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    Clinical differences between nasogastric tube and Hunter's rod for staged Zone II flexor tendon reconstruction
    (Turkish Joint Diseases Foundation, 2023) Sahin, Erdem; Ozdemir, Ali; Ergin, Musa; Durgut, Fatih; Acar, Mehmet Ali
    Objectives: This study aims to compare the outcomes of twostage flexor tendon reconstruction in Zone II of the hand and to evaluate the results of a nasogastric tube as a potential alternative to Hunter's rod. Patients and methods: Between November 2012 and January 2022, a total of 45 patients (26 males, 19 females; median age: 31 years; range, 12 to 61 years) who underwent two-stage flexor tendon reconstruction were retrospectively analyzed. Of the patients 24 underwent nasogastric tube reconstruction (NT group) and 21 underwent Hunter's rod reconstruction (HR group). Patients' demographic and clinical characteristics, the number of surgeries, the occurrence of complications, the presence of infection during the procedure, and the range of motion of the finger joints at the final follow- up examination were recorded. The assessment of the cases was conducted using the total active motion system. Results: Twenty-four digits underwent two-stage flexor tendon reconstruction with the nasogastric tube. Among these, three index fingers, nine middle fingers, seven ring fingers, and five little fingers were operated. Twenty-one digits underwent two- stage flexor tendon reconstruction using Hunter's rod. Among these, two index fingers, eight middle fingers, six ring fingers, and five little fingers were operated. In the NT group, excellent results were observed in 58.3% (14 digits), good results in 25% (six digits), fair results in 8.3% (two digits), and poor results in 8.3% (two digits). In the HR group, excellent results were seen in 57.1% (12 digits), good results in 33.3% (seven digits), fair results in 4.7% (one digit), and poor results in 4.7% (one digit). Conclusion: The utilization of a nasogastric tube offers a convenient and cost-effective option to Hunter's rod in the two-stage flexor tendon reconstruction, leading to favorable outcomes characterized by high rates of excellence and improvement, while effectively minimizing the occurrence of complications.
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    The Effects of Surgical Timing on Treatment Outcomes in Carpal Tunnel Syndrome
    (Galenos Publ House, 2022) Durgut, Fatih; Sahin, Erdem; Akar, Mehmet Sait; Ozdemir, Ali; Yigit, Seyhmus
    Objective: The purpose of this study is to assess and compare outcomes of two different timing surgery for moderately carpal tunnel syndrome (CTS).Methods: Eighty-eight patients who underwent early and late due to CTS were evaluated retrospectively. Patients with early surgery and late surgery were divided into two groups. Preoperative and postoperative visual analog scale (VAS) score and postoperative Boston Carpal Tunnel Questionnaire (BCTQ) scores of both groups were compared.Results: Preoperative and postoperative VAS scores were compared, there was a significant decrease in both groups. When BCTQ results of both groups were compared, the results of patients who underwent early surgery were statistically better.Conclusion: In conclusion, we think that early surgery is better clinically in patients with moderately CTS.
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    How understandable are the patient education materials about flat foot on the Internet for parents?
    (Lippincott Williams & Wilkins, 2023) Ciftci, Sadettin; Sahin, Erdem; Aktas, Suha Ahmet; Safali, Selim; Durgut, Fatih; Aydin, Bahattin Kerem
    Flat foot is a common reason for parents to visit orthopedic clinics. As the Internet has become an easy-search platform, parents often seek online educational materials before seeking out a professional. The aim of this study was to investigate the quality, readability, and understandability of such online materials for parents. An Internet search was performed for flat foot and pes planus using the Google search engine. The readability was evaluated using 6 different grading systems: Flesch Reading Ease Score, Flesch-Kincaid Grade Level, Simple Measure of Gobbledygook, Fry Readability score, Gunning Fog Index tests, and Automated Readability Index. The Patient Education Materials Assessment Tool test was used to assess the understandability. For quality assessment, the Journal of American Medical Association benchmark criteria and Health on the Net code were applied. One hundred nine websites were included and evaluated for readability, understandability, and quality. The mean readability grade for all websites was 10.5 +/- 2.0. The mean Gunning Fog Index tests and Flesch-Kincaid Grade Level scores for all websites were 12.4 +/- 2.2 and 9.7 +/- 2.1 sequentially. The mean Coleman-Liau index score was 10.0 +/- 1.5, and the average Fry Readability score was 9.9 +/- 2.0. The automated readability index for all websites was 10.3 +/- 2.5. The average Flesch Reading Ease score for all educational materials was 59.3 +/- 10.1. The average Patient Education Materials Assessment Tool score for all educational materials was 81% (range, 70-87%). The mean Journal of American Medical Association benchmark criterion for all websites was 1.0, with a range from 1.0 and 2.0. Eighteen (16.5%) websites had Health on the Net certificates. Readability, understandability, and quality of patient education materials about flat feet on the Internet vary and are often worse than professional recommendations.