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    Anterior cruciate ligament reconstruction by using otogeneous hamstring tendons with home-based rehabilitation
    (Sage Journals, 2008) Üğütmen, Ender; Özkan, Korhan; Kılınçoğlu, V.; Özkan, Feyza Ünlü; Toker, S.; Eceviz, Engin; Altıntaş, Faik
    We investigated patients undergoing arthroscopic anterior cruciate ligament (ACL) reconstruction using otogeneous hamstring tendons with a cross-pin technique to compare a post-operative home-based rehabilitation programme with a clinic-based programme. ACL reconstruction was performed on 104 patients (103 male) by the same surgeon. The mean age of the patients was 31.5 years (range 18 – 43 years) and the mean time interval between injury and operation was 34.3 months. Patients were randomly allocated to either a home-based (n = 52) or clinic-based rehabilitation programme (n = 52). Mean follow-up was 31.1 months (range 12 – 66 months). Patients underwent a series of examinations before and after surgery in order to evaluate functional recovery of their injured knee. The results demonstrated that using otogeneous hamstring tendons for ACL reconstruction was safe and produced satisfactory results. The study also demonstrated that a homebased rehabilitation programme was as effective as a clinic-based programme.
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    Bilateral Freiberg’s disease in adjacent metatarsals
    (SpringerLink, 2008) Özkan, Namık Kemal; Özkan, Korhan; Üğütmen, Ender; Eceviz, Engin; Özkan, Feyza Ünlü
    Freiberg’s disease usually affects the second and, less commonly, the third metatarsal heads [Helal and Gibb in Foot Ankle 8(2):94–102, 1987]. It was mainly observed unilaterally in adolescent females (F/M: 3/1–4/1) (Hay and Smith in The Foot 2:176–178, 1992). Bilateral occurrence and adjacent metatarsal involvement has been previously reported separately [Maresca et al. in Arthroscopy 12(1):103–108, 1996; Rafee et al. in Foot Ankle Surg 12:153–155, 2006]. The cases presented here involve two female patients aged 42 and 72 with bilateral Freiberg’s disease in both the second and third metatarsal heads. To our knowledge, this is the first report of such involvement of both the second and third metatarsal heads.
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    Chondroprotective effect of salicylate and chloroquine in pyogenic septic arthritis
    (SpringerLink, 2008) Eren, Abdullah; Üğütmen, Ender; Özkan, Korhan; Turhan, Yalçın; Eceviz, Engin; Çilli, Feridun
    Introduction This study aims to investigate the effectiveness of salicylate (Aspisol®; Bayer AG, Leverkusen, Germany) and chloroquine on preventing cartilage damage in septic arthritis. Methods A septic arthritis model was created by inoculating the knee joint of young rabbits (n=21) with Staphylococcus aureus. Some rabbits with inflicted septic arthritis did not undergo any treatment and served as the control group (n=7). The second group (n=7) was started on salicylate on day 2 to investigate the effects of salicylate on joint cartilage. The third group (n=7) was started on chloroquine on day 2 to investigate the effects of chloroquine on joint cartilage. All three groups underwent arthrotomy, drainage and synoviectomy on day 7 of the experiment. Animals were sacrificed on day 14 and the joint cartilages were extracted. Histopathology, determination of local prostaglandin (PGE)-like activity, and evaluation of hyaluronic acid loss were performed on all samples. Results The control group and the salicylate group were similar in the extent of joint damage. Salicylate did not prevent joint cartilage damage despite inhibiting PGE synthesis. Chloroquine, despite not inhibiting PGE synthesis, did prevent cartilage destruction. Conclusion If supported by larger-scale studies, chloroquine could be added to the antibiotic regimen in the treatment of septic arthritis to prevent cartilage damage.
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    Ipsilateral femoral shaft and vertical patella fracture: a case report
    (SpringerLink, 2009) Özkan, Korhan; Çift, Hakan; Eceviz, Engin; Şahin, Adem; Üğütmen, Ender
    Femoral shaft fractures are commonly associated with injury to the ligaments of the knee joint [1-3]. However, a femoral shaft fracture with an ipsilateral patella fracture has been, to the best of our knowledge, given only cursory attention in English-speaking literature, Also, vertical patella fractures seems to be rare and it is difficult to see in the routine roenthgenographies of AP and lateral views [4]. An axial projection, such as sun rise or merchant views, may be valuable in suspected cases.
