Yazar "Özkul, Emin" seçeneğine göre listele
Listeleniyor 1 - 20 / 22
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Bölgemizdeki kırıkçı sekellerinin ortopedik açıdan değerlendirilmesi(Galenos Yayınevi, 2014) Alemdar, Celil; Azboy, İbrahim; Demirtaş, Abdullah; Özkul, Emin; Gem, Mehmet; Bulut, Mehmet; Uçar, Bekir Yavuz; Tutak, YılmazAmaç: Kırıkçı sekellerinin bölgemizde önemli bir sorun olduğunu, kırıkçı müdahalesi nedeniyle gecikmiş tedavi alan hastalardaki ciddi ortopedik problemleri ve kliniğimizde bu tür hastalara uyguladığımız tedavi yaklaşımını sunmayı amaçladık.Yöntemler: Çalışmamızda kırıkçı sekeli olarak kliniğimize başvuran 51 has-tanın (30 erkek, 21 kadın, yaş ortalaması: 14,8) dosyası retrospektif olarak incelendi. Kırığın yeri, hastaların kırıkçıya ve hastaneye başvuru sebepleri, hastaneye başvurma süreleri, fizik muayene ve radyolojik bulguları incelenip uygulanan tedavi yöntemleri değerlendirildi. Bulgular: Sekellerin 42'si (%82) üst, 9'u (%18) alt ekstremitede idi. Kırıkçıların kolay ulaşılabilir olması (20 olguda), kırıkçıların kırık ve çıkık tedavisini doktor-lardan daha iyi yaptığı düşüncesi (10) en sık kırıkçıya başvurma sebepleriydi. Kırıkçı sonrası hastaneye en sık başvuru sebepleri deformite (43), ağrı (38) ve hareket kısıtlılığı (37) idi. Olguların 28'ine cerrahi, 18'ine konservatif tedavi uy-gulandı. Beş olguya ise sadece takip önerildi. Hastaların 20 (%40) sinde sekel kalıcı idi.Sonuç: Gecikmiş ve uygun olmayan tedavi kalıcı sakatlıkların ortaya çıkmasına sebep olmaktadır. Bu problemin ortadan kaldırılması için insanların eğitilme-si ve sağlık politikalarının yeniden gözden geçirilmesi gerekmektedir.Öğe Can American Orthopaedic Foot and Ankle Society (AOFAS) score prevent unnecessary MRI in isolated ankle ligament injuries?(SAGE Publications Ltd, 2022) Kandemir, Veysel; Akar, Mehmet Sait; Yiğit, Şeyhmus; Durgut, Fatih; Atiç, Ramazan; Özkul, EminIntroduction and Objective: Ankle injuries are the most common musculoskeletal injuries. Its incidence is also high among sports injuries. Direct X-ray, ultrasound and MRI can be requested after the history and physical examination in the patient who presents with ankle ligament injury. Some classifications are used for requesting direct X-ray after ankle injury. Since clear limits are not specified in the literature for MRI, the rate of unnecessary MRI examinations is high. We argue that the decision can be made according to the AOFAS score to be checked before MR is requested, and thus unnecessary MR requests can be reduced. Material and Method: Ankle MRI images of patients who underwent ankle MRI due to ankle trauma between January 2018 and December 2020 were scanned. 328 patients who met the criteria were included in the study. Patients with AOFAS scores in their outpatient clinic records were identified. AOFAS scores of patients with at least one ligament injury and those with normal MR images were statistically compared. Sensitivity and specificity were determined for the AOFAS score using ROC analysis. Results: Patients with ligament damage as a result of MRI examination were 21.3% (n=70), and patients without any ligament damage were 78.7% (n=258). There was a statistically significant difference in terms of AOFAS between the group with ligament damage and the group without ligament damage (p< 0.05). In the ROC analysis, the AOFAS threshold value for MR request was determined as 80.5 (84.3% sensitivity and 72.3% specificity). Based on the determined threshold value, 73 patients who had unnecessary MRI would have been eliminated, thus reducing the number of MRIs by 42.6%. Conclusion: The AOFAS scores of patients with ligament damage were statistically significantly lower than those of patients without ligament pathology. Unnecessary MRI can be significantly prevented by using the AOFAS score in ankle traumas without bone fractures.