Browsing by Author "Güven, N."

Now showing 1 - 6 of 6

Comparison of Sinus Tarsi and Extensile Lateral Approach in Intra-Articular Calcaneus Fractures
(Selcuk University, 2022) Güven, N.; Özkan, S.; Güzel, F.; Türközü, T.; Kaya, Ş.; Tokyay, A.
Objective: In this study, we aimed to compare the clinical and radiological results of the extensile lateral (EL) approach and sinus tarsi (ST) approach in calcaneal fracture surgery. Materyal-Metod: A total of 40 patients with Sanders II-III calcaneal fractures, including 22 patients in the EL group and 18 patients in the ST group, were included in this retrospective study. In the radiological evaluation, changes in the calcaneus Bohler and Gissane angle, length, width, and height were measured during the preoperative and postoperative period. Clinically, American Orthopedic Foot and Ankle Society (AOFAS) and the visual analog scale (VAS) were evaluated. In addition, postoperative complications were also evaluated. Results: In terms of demographic data, the results of both groups were similar. Both the length of hospital stay and the time to surgery were shorter in the ST group (p=0.019, p=0.02, respectively). There was no significant difference between the groups regarding radiological, clinical AOFAS and VAS scores. 13.6% superficial infection was seen in the EL group, and no wound problems were encountered in the ST group (p=0.102). The rate of sural nerve injury was 36.4% in the EL group and 5.6% in the ST group (p =0.003). Conclusion: Both approaches clinical and radiological outcomes were similar. However, the advantages of the ST approach were shorter hospital stays, lower rate wound infections, and sural nerve injury problems. © 2022 Selcuk University School of Medicine.
The Evaluatıon of the Treatment Outcomes Wıth Pavlık Harness in Developmental Dysplasıa of the Hıp the Full Names of the Authors and the Addresses of the İnstitutions at Which the Work Was Carried Out Together With
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Türközü, T.; Güven, N.
Developmental dysplasia of the hip (DDH) is the most common developmental abnormality that affects the hip. The aim of the treatment of DDH is to achieve the anatomical reduction for normal development of femoral head and acetabulum in the soonest possible time and to maintain this reduction. Therefore, Pavlik harness is primarily preferred. In the present study, it was aimed to compare the clinical and radiological results with 500nda ge500re in the 0-6 month patients with DDH who were treated using Pavlik harness and also to investigate the effects of the patient variables on treatment outcomes. 82 hips of the 52 patients treated and followed-up by two authors were included in the study. The data from the patient files such as age at diagnosis, ultrasonography (US) type according to the Graf method, treatment duration, the findings of physcial examination, risk factors and presence of avascular necrosis (AVN) were analyzed. According to the Graf method; 2, 38, 33 and 9 hips were classified as type Iıa-, Iıb, Iıc and III, respectively. Pavlik harness treatment was accepted successful in 72 (87.8%) hips whereas treatment was considered unsuccessful in 10 (12.2%) hips. The rate of type Iıb hip was significantly higher in the successful treatment group. The rate of treatment failure was significantly higher in the type III hip. We have concluded that presence of limitation of abduction and Graf type III hip increased the rate of treatment failure in the Pavlik harness treatment of DDH. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
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.
Is a Single Dose of Antibiotic Prophylaxis Sufficient To Prevent Infections in Total Joint Arthroplasty
(Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Kaya, S.; Güven, N.; Ünal, Y.C.; Dündar, A.
Introduction: Prosthetic infection is a serious complication that can develop after knee and hip arthroplasty and remains a common reason for revision surgery. Guidelines recommend various measures to prevent infection, howewer some professional associat ions argue that there is insufficient evidence for single-dose antibiotic prophylaxis. Our study compares the outcomes of patients receiving short-and long-term antibiotic prophylaxis in arthroplasty surgery. Materials and Methods: In this retrospective study of 424 patients undergoing knee or hip arthroplasty, two prophylaxis protocols were compared. Group 1 (190 patients, 44.8%) received cefazolin pre-and postoperatively on day 1, while group 2 (234 patients, 55.2%) received extended cefazolin (5 days postoperatively) and oral amoxicillin clavulanic acid (5 days). Early postoperative infection rates wer e evaluated. Results: In this study, 83.4% of 424 patients who underwent total knee and hip arthroplasty were female. Knee and hip operations were performed in 86.8% and 13.2% of the patients, respectively. The mean age did not show a statistically significant difference. There was no significant difference between the groups in terms of periprosthetic infection rates (p=0.828). Posto perative wound complications were seen in 34 (18%) patients in group 1 and 44 (19%) patients in group 2, but this difference was not statistically significant (p=0.704). No significant difference in wound complications and prosthesis infection rates was fo und between group 1 and group 2 patients with risk factors (p>0.05). Conclusion: In primary joint arthroplasty, extended oral antibiotic prophylaxis did not provide additional protection against single-day antibiotic prophylaxis. The results were similar in both risk and non-risk groups. Considering antibiotic resistance, side effects and costs, it is concluded that extended prophylaxis is unnecessary. However, further large-scale studies on this subject are required. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
The Outcomes of Open Reduction by the Medial Approach for Developmental Dysplasia of the Hip in the 3-18 Months Old Patients
(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Türközü, T.; Güner, S.; Ceylan, M.F.; Güven, N.
This study has aimed to evaluate the outcomes of open reduction technique by the medial approach performed in the 3-18 months old infants. The patients who underwent an open reduction by the medial approach for typical dysplasia of hip between the years 2007-2011 were screened retrospectively. The study included 28 hips of 19 patients. The correction percentage of acetabular index was calculated by acetabular angle measurements performed prior to operation and at the last control examination. Avascular necrosis (AVN) was classified by the criteria of Kalamchi-MacEwen while radiological and clinical evaluations were performed using Severin and McKay criteria. The mean age at surgery was 12.1 months (3-18 months) while mean follow-up period duration was found 18.6 months (6-48 months). According to Severin radiological criteria, 9 (32.1%) and 9 (32.1%) hips were evaluated as excellent and good, respectively. Whereas, according to the evaluation based on McKay criteria, 22 (78.6%) and 6 (21.4%) hips were found excellent and good, respectively. Avascular necrosis (AVN) of the femoral head was encountered in 3 (10.7%) of the 28 hips. According to the criteria of Kalamchi-MacEwen Classification; 2 and 1 hips revealed Type I and Type 4 avascular necrosis, respectively. We have encountered according to outcomes data of this study that open reduction technique by the medial approach for treatment of developmental dysplasia of the hip (DDH) presented more successful clinical and radiological outcomes in the 3-12 months old infants compared with its application in the 13-18 months old infants. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.