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Öğe CHARACTERISTICS, RISK FACTORS AND OUTCOMES OF PATIENTS WITH A HISTORY OF HIP FRACTURE(Springer London Ltd, 2020) Kirazli, Y.; Baklaci, M.; Cinar, E.; Calis, F.; Tuncer, M.; Ozkayin, N.; Aktuglu, K.[No Abstract Available]Öğe A comparison of the femur heads histomorphometrically regarding trabecular bone properties in the patients with osteoporosis and osteoarthritis(Springer, 2016) Cinar, Y.; Atamaz, F. C.; Kirazli, Y.; Doganavsargil, B.; Sezak, M.; Ozkayin, N.; Aktuglu, K.; Aydogdu, S.The purpose was to compare the bone samples histomorphometrically regarding trabecular bone properties in the patients with osteoarthritis (OA) and osteoporosis (OP). Femoral head specimens were obtained from 18 patients with OA and 17 patients with femoral neck fracture due to OP during hip arthroplasty. Histomorphometric analyses were performed by soft ware program (Carl Zeiss) to measure trabecular area (Tb.a, mm(3)), trabecular thickness (Tb.th, A mu m) and trabecular separation (Tb.s, A mu m). In the results, Tb.a and Tb.th values were significantly lower (p < 0.05), Tb.s was higher in the patients with OP (p < 0.05). Bone metabolism parameters were different between the groups (p < 0.05). All histomorphometric parameters were highly correlated with the BMDs (p < 0.01). This study showed inverse relation between OA and OP regarding trabecular bone properties, BMD and bone turnover metabolism markers. The strong relations between results suggest that either BMDs or bone turnover markers can be used for prescience of the fractures.Öğe DEMOGRAPHIC AND DISESASE CHARACTERISTICS OF PATIENTS WITH OSTEOPOROTIC HIP FRACTURES(Springer London Ltd, 2021) Kirazli, Y.; Baklaci, M.; Cinar, E.; Selbes, E. C.; Calis, F.; Ozkayin, N.; Aktuglu, K.[No Abstract Available]Öğe Evaluation of the effects of using 3D - patient specific models of displaced intra - articular calcaneal fractures in surgery(Elsevier Ltd, 2020) Ozturk, A.M.; Ozer, M.A.; Suer, O.; Derin, O.; Govsa, F.; Aktuglu, K.Background: It was aimed to compare conventional surgery and three-dimensional (3D) model-assisted surgery used in the treatment of calcaneal fractures. Materials & Methods: A total of 37 patients with unilateral calcaneal fractures were randomly divided into two groups as a conventional surgery group (n: 19) and a 3D model-assisted surgery group (n: 18). The preoperative, postoperative and last follow up angles of the Bohler and Gissane, calcaneal width and facet height were measured. The duration of the operation, blood loss volume, fluoroscopy usage, instrumentation time for both groups were recorded. Finally, the follow-up AOFAS scores were evaluated. A questionnaire was used to determine the perceptions of the resident doctors about the 3D model. Results: The duration of the operation, blood loss volume, fluoroscopy usage, instrumentation time for 3D model-assisted surgery group were 83.3 ± 4.6 minutes, 83.6 ± 4.6 ml, 6.8 ± 1.4 times and 13.0 ± 0.8 weeks, and as for conventional group they were 130.0 ± 5.8 minutes, 105.1 ± 5.6 minutes, 11.7 ± 1.5 ml, 22.2 ± 2.4 times and 13.3 ± 0.8 weeks, respectively (p < 0.0001). The both groups significantly restored Bohler angle, Gissane angle, calcaneal width and calcaneal facet height after operation (p < 0.0001). The 3D model-assisted group was significantly more succesful in restoration and protection of achieved correction of calcanel facet height (p < 0.0001). The difference was determined among the groups at the final follow-up examination with respect to the amount of change according the values achieved post-op. were significant in Bohler angle (p < 0.001), calcaneal facet height (p < 0.0001) and calcaneal widht (p = 0.017). There was no significant difference between AOFAS scores of the two groups at last follow-up. Resident doctors exhibited high scores of overall satisfaction with the use of a 3D printing model. Conclusions: Compared to the conventional group, the 3D model-assisted group provide successful intervention and reduce operation, instrumentation time and the fluoroscopy usage with less blood loss. Performing 3D-assisted surgery helps the quality of reduction during the surgery and stability of internal fixation to protect achieved reduction at follow-up more succesfully. © 2020Öğe IS ELECTROTHERAPY EFFECTIVE IN THE MANAGEMENT OF PAIN, RANGE OF MOTION, QUALITY OF LIFE, EDEMA FOLLOWING TOTAL KNEE ARTHROPLASTY SURGERY? RANDOMIZED CONTROLLED TRIAL(Bmj Publishing Group, 2016) Kadi, M. R.; Hepguler, S.; Dede, E.; Ozturk, C.; Aydogdu, S.; Aktuglu, K.; Ozkayin, N.; Atamaz, F. C.