Öğe Çocuklarda suprakondiller humerus kırığı sonrası damarsal yaralanmalar(2016) Gem, Mehmet; Alemdar, Celil; Arslan, Hüseyin; Azboy, İbrahim; Özkul, Emin; Çelik, VelatAMAÇ: Çocuk suprakondiller humerus kırığı sonrası ekstremite distalinde nabız alınamayan hastaların sonuçlarını değerlendirmektir.GEREÇ VE YÖNTEM: Suprakondiler humerus kırığı sonrası ekstremite distalinde nabız alınamayan 42 hasta geriye dönük olarak değerlendirildi. Bu hastaların ortalama yaşı 7.3 (dağılım, 5-14 yaş) yıl idi. Hastaların 27'si (%64) erkek 15'i (%36) kızdı. Ameliyat öncesi ve sonrası nörolojik muayene bulguları, yaralanma şekli, yaralanma ile hastaneye başvuru arasında geçen süre ve ameliyata alınma zamanı, hastanede kalma süresi ve ameliyat sonrası görülen komplikasyonlar açısından hastalar değerlendirildi.BULGULAR: Tüm hastalarda Gartland tip 3 kırık mevcuttu. Yirmi yedi hastada redüksiyon sonrası radial nabız palpe edilmeye başlandı. On hastada sadece Doppler ile belirlenen akım mevcut iken, iki hastada akım alınamadı. Dolaşım bozukluğu olmayan bu iki hastada da ameliyattan bir gün sonra Doppler ile akım alınmaya başlandı. Redüksiyon sonrası dolaşım bozukluğu devam eden ve Doppler ultrasonografi ile akım alınamayan diğer üç (%7) hastaya acil vasküler eksplorasyon uygulandı. Bir hastaya primer sütürasyon, diğer iki hastaya ise safen greft ile tamir uygulandı.SONUÇ: Suprakondiller humerus kırığına bağlı nabızsız el gelişen hastalar, redüksiyon sonrası yeniden değerlendirilmeli; ekstremite dolaşımı düzelenler ve dolaşım bozuluğu bulguları olmayanlar için sadece yakın takip, dolaşım bozukluğu devam edenlere ise damar tamiri yapılmalıdırÖğe Comparative outcomes of early, elective, and delayed treatment for lateral condyle fracture of the humerus in children: A retrospective study from a single center in Turkey (2013-2021)(2024) Ulus, Sait Anıl; Yiğit, Şeyhmus; Özkul, EminBackground: Lateral condyle fracture of the humerus in children should be diagnosed and treated quickly to avoid the complications of malunion and varus deformity of the elbow. Worldwide, pediatric orthopedic departments experienced delays in patient diagnosis and treatment during the COVID-19 pandemic. This retrospective study from a single center in Turkey aimed to compare outcomes from early treatment, elective treatment, and delayed treatment in 140 children with lateral condyle fracture of the humerus between 2013 and 2021. Material/Methods: In the study, 140 patients with Milch type 2 fractures were included. Patients underwent fixation with K-wires or screws after open or closed reduction. Data collected included age, sex, trauma details, surgery timing, operating conditions, perioperative issues, and rehabilitation outcomes. Fracture union and complications were monitored through clinical examinations and X-rays. Clinical outcomes were evaluated using the Mayo Elbow Performance Score (MEPS). Results: There were 58 patients in the early group, 52 in the elective group, and 30 in the delayed group. Surgery durations varied among the groups (P=0.000). The early and delayed groups as well as the early and elective groups had significantly different incision sizes (P=0.000 for both). The early and delayed groups and the early and elective groups had significantly different MEPS scores (P=0.002 and P=0.011, respectively). Conclusions: In patients with late-presenting lateral condyle fractures, although complications increase, surgical treatment does not yield worse outcomes. Standardization of fracture management should be maintained during periods such as COVID-19.Öğe Comparison of iliac and femoral autograft practices in pemberton pelvic osteotomy(Lippincott Williams and Wilkins, 2021) Bulut, Mehmet; Azboy, İbrahim; Özkul, Emin; Karakurt, LokmanBackground:There is no consensus in regard to grafts used after pelvic osteotomy in developmental dysplasia of the hip in the literature. The aim of this study was to compare iliac and femoral autografts used after Pemberton pelvic osteotomy (PPO).Methods:In this prospective, randomized study, 60 hips with dysplasia of the hip were included. All patients underwent open reduction, PPO, and femoral shortening osteotomy. Iliac autograft (group I; n=30 hips; mean age, 39.07; range, 18 to 72 mo) and femoral autograft (group II; n=30 hips; mean age, 42.53; range, 19 to 70 mo) were used to fill the iliac osteotomy. The height and width of the iliac and femoral autografts were