Browsing by Author "Turktas, Ugur"

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Are Consanguineous Marriage and Swaddling the Risk Factors of Developmental Dysplasia of the Hip
(Springer, 2013) Guner, Sukriye Ilkay; Guner, Savas; Peker, Erdal; Ceylan, Mehmet Fethi; Guler, Ayse; Turktas, Ugur; Kaki, Baris
The purpose of this study was to investigate prospectively the effects of swaddling and consanguineous marriage on developmental dysplasia of the hip and associated risk factors. We screened by ultrasound 265 infants using the Graf method. The Pediatrics Department referred all newborn infants with suspected instability or a recognized risk factor to the orthopedic clinic. Risk factors of developmental dysplasia of the hip were searched and noted in these patients. Swaddling and consanguineous marriage were also determined and noted. We observed 164 of 265 infants (61.9 %) who had been swaddled and that 64 of 265 infants' parents were in a consanguineous marriage (24.2 %). In the statistical analysis that was conducted for swaddling and consanguineous marriage, highly significant differences were found. Our study showed that the rate of developmental dysplasia of the hip is very high, 11.7 %, in our region, eastern Turkey. Also, we commonly see improper swaddling and consanguineous marriage in our region, which affects many infants.
Biomechanical Effects of Menopause in Ovariectomized Rats' Femurs
(informa Healthcare, 2014) Okyay, Ayse Guler; Kavak, Servet; Turktas, Ugur; Alkis, Ismet; Guner, Savas; Aksakal, Bunyamin
Objective: To demonstrate the biomechanical changes in rat bones occurred by surgical menopause and to search for correlation between biomechanical test results and bone mineral density (BMD) measurements. Methods: Thirty female Wistar-albino rats aged 6 months and weighed 250-300 g were randomized into ovariectomy, sham and control groups. After 6 months, rats were sacrificed and right femurs were extracted. BMD measurements and three point bending biomechanical tests were made in femurs. Results: The difference among the mean BMD measurements of three groups were found to be statistically significant (Pr>F value <0.0001). Mean elastic module, maximum elongation and femoral diameters were also found to be statistically significantly different (Pr>F value <0.05). Ovariectomised and sham-operated groups were significantly different in terms of elastic modulus. Ultimate force did not differ among the groups significantly. The difference between ultimate strain and maximum elongation of the ovariectomy and sham operated group was statistically significant. Conclusions: Bone quality was deteriorated and fragility was increased in rats 6 months after surgical menopause. Sole BMD measurement might not be reliable in evaluation of osteoporosis and fracture risk. Biomechanical quality of bone is more important than its mineral content in determining fragility.
Biomechanical Effects of Menopause in Ovariectomized Rats' Femurs (Vol 30, Pg 62, 2014)
(informa Healthcare, 2014) Okyay, Ayse Guler; Kavak, Servet; Turktas, Ugur; Alkis, Ismet; Guner, Savas; Aksakal, Bunyamin
Delayed Diagnosed Subclinic Von Willebrand Disease Case Report
(derman Medical Publ, 2013) Ceylan, Mehmet Fethi; Guner, Savap; Turktas, Ugur; Goktas, Ugur; Demir, Cengiz
The evaluation of the patients who will be operated in terms of preoperative bleeding diathesis is an obligation. This evaluation contains history, physical examination and tests of haemostasis. That are as a routin used among these tests are the number of platelet, PT, aPTT and the values of INR. Despite these assessments, all of the bleeding-clotting disorders have not been able to be determined. Therefore, due to omitted diagnosis of bleeding diathesis, in orthopedic procedures, hemartroz hemarthrosis, intramuscular hematoma, and abandoned bleeding may develop in the postoperative period. These complications are the causes of morbidity and mortality. In one of our cases, who had osteochondroma in his femur diaphysis and also whose preoperative history, examination and mentioned tests were normal, developed recurrent bleeding and hematoma in the operative area in the postoperative period. Von Willebrand disease was determined in the examination which was carried out by being considered bleeding diathesis. As a result, seen at the rate of 1% in community screening and the most common inherited bleeding diathesis, in the cases of Von Willebrand disease's subclinical a good patient history should be taken in order to be able to be early dianosed diagnosed and to be able to be prevent the complications and also the necessary tests for diagnosis should be performed.
The Development of Giant Lipoma on the Bcg Vaccine Caused Scar
(informa Healthcare, 2012) Bilgili, Serap Gunes; Karadag, Ayse Serap; Ceylan, Mehmet Fethi; Calka, Omer; Turktas, Ugur; Bulut, Gulay
Lipoma is the most common mesenchymal tumors that accounts for about 6% of all soft-tissue tumors in children. The lesion size is usually around 1-2 cm that rarely reaches the bigger diameter. A 14-month-old baby girl was brought to our clinic for a progressively growing lesion on the left shoulder. The lesion started 4 months ago, and then was rapidly growing that caused pain and movement restriction. On the same site, there was a scar of BCG vaccination. The clinical and histopathological findings of the lesion were consistent with lipoma. The lesion was totally resected with no recurrence within 12 months. There are several complications related to BCG vaccination. However, the occurrence of lipoma on BCG vaccine caused scar has not been reported in literature. We reported this case because of its rarity and to emphasize that lipoma can present as a giant lesion in child.
