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Öğe Arthroscopic-assisted surgical treatment for developmental dislocation of the hip before the age of 18 months(SPRINGER, 2013) Ozturk, Hayati; Oztemur, Zekeriya; Bulut, Okay; Tezeren, Gunduz; Bulut, SemaThe purpose of this study is to evaluate the results of arthroscopy assisted surgical treatment of developmental dislocation of the hip (DDH). Arthroscopic assisted surgical treatment was performed on nine hips of nine female children with DDH using our method, published previously, between January 2001 and December 2005. Their ages ranged from 9 to 16 months. Percutaneous adductor tenotomies were performed in seven cases. A spica cast and abduction splint were used for 11-17 weeks postoperatively. Acetabular index and Shenton line were used for preoperative and postoperative radiologic evaluation. Also, the cases were evaluated postoperatively with respect to range of motion restriction, and the leg length discrepancy. The average follow-up was 47.7 months (range 22-79 months). Acetabular index measurements of cases in the preoperative/postoperative periods were as follows: preoperative mean angle 39.9A degrees (range 34A degrees-52A degrees)/postoperative mean angle 26A degrees (range 22A degrees-34A degrees). Hip joint restriction and leg length discrepancy were not observed postoperatively. However, two patients had acetabular dysplasia. Acetabular dysplasia was completely resolved in one patient in the third year of follow-up, whereas Salter innominate osteotomy, required in another patient, was in the second year of follow-up. The latter patient was the oldest case (16-month-old) in our series. Based on the results of this study, treatment of developmental hip dysplasia with arthroscopic-assisted surgical treatment technique may be safe and effective method. Further clinical studies will be required to confirm this study.Öğe Biomechanical properties of ciprofloxacin loaded bone cement(TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY, 2013) Aslan, Talip Teoman; Oztemur, Zekeriya; Cifci, Mahmut; Tezeren, Gunduz; Ozturk, Hayati; Bulut, OkayObjective: The purpose of this study was to investigate the biomechanical properties of bone cement used in joint replacement surgery after the addition of ciprofloxacin. Methods: The first group received bone cement only and served as a control for the 4 groups where 500 mg, 1000 mg, 1500 mg and 2000 mg of ciprofloxacin were added to yield 40 g of bone cement. Axial compression tests were conducted using a 50,000 Newton capacity tension-compression testing device. Results: While axial compression strength at failure was 80.2 +/- 4.3 MPa in the control group, values in the ciprofloxacin-treated groups decreased with rising concentration of ciprofloxacin to 74.5 +/- 5.4 MPa, 70.6 +/- 4.8 MPa, 70.5 +/- 4.7 MPa, and 69.3 +/- 3.4 MPa. Conclusion: Bone cement with addition of 500 to 1500 mg ciprofloxacin maintained mechanical axial strength values above 70.0 MPa recommended by American Society for Testing and Materials and can be safely used in joint replacement surgery.Öğe Bladder Rupture and Urine Fistula Between-Bladder and Supracondylary Pin Tract After Pelvis Fracture: A case Report(DERMAN MEDICAL PUBL, 2015) Oztemur, Zekeriya; Golge, Umut Hatay; Picakci, Omer; Tezeren, Gunduz; Bulut, OkayOne of the most important complications of pelvic fractures is bladder rupture. Potential complications of pelvic fractures caused by bladder ruptures are vesicovaginal. vesicorectal, vesicoutedne and urethra rectal fistulas. Along with bladder rupture, which is rarely encountered in the literature, the case of urinary fistula from pin tract in femur supracondylar region was represented. The case of the bladder rupture induced by pelvic fracture that associated with urinary fistulisabon between bladder and pin tract from femur supracondylar region was reported.Öğe The effect of intravenous pamidronate treatment for type i osteogenesis imperfecta patients have on their bone mineral density, fracture rate, and mobility(DRUNPP-SARAJEVO, 2012) Oztemur, Zekeriya; Ozturk, Hayati; Circi, Esra; Bulut, Okay; Uner, Serdar; Altun, Ahmet; Tezeren, GunduzObjective: Osteogenesis imperfecta (OI) is a genetic disorder caused by the mutation in encoding collagen type I, and characterised by fragile bone and reduced bone mineral density. The purpose of this study was to analyse the effects siklik intravenous pamidronate treatment has on the bone mineral density and the fracture rateand mobility. Patients and Methods: The sample group of this study comprises of 7 patients (6 male (85.7%), 1 women (14.2%) with type I OI, who received intravenous pamidronate, between August 2004 and October 