measured intraoperatively. Anteroposterior pelvic radiographs were obtained on the 45th day, and in the 2nd, 3rd, 6th, and 12th months postoperatively. Acetabular index angle, height of the graft, loss of graft position, graft resorption, operative time, blood loss, and union time were compared between the groups.Results:There was a significant difference in each group in terms of loss of graft height between the intraoperative measurement and the postoperative measurement at the 6th week and 3rd month. The intraoperative width of the grafts was significantly greater, loss of graft height was significantly less, and the amount of bleeding was significantly lower in group II (P<0.001 for all 3). However, time to union was significantly shorter in group I (P<0.001). There was no significant difference between the groups in terms of acetabular index angle at the last controls. There were loss of graft position in 2 cases and graft resorption in 1 case for group I, but no such cases occurred for group II.Conclusions:Graft height and position loss, donor site morbidity, and graft resorption were less in the femoral autografts group compared with the iliac autografts group in the treatment PPO with femoral shortening osteotomy.Level of Evidence:Level II.Öğe Depression, Social Phobia and Quality of Life after Major Lower Limb Amputation(2020) Şahin, İlhami; Gem, Mehmet; Demirtaş, Abdullah; Özkul, Emin; Azboy, İbrahim; Tutak, Yılmaz; Adıyeke, LeventIntroduction: In this study, we aimed to compare the social phobia, depression and quality of life in patients with major lower limb amputation to non-amputated.Methods: Patients who were underwent above or below the knee amputation in the past were evaluated retrospectively by examining the hospital records. All the participants were administered Liebowitz Social Anxiety Scale (LSAS), Hospital Anxiety and Depression Scale (HADS), and Short-Form 36 (SF-36).Results: The number of patients was 30 (21 males, nine females) in the amputated group and 30 (22 males, eight females) in the control group. The mean age was 41.8±14.09 years in the amputated group and 43.3±18.68 years in the control group. All LSAS and HADS scores were higher, and SF-36 scores were lower in the amputation group compared to the control group (p<0.05). The patients who were amputated more than five years ago had higher LSAS social fear scores, and lower HAD depression scores compared to patients less than five years (p=0.035, p=0.024, respectively). The employed patients had lower HAD depression and HAD total scores compared to unemployed patients (p=0.008, p=0,049, respectively). The patients amputated due to medical complications had higher scores in anxiety compared to the patients with traumatic amputation (p=0.005, p=0.016, respectively).Discussion and Conclusion: Social phobia, depression and poor quality of life are common problems in patients with major lower limb amputation. After five years, it should not be forgotten that social phobia will increase; depression will decrease along with its seriousness. Therefore, amputated patients should be psychiatrically counseled and treated. It is important to provide permanent employment opportunities to improve the quality of life.Öğe The effect of low magnitude high frequency vibration on bone healing by clamp method in nonunion tibial fractures(Dicle Üniversitesi Tıp Fakültesi, 2022) Çelik, Ferhat; Bilgin, Hakkı Murat; Akkoç, Hasan; Özkul, Emin; Gem, Mehmet; Özerdem, Mehmet Siraç; Karıksız, Mesut; Erdem, Mustafa; Elçi, SerhatIntroduction: This study aimed to investigate the clinical effect of Low Magnitude High Frequency Vibration (LMHFV) on nonunion tibial fractures, noninvasively. Methods: The Experimental (n=5) and control (n=5) groups were age-matched and pooled based on the Nonunion Tibia Score System (NUSS) (p>0.05). LMHFV (0.35g, 50 Hz, 20 minutes x 4/day) was applied to the experimental group for three months by a mechanical stimulator that we developed using a ‘clamp method’. The control group was followed during three months without any application other than routine treatment. The results were evaluated using the Radiographic