Yazar "Zehir, Sinan" seçeneğine göre listele
Listeleniyor 1 - 8 / 8
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Eklem içi distal radius kırıklarının volar kilitli plakla tedavi sonuçları(The outcomes of volar locking plating for intraarticular distal radius fractures, 2014) Azboy, İbrahim; Demirtaş, Abdullah; Alemdar, Celil; Zehir, Sinan; Çakır, İdris Ahmet; Şahin, İlhami; Arslan, Arslan KağanAmaç: Çalışmamızda eklem içi distal radius kırıklarında volar kilitli plakla tespitin fonksiyonel ve radyolojik sonuçlarının değerlendirilmesi amaçlandı. Yöntemler: Eklem içi distal radius kırığı tanısıyla volar kilitli plakla tedavi edilen 28 hasta (ort. yaş 44.6; dağılım 19- 74) çalışmaya alındı. Kırıklar AO/ASIF sınıflamasına göre sınıflandırıldı. Buna göre 18 hasta B ve 10 hasta C tipi kırık idi. Ortalama takip süresi 19 ay (dağılım 12-28) idi. Hastalar MAYO el bileği skoru ve DASH (Disabilities of the Arm, Shoulder and Hand) anketi ile değerlendirildi. Radyolojik incelemede radial kısalma, radial ve palmar eğimler ölçüldü. Klinik ve radyolojik karşılaştırma için sağlam el bileği kullanıldı. Bulgular: Tüm kırıklarda kaynama elde edildi. Ameliyat sonrası MAYO skorlamasında 6 hastada mükemmel, 7 hastada iyi, 14 hastada yeterli ve bir hastada kötü sonuç alındı. Ortalama DASH skoru 16.4 (dağılım 0-76) olarak bulundu. Sağlam tarafla karşılaştırıldığında radial eğimde ortalama 0.9 derecelik ve palmar eğimde ortalama 6.9 derecelik kayıp saptandı. Ortalama aktif fleksiyon 56.3°, ekstansiyon 52.5°, supinasyon 74.2° ve pronasyon 70.7° ölçüldü. Dört hastada ekstansör tendon tenosinoviti, iki hastada fleksör pollisis longus tenosinoviti, iki hastada karpal tünel sendromu, bir hastada yüzeyel enfeksiyon ve bir hastada refleks sempatik distrofi görüldü. Sonuçlar: Volar kilitli plaklar, eklem içi distal radius kırıklarının tedavisinde yeterli tespit ve tatmin edici fonksiyonel sonuçlar sağlamaktadır. Bununla birlikte, fleksör ve ekstansör tendon sorunları, median sinir tuzaklanması ve refleks sempatik distrofi ile karşılaşılabileceği akılda tutulmalıdır. Tenosinovit semptomlarının gözlendiği olgularda, kaynama sağlanmışsa vakit kaybetmeksizin implantlar çıkarılmalıdırÖğe Femur boyun kırıklarına parsiyel protez uygulamasında anterior ve posterior kapsüler açılımın sonuçları(2013) Sipahioğlu, Serkan; Zehir, Sinan; Yar, Ümit; Şahin, Ercan; Azboy, İbrahimAMAÇ: Çalışmamızda anterior veya posterior cerrahi yaklaşımla bipolar protez uygulanan femur boyun kırıklı hastaların fonksiyonel durumları ve ortaya çıkan komplikasyonlar geriye dönük olarak değerlendirildi. GEREÇ VE YÖNTEM: Kasım 2007-Şubat 2011 tarihleri arasında femur boyun kırığı nedeni ile bipolar parsiyel protez uygulanan, takip süresi en az bir yıl olan 224 hasta (96 erkek, 128 kadın) değerlendirildi. Cerrahi yaklaşıma göre iki grup oluşturuldu. Kalça eklem kapsülü anteriordan açılan (grup 1) grupta 92 (46 erkek, 46 kadın; ortalama yaş 78.4 yıl dağılım 70-97) hasta, kapsülün posteriordan açıldığı (grup 2) grupta ise 132 (50 erkek, 82 kadın ortalama yaş 77.9 dağılım 70-96) hasta vardı. Grup 1’deki hastaların ortalama takip süresi 16.4 ay (12-34), grup 2’deki hastaların ortalama takip süresi 18.9 ay (12-39) idi. BULGULAR: Ortalama Harris puanı grup 1’de 81.7±7.6 grup 2’de ise 79.2±6.9 olarak bulundu. Grup 1’de 19 hastada çok iyi, 52 hastada iyi, 15 hastada orta ve 6 hastada yetersiz sonuç, grup 2’de ise 29 hastada çok iyi, 74 hastada iyi, 21 hastada orta ve 8 hastada yetersiz sonuç elde edildi. Grup 2’de daha fazla çıkık (%3.78) ve enfeksiyon (%3.03) görülsede; iki grup arasında fonksiyonel puanlama ve komplikasyonlar açısından anlamlı fark bulunmadı (p>0.05). SONUÇ: Kalça eklemine parsiyel protez uygulamasında cerrahi yaklaşım fonksiyonel sonuçları etkilememektedir. Kalça eklemine parsiyel protez uygulamasında kapsülün anterior açılımı çıkık ve enfeksiyon açısından daha güvenli olabilir.