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Yayın Arthroscopic treatment at knee osteoarthritis(Medeniyet Üniversitesi, 2007) Üğütmen, Ender; Özkan, Korhan; Güven, Melih; Eren, AbdullahArthroscopic debridment was suggested as a useful and less invasive treatment alternative for patients with osteoarthritis not responding to conservative treatment or patients not necessiating radical surgical procedures. In our study, 130 patients who had undergone arthroscopic debridment for their degenerative osteoarthritis of knee between april 2001 and april 2006 in Göztepe education and training hospital second orthopaedics clinic were evaluated. 115 patients were female and mean age was 50.42 (SD 5.24). The mean followup time was 36.1 (26-48). When preoperative and postoperative (third week) satisfaction, Womac and VAS criterias were compared; the results were well with postoperative satisfaction scale was 1.28, Womac 36.16 and VAS 3.26. When cases were evaluated according to Patel and Aichroth criterias % 82.8 of patients were well at postoperative third months, % 75.6 of patients were well at postoperative 11.6 month but patients with satisfaction fell to % 62.5 at postoperative 36.1 month. The results of the arthroscopic debridment of knees with osteoarthritis will eventually detoriate with time. But it will gain time to patients with less symptoms until major surgical process. It is a less invasive, repeatable procedure with a short rehabilitation program.Yayın Autologous blood transfusion method in hip and knee joint replacement surgery(Medeniyet Üniversitesi, 2008) Güven, Melih; Akman, Budak; Çakar, Murat; Dost, Abdulkadir; Üğütmen, Ender; Eren, AbdullahKalça ve diz eklem replasman cerrahisinde ameliyat sonrası Kullanılan ototransfüzyon sisteminin allojeneik kan transfüzyon ihtiyacı üzerine etkinliği değerlendirildi. Eylül 2005-mayıs 2006 tarihleri arasında kalça ve diz eklem Replasman cerrahisi uygulanan 15 hastada (4 erkek, 11 kadın; Ort. Yaş 64; dağılım 42-85) ameliyat sonrası kullanılan ototransfüzyon seti ile postoperatif allojeneik kan transfüzyon gereksinimi değerlendirildi. Hiçbir hastaya preoperatif ve intraoperatif dönemde kan transfüzyonu yapılmadı. 15 hastanın 19 Alt ekstremitesine farklı endikasyonlarla artroplasti girişimi Uygulandı. Tüm hastalarda postoperatif hemovak dren yerine Ototransfüzyon seti kullanıldı ve cilt kapamasından 4,6 saat Sonra (dağılım 4-6 saat) ortalama 560 ml kan (dağılım 350- 800 ml) transfüze edildi. Tüm hastaların preoperatif, tansfüzyon öncesi ve sonrası, postoperatif 1. Gün, 3. Gün, 5. Gün, 1. Hafta, 3. Hafta ve 6. Hafta hemoglobin ve hematokrit değerleri Kaydedildi. Hiçbir hastada transfüzyona bağlı allerjik reaksiyon ve enfeksiyon gibi komplikasyonlar gelişmedi. Hastalardan sadece 1 (% 5.2) tanesine postoperatif birinci gün 1 ünite kan transfüzyonu yapıldı. Diğer hastalarda postoperatif dönemde allojeneik kan transfüzyon ihtiyacı olmadı. Transfüzyon uygulanan Hasta ile birlikte toplam 2 (% 10.4) hastaya postoperatif birinci hafta hemoglobin değer düşüklüğü nedeniyle oral demir Replasman tedavisi başlandı ve 3 hafta boyunca devam edildi. Kalça ve diz eklem replasman cerrahisi sonrası allojeneik kan Transfüzyonu ihtiyacını azaltmak amacıyla kullanılan otolog Kan transfüzyon yöntemi; uygulaması ve kullanımı kolay, etkinliği yüksek bir yöntemdir.Yayın Avulsion fracture of the posterior cruciate ligament at the tibial insertion in a child: a case report(SpringerLink, 2005) Üğütmen, Ender; Şener, Nadir; Eren, Abdullah; Beksaç, Burak; Altıntaş, FaikAbstract The posterior cruciate ligament (PCL) avulsion fracture from its tibial insertion is a very rare condition in children. An isolated avulsion fracture of PCL in a child and its repair by open reduction and internal fixation with a screw is reported. Introduction The posterior cruciate ligament (PCL) avulsion fracture from its tibial insertion is a rare condition in children. Very few cases in children were reported in the literature [4–6]. We report on one patient with an isolated avulsion fracture of PCL from its tibial insertion, which was repaired by open reduction and internal fixation with a screw, and his 7 year follow-up until his proximal tibial physis was closed.Yayın Chondroprotective effect of salicylate and chloroquine in pyogenic septic arthritis(SpringerLink, 2008) Eren, Abdullah; Üğütmen, Ender; Özkan, Korhan; Turhan, Yalçın; Eceviz, Engin; Çilli, FeridunIntroduction 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.Yayın Erişkin ve ergenlik dönemlerinde asetabuler displazi için yapılan osteotomiler(AVES, 2007) Eren, Abdullah; Üğütmen, EnderKalça displazisi tedavisinde amaç yük taşıma pozisyonunda femur başı ile asetabulum uyumunu normalleştirmek, geç dönemde de ağrısız, yerinde ve fonksiyonel bir kalça elde etmektir. Kalça displazisinde anormallik nedeni asetabulumda (sığlık ya da