Union Score for Tibial Fractures (RUST) and American Orthopedics Foot and Ankle Score (AOFAS). No statistically significant difference was observed between the groups at the beginning and in the end of the 3- month application for RUST and AOFAS scores (p>0.05). Results: Pain and function assessment, at the beginning and end of the study, as a part of The AOFAS scorewere not statistically different (p>0.05) in the control group. However, increases in pain and function AOFAS scores were statistically significant in the experimental group at the end of the 3- month application (p<0.034 and p<0.043, respectively). Conclusion: In this study, LMHFV contributed to the pain and function parameters of AOFAS in the experimental group; however, there was no significant difference between the groups in terms of total RUST and AOFAS scores.Öğe Evaluation of surgical or conservative treatment of forearm fracture in pediatric floating elbow injuries(Verduci Editore s.r.l, 2024) Ulus, Sait Anıl; Atiç, Ramazan; Yiǧit, Şeyhmus; Akar, Mehmet Sait; Dönmez, S.; Özkul, EminOBJECTIVE: Floating elbow, which refers to a humerus fracture in the supracondylar region and a forearm fracture, is a very unusual injury. The purpose of this study is to compare the clinical results of patients with “floating elbows” who underwent surgical therapy and who were given forearm immobilization with a splint as follow-up care. PATIENTS AND METHODS: Fifteen patients who had been diagnosed with floating elbow owing to trauma were scanned retrospectively and followed up for at least a year. Eight individuals who suffered from broken forearms underwent surgical repair. After initial treatment, a lengthy arm splint was used to immobilize seven patients’ arms. The modified Flynn criteria were used to analyze the data, and comparisons were made between the groups. RESULTS: The median age and mean follow-up time for patients whose forearms were conservatively followed was 6.1 years and 13.8 months, respectively. The median age of the patients who underwent forearm surgery was 8.5 years, and the average follow-up was 14.2 months. Five of the seven patients whose forearms underwent conservative follow-up had outstanding clinical outcomes, while two had poor and moderate outcomes. Four individuals who got surgical treatment for their forearms had excellent and good clinical outcomes, while the other four had intermediate and poor outcomes. Between the two groups, there was no discernible difference (p = 0.60). CONCLUSIONS: In the pediatric population with floating elbow injuries, using a cast for forearm fractures may not necessarily result in worse outcomes compared to surgical management.Öğe Femur boyun kırıklarının tedavisinde kanüllü vida ile dinamik kalça vidasının karşılaştırılması(Modestum Publishing Ltd., 2015) Gem, Mehmet; Özkul, Emin; Alemdar, Celil; Kapukaya, Ahmet; Arslan, Hüseyin; Atiç, RamazanAmaç: Femur boyun kırıklarının internal fiksasyonu için hangi implantın üstün olduğunu gösteren belirgin kanıtların olmaması nedeniyle intrakapsuler femur boyun kırıklarında kanüllü vida (KV) ve dinamik kalça vidası (DKV) ile yapılan cerrahilerin sonuçlarını karşılaştırmayı amaçladık. Yöntemler: Kliniğimizde Eylül 2005 ile Kasım 2009 tarihleri arasında, 17 ila 65 yaş arası DKV ve KV ile cerrahi tedavi uygulanan intrakapsüler collum femoris kırıklı, düzenli kontrolleri olan hastalardan transservikal kırığı olan hastalar çalışmaya dahil edildi. Olgular 2 grupta incelendi. DKV uygulanan olgular 1. Grup, KV uygulanan olgular ise 2.grup olarak belirlendi. 