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    Lateral dislocation of the knee joint after total knee arthroplasty: a case report
    (SpringerLink, 2008) Üğütmen, Ender; Özkan, Korhan; Ünay, Koray; Mahiroğulları, Mahir; Eceviz, Engin; Taşer, Ömer
    Background Total knee arthroplasty (TKA) is a successful therapy for functional improvement and pain relief in advanced symptomatic degeneration of the knee joint. But it can be associated with many complications, one of which is instability. Case presentation A 70-year-old woman was referred to our hospital because of right knee dislocation after TKA was performed on her right knee due to severe varus deformity and flexion contracture. This instability was caused by persistent MCL tightness and iatrogenic lateral collateral, arcuate ligament, and popliteus tendon injury. The torn lateral collateral ligament and arcuate ligament were sutured with no. 2 non-absorbable (Ethibond) sutures with plication of the posterolateral knee capsule. A deep-dish liner was inserted to optimize soft tissue tension. Conclusion This is a very severe complication, and surgeons must be cautious about ligament balancing and soft tissue resection during TKA for severe varus and valgus deformities.
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    Proximal femoral nailing without a fracture table
    (SpringerLink, 2009) Özkan, Korhan; Çift, Hakan; Akan, Kaya; Şahin, Adem; Eceviz, Engin; Üğütmen, Ender
    The treatment of unstable trochanteric femoral fractures is still challenging, and the proximal femoral nails are becoming more commonly used. The proximal femoral nailing is usually performed on a fracture table under traction which is associated with some possible complications. In our study, we tried to present the results of proximal nailing surgery performed in the lateral decubitus position and manual traction on a radiolucent table without the fracture table traction.
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    Pyomyositis of tensor fascia lata: a case report
    (BMC Journal, 2008) Özkan, Korhan; Ünay, Koray; Üğütmen, Ender; Eren, Abdullah; Eceviz, Engin; Saygı, Baransel
    Introduction Pyomyositis is a disease in which an abscess is formed deep within large striated muscles. Case presentation We report the case of a 10-year-old boy who presented with fever and a painful hip and was subsequently diagnosed with pyomyositis of the tensor fascia lata. In children with clinical and laboratory findings of inflammation in the vicinity of the hip joint, the differential diagnosis includes transient synovitis, an early stage of Legg-Calvé-Perthes disease, infectious arthritis of the hip, rheumatologic diseases and extracapsular infection such as osteomyelitis. Conclusion To the best of the authors' knowledge, this is the first report of pyomyositis of the tensor fascia lata. Although pyomyositis is a rare disease and the differential diagnosis includes a variety of other commonly observed diseases, pyomyositis should be considered in cases where children present with fever, leukocytosis and localized pain.
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    Reduction and fixation of radius neck fractures in children with intramedullary pin
    (Wolters & Kluwer, 2010) Üğütmen, Ender; Özkan, Korhan; Özkan, Feyza Ünlü; Eceviz, Engin; Altıntaş, Faik; Ünay, Koray
    In radius neck fractures, reduction manipulations applied on the radial head with percutaneous K-wires may lead to epiphysis or physis damage. In this study, 16 cases were evaluated without using any percutaneous manipulations upon the displaced radius head. Rather, an Ender-pin-like, curve-tipped K-wire was inserted intramedullarly (Metaizeau technique) after a certain amount of reduction by manual manipulation under fluoroscopic guidance. Complete reduction was obtained with wire rotations in 16 patients. A total of 16 patients with open growth plates with an average age of 8 years were enrolled within the scope of the study. Thirteen patients (81.25%) showed excellent clinical results, two patients (12.5%) showed good results, and one patient (6.25%) showed average results. None of the cases exhibited poor results. A single K-wire was used in nine cases, whereas two K-wires were used for fixation rigidity in seven cases with larger medullas. No sign of neurovascular deficit, synostosis, or infection was observed in any of the cases. In conclusion, the use of two wires in patients with larger medullas and emphasis on the importance of closed reduction, even without percutaneous K-wire manipulation, might lead to the development of a new treatment approach for pediatric patients with radial head fractures.