Browsing by Author "Gökalp, M.A."

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An Alternative Surgical Method for Treatment of Osteoid Osteoma
(International Scientific Literature Inc., 2016) Gökalp, M.A.; Gözen, A.; Ünsal, S.Ş.; Önder, H.; Güner, S.
Background: An osteoid osteoma is a benign bone tumor that tends to be <1 cm in size. The tumor is characterized by nighttime pain that may be relieved by aspirin or other non-steroidal anti-inflammatory drugs. Osteoid osteoma can be treated with various conservative and surgical methods, but these have some risks and difficulties. The purpose of the present study was to present an alternative treatment method for osteoid osteoma and the results we obtained. Material/Methods: In the period from 2010 to 2014, 10 patients with osteoid osteoma underwent nidus excision by using a safe alternative method in an operating room (OR) with no computed tomography (CT). The localization of the tumor was determined by use of a CT-guided Kirschner wire in the radiology unit, then, in the OR the surgical intervention was performed without removing the Kirschner wire. Results: Following the alternative intervention, all the patients were completely relieved of pain. In the follow-up, no recurrence or complication occurred. Conclusions: The presented alternative method for treating osteoid osteoma is an efficient and practical procedure for surgeons working in clinics that lack specialized equipment. © Med Sci Monit, 2016.
Impact of the First Six Months of the Covid-19 Pandemic on Orthopedic and Hand Trauma Surgery
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Tokyay, A.; Özkan, S.; Güven, N.; Türközü, T.; Adanaş, C.; Gökalp, M.A.; Koç, M.R.
Reduced mobility due to COVID-19 prevention measures caused major changes in the number and types of orthopedic trauma cases. This study aimed to compare the profile of trauma-related general orthopedic surgery and hand surgery cases between the first six months of the COVID-19 pandemic and the corresponding periods of previous years in order to determine strategies for managing orthopedic traumas in unusual circumstances such as pandemics. Patients over 18 years old who underwent orthopedic surgery due to trauma were grouped according to sur gery date as pre-pandemic group 1 (G1, March 16–September 18, 2018), pre-pandemic group 2 (G2, March 18–September 20, 2019), and the pandemic group (G3, March 19–September 21, 2020). Between-group differences with p<0.05 were considered significant. The study included a total of 3522 patients: 1351 in G1, 1427 in G2, and 744 in G3. There was a significant decrease in the number of patients in G3 compared to the other groups (p=0.001), while the number of hand surgeries did not differ significantly between the groups. As a result, the ratio of hand trauma surgeries to general orthopedic traumas was significantly higher in G3 (p <0.05). During the COVID-19 pandemic, there was a decrease in orthopedic trauma surgeries and an increase in hand trauma surgeries. In this period of increased hand traumas, hand surgeons should be encouraged to intervene remotely using technology (telemedicine). © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Intramedullary Nailing of Femural Shaft Fracture
(Yuzuncu Yil Universitesi Tip Fakultesi, 2016) Gökalp, M.A.; Ünsal, S.Ş.; Gözen, A.; Güven, N.; Güner, S.
In this study, we examined adult patients with femur shaft fracture who treated with open-closed reduction and reamerized intramedullary nailing. Thus we aimed to evaluate clinical and radiological results of the adult patients and compare them with the studies in the literature. 42 extremities of 40 patients (35 male-5 female) who admitted to Yüzüncü Yıl University Faculty of Medicine, Department of Orthopeady and Traumatology with femur shaft fracture and were treated with locked intramedullary nail between 2009 and 2012 are included in this study. We aimed to evaluate early results of locked intramedullary nailing. In light of these evaluations we saw that our results were compatible with the literature. We believe that locked intramedullary nailing is one of the most successful methods in the treatment of femur shaft fractures. © 2016, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Problems Encountered in Screening Study With Ultrasound for Early Diagnosis of Developmental Dysplasia of Hip in Eastern Region of Turkey
(Yuzuncu Yil Universitesi Tip Fakultesi, 2018) Ceylan, M.F.; Güner, S.; Gökalp, M.A.; Kurdoğlu, Z.; Gözen, A.; Korkmaz, M.F.; Tuncer, O.