38 hastanın 18’ine(%47,4) DKV, 20’sine(%52,6) KV ile osteosentez uygulandı. Bulgular: Hastaların 16’sı(%42,1) kadın, 22’si(%57,9) erkek idi ve ortalama yaşları 37,13(17-65) idi. Takip süresi ortalama 18,05(2-57) ay idi. Hastaların 26’sı(%68,4) 1-3. günde, 9’u(%23,7) 4-7.günde ve 3’ü(%7,9) 7.günden sonra operasyona alınmıştır. DKV grubunun 9(%50)’unda avasküler nekroz(AVN), 6(%33,3)’sında implant yetmezliği, 3(%16,7)’ünde geç kaynama, 5(%27,8)’inde kaynamama, 1(%5,6)’inde enfeksiyon ve 1(%5,6) hastada da miyozitis ossifikans saptandı. DKV grubunda Salvati-Wilson kalça eklemi değerlendirme kriterine göre hastalarımızın 8’i(%44,4) çok iyi, 5’i(%27,8) iyi, 5’i(%27,8) orta olarak değerlendirildi. Salvati puanı ortalama 28 puan olarak değerlendirildi(16-40). KV grubunun 8(%40)’inde AVN, 1 (%5)’inde geç kaynama, 3 (%15)’ünde kaynamama ve 1 (%5) hastada ise enfeksiyon tespit edildi. KV grubunun Salvati-Wilson kalça eklemi değerlendirme kriterine göre 13 (%65)’ü çok iyi, 5 (%25)’i iyi, 2 (%10)’si orta olarak değerlendirildi. Salvati puanı ortalama 33 puan olarak değerlendirildi (18-40). KV ile opere edilen hiçbir hastada implant yetmezliği gelişmezken DKV uygulanan grupta bu oran %33,3 idi (p<0,05). Sonuç: Femur boyun kırıklarının internal fiksasyon ile tedavisinde DKV ile tespit yönteminde implant yetmezliği oranının yüksekliği dışında her iki tespit yönteminde komplikasyon ve fonksiyonel sonuçlar arasında anlamlı fark bulunamadı.Öğe Functional outcomes and quality of life in adult ipsilateral femur and tibia fractures(Elsevier (Singapore) Pte Ltd, 2019) Demirtaş, Abdullah; Azboy, İbrahim; Alemdar, Celil; Gem, Mehmet; Özkul, Emin; Bulut, Mehmet; Uzel, KadirObjective: The aim of our study is to evaluate the functional outcomes and quality of life in adult ipsilateral femur and tibia fractures. Methods: 26 patients (21 male, 5 female; mean age 30 years, range: 18 to 66) treated for adult ipsilateral femur and tibia fractures were evaluated retrospectively. For femur fractures, intramedullary nails were used in 15 patients (12 antegrade, 3 retrograde), plate in 11 patients (10 locked-plate, and 1 blade-plate with a 95 degree angle). For tibia fractures, locked-plate were used in 13 patients, intramedullary nails in 9 patients, external fixator in 3 patients and multiple screws in 1 patient. According to Blake and McBryde classification, 17 fractures were type I, 9 fractures were type II (7 type 2A and 2 type 2B). The functional outcomes were evaluated by Karlström and Olerud criteria, and quality of life was evaluated by Short Form-36. The mean follow-up duration was 4.4 years (range: 1.1 to 7.3 years). Results: The functional outcomes were excellent in 6 patients, good in 8 patients, acceptable in 6 patients and poor in 6 patients. The mean values of quality of life scales were; physical function: 64.8, physical role limitation: 60.5, pain: 68.2, general health: 63.3, vitality: 58.4, social function: 68.2, emotional role limitation: 62.7, and mental health: 65.8. Conclusion: Adult ipsilateral femur and tibia fractures are severe injuries and adversely affect the quality of life and functional outcomes. The quality of life scales should be used along with functional outcome scores in evaluating these injuries. The translational potential of this article: Adult ipsilateral femur and tibia fractures cause severe morbidity. Functional outcomes and quality of life scales should be used together to evaluate these fractures. Karlström and Olerud criteria for functional outcomes and Short Form-36 scales for quality of life are suitable methods to evalute these fractures.Öğe Gelişimsel kalça çıkığının tek aşama kombine tedavisinde sonuçları etkileyen faktörler(2016) Özkul, Emin; Arslan, HüseyinÇalışmamızda kliniğimizde 1996-2007 yılları arasında en küçüğü 2 en büyüğü 10 yaşında olan tek aşama kombine tedavi uyguladığımız 72(95 kalça) hastayı inceledik.Hastaların hepsine tek aşama kombine prosedür( salter osteotomisi,femoral kısaltma ve açık redüksüyon) uygulandı.Hastalar Grup A( bilateral) ve Grup B (uni lateral ) olarak iki gruba ve gruplarda kendi içinde 5 yaş öncesi ve sonrası tedavi edilenler diye iki gruba ayrıldı.Grup A'da ortalama takip süresi 4.1 yıl, Grup B'de 4.9 yıldır.Modifiye Trevor Skorlama sistemine göre Grup A'da 30 kalça iyi ,8 kalça iyi ,6 kalça orta ,2 kalça kötü sonuç ; Grup B'de 28 kalça iyi ,15 kalça iyi ,6 kalça orta sonuç olarak değerlendirildi. Grup A'da 1 ,Grup B'de 4 hastada 1.5 cm den fazla ekstremite uzunluk eşitsizliği mevcuttu. Grup A'da 14 kalçada Grup B'de 30 kalça da osteonekrozis mevcuttu.Biz her iki grupta da 5 yaş öncesi tedaviye başlananlarda 5 sonrasına göre sonuçların daha iyi olduğunu bulduk.