Hip Dislocation and Physis Separation Related To the Delayed Diagnosis of Septic Arthritis - Case Re
(derman Medical Publ, 2014) Gokalp, Mehmet Ata; Ceylan, Mehmet Fethi; Guner, Savas; Turktas, Ugur; Ediz, Levent
If the diagnosis of the hip septic arthritis is delayed, serious complications such as the arthrosis in joint, the separation of epiphyseal, osteomyelitis and sepsis can develop. The presence of the accompanying infectious diseases contributes to the delay of the diagnosis. In order to get rid of the late period sequelaes of septic arthritis, the required tests should be asked for the differential diagnosis of this disease in each patient presenting with hip pain. In this paper we presented 13 years old pediatric patient who was treated with the diagnosis of pneumonia developed joint dislocation together with the physis separation of the femoral head because of delayed diagnosis of accompanying hip septic arthritis.
Mini Open Surgical Treatment of Knee Septic Arthritis With Local Anesthesia: a Prospective Preliminary Report
(derman Medical Publ, 2018) Ceylan, Mehmet Fethi; Guner, Savas; Turktas, Ugur; Ediz, Levent; Goktas, Ugur; Dogan, Ali
Aim: Good pain management is provided via spinal and general anesthesia during knee joint drainage to treat septic arthritis, but the side effects are greater than those associated with local anesthesia, and the preparation process is long. Arthroscopic drainage under local anesthesia for knee septic arthritis treatment have been described, but this method requires special equipment. In this study, we aimed to evaluate the applicability of mini-open surgery under local anesthetic infiltration in cases of septic knee arthritis. Material and Method: 14 consecutive patients (eight men, six women) were admitted for knee septic arthritis treatment. Patient age ranged from 18 to 56 years, with an average age of 33 years. Drainage procedure was performed under local anesthesia, and the results were evaluated clinically. Results: The visual analog scale scores were between two and four (mean 2.8). The follow-up period was 10-21 months (mean 14.3). The Tegner and International Knee Documentation Committee scores were acceptable except for one patient. Discussion: This prospective study included mini-open surgery performed under local anesthesia on 14 septic knees, and showed that this method is safe, effective, well tolerated and be alternative to conventional techniques.
A Randomized Controlled Trial of Electrostimulation Effects on Effussion, Swelling and Pain Recovery After Anterior Cruciate Ligament Reconstruction: a Pilot Study
(Sage Publications Ltd, 2012) Ediz, Levent; Ceylan, Mehmet Fethi; Turktas, Ugur; Yanmis, Ibrahim; Hiz, Ozcan
Objective: To evaluate rehabilitation results of electrostimulation especially on joint effusion, swelling and pain recovery after anterior cruciate ligament reconstruction. Design: A randomized controlled trial; the assessor was not blinded to the group allocation. Setting: Orthopaedics-traumatology and physical medicine-rehabilitation departments. Subjects: Twenty-nine consecutive patients underwent anterior cruciate ligament reconstruction. Interventions: Both groups began the voluntary exercise protocol one day post-surgery. The intervention group (n = 15) also received 30 sessions electrostimulation treatment protocol started four days after the operation. Main measures: Numerical bulge-dancing patella signs for effusion assessment; differences in circumferences of the mid-centre of the patella between operated and non-operated knees for swelling assessment. Aself-report of average daily resting pain assessed by visual analogue scale; Intenational Knee Documentation Committee scoring system and Tegner Activity Scale for subjective response assessment. Results: Twenty-six subjects including 13 patients from the intervention group completed the study. Significantly less effusion and swelling were determined in the intervention group after seven days (1.8 +/- 1.3 versus 2.4 +/- 1.7 for effusion and 1.7 +/- 1.2 versus 3.4 +/- 1.5 for swelling) to 12 weeks (0.2 +/- 0.7 versus 0.6 +/- 0.8 for effusion and 0.2 +/- 0.8 versus 0.8 +/- 0.9 for swelling) postoperative (P < 0.05). Patients treated with electrostimulation had significantly lower pain scores from seven days up to 12 weeks after the operation (P < 0.05). Conclusion: Electrostimulation along with exercise therapy appears superior to exercise alone regarding knee effusion, swelling and pain recovery after anterior cruciate ligament reconstruction. Still, there is need for further clinical studies using a radiologic method to demonstrate this effect of electrostimulation.
Review of Van Earthquakes Form an Orthopaedic Perspective: a Multicentre Retrospective Study
(Springer, 2013) Guner, Savas; Guner, Sukriye Ilkay; Isik, Yasemin; Gormeli, Gokay; Kalender, Ali Murat; Turktas, Ugur; Dursun, Recep
This is a descriptive analysis, of victims of Turkey's October 23, 2011 and November 21, 2011 Van earthquakes. The goal of this study is investigated the injury profile of the both earthquakes in relation to musculoskeletal trauma. We retrospectively reviewed medical records of 3,965 patients admitted to in seven hospitals. A large share of these injuries were soft tissue injuries, followed by fractures, crush injuries, crush syndromes, nerve injuries, vascular injuries, compartment syndrome and joint dislocations. A total of 73 crush injuries were diagnosed and 31 of them were developed compartment syndrome. The patients with closed undisplaced fractures were treated with casting braces. For closed unstable fractures with good skin and soft-tissue conditions, open reduction and internal fixation was performed. All patients with open fracture had an external fixator applied after adequate debridement. Thirty one of 40 patients with compartment syndrome were treated by fasciotomy. For twelve of them, amputation was necessary. The most common procedure performed was debridement, followed by open reduction and internal fixation and closed reduction-casting, respectively. The results of this study may provide the basis for future development of strategy to optimise attempts at rescue and plan treatment of survivors with musculoskeletal injuries after earthquakes.