Browsing by Author "Kaya, Ş."

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Comparison of Plaque and Distal-Wedge Tibial Nail in the Treatment of Extra-Articular Distal Tibia Fractures
(Yuzuncu Yil Universitesi Tip Fakultesi, 2017) Adanaş, C.; Uymur, Y.E.; Özkan, S.; Kaya, Ş.
Tibial fractures are encountered in various age-groups. Depending on fracture type and pattern, many types of treatment options including plate fixation, intramedullary fixation, circular external fixation are widely used. Depending on implant design, surgical approach and accompanying soft tissue conditions, success of these fractures could be various and be jeopardised. In this study, we wish to evaluate the benefits and side effects between plate and distal-wedge tibial nail fixation. Between 2013 and 2016 (in Van Regional, Education and Research Hospital, Turkey) 38 patients (25 male, 13 female patients: ages range 18 to 61 years, mean age is 41) treated surgically using distal-wedge tibial nail fixation (amount:16) and plate fixation (amount:22). The patients were evaluated by AOFAS score (documentated 1.5 and 6 months postoperatively), postop hospitalisation days, perop fluouruscopy imaging (scopy shooting) times and union time (months). Average follow-up time was 11 months (range: 9 to 28 months). There was a shorter recovery period in the nail group and the hospital stay was shorter. (P <0.001)The AOFAS score was higher at 1.5 months postoperatively and the number of scopies was higher at 1.5 months olds (p <0.001) No significant difference was found in postoperative 6th month AOFAS score between plate and nailing groups. We have found and concluded that DSBLS (Distal Supportive Bolt Locking Screw) screw of this tibial nailing fixation system could provide distal interlocking strong enough especially when fracture is quite close to the distal tibial articular face, using distal wedge tibial nails and components. © 2017, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Comparison of Ultra-Congruent Anterior-Stabilized Vs. a Posterior Cruciate Substituting Total Knee Arthroplasty for Osteoarthritis With Severe Varus Knee Deformity: Comparable 2 Year Outcomes With Two Design
(Verduci Editore s.r.l, 2023) Dündar, A.; İPek, D.; Kaya, Ş.
OBJECTIVE: In this retrospective study, we compared the functionality and clinical outcomes of patients with severe varus knees who underwent total knee arthroplasty (TKA) that used prostheses with either a posterior stabilized (PS) design or an ultra-congruent (UC) design. PATIENTS AND METHODS: Primary TKA was performed in 161 patients; the UC device was used in 82 (51%) cases and the PS device in 79 (49%). Preoperatively and at the final follow-up examination, all patients were evaluated by orthoroentgenography. The mechanical axis angle and radiolucent lines were evaluated according to the Knee Society Roentgenographic Evaluation System on preoperative and 5-year follow-up radiographs. Total Knee Society Score (KSS) (knee score/function score) and Visual Analog Scale scores were obtained at the final follow-up examination. Demographic and surgical data and revision rates were evaluated for all patients. RESULTS: Postoperative angle values were significantly decreased in both the UC and PS groups (p<0.001 and p<0.001, respectively). Postoperative flexion range of motion values were significantly increased in both the UC and PS groups (p<0.001 and p<0.001, respectively). The postoperative KSS function scores were not significantly different between the groups (p=0.194). The mean surgical time of the PS group (54.99±4.18 minutes) was significantly higher than that of the UC group (46.02±4.48 minutes) (p<0.001). CONCLUSIONS: No notable differences were found between the UC and PS groups with respect to the clinical and functional parameters examined. Based on these results, UC TKA can be considered a safe alternative to PS TKA in severe varus knees. © 2023 Verduci Editore s.r.l. All rights reserved.
Is the Use of Low Molecular Weight Heparin Sufficient in Patients Undergoing Total Knee Arthroplasty for 15 Days
(Yuzuncu Yil Universitesi Tip Fakultesi, 2024) Kaya, Ş.; Dündar, A.; Turgut, M.H.; Ünal, Y.C.
Venous thromboembolic events, which can occur, if necessary, precautions are not taken after total joint arthroplasty, are a significant cause of mortality. One of the medical treatments used for prevention is low molecular weight heparin. Duration of low molecular weight heparin (LMWH) is used for prophylaxis can vary among physicians.In this study, we c ompared the effect of the duration of LMWH use on thromboembolic complications within patients, who had total knee arthroplasty. The study is retrospective and data is obtained from total of 224 adult patients over the age of 18. Age, gender, and thromboembolic complications were evaluated. The patients were separated into two groups as those who used LMWH for 15 days and those who used LMWH for 30 days and the development of thromboembolic complications between the two groups was compared statistically. Of the 224 patients thrown in the study, %81.7 were women. Group 1 (those who used LMWH for 15 days) consisted of 116 patients, and group 2 (those who used LMWH for 30 days) consisted of 108 patients. The distinction between the two groups regarding deep vein thrombosis (DVT) did not display any statistically significant difference (p=0.943). In DVT prophylaxis in patients undergoing total knee arthroplasty, LMWH for 15 days is as effective as LMWH for 30 days Therefore, it is sufficient to give LMWH for a short period of time as it is an invasive procedure. © 2024, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Spinal Deformity After Thoracotomy in Children With Pulmonary Hydatid Disease
(BioMed Central Ltd, 2025) Kaya, Ş.; Karaaslanlı, A.; Beger, B.
Background: Pulmonary hydatid cyst disease is a common zoonotic infection, especially in agricultural and livestock communities. Thoracotomy is an important surgical procedure in the treatment of pulmonary hydatid cysts in children. However, the development of a spinal deformity is one of the long-term musculoskeletal complications of this procedure. The aim of this study was to evaluate the incidence, risk factors and clinical outcomes of spinal deformity in pediatric patients after thoracotomy. Methods: Between 2008 and 2022, 116 pediatric patients who underwent thoracotomy for pulmonary hydatid disease and met the study criteria were retrospectively reviewed. Age, sex, side of surgery, pre- and postoperative spinal radiographs, presence of spinal deformity and Cobb angles were measured. Results: Spinal deformities developed in 57.8% of 116 patients after thoracotomy. The risk of spinal deformity increases with decreasing age at surgery. The side of the thoracotomy can influence the direction of the apex of the spinal deformity. However, sex had no significant effect on the development of spinal deformity. Conclusions: Children with pulmonary hydatid cyst disease are at high risk of developing spinal deformity after thoracotomy, and this risk is greater in younger patients. This study emphasises the importance of multidisciplinary approaches in the prevention and management of spinal deformity. © The Author(s) 2025.