Öğe Hydatid cyst in the hand(Soc Brasileira Mediciana Tropical Univ Brasilia, Nucleo Mediciana Tropical e Nutricao, 2022) Tekin, Recep; Özkul, Emin; Ulus, Sait AnılA 52-year-old man presented with a 1-year history of limitation in the movement of his left hand and numbness involving the fingers. The physical examination of his hand revealed swelling, 4th and 5th finger loss of feeling, positive Tinel’s sign, and mildly painful movement with minimal limitation, especially in the 4th and 5th fingers.Öğe Hydatid cyst in the wrist(Soc Brasileira Medicina Tropical, Univ Brasilia, Nucleo Medicina Tropical a Nutricao, 2021) Tekin, Rojbin Ceylan; Özkul, Emin; Tekin, RecepA 41-year-old female presented with a 3-year history of swelling in the right wrist associated with pain and numbness involving the fingers. Physical examination of her wrist revealed swelling and mildly painful movement with minimal limitation. The patient was living in a region endemic for hydatid disease.Öğe İleri evre Freiberg hastalığında cerrahi tedavi(Dicle Üniversitesi Tıp Fakültesi, 2014) Özkul, Emin; Gem, Mehmet; Alemdar, Celil; Arslan, Hüseyin; Boğatekin, Ferit; Meriç, GökhanAmaç: Freiberg hastalığı sıklıkla 2. ve 3. metatars başını tutan bir avasküler nekrozdur ve semptomatik olgularda cerrahi tedavi yöntemi tartışmalıdır. Bu çalışmada cerrahi yöntemle tedavi edilen ileri evre Freiberg hastalarının sonuçları değerlendirildi. Yöntemler: Nonoperatif yöntemle ağrıları giderilemeyen ve cerrahi uygulanan (6 debridman, 3 osteotomi, 3 metatars başı eksizyonu) 12 hasta (8 kadın, 4 erkek) çalışmaya dahil edildi. Hastaların ortalama yaşı 19,1 (en küçük 13, en büyük 31) ve ortalama takip süresi 30,8 ay (en az 25, en çok 94 ay) idi. Hastaların 9’unda 2. metatarsta, 3’ünde 3. metatarsta tutulum vardı. Smillie sınıflama sistemine göre 3 hastada tip 5, 8 hastada tip 4 ve 1 hastada tip 3 osteonekroz mevcuttu. Hastaların sonuçları Lesser Metatarsophalangeal-Interphalangeal Skalasına göre değerlendirildi. Bulgular: Lesser Metatarsophalangeal-Interphalangeal skalasına göre 3 olguda mükemmel (%25), 6 olguda iyi (%50) ve 3 olguda (%25) kötü sonuç elde edildi. Kötü sonuç alınan hastaların 2’si tip 5, 1’i tip 4 idi ve her üç hastaya da eklem debridmanı uygulanmıştı. Sonuç: Freiberg hastalığının cerrahi tedavisinde seçilecek yöntem hastalığın evresine göre belirlenmelidir. Geç dönem hastaların tedavisinde debridman tek başına çoğu zaman yeterli olmadığı için diğer yöntemlerle kombine edilmelidir.Öğe The importance of low visfatin values in osteoid osteoma patient: a prospective study(Verduci Editore s.r.l, 2023) Ulus, Sait Anıl; Özkul, EminAbstract. – OBJECTIVE: Visfatin is currently a cytokine that is extensively researched in the field of bone diseases. In this prospective study, we aimed to investigate the potential of serum visfatin levels as a biomarker for the diagnosis of osteoid osteoma. PATIENTS AND METHODS: This study included a cohort of 20 patients diagnosed with osteoid osteoma (Group 1) and 30 healthy individuals (Group 2). The age, gender, cyst sizes, and visfatin values of all participants were documented and analyzed. RESULTS: There was a significant difference in visfatin levels between the two groups. The median visfatin level in Group 1 was 6.13 ng/ml (IQR: 4.21-8.08), while in Group 2, it was 15.83 ng/ml (IQR: 11.11-20.6). The difference was statistically significant (p<0.000). The optimal cutoff value for visfatin was found to be 7.74 ng/ml, which had a 93% sensitivity and 78% specificity. An area under the curve of receiver operating characteristic (ROC) analysis of 0.85 indicates good diagnostic performance. CONCLUSIONS: Our study revealed a significant decrease in visfatin levels among patients diagnosed with osteoid osteomas in comparison to the healthy control group. The ROC analysis revealed that visfatin exhibited a commendable diagnostic capacity, indicating its potential utility as a biomarker for osteoid osteoma.Öğe Kalkaneusta primer ksantofibroma: Olgu sunumu(2011) Kapukaya, Ahmet; Arslan, Hüseyin; Özkul, Emin; Mızrak, BülentKsantoma veya ksantofibroma, köpük histiositler(köpüksü histiosit, ksantoma hücresi)ile karakterize bir lezyon olup genellikle yumuşak dokularda görülür.