2010. The intravenous dose of pamidronate disodium (Aredia, Novartis) was 0.75 mg/kg of the body weight, administered as a single dose every 6 months, over 8 hours in a saline solution. Bone mineral density was measured before and after the treatment using a dual energy X-ray absorptiometer at vertebral bodies from L1 to L4. Bone mineral density (g/cm(2)), T scores and Z scores, number of fractures, and modified Bleck scores were recorded. Results: The median age of patients at the time of treatment was 15 years (min: max=13: 18), the median BMI was 17.86 (min: max=14.29: 20.68) kg/m(2), the median follow-up period was 36 (min: max=12: 72), and the median number of doses received was 5 (min: max=1: 20). The median bone mineral content was increased from 0.368 (min: max=0.23-0.59) to 0.628 (min: max=0.53: 0.88) (p=0.02), the median T score was increased from -6.6 (min: max=-7.50: -1.90) to -4.2 (min-max=-5.10:-1.90) (p=0.043), the median Z score was increased from -4.91 (min: max=-7.7: -3.2) to -3.9 (p=0.144), and the median modified Bleck score was increased from 6 (min: max=2: 9) to 9 (min: max=: -7.7: -3.2) (p=0.043). The median numbers of fracture decreased from 0.40 (min: max=0.15: 0.76) to 0 (min: max: 0: 1) per year (p= 0.540). Conclusion: Intravenous pamidronate in patients with OI increased bone mineral density and patient's mobility, and improved the fracture rate. Pamidronate is a safe and effective treatment method in patients with OI.Öğe Effect on mortality of treatment method and surgery time for hip fracture patients aged over 65 years(Turkish Assoc Trauma Emergency Surgery, 2020) Ekici, Cihat; Pazarci, Ozhan; Kilinc, Seyran; Oztemur, Zekeriya; Ozturk, Hayati; Tezeren, Gunduz; Bulut, OkayBACKGROUND: This study aimed to evaluate the effects on mortality of implant selection used and time to surgery in patients aged over 65 years operated for hip fractures. METHODS: A total of 301 patients aged over 65 years were investigated in this study. Patients were divided into three groups as follows: Group 1 cemented hemiarthroplasty (CH), Group 2 cementless hemiarthroplasty (CLH), and Group 3 proximal femoral nail (PFN). Time of surgery, fracture and demographic information were retrospectively recorded. RESULTS: After removing 59 patients with missing information, this study included 242 patients. Mean age of patients was 80.5 years. When patient groups were examined according to treatment method, Group 1 (n=146) comprised 60.3%, Group 2 (n=54) comprised 22.3% and Group 3 (n=42) comprised 17.4% of the study group. There was no significant difference in survival between the patients operated in the first 48 hours and the patients operated later (p=0.834). There was an effect on the survival of treatment implant selection (p=0.016). Patients with CH were observed to survive longer than patients with CLH and PFN. CONCLUSION: Operation in the first 48 hours was not observed to affect mortality. Additionally, while sex and age were found to be effective on mortality, implant selection was also concluded to affect mortality.Öğe If the Airway Opens with Finger During Epileptics Attack: A Case Report(DERMAN MEDICAL PUBL, 2015) Kilinc, Seyran; Ortucu, Abdulrahman; Bulut, Okay; Tezeren, Gunduz; Oztemur, ZekeriyaThe human bites generally have been came across after the situation as fighting, aggression, murder, sports competitions and child abuse. Hands and wrists are the most common areas that human bites have seen. Our case was seen first time when 65 aged woman treating for diabetes mellitus in our endocrinology service consultated us with a neglected open wound that occurred after she put on her hands second finger's proximal phalanx to her relative's mouth to keep open duration of epileptic attack before 45 days. In this case we try to explain that the wrong intervention in epileptic attack and delaying treatment of infections of human bites can be resulted with limb missing.Öğe Investigation of mechanical strength of teicoplanin and ciprofloxacin impregnated bone cement on Day 1 and Day 15(TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY, 2014) Golge, Umut Hatay; Oztemur, Zekeriya; Parlak, Mesut; Tezeren, Gunduz; Ozturk, Hayati; Bulut, Okay…Öğe Isolated Gluteus Maximus Muscle Hydatid Cyst: A Case Report(DERMAN MEDICAL PUBL, 2015) Kilinc, Seyran; Golge, Umut Hatay; Bulut, Okay; Tezeren, Gunduz; Ozturk, HayatiHydatid cyst disease is a parasitic infection caused by Echinococcus granulosus. Hydatid cyst disease is endemic in our country. This disease is most commonly detected in the liver and lung. Primary soft tissue involvement is very rare, causing a diagnostic challenge. Turkey is an endemic area for hydatid cyst disease and we should bear this disease in mind as a differential diagnosis in all cystic lesions. In this study, we mentioned a hydatid cyst case in gluteus maximus muscle without any primary lesion.