumference can be used to accurately predict the diameter of hamstring tendons for anterior cruciate ligament (ACL) reconstruction surgery. One hundred sixty-four consecutive male patients who underwent ACL reconstruction using quadruple hamstring autograft between January 2010 and December 2011 were prospectively evaluated. Anthropometric measurements including height, weight, BMI, age and thigh circumference were recorded preoperatively. The thickness of the quadruple hamstring autograft was intraoperatively determined using sizing cylinders. Correlation coefficients (Pearson's r) and stepwise, multiple linear regression were used to determine the relationship between the outcome variable (hamstring graft diameter) and the predictor variables (age, height, weight, BMI, thigh circumference). Correlation analysis revealed a positive relation between the height, weight and graft thickness (p=0.000 and p=0.002, respectively). Taller and heavier patients tended to have thicker quadrupled hamstring graft. However, age, thigh circumference, and BMI did not correlate with the graft thickness (p=0.700, p=0.290 and p=0.727, respectively). Stepwise, multiple linear regression indicated that height was statistically important as a predictor for hamstring graft diameter (R2=0.157, p=0.0001) and yielded the following regression equation for predicting quadrupled hamstring graft thickness: graft thickness = [(height in cm) x 0.052) - 1.07] mm. Height can be used as a practical and accurate measurement to preoperatively predict quadruple hamstring graft diameter in male patients. Identification of possible hamstring tendon autograft insufficiency allows for preoperative determination of additional graft source possibilities, resulting in a more prompt surgical strategy.
OBJECTIVE The aim of this study was to evaluate the success of simultaneous medial and lateral au... more OBJECTIVE The aim of this study was to evaluate the success of simultaneous medial and lateral autologous osteochondral transplantation (AOT) in patients with both medial and lateral osteochondral lesions of the talus (OLT) who could not be treated with bone marrow stimulation techniques or whose previous treatments failed. METHODS Five patients who underwent medial and lateral talus AOT in the same session due to simultaneous OLT on medial and lateral talar dome were included in this retrospective study. All the patients were male, and the mean age was 34.8 (range = 26 - 42) years. Double osteochondral grafts were placed separately to the medial and lateral talar dome at the same session. Location and size of the OLT, additional ligament injuries, and postoperative evaluation of the graft were evaluated through magnetic resonance images (MRIs). The criteria of Berndt and Harty, Single Assessment Numeric Evaluation (SANE), American Orthopedic Foot and Ankle Society Score (AOFAS), vi...
The Journal of Trauma: Injury, Infection, and Critical Care, 2005
The circular frame of the Ilizarov fixator can be modified to reflect anatomic variations and tre... more The circular frame of the Ilizarov fixator can be modified to reflect anatomic variations and treatment aims. However, these modifications in the frame system cannot always achieve the mechanical performance of the standard frame system. A standard system has two rings in each bone fragment connected by four longitudinal bars on each side of the ring. In this study, the mechanical performances of one standard and eight modified frame systems were compared. Each system was loaded on a material testing machine, with calculation of axial compression, four-point bending, and torsion. As a result, systems that were modified with drop wires and Schanz screws 45 degrees oblique to the wires on the proximal ring provided a mechanical performance closer to the standard system than systems with other modifications.
... Mustafa Herdem(1), Canan Ersöz{2), Yaman Sarpel(1), Emre Toğrul(3), Mahir GÜlşen(4) ... çOğu ... more ... Mustafa Herdem(1), Canan Ersöz{2), Yaman Sarpel(1), Emre Toğrul(3), Mahir GÜlşen(4) ... çOğu yeniden organize Tam şekillenme Kemik iliği Hiç bulunmaması Görülmeye başlaması Defektin yarıdan fazlasını kaplama Kırmızı kemik iliğiyle tam kaplama Olgun yağlı ilik Her bir ...
Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollici... more Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollicis longus tendon with an unknown etiology. In this study, treatment outcomes of 47 trigger thumbs of 36 children were evaluated. There were 18 males and 18 females with a mean age of 34 months (9 months-13 years). Average age of recognition of pathology by the family was 20.5 months (0-8 years). In seven of 11 bilateral cases pathology was recognized simultaneously while in the other four, diagnosis was made at different times. We used conservative treatment for all patients under three years of age, which was unsuccessful. Thus, surgical relase was performed in all cases. In the mean follow-up of seven years (range 5-15), contracture and palpable nodules disappeared. In conclusion, we believe trigger thumb in childhood should be treated surgically and that the term "congenital trigger thumb" should be changed to "developmental trigger thumb".
From April 1994 to August 1995, thirty consecutive patients who underwent total hip arthroplasty ... more From April 1994 to August 1995, thirty consecutive patients who underwent total hip arthroplasty were managed with enoxaparine; in order to evaluate the prophylactic effect of low molecular weight heparin in high risk patients. Patients who were not having appropriate criteria for the usage of enoxaparine excluded from the study. There were 12 (%40) females and 18 (60) males with a mean age of 50.38 (range 40-78). Primary osteoarthritis in 22, rheumatoid arthritis in 6, and dysplastic hip in 2 patients were the indications of total hip replacement. Age, sex, height, weight, total biochemical analysis of each patient and schedule for drug were noted. First dose of enoxaparine was administered 12 hours before the operation and 0.4 ml (40 mg) daily dose was continued up to postoperative eleventh day. Pain, local allergic reactions, haematoma in the injection site and abnormal bleeding from the operation site were followed. No DVT or complication of injection was observed. As a result, ...
OBJECTIVES An arthroscopic study was made on the presence and anatomic features of the anterior i... more OBJECTIVES An arthroscopic study was made on the presence and anatomic features of the anterior intermeniscal ligament with regard to its thickness and attachment patterns to the anterior horn of the menisci, together with its relationship with associated non-traumatic intraarticular disorders of the knee. METHODS This multicenter study included 136 consecutive patients (80 males, 56 females; mean age 40 years; range 15 to 74 years) in whom the presence of anterior intermeniscal ligament was sought during arthroscopic examination of the knee. Arthroscopic features of the ligament was evaluated by probe. RESULTS The anterior intermeniscal ligament was detected in 80 knees (58.8%). Its presence did not differ significantly with respect to sex (33 females, 58.9%; 47 males, 58.8%; p>0.05). A cord-like appearance was observed in 19 cases (14%), whereas a membranous-like structure was identified in 61 cases (44.9%), 34 (55.7%) of which could only be detected following synovial abrasion...
MR imaging (MRI) as a noninvasive, painless and radiation free method, is being used in the diagn... more MR imaging (MRI) as a noninvasive, painless and radiation free method, is being used in the diagnosis of the knee lesions recently. From January 1993 to September 1995 one hundred eighty patients (one hundred eighty-five knees) who had knee problems were examined by MRI. The mean age was 33.2 years, 121 were men and 59 were women. Arthroscopy was performed within two months of MRI examination and findings were compared. The accuracy of MRI in our series was 80% for medial meniscal tears, 90.8% for lateral meniscal tears, 97.8% for ACL lesions. Because of the excellent diagnostic correlation of MRI and Arthroscopy in meniscal and ligament tears and in differentiation of other lesions of the knee, we believe that MRI is a safe and noninvasive method in diagnosis of the knee problems.
... yada kaydırılacaksa, patoloji ekleme çok yakınsa, ya da anatomik bölge transfiksasyon çi visi... more ... yada kaydırılacaksa, patoloji ekleme çok yakınsa, ya da anatomik bölge transfiksasyon çi visi için ... P!."of Dr. (4) istanbul Teknik Üniversitesi Makina FakiUıesi Makina Malzemesi ve Imalaı Teknolojisi ... ICoı<pjCCIWYONV ı,,,,u .....panıkl,.t on,MR) (OSTnf() . !J ci f . L r - - i ...