İskelet sisteminde lokalize olan ksantoma ise çoğunlukla lipid metabolizması bozuk olan hastalarda görülür.Çlışmamızda kalkaneusunda primer ksantofibroma nedeniyle küretaj ve grefonaj ile tedavi edlilen 22 yaşında bir hasta bildiriyoruz.Öğe Mini plakla osteosentez uygulanan metakarp kırıklarında ameliyat sonrası erken hareketin fonksiyonel sonuçlara etkisi(Modestum Publishing Ltd., 2013) Azboy, İbrahim; Alemdar, Celil; Demirtaş, Abdullah; Özkul, Emin; Gem, Mehmet; Bulut, MehmetAmaç: Çalışmamızda mini plakla anatomik redüksiyon ve rijit internal fiksasyon uyguladığımız metakarp kırıklı hastaların fonksiyonel ve radyolojik sonuçlarını değerlendirmeyi amaçladık. Yöntemler: Çalışmada metakarp kırığı sonrası mini plakla osteosentez uygulanan 11 hasta (10 erkek, 1 kadın) retrospektif olarak değerlendirildi. Hastaların ortalama yaşı 35 (dağılım 25-46) ve ortalama takip süresi 1,4 (dağılım 1,1-2,2) yıldı. Bütün hastalara postoperatif ikinci gün aktif ve pasif eklem hareket açıklığı egzersizleri başlandı. Fonksiyonel sonuçlar total aktif eklem hareket açıklığı (TAEHA) skalasına göre değerlendirildi. Bulgular: TAEHA skalasına göre 8 hastada (10 metakarp) mükemmel, 2 hastada iyi, 1 hastada orta dereceli sonuç elde edildi. Ortalama 6 hafta (4-7 hafta) içinde bütün hastalarda kaynama görüldü. Redüksiyon kaybı, enfeksiyon, dolaşım bozukluğu, nörolojik araz, osteonekroz, sudeck atrofisi gibi komplikasyonlar görülmedi. Sonuç: Mini-plakla rijit internal osteosentez uygulanan metakarp kırıklı hastalarda, postoperatif erken dönemde aktif ve pasif eklem hareketlerinin başlanması ile tatmin edici radyolojik ve fonksiyonel sonuçlar elde edilebilir.Öğe Minimally invasive plate osteosynthesis in open pediatric tibial fractures(Lippincott Williams and Wilkins, 2016) Özkul, Emin; Gem, Mehmet; Arslan, Hüseyin; Alemdar, Celil; Azboy, İbrahim; Arslan, Seher GündüzObjectives: The aim of this study is to investigate the effectiveness and reliability of limited-contact locking plates in minimally invasive percutaneous osteosynthesis (MIPO) of the lateral tibia. Design: A retrospective study. Patients and Methods: The retrospective study included 14 patients who were operatively treated with an MIPO technique due to open tibial fractures between 2006 and 2012. The patients were 11 males and 3 females with a mean age of 13.2 (range, 9 to 16) years. The patients were followed up for a mean period of 2.4 (range, 1 to 5) years. The mechanism of the injuries included a motor vehicle accident (n=11), a shotgun injury (n=2), and a fall from height (n=1). According to the Gustilo-Anderson classification, 10 patients had type I (72%), 2 had type II (14%), and 2 had type III (14%) open fractures. Results: The mean time to radiologic union was 18 (range, 11 to 32) weeks. No infection was detected that would require implant removal. No complications such as early epiphyseal closure, angulation, or limb-length inequality were observed. Conclusions: Limited-contact locking plates in MIPO of the lateral tibia is an effective alternative method in the treatment of open pediatric tibial fractures.Öğe Orthopedic approach to foreign body stings(Modestum Publishing Ltd., 2013) Alemdar, Celil; Demirtaş, Abdullah; Gem, Mehmet; Özkul, Emin; Azboy, İbrahim; Bulut, Mehmet; Ancar, CahitObjective: Although foreign body injuries are quite common, there are an insufficient number of publications on this matter. The aim of this study was to evaluate patients with foreign body injuries, and to determine the treatment algorithm. Methods: A total of 97 patients were evaluated, including 53 men and 44 women. Ninety-one patients underwent surgery, and six patients were treated conservatively. Surgery was performed in the operating room in all cases. To ensure that the foreign body was removed, fluoroscopic control was completed during and after the procedure. Antibiotics were administered routinely to all patients, and the need for tetanus prophylaxis was evaluated in each patient. Results: The mean age of the patients was 16.5 (range: 2-58) years. Regarding the type of foreign body, there was injury due to: a needle in 65 patients, glass