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 Preferences of surgeons in total knee and hip arthroplasty, and operating room facilities in Turkey: a survey(Turkish Joint Diseases Foundation, 2016) Azboy, Ibrahim; Yalvac, Eyyup Serdar; Azboy, Nesrullah; Sahin, Ilhami; Zehir, SinanObjectives: This study aims to determine the pre- and postoperative approaches of orthopedic surgeons and operative room environment facilities in total knee arthroplasty (TKA) and total hip arthroplasty (THA) in Turkey. Materials and methods: Data for this study were collected through a questionnaire completed by 234 physicians randomly identified from the database of Turkish Society of Orthopedics and Traumatology. The questionnaire comprised 19 questions investigating the operative room environment, demographic characteristics of surgeons, laboratory and radiologic analyses required by surgeons in pre- and postoperative patient evaluation, and management of postoperative complications. Results: In Turkey, 48% of the operating rooms where TKA and THA are performed lack laminar airflow, while 35% lack HEPA filters. Only 20.5% of surgeons continue antibiotic prophylaxis for postoperative 24 hours. Low molecular weight heparins are the most preferred anticoagulant (86%) for thromboembolism prophylaxis. While all surgeons perform primary TKA or THA, only 63.7% perform revision TKA or THA. Of the surgeons, 84.6% do not recommended antibiotic prophylaxis before dental or urologic procedures in patients who were performed TKA or THA. Conclusion: In Turkey, although consensus has been built on many issues regarding TKA and THA, different approaches are adopted based on academic position, duration of specialty, and employer institution.Öğe Proximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparison(Springer Heidelberg, 2015) Zehir, Sinan; Zehir, R.; Zehir, Sultan; Azboy, I.; Haykir, N.We sought to determine whether intramedullary fixation with proximal femoral nail antirotation produces comparable outcomes to dynamic hip screw in the treatment of unstable trochanteric fractures. Patients were randomly allocated to receive proximal femoral nail antirotation (Group 1, n = 96, mean age; 77.22 +/- A 6.82 years) or dynamic hip screw (Group 2, n = 102, mean age; 76.86 +/- A 6.74 years). Outcome measures were time of operation and fluoroscopy, amount of blood loss and occurrence of surgery-related complications. Tip-apex distance and femoral neck shortening were also evaluated. Patients were evaluated at the sixth month to assess the recovery of walking ability. Survival information was obtained from a civil registry. Operative and fluoroscopy times were significantly shorter and blood loss was significantly lower in Group 1 than those in Group 2. Complication rates, mean tip-apex indices and recovery of walking ability were similar between groups, whereas independent walking was more common in Group 1 than in Group 2. Until the sixth month, screw cutout occurred in eight (7.8 %) and seven (7.3 %) patients in Group 1 and Group 2, respectively (p = 0.88). Three-year survival rate was 61.6 +/- A 9.4 vs 57.3 +/- A 9.7 % in Group 1 and Group 2, respectively (p = 0.50). Proximal femoral nail antirotation technique offers better recovery than dynamic hip screw, whereas both techniques possess the same risk of postoperative complications.