We detected right anteromedial and left posterolateral rotatory knee instability in a patient who... more We detected right anteromedial and left posterolateral rotatory knee instability in a patient who admitted in the Orthopaedics Department of ‚ukurova University. The patient was a twenty-six year old female and sustained a car -vehicle accident. Six days after the injury, both knee ligaments were repaired. In the last examination, four years after the operation, the range of motion of the right and left knee were 130i and 120i of flexion respectively and 5i of extension lack in both. No signs of instability was observed. Lysholm scores of the knees were 90 on both. Traumatic ligament lesions of the knee are being hard to manage and rehabilitate. The goal of treatment is to restore the anatomy and stability as close as possible to the previous status. In this report, we present a case of rotary instability of both knees, which is rarely seen and hard to manage and rehabilitate.
Kubitus varus deformitesi, sıklıkla çocuklarda suprakondiler humerus kırıklarının komplikasyonu o... more Kubitus varus deformitesi, sıklıkla çocuklarda suprakondiler humerus kırıklarının komplikasyonu olarak ortaya çıkar. Deformite, kozmetik veya fonksiyonel problem yaratacak kadar şiddetli ise suprakondiler humeral osteotomi ile düzeltilir. 1984 ile 1994 yılları arasında Çukurova Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Kliniğinde 12 çocuğun kubitus varus deformitesi için düzeltici suprakondiler osteotomi yapıldı. Ortalama kubitus varus açısı 35.3° olan olgularımızın deformiteleri üç değişik osteotomi (6 lateral wedge, 4 step-cut ve 2 pentalateral osteotomi) ile düzeltildi. Hastalar ortalama 25 ay izlendiler. Düzeltme sonrası nörovasküler komplikasyon görülmedi. Bütün hastaların, postoperatif kozmetik ve fonksiyonel sonuçları tatminkardı
TEZ715Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 1991.Kaynakça (s. 52-57) var.57 s. : res. ;... more TEZ715Tez (Uzmanlık) -- Çukurova Üniversitesi, Adana, 1991.Kaynakça (s. 52-57) var.57 s. : res. ; 30 cm.
Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollici... more Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollicis longus tendon with an unknown etiology. In this study, treatment outcomes of 47 trigger thumbs of 36 children were evaluated. There were 18 males and 18 females with a mean age of 34 months (9 months-13 years). Average age of recognition of pathology by the family was 20.5 months (0-8 years). In seven of 11 bilateral cases pathology was recognized simultaneously while in the other four, diagnosis was made at different times. We used conservative treatment for all patients under three years of age, which was unsuccessful. Thus, surgical relase was performed in all cases. In the mean follow-up of seven years (range 5-15), contracture and palpable nodules disappeared. In conclusion, we believe trigger thumb in childhood should be treated surgically and that the term “congenital trigger thumb ” should be changed to “developmental trigger thumb”. Trigger thumb of childhood is known as a pat...
... Hüseyin Bayram(1), Mustafa Herdem(2), Mahir Gülşen(1), Yaman Sarpel(3), ismet Tan(1), Gürbüz ... more ... Hüseyin Bayram(1), Mustafa Herdem(2), Mahir Gülşen(1), Yaman Sarpel(3), ismet Tan(1), Gürbüz Baytok(4) ... Bu makalede, do-ğumsal sağ fibula yokluğu nedeniyle 19 cm kısalığı olan, kısallğmı kabul edilebilir hale getirmek amacıyla, fonksiyonelolmayan ayağm uzunlamasma ...