Öğe Long segment instrumentation of thoracolumbar burst fracture: Fusion versus nonfusion(IOS PRESS, 2009) Tezeren, Gunduz; Bulut, Okay; Tukenmez, Mehmet; Ozturk, Hayati; Oztemur, Zekeriya; Ozturk, AliObjective: The treatment of thoracolumbar burst fracture is a controversial issue. Although spinal fusion has been touchstone of spinal fixation, nonfusion technique have become raising its popularity recently. Some studies suggested that nonfusion had several advantages over fusion. The aim of this prospective study was to compare long segment posterior instrumentation with fusion versus long-segment posterior instrumentation without fusion. Methods: For this purpose, 42 consecutive patients were assigned to two groups. Group 1 included 21 patients treated by long segment instrumentation with fusion (WF), whereas Group 2 included 21 patients treated by long segment instrumentation without fusion (WOF). Long segment instrumentation was hook fixation (claw hooks attached to second upper vertebra and infralaminar hooks attached to first upper vertebra) above and pedicle fixation (pedicle screws attached to first and second lower vertebrae) below the fractured vertebra. Results: Measurements of local kyphosis, sagittal index and anterior vertebral height compression showed that both group had similar outcome at final follow-up. Moreover, there was no difference between the two groups according to low back outcome score. Also, implant failure rate (4.7%) was quite low in both groups. However, WF group had prolonged operative time, increased blood loss and donor site morbidity. Conclusions: Radiological and clinical parameters demonstrated that spinal fusion is not necessary in long segment posterior instrumentation for the management of thoracolumbar burst fractures.Öğe Radiation synovectomy therapy combined with surgical synovectomy in chronic nonspecific synovitis of the knee joint(TURKISH JOINT DISEASES FOUNDATION, 2013) Oztemur, Zekeriya; Bulut, Okay; Korkmaz, Murat; Ozturk, Hayati; Tezeren, GunduzObjectives: This study aims to investigate the effectiveness of the radiation synovectomy (RS) procedure combined with the surgical synovectomy in the treatment of chronic nonspecific synovitis, which are resistant to medical treatment. Patients and methods: Between March 2004 and October 2009, 17 knees of the 17 patients (15 males, 2 females; mean age 42.5 years; range 27 to 70 years) who underwent synovectomy surgery, followed by RS procedure with the Y-90 at six weeks were included. At the end of a mean 48.7 months (range; 15-126 months) follow-up period, the Lysholm Knee Scale scores were used for functional assessment before and after RS procedure. The nocturnal pain, resting pain, activity pain and effusion were evaluated with the visual analog scale. The patient satisfaction was recorded as excellent, very good, good and poor. Results: At the end of the follow-up period, all patients had satisfaction scores of excellent and very good. There was a statistically significant difference between all assessment scores before and after treatment (p<0.05). It was found that none of the cases had radionuclide leakage from the joint in their control scintigraphy following RS procedure. No significant complication was seen except for deep vein thrombosis developed in one case. Conclusion: Our study results showed that RS procedure combined with the surgical synovectomy is an effective and safe treatment method for the treatment of cases of chronic nonspecific synovitis which recurs despite medical treatment.Öğe Surgical synovectomy combined with yttrium 90 in patients with recurrent joint synovitis(SPRINGER HEIDELBERG, 2013) Oztemur, Zekeriya; Bulut, Okay; Korkmaz, Murat; Golge, Umut Hatay; Ozturk, Hayati; Tezeren, Gunduz; Gunaydin, IlhanRadiation synovectomy (RS) is one of many therapeutic options used for recurrent joint synovitis. Our aim was to analyze the effect of the surgical synovectomy combined with yttrium 90 (Y-90) in the treatment for recurrent joint synovitis. A surgical combined RS procedure was used on 32 knees of 30 patients. They were divided into two groups. Group 1 consisted of 7 knees of 7 patients (5 women and 2 men) with a mean age of 40.7 years in whom RS was combined with the open synovectomy. Group 2 consisted of 25 knees of 23 patients (21 men and 2 women) with a mean age of 45.5 years in whom RS was combined with the arthroscopic synovectomy. Arthroscopic synovectomy or open surgery biopsy was carried out for all cases who diagnosed of having synovitis. A scintigraphic