Browsing by Author "Guner, S."

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Biepicondylar Fracture Presenting With Elbow Dislocation: a Case Report
(2012) Guner, S.; Guner, S.I.; Ceylan, M.F.; Gormeli, G.; Gormeli, C.A.; Onder, H.
Introduction. Biepicondylar fracture of the elbow is very rare, and to date there have only been three reports of this injury and its treatment in the English scientific literature. This case report evaluates the surgical internal fixation of a biepicondylar fracture of the elbow with an associated dislocation. Case presentation. We report the case of a 15-year-old Turkish girl with a biepicondylar fracture dislocation of the left elbow. Open reduction and an internal fixation operation were applied. There were no complications. Conclusion: In these injuries, open reduction and internal fixation appear to be a good method to restore elbow stability and function. © 2012 Guner et al.; licensee BioMed Central Ltd.
Brucellosis as a Trigger Agent for Henoch-Schonlein Purpura
(Comenius Univ, 2012) Akgun, C.; Akbayram, S.; Guner, S.; Aktar, F.; Temel, H.; Basaranoglu, M.
Vasculitis in childhood is a result of a spectrum of causes ranging from idiopathic conditions with primary vessel inflammation to syndromes after exposure to recognized antigenic triggers, such as infectious agents and drugs causing hypersensitivity reactions. Henoch-Schonlein purpura (HSP) is the most common vasculitis of childhood. Although there is often a history of a recent or simultaneous upper respiratory tract infection, no consistent causative organism is found. We report an 11-year old boy with HSP and brucellosis and we speculated that brucellosis was the trigger agent for HSP (Ref. 13). Full Text in PDF www.elis.sk.
Do the Trace Elements Play a Role in the Etiopathogenesis of Developmental Dysplasia of Hip
(verduci Publisher, 2018) Guner, S.; Guner, S. I.; Gokalp, M. A.; Ceylan, M. F.; Unsal, S. S.; Demir, H.
OBJECTIVE: Alterations in the connective tissue of the hip joint capsule and ligaments might account for the increased laxity seen in patients with developmental dysplasia of the hip. The tensile features of the connective tissue depend on collagen. A number of prior studies have noted the association between the trace elements and collagen biosynthesis. The aim of this research is to determine whether there exists an association between the trace elements and developmental dysplasia of the hip. PATIENTS AND METHODS: This investigation included 27 patients with developmental dysplasia of the hip (18 females and nine males; mean age 24.3 +/- 6.3 months, range 18-36 months) and 26 healthy controls (15 females and 11 males; mean age 23.8 +/- 5.4 months, range 18-36 months). The levels of the serum trace elements in the groups were statistically compared. RESULTS: The Cu levels of the patients with developmental dysplasia of hip were statistically higher than those of the control group (p<0.05). The Zn, Fe, Mg, and Mn levels of the patients with developmental dysplasia of hip were statistically lower than those of the control group (p<0.05). CONCLUSIONS: We found an association between developmental dysplasia of the hip and the serum trace element levels. We, therefore, believe that the trace element levels may shed light on the etiopathogenesis of developmental dysplasia of the hip. This work should be supported by future studies concerning the causes of the alterations in the serum trace element levels seen in patients with developmental dysplasia of the hip.
Family Factor, Treatment Options and Evaluation of Results in Pes Equinovarus Disease
(Yuzuncu Yil Universitesi Tip Fakultesi, 2015) Gozen, A.; Gokalp, M.A.; Unsal, S.Ş.; Guner, S.
In this study, we analyzed the patients who had applied to Yüzüncü Yıl University Medical Faculty due to pes equinovarus between 2011 and 2013 and treated with the Ponseti method. Thus we evaluated 56 feet of 38 patients in the early-treatment period and the factors affecting the treatment. All of the patients were systematically examined before and after the treatment. For the feet that had anomaly we used the scale that was used by Dimeglo et.al. Averagely 7.5 plaster casts were applied to the feet of the patients (range: 3-16). In patients with PEV, after the recovery of hindfoot varus and forefoot adduction in 48 feet in which equine deformity, achillotomy operation was applied under local anesthesia with mini open technique. After plastering, Steenbeek orthosis was applied to the feet. Average follow-up time was 14 months (range 5-28 months). In patients with PEV, the most commonly recurred component was metatarsus adductus. While this rate was 36% in idiopathic PEVs, in complex PEVs it was 83%. The plantigrade walking ratio in patients with idiopathic PEV was 92%. In patients with idiopathic PEV, the compliance with orthosis was 81% whereas in patients with complex PEV it was 33%. In addition to this, except one patient, in all patients with complex PEV recurrence was observed and additional treatments were made for these patients. The final Dimeglio score of the patients with idiopathic PEV was very good in 16 feet, good in 6 feet. On the other hand, in patients with complex PEV, this score was very good in 4 feet, good in 3 feet, and bad in 1 foot. The most important recurrence reason for PEV was non-compliance with orthosis. The reasons for non-compliance with foot abduction orthosis are as follows: long processing time the negative psychological effects of orthosis on families and considering orthosis as unnecessary since the correction in the feet was seen by the family. The education level of the family is an important risk factor for the development of recurrence. In this sense, it was determined that the recurrence risk was 10 times higher in the families whose education level was high school and below in comparison to the families with university degree. We achieved success at a rate of 92% in manipulation and plastering treatment of PEV which was materialized by Ponseti method. The most important factor affecting the treatment was the continuity of the treatment and the compliance with orthosis. © 2015, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Iatrogenic or Fracture-Related Nerve Injuries in Supracondylar Humerus Fracture: Is Treatment Necessary for Nerve Injury
(verduci Publisher, 2013) Guner, S.; Guven, N.; Karadas, S.; Ceylan, M. F.; Turktas, U.; Gokalp, M. A.; Gozen, A.
