Browsing by Author "Türközü, T."

Now showing 1 - 4 of 4

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.
GKD Tedavisinde Femoral Kısaltma ve/veya Derotasyon için Uygulanan Farklı Seviyelerdeki Femoral Osteotomi Radyolojik ve Klinik Sonuçları Nasıl Etkiler?
(Yuzuncu Yil Universitesi Tip Fakultesi, 2023) Türközü, T.; Akkol, S.
Introduction: In the present study, different femoral osteotomy levels applied in the combined surgical treatment of the patients aged over 2 years with developmental dysplasia of hip (DDH) were compared. It was aimed to determine the advantages and disadvantages of the osteotomies performed at the shaft and subtrochanteric regions of the femur and to evaluate the radiological and clinical impact on hip development. Materials and Method: The study included the patients aged over 2 years with DDH who were applied open reduction, Pemberton pericapsular osteotomy and femoral osteotomy (PPO). The demographic information, clinical evaluations and radiographic results of the patients were applied from the medical records. In addition, radiation exposure (the number of fluoroscopic images), operation duration and present of complications were evaluated. The patients were divided into two groups based on the level of femoral osteotomy as shaft (group 1) and subtrochanteric (group 2) groups. The Tönnis Classification System was used to assess the grade of preoperative hip dysplasia. Radiological evaluation was performed according to Severin’s criteria while modified McKay’s criteria was applied for clinical evaluation. Kalamachi and MacEwen’s criteria were preferred for evaluation of avascular necrosis (AVN). Results: 46 hips of 31 patients were included in the study. 21 hips were in the shaft group and 25 hips were in the subtrochanteric group. No statistically significant difference was present between the groups in terms of age, Tönnis type of hip, preoperative acetabular index, postoperative acetabular index, preoperative collo-diaphyseal angle, postoperative collo-diaphyseal angle and degree of derotation. The difference between the follow-up durations of the groups was statistically significant. The follow-up duration of the group 1 was shorter than the group 2. Although, clinical results in the group 1 were proportionally better than the group 2, no statistically significant difference was determined between the groups. A statistically significant difference was detected between the groups in terms of radiological results. AVN was found in none of the hips in the group 1 whereas 8 hips were detected with AVN in the group 2. The difference between the groups regarding femoral head AVN was statistically significant. There was a statistically significant difference between the groups in terms of operation duration and radiation exposure. Subluxation or redislocation developed in none of the cases. Conclusion: Femoral osteotomy performed for femoral shortening and/or derotation at the region of femoral shaft can be used as an alternative surgical procedure without increasing the risk for AVN in the pediatric patients aged over 2 years with DDH. © 2023, 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.
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.