examination was conducted within 24 h after the RS procedure to investigate the systemic leakage of Y-90 in all patients. The outcome of treatment was assessed based on self-reporting using the visual analogue scale (VAS) of night pain, rest pain, activity pain, effusion, and satisfactory scores. The average follow-up period was 4.15 years. There was a significant difference between before and after treatment in terms of outcome parameters' VAS scores in both groups (p < 0.05). But there was no statistically significant difference between open and arthroscopic synovectomy groups in terms of outcome parameters (p > 0.05). Satisfactory outcome was excellent in 3 patients (42.8 %) in group 1 and 8 patients (32 %) in group 2. Surgical synovectomy with combined Y-90 could treat recurrent joint synovitis successfully. There was no statistically significant difference between open and arthroscopic synovectomy techniques combined with RS procedure.Öğe The effect of intravenous pamidronate treatment for type I osteogenesis imperfecta patients have on their bone mineral density, fracture rate, and mobility(2012) Oztemur, Zekeriya; Ozturk, Hayati; Circi, Esra; Bulut, Okay; Uner, Serdar; Altun, Ahmet; Tezeren, GunduzObjective: Osteogenesis imperfecta (OI) is a genetic disorder caused by the mutation in encoding collagen type I, and characterised by fragile bone and reduced bone mineral density. The purpose of this study was to analyse the effects siklik intravenous pamidronate treatment has on the bone mineral density and the fracture rateand mobility. Patients and Methods: The sample group of this study comprises of 7 patients (6 male (85.7%), 1 women (14.2%) with type I OI, who received intravenous pamidronate, between August 2004 and October 2010. The intravenous dose of pamidronate disodium (Aredia, Novartis) was 0.75 mg/kg of the body weight, administered as a single dose every 6 months, over 8 hours in a saline solution. Bone mineral density was measured before and after the treatment using a dual energy X-ray absorptiometer at vertebral bodies from L1 to L4. Bone mineral density (g/cm2), T scores and Z scores, number of fractures, and modified Bleck scores were recorded. Results: The median age of patients at the time of treatment was 15 years (min: max=13: 18), the median BMI was 17.86(min: max=14.29: 20.68) kg/m2, the median follow-up period was 36 (min: max=12: 72), and the median number of doses received was 5 (min: max=1: 20). The median bone mineral content was increased from 0.368 (min: max=0.23-0.59) to 0.628 (min: max=0.53: 0.88) (p=0.02), the median T score was increased from -6.6 (min: max=-7.50: -1.90) to -4.2 (minmax= -5.10: -1.90) (p=0.043), the median Z score was increased from -4.91 (min: max=-7.7: -3.2) to -3.9 (p=0.144), and the median modified Bleck score was increased from 6 (min: max=2: 9) to 9 (min: max=: -7.7: -3.2) (p=0.043). The median numbers of fracture decreased from 0.40 (min: max=0.15: 0.76) to 0 (min: max: 0: 1) per year (p= 0.540). Conclusion: Intravenous pamidronate in patients with OI increased bone mineral density and patient's mobility, and improved the fracture rate. Pamidronate is a safe and effective treatment method in patients with OI.Öğe THE ROLLING BELTS INJURIES IN CHILDHOOD(World Scientific Publ Co Pte Ltd, 2005) Tukenmez, Mehmet; Tezeren, Gunduz; Percyn, Sitki; Demirel, HuseyinRolling belt injuries are commonly seen in the summer when the tractors and water pumps work in agricultural fields. These machines' rolling belts may attract children and entrap their hands. The injuries frequently affect soft tissues and bone of volar side of their hands. Amputations may be seen. In the present study, 45 patients with rolling belt injuries were retrospectively analysed. It was observed that 133 fingers of 42 patients and three hands (Zone III) of three patients were surgically treated. The treatment included primary closure of the lacerations, tendon/ nerve repair, fixation of fractures, grafting, and local or cross-arm or groin flaps. Stump closure procedures were performed in 21 fingers with total amputations or non-viable tissues. The injuries in most of the cases were localised at Zones I and II. We performed revascularisation procedures in five fingers. Only one of them stayed alive (20%). Our results revealed that 13 cases were good, 21 were fair and 11 were poor to according to Gorsche and Wood criteria. These injuries cause the burns and defects on digital arteries-veins as well as flexor tendons. Frequently, phalanx fractures and finger amputations may occur. Also, the skin defects are common. The treatment of rolling belt injuries is difficult, quite expensive, and the outcomes are not always satisfactory.