The aim of this study was to determine whether simple anthropometric measurements, such as height... more The aim of this study was to determine whether simple anthropometric measurements, such as height, weight, body mass index (BMI), age, and thigh circumference can be used to accurately predict the diameter of hamstring tendons for anterior cruciate ligament (ACL) reconstruction surgery. One hundred sixty-four consecutive male patients who underwent ACL reconstruction using quadruple hamstring autograft between January 2010 and December 2011 were prospectively evaluated. Anthropometric measurements including height, weight, BMI, age and thigh circumference were recorded preoperatively. The thickness of the quadruple hamstring autograft was intraoperatively determined using sizing cylinders. Correlation coefficients (Pearson's r) and stepwise, multiple linear regression were used to determine the relationship between the outcome variable (hamstring graft diameter) and the predictor variables (age, height, weight, BMI, thigh circumference). Correlation analysis revealed a positive relation between the height, weight and graft thickness (p=0.000 and p=0.002, respectively). Taller and heavier patients tended to have thicker quadrupled hamstring graft. However, age, thigh circumference, and BMI did not correlate with the graft thickness (p=0.700, p=0.290 and p=0.727, respectively). Stepwise, multiple linear regression indicated that height was statistically important as a predictor for hamstring graft diameter (R2=0.157, p=0.0001) and yielded the following regression equation for predicting quadrupled hamstring graft thickness: graft thickness = [(height in cm) x 0.052) - 1.07] mm. Height can be used as a practical and accurate measurement to preoperatively predict quadruple hamstring graft diameter in male patients. Identification of possible hamstring tendon autograft insufficiency allows for preoperative determination of additional graft source possibilities, resulting in a more prompt surgical strategy.
OBJECTIVE The aim of this study was to evaluate the success of simultaneous medial and lateral au... more OBJECTIVE The aim of this study was to evaluate the success of simultaneous medial and lateral autologous osteochondral transplantation (AOT) in patients with both medial and lateral osteochondral lesions of the talus (OLT) who could not be treated with bone marrow stimulation techniques or whose previous treatments failed. METHODS Five patients who underwent medial and lateral talus AOT in the same session due to simultaneous OLT on medial and lateral talar dome were included in this retrospective study. All the patients were male, and the mean age was 34.8 (range = 26 - 42) years. Double osteochondral grafts were placed separately to the medial and lateral talar dome at the same session. Location and size of the OLT, additional ligament injuries, and postoperative evaluation of the graft were evaluated through magnetic resonance images (MRIs). The criteria of Berndt and Harty, Single Assessment Numeric Evaluation (SANE), American Orthopedic Foot and Ankle Society Score (AOFAS), vi...
The Journal of Trauma: Injury, Infection, and Critical Care, 2005
The circular frame of the Ilizarov fixator can be modified to reflect anatomic variations and tre... more The circular frame of the Ilizarov fixator can be modified to reflect anatomic variations and treatment aims. However, these modifications in the frame system cannot always achieve the mechanical performance of the standard frame system. A standard system has two rings in each bone fragment connected by four longitudinal bars on each side of the ring. In this study, the mechanical performances of one standard and eight modified frame systems were compared. Each system was loaded on a material testing machine, with calculation of axial compression, four-point bending, and torsion. As a result, systems that were modified with drop wires and Schanz screws 45 degrees oblique to the wires on the proximal ring provided a mechanical performance closer to the standard system than systems with other modifications.
... Mustafa Herdem(1), Canan Ersöz{2), Yaman Sarpel(1), Emre Toğrul(3), Mahir GÜlşen(4) ... çOğu ... more ... Mustafa Herdem(1), Canan Ersöz{2), Yaman Sarpel(1), Emre Toğrul(3), Mahir GÜlşen(4) ... çOğu yeniden organize Tam şekillenme Kemik iliği Hiç bulunmaması Görülmeye başlaması Defektin yarıdan fazlasını kaplama Kırmızı kemik iliğiyle tam kaplama Olgun yağlı ilik Her bir ...
Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollici... more Trigger thumb of childhood, termed congenital trigger thumb, is a pathology of the flexor pollicis longus tendon with an unknown etiology. In this study, treatment outcomes of 47 trigger thumbs of 36 children were evaluated. There were 18 males and 18 females with a mean age of 34 months (9 months-13 years). Average age of recognition of pathology by the family was 20.5 months (0-8 years). In seven of 11 bilateral cases pathology was recognized simultaneously while in the other four, diagnosis was made at different times. We used conservative treatment for all patients under three years of age, which was unsuccessful. Thus, surgical relase was performed in all cases. In the mean follow-up of seven years (range 5-15), contracture and palpable nodules disappeared. In conclusion, we believe trigger thumb in childhood should be treated surgically and that the term "congenital trigger thumb" should be changed to "developmental trigger thumb".