in 14, wood in 7, iron spit in 1, iron bar in 1, pieces of metal in 3, and other foreign bodies were found in 6 patients. There were 25 injuries of the upper extremity, and 72 of the lower extremity. The time of admission to the hospital after the injury ranged from 1 day to 3 years. Obvious signs of infection were detected in 10 patients. There were no complications after the follow-up of patients who were treated conservatively. Conclusion: Foreign body penetration is a severe injury that may cause significant problems when ignored. Treatment algorithms prepared according to the type of injury would guide the most appropriate approach to these injuries. J Clin Exp Invest 2013; 4 (4): 443-448.Öğe Predictive factors for the development of Gartland type IV supracondylar humerus fractures: a prospective clinical study(Aves Yayıncılık, 2022) Yiğit, Şeyhmus; Aslan, Rıdvan; Arslan, Hüseyin; Özkul, Emin; Atiç, Ramazan; Akar, Mehmet SaitObjective: This study aimed to identify the preoperative predictive factors for the development of Gartland type IV supracondylar humerus fracture based on the patient characteristic, fracture mechanism, and preoperative radiographic fracture characteristics. Methods: This prospective study included the data of 120 patients with Gartland type III and IV supracondylar humerus fractures treated in a single center from 2020 to 2021. Patients’ age, gender, height/weight percentile values, injury mechanisms, the proximity of fracture fragment to the skin (i.e., dimple sign), and time from trauma to surgical treatment were recorded. In the preoperative radiographs, the degree of extension or flexion deformity between fracture fragments in the sagittal plane, varus/valgus angulation between fracture fragments in the coronal plane, the amount of translation (medial or lateral) in the coronal plane, and the amount of osseous apposition between fracture fragments in the coronal plane were evaluated. With the authors’ consensus, the patients were divided into 2 groups based on the presence of multidirectional instability during the intraoperative reduction: group 1 (Gartland type III; 99 patients) and group 2 (Gartland type IV; 21 patients). Fixation of the fractures was then completed. Results: Significant differences were observed between groups in the valgus/varus angle and amount of osseous apposition (P < .001). Although no significant difference was found in terms of translation amount between the groups (P=.088), there was a significant correlation with medial translation in type IV fractures (P < .001). The correlation between the results and the groups was checked with Spearman’s test. Medial translation (r=0.352), varus or valgus angulation (r=0.616), and osseous apposition (r=0.433) exhibited a positive correlation. The probability of type IV fracture was modeled for the preoperative parameters using binary logistic regression. The regression analysis showed that the diagnosis of type IV supracondylar fractures could be predicted, if varus or valgus angulation was more than 25.5° (81% sensitivity, 85% specificity, odds ratio=1.725; 95% CI=1.170-2.541, P=.001, r=0.616) and if the amount of osseous apposition was more than 9.5 mm (85% sensitivity, 81% specificity, odds ratio=1.471; 95% CI=0.714-3.029, P=.001, r=0.433) in the preoperative radiographs. There was also a significant correlation between medial translation (varus angulation) (P < .001, r=0.352), age (P=.019, r=0.255), and patients with more than 90 height/weight percentile values (P < .001, r=0.508) with the possibility to have Gartland type IV fractures. Conclusion: This study has found some preoperative factors that may be relevant for type IV Gartland fractures. Height/weight values greater than the 90 percentile, varus or valgus angulation greater than 25.5°, bone apposition values greater than 9.5mm, medial translation values greater than 11mm, and older than eight years patients type IV fractures were more common in such patients. If surgeons can more accurately diagnose a Gartland type IV fracture preoperatively, the surgeon can more accurately inform the patient and plan better treatment.
