Browsing by Author "Unsal, Seyyid Serif"

Now showing 1 - 6 of 6

Clinical Results of Decortication With Bone Grafting Method Versus Extracorporeal Shock Wave Treatment in Long-Bone Pseudoarthrosis
(int Scientific information, inc, 2023) Gokalp, Mehmet Ata; Unsal, Seyyid Serif; Guner, Savas; Turkozu, Tulin; Guven, Necip
Background: Despite advanced treatment methods, the treatment of pseudoarthrosis still poses a significant challenge for orthopedists. In this study, we aimed to assess the clinical results of decortication and bone grafting and ex-tracorporeal shock wave treatment (ESWT) in long-bone pseudoarthrosis.Material/Methods: Between 2007 and 2015, 68 fractures of 66 patients treated for long-bone pseudoarthrosis were evaluated retrospectively. ESWT was used in 36 extremities and decortication and iliac bone grafting was used in 32. The treatment results of these patients were evaluated and compared with rates in the literature. Results: The mean patient age was 43.9 years (range, 21-69). The mean interval between the occurrence of the frac-ture and treatment with bone grafting or ESWT was 8.6 months and the mean interval between the procedure and achievement of union was 6.9 months. The patients were followed up for a mean period of 25.2 months. After the mean follow-up period, bone union had occurred in all 32 patients (100%) in the decortication and bone grafting group and in 28 (78%) of the 36 patients in the ESWT group (P=0.023).Conclusions: This study shows that extracorporeal shock wave treatment should be considered the first option in treatment of pseudoarthrosis as it is a non-invasive method and also provides good rates of union. In patients that do not heal with ESWT, decortication and bone grafting remains the criterion standard therapy.
Effectiveness of Etofenamate for Treatment of Knee Osteoarthritis: a Randomized Controlled Trial
(Dove Medical Press Ltd, 2016) Guner, Savas; Gokalp, Mehmet Ata; Gozen, A. Bdurrahim; Unsal, Seyyid Serif; Guner, Sukriye Illkay
The intramuscular application of etofenamate in the treatment of knee osteoarthritis was not observed in the existing English language literature. The objectives of this study were to compare the efficacy of etofenamate versus hyaluronic acid ( HA) in reducing joint pain and functional improvement for mild to moderate knee osteoarthritis. The patients were randomly divided into etofenamate ( n=29) and HA ( n=30) groups. Intramuscular etofenamate injection was administered as a series of seven intramuscular injections at intervals of 1 day. Intra-articular HA injection was administered as a series of three intra-articular injections at intervals of 1 week. Clinical evaluation was made before the first injection and again both 6 and 12 months after the last injection. The evaluation consisted of patient-assessed pain on a visual analog scale ( VAS) and on the Western Ontario and McMaster Universities Osteoarthritis Index ( WOMAC). Statistical significance was found for the etofenamate group when comparing preinjection with 12 months postinjection VAS scores ( P<0.05). Statistical significance was also found for the HA group when comparing preinjection with 12 months postinjection VAS and WOMAC scores ( P<0.05). However, there was no significant difference between the etofenamate and HA groups in terms of VAS or WOMAC scores measured at 12 months after injection ( P>0.05). Results from this study indicated that, etofenamate treatment was not significantly more effective than HA treatment. However, both methods were effective and successful in treating knee osteoarthritis.
Ewings Sarcoma of the Finger
(Medknow Publications & Media Pvt Ltd, 2014) Gokalp, Mehmet Ata; Kaplanoglu, Veysel; Unsal, Seyyid Serif; Erten, Remzi
Ewings sarcoma is a mesenchymal cell tumor usually seen in long bones but very rarely seen in the bones of a finger. Swelling and pain are the most common complaints of the affected finger. In radiological imaging, it may be seen as permeative bone destruction accompanied by a soft tissue component or an expansile bone lesion. A 27-year-old right-hand dominant female patient presented with a swelling on the proximal phalanx of her right 3 (rd) finger that had existed for 3 years. However, the mass started to gradually increase in size and the pain worsened over a period of 5 weeks. The mass was excised under regional intravenous anesthesia and Ewings sarcoma was confirmed following a histopathological evaluation. No local recurrence or metastasis was detected 1 year after surgery. Since Ewings sarcoma is rarely seen in the finger, we present this case with its radiological and clinical findings.