From April 1994 to August 1995, thirty consecutive patients who underwent total hip arthroplasty ... more From April 1994 to August 1995, thirty consecutive patients who underwent total hip arthroplasty were managed with enoxaparine; in order to evaluate the prophylactic effect of low molecular weight heparin in high risk patients. Patients who were not having appropriate criteria for the usage of enoxaparine excluded from the study. There were 12 (%40) females and 18 (60) males with a mean age of 50.38 (range 40-78). Primary osteoarthritis in 22, rheumatoid arthritis in 6, and dysplastic hip in 2 patients were the indications of total hip replacement. Age, sex, height, weight, total biochemical analysis of each patient and schedule for drug were noted. First dose of enoxaparine was administered 12 hours before the operation and 0.4 ml (40 mg) daily dose was continued up to postoperative eleventh day. Pain, local allergic reactions, haematoma in the injection site and abnormal bleeding from the operation site were followed. No DVT or complication of injection was observed. As a result, ...
OBJECTIVES An arthroscopic study was made on the presence and anatomic features of the anterior i... more OBJECTIVES An arthroscopic study was made on the presence and anatomic features of the anterior intermeniscal ligament with regard to its thickness and attachment patterns to the anterior horn of the menisci, together with its relationship with associated non-traumatic intraarticular disorders of the knee. METHODS This multicenter study included 136 consecutive patients (80 males, 56 females; mean age 40 years; range 15 to 74 years) in whom the presence of anterior intermeniscal ligament was sought during arthroscopic examination of the knee. Arthroscopic features of the ligament was evaluated by probe. RESULTS The anterior intermeniscal ligament was detected in 80 knees (58.8%). Its presence did not differ significantly with respect to sex (33 females, 58.9%; 47 males, 58.8%; p>0.05). A cord-like appearance was observed in 19 cases (14%), whereas a membranous-like structure was identified in 61 cases (44.9%), 34 (55.7%) of which could only be detected following synovial abrasion...
MR imaging (MRI) as a noninvasive, painless and radiation free method, is being used in the diagn... more MR imaging (MRI) as a noninvasive, painless and radiation free method, is being used in the diagnosis of the knee lesions recently. From January 1993 to September 1995 one hundred eighty patients (one hundred eighty-five knees) who had knee problems were examined by MRI. The mean age was 33.2 years, 121 were men and 59 were women. Arthroscopy was performed within two months of MRI examination and findings were compared. The accuracy of MRI in our series was 80% for medial meniscal tears, 90.8% for lateral meniscal tears, 97.8% for ACL lesions. Because of the excellent diagnostic correlation of MRI and Arthroscopy in meniscal and ligament tears and in differentiation of other lesions of the knee, we believe that MRI is a safe and noninvasive method in diagnosis of the knee problems.
... yada kaydırılacaksa, patoloji ekleme çok yakınsa, ya da anatomik bölge transfiksasyon çi visi... more ... yada kaydırılacaksa, patoloji ekleme çok yakınsa, ya da anatomik bölge transfiksasyon çi visi için ... P!."of Dr. (4) istanbul Teknik Üniversitesi Makina FakiUıesi Makina Malzemesi ve Imalaı Teknolojisi ... ICoı<pjCCIWYONV ı,,,,u .....panıkl,.t on,MR) (OSTnf() . !J ci f . L r - - i ...
We detected right anteromedial and left posterolateral rotatory knee instability in a patient who... more We detected right anteromedial and left posterolateral rotatory knee instability in a patient who admitted in the Orthopaedics Department of ‚ukurova University. The patient was a twenty-six year old female and sustained a car -vehicle accident. Six days after the injury, both knee ligaments were repaired. In the last examination, four years after the operation, the range of motion of the right and left knee were 130i and 120i of flexion respectively and 5i of extension lack in both. No signs of instability was observed. Lysholm scores of the knees were 90 on both. Traumatic ligament lesions of the knee are being hard to manage and rehabilitate. The goal of treatment is to restore the anatomy and stability as close as possible to the previous status. In this report, we present a case of rotary instability of both knees, which is rarely seen and hard to manage and rehabilitate.
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