yönelim bozukluğu) ve femur başında (şekil bozukluğu, subluksasyon, varus veya valgus) olabilir. Bu nedenle, osteotomi öncesi yapılacak değerlendirme, planlama ve hasta seçimi çok önemlidir. Asetabuler displazi kalça osteoartritinde en önemli etkendir. Asetabuler osteotomi sırasında aşırı düzeltme önemli bir sorundur. Bu makalede asetabuluma yönelik çeşitli yöntemleri ele alarak kendi uygulamamızdan bahsetmeyi amaçladık.Yayın Fractures of the bilateral distal radius and scaphoid: a case report(SpringerLink, 2008) Özkan, Korhan; Üğütmen, Ender; Ünay, Koray; Poyanlı, Oğuz; Güven, Melih; Eren, AbdullahIntroduction Bilateral fractures of the distal radius and scaphoid are extremely rare injuries. Case presentation A patient with bilateral comminuted, displaced distal fractures of the radius and bilateral fractures of the scaphoid was treated via internal fixation of the scaphoid fractures with Herbert screws and internal fixation of the distal radius fractures with locked volar plating. Conclusion Rigid internal fixation of distal radius and scaphoid fractures is mandatory to start early active rehabilitation of the wrist without the need for wrist immobilization with a plaster or external skeletal fixation.Yayın Incomplete triple pelvic osteotomy for the surgical treatment of dysplasia of the hip in adolescents and adults(The British Editorial Society of Bone & Joint Surgery, 2005) Eren, Abdullah; Ömeroğlu, H.; Güven, Melih; Üğütmen, Ender; Altıntaş, FaikWe treated 26 hips (24 consecutive patients) with residual dysplasia by a technique of incomplete triple pelvic osteotomy. The mean age of the patients was 21.6 years. The mean values for the pre-operative centre-edge angle of Wiberg, the refined centre-edge angle, the acetabular angle of Sharp, the modified acetabular angle and femoral head lateralisation were 7.7°, ?3.1°, 49.3°, 53.2° and 17.2 mm, respectively. After a mean follow-up of 3.3 years they were 27.0°, 13.0°, 38.9°, 44.3° and 15.9 mm, respectively (p < 0.05). The osteoarthritic grading changed adversely in one hip. The mean pre-operative and latest Harris hip scores were 74.9 and 93.0, respectively (p < 0.05). This technique provides a stable osteotomy with maintenance of the posterior column which allows early mobilisation and minimal internal fixation. The technique is not complex and requires minimal blood transfusion. The use of an image intensifier is not necessary and harvesting of a subcristal bone graft avoids post-operative complications at the donor site. Developmental dysplasia of the hip (DDH) may cause symptoms in later life. Surgical treatment by redirectional pelvic osteotomy is often recommended in adolescents and young adults.1 A technique of triple pelvic osteotomy was first described by LeCoeur,2 nearly 40 years ago, and since then several types of acetabular redirectional osteotomy including single, double and triple pelvic osteotomies and periacetabular and rotational acetabular procedures have been described.3–6 In this prospective study, we have evaluated a modification of triple pelvic osteotomy including an incomplete curvilinear iliac osteotomy.Yayın Intraoperative dislocation of the prosthetic femoral head into the pelvis during total hip arthroplasty(Universa Press, 2008) Özkan, Korhan; Üğütmen, Ender; Altıntaş, Faik; Eren, Abdullah; Mahiroğulları, MahirAn 86-year-old woman with severe osteoarthritis and severe pain in her left hip underwent total hip arthroplasty. Intraoperatively, the 22 mm femoral head impinged on the anterior rim of the acetabulum during a reduction maneuver, and disengagement of the femoral head from the neck occurred with migration of the head over the pelvic brim along the inner table of the pelvis. This complication related with hip arthroplasty is underestimated by many orthopaedic surgeons.Yayın Pyomyositis of tensor fascia lata: a case report(BMC Journal, 2008) Özkan, Korhan; Ünay, Koray; Üğütmen, Ender; Eren, Abdullah; Eceviz, Engin; Saygı, BaranselIntroduction 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.Yayın Simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of the fifth phalanx: A case report(BMC Journal, 2008) Ünay, Koray; Özkan, Korhan; Üğütmen, Ender; Özkan, Feyza Ünlü; Eren, Abdullah; Bilsel, KeremIntroduction There is no case of simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of a finger in the literature. Case presentation A 61 years old male patient sustained an ipsilateral dorsal dislocation of the PIP joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint. Closed reduction of proximal interphalangeal joint was achieved while open reduction of the metacarpophalangeal joint was carried out. Conclusion The single most important element preventing reduction of the metacarpophalangeal joint was an interposition of the volar plate between proximal end of the phalanx and the head of the metacarpal.