The Outcomes of Acetabular Fractures Treated Surgically and Factors Affecting the Result The Results of Acetabular Fractures
(derman Medical Publ, 2018) Guven, Necip; Gokalp, Mehmet Ata; Unsal, Seyyid Serif; Turkozu, Tulin; Guner, Savas
Aim: The aim of this study was to evaluate the radiological and clinical outcomes of surgically treated acetabular fractures. Material and Method: A total of 30 patients with acetabular fracture who had presented to the Orthopedics and Traumatology Department of Yuzuncu Yil University Medical Faculty between January 2009 and December 2013 and undergoing surgery were included in the study. The number of males was 25 (83.3%), and the number of females was 5 (16.7%). The ages of the patients varied between 18 and 68 (mean: 40) years. The indications for surgery were: more than 3 mms of dislocation in one of the three X-Rays obtained (antero-posterior, obturator oblique and iliac oblique), intra-articular piece of the fracture and posterior instability. Results: 20 (66.7%) and 10 (33.7%) patients had acetabular fractures in the right and left hips, respectively. The most common cause of trauma was falling from a height. According to the classification of Letournel, 18 patients (60%) had complex and 12 patients (40%) had simple fractures. 13 patients (43.5%) had additional traumatic hip dislocation. Following the surgical intervention, 13 patients (43.3%) had anatomical reduction and 4 (13.3%) had poor reduction. The patients were followed-up for a mean duration of 28 months. According to the radiological criteria of Matta, 13 patients (43.3%) had excellent, 11 (36.6%) had good, 4 (13.3%) had moderate, and 2 (6.6%) had poor outcomes. According to the clinical recovery criteria of Merle d'Aubigne and Postel, 7 patients (23.3%) had very good, 15 (50%) had good, 4 (13.3%) had moderate, and 4 (13.3%) had poor outcomes. Discussion: It was concluded that the quality of reduction affected the clinical and radiological outcomes, and that this effect depended on the simple or complex nature of the fracture. Successful and satisfactory results may be obtained by selecting the correct incision method for the fracture type, advanced surgical experience and careful post-operative patient follow-up.
Removal of Metallic Foreign Bodies Embedded in Soft Tissues by Stereotaxic Approach
(Makerere Univ, Fac Med, 2014) Ceylan, Mehmet Fethi; Guner, Savas; Ediz, Levent; Unsal, Seyyid Serif; Isik, Daghan
Background: A trial fibrillation (AF) is the most common cardiac arrhythmia and increases the risk of stroke and death. Patients with hypertensive have an increased risk of developing atrial fibrillation. RDW (Red blood cell distribution width) levels are elevated in cardiovascular disorders including heart failure, stable coronary disease, acute coronary syndrome, slow coronary flow and stroke. Objective: To investigate the relation between RDW and AF in patients with hypertensive Method: We retrospectively examined 126 consecutive hypertensive patients (63 hypertensive patients with AF and 63 hypertensive patients without AF matched with age and sex Results: The mean age of the study population was 71,09 +/- 8,50 (af group) and 70,97 +/- 8,24 (non-af group) years. RDW level was different among patients with atrial fibrillation and without atrial fibrillation.(15,13 +/- 1,58 and 14,05 +/- 1,15 p < 001). Logistic regression analysis showed that RDW and left atrial dimension were only independently risk factory associated with atrial fibrillation. (Rdw odds ratio: 1,846 CI; 1,221-2,793 p < 0,05). Roc curve analyses were applied to determine the cut-off point. Cut-off point was at 14,195 and Sensitive, specificity was % 71,4, % 56 respectively. Conclusion: RDW levels were higher in hypertensive patients with atrial fibrillation. An increased RDW level in the patient with hypertension may alert physician on developing or presence of atrial fibrillation.
Serum Antioxidant Enzyme and Oxidative Stress Levels in Patients With Developmental Dysplasia of the Hip: a Preliminary Study
(Parlar Scientific Publications (p S P), 2018) Guner, Savas; Guner, Sukriye Ilkay; Gokalp, Mehmet Ata; Unsal, Seyyid Serif; Demir, Halit
This study was conducted based on the hypothesis that serum antioxidant activity and oxidative stress could be associated with developmental dysplasia of the hip. The purpose of this study was to investigate prospectively the relationship between serum antioxidant levels and developmental dysplasia of the hip. This study included 27 patients with developmental dysplasia of the hip (18 females, 9 males; mean age 24.3 +/- 6.3 months, range 18-36 months) and 26 healthy controls (15 females, 11 males; mean age 23.8 +/- 5.4 months, range 18-36 months) who were free of symptoms. Venous blood samples were taken all of the participants and serum superoxide dismutase, malondialdehyde, glutathione, and catalase levels were evaluated. The serum malondialdehyde level was found to be statistically significantly higher in patients with developmental dysplasia of the hip than controls. Serum superoxide dismutase, glutathione and catalase levels were found to be statistically significantly lower in patients with developmental dysplasia of the hip than controls. Our results may show that serum antioxidant activity and oxidative stress parameters may be adjunctive tools for the diagnosis in patients with developmental dysplasia of the hip. This is a preliminary study, and further prospective randomized clinical studies with larger sample sizes are needed to elucidate whether these alterations are consistent and clinically relevant.