Öğe Results of anterior and posterior capsular approaches in bipolar hemiarthroplasty patients with femoral neck fractures(Turkish Assoc Trauma Emergency Surgery, 2013) Zehir, Sinan; Sahin, Ercan; Sipahioglu, Serkan; Azboy, Ibrahim; Yar, UmitBACKGROUND: We evaluated the functional status and postoperative complications of bipolar hemiarthroplasty patients with femoral neck fractures, which we operated using anterior and posterior approaches. MEHTOHDS: Between November 2007 and February 2011, 224 patients were evaluated according to their surgical exposure type in two groups. The first group, which was approached anteriorly to the joint capsule, included 92 patients, and the second group, approached posteriorly, included 132 patients. The mean follow-up period for group 1 was 16.4 months and for group 2 was 18.9 months. RESULTS: Harris hip score of group 1 was 81.7 and of group 2 was 79.2. In group 1, 19 patients had very good, 52 patients good, 15 patients moderate, and 6 patients insufficient results. In group 2, 29 patients had very good, 74 patients good, 21 patients moderate, and 8 patients insufficient results. Although we had higher hip dislocation and infection rates in group 2, there were no statistical differences between the two groups. DISCUSSION: Surgical exposure type does not affect functional outcome in bipolar hip arthroplasty patients. Although statistically insignificant, we had higher: hip dislocation and infection rates using the posterior approach in the selected femoral neck fracture patients. An anterior approach to the joint Capsule appears to be more reliable.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.Öğe Türkiye'de total diz ve kalça artroplastisinde cerrahların tercihleri ve ameliyathane olanakları: Bir anket(2016) Yalvaç, Eyyüp Serdar; Azboy, İbrahim; Zehir, Sinan; Şahin, İlhami; Azboy, NesrullahAmaç: Bu çalışmada Türkiye'de total diz artroplastisi (TDA) ve total kalça artroplastisinde (TKA) ortopedik cerrahların ameliyat öncesi ve sonrası yaklaşımları ve ameliyathane olanakları değerlendirildi.Gereç ve yöntemler: Bu çalışmanın verileri Türk Ortopedi ve Travmatoloji Birliği Derneği'nin veri tabanından rastgele belirlenen 234 hekim tarafından doldurulan bir anket aracılığıyla elde edildi. Anket; ameliyathane ortamını, cerrahların demografik özelliklerini, ameliyat öncesi ve sonrası hasta değerlendirmesinde istedikleri laboratuvar ve radyolojik incelemeleri ve ameliyat sonrası komplikasyonların yönetimini araştıran 19 sorudan oluşuyordu.Bulgular: Türkiye'deki TDA ve TKA'nın uygulandığı ameliyathanelerin %48'inde laminar hava akımı, %35'inde de HEPA filtre bulunmamaktadır. Cerrahların sadece %20.5'i antibiyotik profilaksisine ameliyat sonrası 24 saat devam etmektedir. Tromboembolizm profilaksisinde en çok (%86) tercih edilen antikoagülan düşük moleküler ağırlıklı heparinlerdir. Cerrahların tamamı primer TDA veya TKA uygularken, sadece %63.7'si revizyon TDA veya TKA uygulamaktadır. Cerrahların %84.6'sı TDA veya TKA uygulanan hastalarda dental ve ürolojik girişimler öncesinde antibiyotik profilaksisi önermemektedir.Sonuç: Türkiye'de TDA ve TKA'ya ilişkin birçok konuda görüş birliğine ulaşılmış olsa da; akademik pozisyon, uzmanlık süresi ve çalışılan kuruma bağlı olarak farklı yaklaşımlar benimsenmektedir.