Öğe Locking plate fixation versus antegrade intramedullary nailing for the treatment of extra-articular distal femoral fractures(Elsevier Sci Ltd, 2019) Ocalan, E.; Ustun, C. C.; Aktuglu, K.Introduction: the current study aimed to retrospectively analyze locked plating (LP) and antegrade intramedullary nailing (AIN) for the treatment of extra-articular distal femoral fractures. Patients and methods: Between January 2000 and March 2015, 97 patients (49 male, 48 female) underwent surgery for extra-articular distal femoral fractures in our clinic. Patients were grouped based on their method of treatment (69 (71.1%) with locked plate (LP group) and 28 (28.9%) with antegrade intramedullary nailing (AIN group)), and the groups were analyzed with regards to fracture types, associated trauma, hospital stay, Injury Severity Score (ISS), nonunion, reoperation rate and Lysholm Functional Knee Score. Results: the LP and AIN groups had no significant differences with regards to age and gender. Sixteen patients (16.4%) experienced nonunion; all of these (5 (5.1%) in the AIN group and 11 (11.3%) in the LP group) required a secondary procedure (p = 0.773). ISS was significantly higher in the AIN group (p = 0.033). There were no significant differences between the two groups with regards to hardware failure, postoperative malreduction, reoperation rate, deep infection, and nonunion. However, the AIN group (mean 88) had a significantly higher Lysholm Functional Knee Score than the LP group (mean 75.9) (p = 0.019). Conclusion: in our study we encountered less nonunion in AIN group. Both fixation methods offer good results; however, functional outcomes in the AIN group were significantly better than those in the LP group. (C) 2019 Elsevier Ltd. All rights reserved.Öğe Our clinical experiences in the earthquake victims who came to our university after the 2020 Aegean Sea earthquake during the COVID-19 pandemic(Turkish Association of Trauma and Emergency Surgery, 2023) Çağıran, Z.; Sertöz, N.; Karaman, S.; Özen, D.; Demirkoparan, M.; Uyar, M.; Aktuglu, K.BACKGROUND: Earthquakes are natural disasters that threaten human life and cause loss of life and property in a very short time. In our study, we aim to carry out the medical analysis of the earthquake victims who came to our hospital after the Earthquake in the Aegean Sea and to share our clinical experiences. METHODS: We retrospectively analyzed patients the medical data records of earthquake victims brought to our hospital or the injured who applied due to the Aegean Sea earthquake. Patients demographic data, their complaints and diagnoses, hour of admission, their clinical courses, hospital arrangements (admission, discharge, and transfer), time spent until the operation, anesthesia methods, surgical intervantions, intensive care needs, crush syndrome, presence of acute renal failure, number of dialysis, mortality, and morbidity were reviewed. RESULTS: A total of 152 patients were brought to our hospital due to the earthquake. The most intense period of admission to the emergency department was the 1st 24–36 h. Mortality rate was found to be higher depending on the increase of age. While the most common cause of admission for the mortal earthquake survivors was to be trapped in the wreckage, the survivors applied for other reasons as well such as falling down. The most common type of fracture observed in survivors was the lower extremity fractures. CONCLUSION: Epidemiological studies can make an important contribution to the management and organization of the future earthquake-related injuries by healthcare institutions. © 2023, Turkish Association of Trauma and Emergency Surgery. All rights reserved.Öğe RISK FACTORS ASSESSMENT OF PATIENTS OPERATED FOR OSTEOPOROTIC HIP FRACTURE(Springer London Ltd, 2021) Baklaci, M.; Kirazli, Y.; Cinar, E.; Aktuglu, K.; Ozkayin, N.; Tamsel, I.[No Abstract Available]
