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Öğe The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus(Turkish Assoc Trauma Emergency Surgery, 2016) Azboy, Ibrahim; Bulut, Mehmet; Ancar, Cahit; Demirtas, Abdullah; Ozkul, Emin; Gem, Mehmet; Karadeniz, HilmiBACKGROUND: This study aimed to evaluate the functional outcomes of patients with intra-articular distal humerus fractures treated with triceps-reflecting anconeus pedicle (TRAP) and olecranon osteotomy. METHODS: Forty patients with intra-articular distal humerus fractures were retrospectively analyzed. TRAP approach was used in 22 patients (12 males, 10 females; mean age 37.8 years, range 17-70), and olecranon osteotomy in 18 patients (11 males, 7 females; mean age 35.4 years, range 18-62). Fractures were classified using the AO/ASIF classification. Functional results were evaluated with the Mayo elbow performance score (MEPS) and the Disabilities of Arm, Shoulder and Hand (DASH) questionnaire score. RESULTS: The overall mean arc of elbow motion was 108 degrees (range 70 degrees-140 degrees) in the TRAP group, whereas that of the olecranon osteotomy group was 98 degrees (range 70 degrees-115 degrees). A significant difference was observed between the two groups in terms of overall mean arc of elbow motion (p=0.038). There were no significant differences noted between the two groups in terms of mean MEPS and DASH scores (p=0.412, p=201, respectively). The overall complication rate was 27.2% in the TRAP group and 55% in the olecranon osteotomy group. CONCLUSION: TRAP is a succesful approach in the treatmet of intra-articular distal humerus fractures that provides better arc of elbow motion, reduces complications and reoperation rates.Öğe Internet and social media usage of orthopaedic patients: A questionnaire-based survey(Baishideng Publishing Group Inc, 2017) Duymus, Tahir Mutlu; Karadeniz, Hilmi; Cacan, Mehmet Akif; Komur, Baran; Demirtas, Abdullah; Zehir, Sinan; Azboy, IbrahimAIM To evaluate social media usage of orthopaedic patients to search for solutions to their health problems. METHODS The study data were collected using face-to-face questionnaire with randomly selected 1890 patients aged over 18 years who had been admitted to the orthopaedic clinics in different cities and provinces across Turkey. The questionnaire consists of a total of 16 questions pertaining to internet and social media usage and demographics of patients, patients' choice of institution for treatment, patient complaints on admission, online hospital and physician ratings, communication between the patient and the physician and its effects. RESULTS It was found that 34.2% (n = 647) of the participants consulted with an orthopaedist using the internet and 48.7% (n = 315) of them preferred websites that allow users to ask questions to a physician. Of all question-askers, 48.5% (n = 314) reported having found the answers helpful. Based on the educational level of the participants, there was a highly significant difference between the rates of asking questions to an orthopaedist using the internet (P = 0.001). The rate of question-asking was significantly lower in patients with an elementary education than that in those with secondary, high school and undergraduate education (P = 0.001) The rate of reporting that the answers given was helpful was significantly higher in participants with an undergraduate degree compared to those who were illiterate, those with primary, elementary or high school education (P = 0.001). It was also found that the usage of the internet for health problems was higher among managers-qualified participants than unemployed-housewives, officers, workers-intermediate staff (P < 0.05). CONCLUSION We concluded that patients have been increasingly using the internet and social media to select a specific physician or to seek solution to their health problems in an effective way. Even though the internet and social media offer beneficial effects for physicians or patients, there is still much obscurity regarding their harms and further studies are warranted for necessary arrangements to be made.Öğe Lindgren-Turan metodu ile halluks valgus cerrahisi uygulanan hastaların yaşam kalitesi(2012) Uçar, Bekiryavuz; Azboy, İbrahim; Erdoğan, Sinan; Karadeniz, Hilmi; Demirtaş, Abdullah; Şükür, ErhanAmaç: Çalışmamızda Lindgren-Turan metodu ile halluksvalgus cerrahisi yapılan hastaların sağlıkla ilgili yaşam kalitesi değişikliklerini Euroqol (EQ-5D) anketini kullanarak araştırmayı amaçladık.Gereç ve yöntem: Otuz hastaya Stockholm, 30 hastaya da İstanbul’da olmak üzere toplam 60 hastaya Lindgren- Turan metodu ile halluks valgus cerrahi tedavisi uygulandı. Hastaların ameliyat öncesi ve sonrasındaki sağlıkla ilgili yaşam kalitesi değişiklikleri EQ-5D anketi kullanılarakincelendi ve karşılaştırıldı. Hastaların kendilerini ne kadar sağlıklı hissettikleri sorusuna verdikleri cevap vizüel ana- log skala (VAS) skoru ile değerlendirildi. Herhangi bir rad-yolojik parametre göz önüne alınmadı.Bulgular: Ameliyat öncesi dönemde hastaların en sık şikâyetleri ağrı ve konfor azalmasıydı (%87). Bunu deformitenin yarattığı hareket zorluğu (%60) ve günlük etkinliklerde yaşanan zorluklar izliyordu. VAS skoru Türk hastalarda ameliyat öncesi dönemde daha kötüydü. Ameliyat sonrası dönemde başta günlük kişisel bakım ve hijyen olmak üzere tüm parametrelerde anlamlı iyileşme olduğu görüldü. Hastaların genel sağlık durumunu sorgulayan VAS skorunda da anlamlı artış görüldü (p<0.01). Sonuç: Lindgren-Turan metodu ile yapılan halluks valgus cerrahi tedavisi hastaların sağlık ile ilgili yaşam kalitelerinde anlamlı bir iyileşme sağlamaktadır.Öğe Social media and Internet usage of orthopaedic surgeons(Elsevier B.V., 2017) Duymuş, Tahir Mutlu; Karadeniz, Hilmi; Şükür, Erhan; Atiç, Ramazan; Zehir, Sinan; Azboy, İbrahim; 0000-0003-0644-7826; 0000-0002-7814-822X; 0000-0002-9610-2188Introduction The main objective of this study was to identify the prevalence of social media and Internet usage of orthopaedists and to determine its effects on patient–physician communication. Methods Data were collected by e-mail from 321 orthopaedists who filled out the questionnaire. The questionnaire consists of a total 25 items pertaining to personal information, which social media tool they use, their overall views of and expectations from social media, the effects of social media on patient–physician relationship and communication. Results The rates of keeping in contact with patients and “often” helping patients to manage their treatments over social media increased with age (p < 0.05). It was found that the rate of helping patients to manage their treatments over social media was significantly higher in academicians compared to that in specialist physicians (p = 0.040). The rates of having a personal website and being a member of online physician platform and social-networking sites were higher in participants working in the private sector than participants working in the public sector (p = 0.001). It was found that the rate of finding it useful to be in contact with patients over social media was higher in physicians working in the private sector compared to that in those working in the public sector (p < 0.01). Conclusion Social media tools and Internet are commonly used by orthopaedists to communicate with their patients. Even though there are beneficial effects in patient–physician relationship, effective standards and regulations should be developed to enable a safe communication and to resolve ethical and legal uncertainties.