BACKGROUND: Supracondylar humerus fractures are very common types of elbow fractures in children between the ages of three and ten years. Totally displaced supracondylar humerus fractures can be associated with neurovascular injuries, and treatment can be complicated by iatrogenic neurovascular injury, compartment syndrome, malunion, and elbow stiffness AIM: The aim of this study was to describe the clinical outcome of nerve injuries associated with supracondylar humerus fractures in children observed over a period of seven years. PATIENTS AND METHODS: Children with displaced supracondylar humerus fracture who were treated with closed reduction and percutaneous cross K-wire fixation were reviewed retrospectively at the Medical School Hospital of Yuzuncu Yil University from May 2004 to October 2012. RESULTS: There were 91 patients available for follow-up. Nerve injury was observed in 11 (12.1%) of 91 patients with supracondylar humerus fractures. In 10 (90.1%) of these 11 cases, nerve functions recovered completely (excellent outcome) and in one (9.9%) case partial recovery was seen (good outcome). CONCLUSIONS: Iatrogenic or fracture-related nerve injury in a supracondylar humerus fracture is a benign condition which may be resolved spontaneously and observation appears to be a good and valuable method for treatment of this complication.
Results of Treatment of Chronic Osteomyelitis by "gutter Procedure and Muscle Flap Transposition Operation
(Springer-Verlag France, 2014) Gokalp, M.A.; Guner, S.; Ceylan, M.F.; Doğan, A.; Sebik, A.
Introduction: The aim of this study was to evaluate the outcomes of creation of a gutter and muscle flap transposition method for the treatment of long-bone chronic osteomyelitis. Patients and methods: A total of thirty chronic osteomyelitis patients (thirty-one extremities), who had undergone the gutter creation and muscle flap transposition procedure between 2005 and 2009, were included in the study (19 male, 11 female; mean age 24.4 years; age range 2-75 years). Osteomyelitis of the long bones involved the femur in 13 patients, the tibia in 13, the humerus in 2, the fibula in 2 and the ulna in 1 patients, respectively. All the patients received post-operative antibiotic therapy of at least 6 weeks. The mean follow-up period was 28.7 months (6-53 months). At the end of this follow-up period, the patients were evaluated using clinical, laboratory and screening methods. Results: Complete pain relief, disappearance of toxic symptoms, improvement in radiological findings, fistula closure and return of the blood parameters to normal ranges were accepted as successful treatment when all the afore-mentioned had been fulfilled. According to these criteria, 29 of the 30 patients had been cured. Discussion: The gutter creation and muscle flap transposition method in the treatment of long-bone chronic osteomyelitis may be a successful mode of therapy when performed correctly and supported by long-term antibiotherapy. © 2013 Springer-Verlag.
Undetected Piece of Wood Causing Osteomyelitis of the Metacarpal Bone: a Case Report
(2013) Ceylan, M.F.; Guner, S.; Ediz, L.; Turkozu, T.; Isik, D.
The patients with soft tissue injuries by foreign bodies are encountered frequently by the emergency physicians. In the emergency services, the advanced radiological imaging techniques should be requested in the patients who have a history of foreign body injury, if it was not detected by plain radiographs. Though the plain radiography is very useful for detection of metal foreign bodies, ultrasonography, magnetic resonance imaging and the computed tomography are superior for the detection of wood, glass and plastic foreign bodies. The foreign bodies that were not removed with the surgery can cause allergic, inflammatory or infectious process. Old foreign body injuries should be investigated in the patients with non-healing infection, or osteomyelitis history. The surgical exploration should not be avoided for diagnostic aim. In this case, we are presenting a pediatric patient developed metacarpal bone osteomyelitis due to foreign body which was diagnosed lately.