The aim of this study is to evaluate results of the screening program of the development al dysplasia of the hip (DDH) examined in newborn period. The problems encountered in the applicability of the early screening program were e valuated. By interviewing with the family of 1680 newborns born in our institution or referred, the information was given about the DDH and its risk factors, obtained results were recorded. The families were told to bring their babies for examination and hip ultrasound at the 3rd or 4th week of birth. In addition, all the parents were called by telephone the day prior to their appointments. Five hundred and thirty-six babies (31.3%) were brought to the first appointment. Forty-two hips (3.9%) of the 30 infants (5.6%) were detected as dislocated (Type 2c, D, 3). The 8 of these 30 patients (26.7%) whom the treatment was started were brought for the second control. Asymmetry of thigh folds was positive in the highest rate as the finding of the examination in the infants brought to the appointment. The rate of swaddling at the first appointment was found to be 74.2%. Surprisingly, less than one third of children were brought to ultrasound examination at first control. Similarly, about 3/4 of the parents continued to use swaddling for their babies. For the success of national DDH screening program, additional precautions must be taken to ensure the participation of the families and re lease of the swaddling. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Results of Open Reduction and Salter Innominate Osteotomy for Developmental Dysplasia of the Hip
(Yuzuncu Yil Universitesi Tip Fakultesi, 2015) Ünsal, S.Ş.; Ceylan, M.F.; Güner, S.; Gökalp, M.A.; Türktaş, U.; Doğan, A.; Gözen, A.
We aimed to evaluate the clinical and radiological results of open reduction (OR) and Salter innominate osteotomy (SIO) for patients with developmental dysplasia of the hip (DDH). In this study, the results of 45 instances of OR and SIO treatment on 36 DDH patients between 2004 and 2012 were evaluated retrospectively. 28 (77.77%) of the patients were female and 8 (22:33%) of them were male. The mean age was 28.8 (18-55) and the mean follow-up period was 41.8 months (6-101). A recovery percentage was calculated by measuring the acetabular index on plain radiographs recorded before surgery, immediately after surgery, and final checkup. During patients’ final checkup, the clinical evaluation was performed according to a modified version of McKay’s criteria and the evaluation of the range of the joint motion was carried out according to the Trevor-Johns-Fixen scoring system. The acetabular index values recorded from patients’ hips had an average of 39.9 (35-47) degrees before the operation, but had a mean of 30.5 (20-35) degrees after the operation and an average of 18.5 (10-30) degrees during the final checkup. Clinically, excellent results were obtained in 22 hips (49%), good results were obtained in 17 hips (38%), and satisfactory results were obtained in 4 hips. Two of the patients could not be evaluated since they could not be mobilized due to cerebral palsy. Re-dislocation emerged in 3 hips (6.6%), deep infection emerged in 1 hip (2.2%), and a supracondylar femur fracture emerged for 1 patient (2.2%). OR and Salter’s innominate osteotomy is a highly effective surgical technique in the treatment of DDH cases that have lasted more than 18 months. © 2015, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Torg Ratio in Normal Ageing Population: No Risk of Stenosis
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Koyun, N.; Gökalp, M.A.
Canal/body or Torg’s ratio has been agreed as a reliable method to detect cervical spinal stenosis. Age changes of cervical canal diameter and the ratio have been seldom analyzed in the cohort of normal adults. Our objective is to undertake the age changes in decades from healthy young to the elderly subjects. Sagittal diameter (SD) of the spinal canal and anteroposterior diameter of the vertebral body (VB) were taken on the lateral cervical radiographs consisting of normal appearance from 104 males and 102 females. SD showed significant gender differences and insignificant age changes. VB changed with age significantly in both sex, and showed sex difference. Torg ratio was found above 0.9 and changed with age. The ratio also indicated no difference between sexes. The male/female difference declared previously might not be a consistent finding. The present study suggested that bone cervical canal might diminish in normal ageing persons without existence of the cervical stenosis and/or risk of myelopathy. Our findings might be peculiar to our subject group, which need to be confirmed by the further studies. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.