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Öğe Acute stress disorder and post-traumatic stress disorder following traumatic amputation(Acta Medica Belgica, 2010) Copuroglu, Cem; Ozcan, Mert; Yilmaz, Baris; Gorgulu, Yasemin; Abay, Ercan; Yalniz, ErolTraumatic amputations are important causes of acute stress disorder and post-traumatic stress disorder. In this study, we aimed to rind out the occurrence rate of symptoms of acute and post-traumatic stress disorder after traumatic amputations and according to this, to assess the psychiatric status of the patients in the postoperative period. Twenty-two patients with traumatic limb amputation who were treated in our institution were retrospectively evaluated. During the early post-traumatic period, the patients were observed to determine whether they needed any psychiatric supportive treatment. During the follow-up period, after the sixth month from the trauma, the patients were referred to the psychiatry department and they were evaluated to determine whether they needed any psychiatric supportive treatment, by clinical psychiatric examination and use of the 'post-traumatic stress disorder scale' (Clinician Administered Post traumatic Scale, or CAPS). Twenty-one (95.5%) of 22 patients were male, one (4.5%.) female. Mean age of the patients was 40.8 years (range : 15 to 69). During the early post-traumatic period, 8 (36.3%) of these patients consulted the psychiatry clinic following the orthopaedists' observations. Five (%22.7) of these patients needed psychiatric supportive treatment for acute stress disorder. After the 6th month (6 months to 5 years), 17 (77.2%) had chronic and delayed post-traumatic stress disorder and needed psychiatric supportive treatment. Patients who have sustained a traumatic amputation may need psychiatric supportive treatment in the late period after the trauma. As we orthopaedic surgeons treat these patients surgically we should be aware of their psychiatric status.Öğe Airway management with supraglottic airway device at pierre robin sequence(Oxford Univ Press, 2012) Copuroglu, Elif; Colak, Alkin; Sagiroglu, Gonul; Copuroglu, Cem; Gunday, Isil[Abstract Not Available]Öğe The analysis of the risk factors observed in patients with hip fracture(Galenos Publ House, 2011) Copuroglu, Cem; Unver, Kagan Volkan; Ozcan, Mert; Ciftdemir, Mert; Turan, Fatma Nesrin; Copuroglu, ElifObjective: Hip fractures are frequently seen in the elderly and an important reason of morbidity and mortality. We aimed to analyze the accompanying risk factors of the hip fractured patients who have been treated in our university clinic. Material and Methods: The data of 180 patients, who have been treated in our clinic between December 2008 and July 2010, were evaluated. The preoperative activity level of the patients, fracture type, mechanism of injury and patients' co morbid medical diseases were evaluated and compared with preoperative biochemical markers statistically. Results: The study group included 180 patients (72 male, 108 female) with a mean age of 73.9 (24-103). One hundred eighteen of the patients admitted because of intertrochanteric femur fracture, 54 because of femoral neck fractures and 8 because of subtrochanteric femur fractures. Forty-three (24%) patients had no medical co morbidity while 22 had hypertension, 10 had cancer, 7 had cardiac disease, 6 had diabetes mellitus and 75 (42%) had more than one accompanying co morbidity. Conclusion: Mostly low energy injuries cause osteoporotic fractures in women and medical co morbidities also exist. In order to decrease the morbidity and the mortality of the hip fractures, metabolic disorders should be taken under control simultaneously with the fracture treatment.Öğe The analysis of the variables, affecting outcome in surgically treated tibia pilon fractured patients(Elsevier Sci Ltd, 2013) Korkmaz, Aytel; Ciftdemir, Mert; Ozcan, Mert; Copuroglu, Cem; Saridogan, KenanIntroduction: Treatment of tibia pilon fractures is challenging. Outcome after tibia pilon fractures depend on multiple factors. Aim of this study is to evaluate the potential variables that are known to affect the outcome after tibia pilon fractures. Patients and methods: Forty patients with 42 tibia pilon fractures with a one-year follow-up, who had undergone surgical treatment between January 2007 and June 2011, were evaluated, retrospectively. Patients were divided into 3 groups regarding the choice of surgical treatment (Group A-22 patients treated with open reduction-internal fixation; Group B-9 patients treated with mini-open reduction-internal fixation and external fixation; and Group C-11 patients treated with closed reduction-external fixation). Fractures were classified using Muller-AO and Ruedi/Allgower classifications. Quality of reduction was evaluated using Ovadia and Beals' criteria. All patients underwent functional assessment using AOFAS ankle-hindfoot scale and Teeny-Wiss scoring system at the last follow-up. Results: Mean age of the patients was 49 (20-80). There were eight 43-B3, six 43-C1, twelve 43-C2 and sixteen 43-C3 fractures according to Muller-AO classification and ten type 1, ten type 2 and twenty two type 3 fractures according to Ruedi/Allgower classification. There were 15 (35.7%) open fractures. No statistically significant relation was found between quality of reduction and type of surgery. Also no significant relation was found between the type of surgery and functional scores. No significant correlation was found between functional scores and Muller-AO classification, but functional scores were found significantly worse in Ruedi/Allgower type 3 fractures. Functional scores were found significantly related to the quality of reduction. Early complications were seen in 22 and late complications were seen in 9 fractures. No statistically significant relation was found between complications, type of surgery and functional scores. Conclusion: The most important factor affecting outcome in surgically treated tibia pilon fractures was quality of reduction. Poor functional scores were found independent from the type of surgery and quality of reduction in Ruedi/Allgower type 3 fractures, which was characterized with articular surface comminution and metaphyseal impaction. (C) 2013 Elsevier Ltd. All rights reserved.Öğe Carpal tunnel syndrome in manual tea harvesters(Turkish Joint Diseases Foundation, 2013) Ciftdemir, Mert; Copuroglu, Cem; Ozcan, Mert; Cavdar, LeylaObjectives: This study aims to present the physiopathological and surgical aspects of carpal tunnel syndrome (CTS) related to manual tea harvesting based on nerve conduction studies and clinical scoring systems. Patients and methods: Clinical and neurophysiological scores as well as clinical and occupational variables were statistically analyzed using Boston questionnaire, modified criteria of Italian CTS study group, and modified neurophysiologic grading system of Italian CTS study group in 56 agricultural laborers who underwent surgery due to severe CTS. Results: A statistically significant correlation was found among the clinical stages of the patients and age, working duration and duration of symptoms. There was a statistically significant relationship among neurophysiologic grades of the CTS in patients and the duration of symptoms and functional outcomes before and after surgery. Conclusion: We concluded that manual tea harvesting might be an occupational risk factor for work-related CTS development. Surgical treatment of CTS among manual tea harvesters revealed satisfactory results.Öğe Comparison of AO, Schatzker, and three-column classification systems in tibial plateau fractures: Impact on functional outcomes(Turkish Joint Diseases Foundation, 2024) Selcuk, Esref; Erem, Murat; Copuroglu, Cem; Ozcan, Mert; Ciftdemir, MertObjectives: This study aimed to compare the AO, Schatzker, and Three-Column classification systems for tibial plateau fractures, focusing on their prognostic and functional outcome prediction and influence on clinical decisions across different trauma types. Patients and methods: In this retrospective study, we examined 49 patients (36 males, 11 females; mean age: 40.6 +/- 11.8 years; range, 19 to 67 years) with tibial plateau fractures between January 2011 and January 2017. The fractures were classified using the AO, Schatzker, and three-column systems. The main outcome measurements included functional scores (Knee Injury and Osteoarthritis Outcome Score [KOOS], Hospital for Special Surgery [HSS]), range of motion (ROM), duration of hospitalization, thigh atrophy, operation time, and the development of osteoarthritis. The impact of smoking was also assessed. Results: According to the AO classification, type B fractures obtained higher KOOS and HSS scores compared to type C fractures (p=0.013 and p=0.007, respectively). According to the Schatzker classification low-energy fractures achieved higher KOOS and HSS scores than high-energy fractures (p=0.013 and p=0.026, respectively). One-column fractures had higher KOOS and HSS scores compared to two-column and three-column fractures (p=0.007 and p=0.001, respectively). Two-column fractures had a lower ROM compared to other column fractures (p=0.022). Shorter hospital stays were recorded for Schatzker low-energy fractures (p=0.016), whereas higher thigh atrophy was found in Schatzker high-energy fractures (p=0.022) and AO type C fractures (p=0.018). Longer operation times were observed in AO type C fractures (p=0.037) and Schatzker high-energy fractures (p=0.017). According to the Kellgren-Lawrence classification, AO type C fractures and three-column fractures yielded worse outcomes (p=0.039 and p=0.001, respectively). Smoking had a negative impact on functional KOOS and HSS scores across all groups (p=0.022 and p=0.001, respectively). Conclusion: This study highlights the predictive value of the AO, Schatzker, and Three-Column classification systems in determining functional outcomes and clinical data in tibial plateau fractures. Each system provides unique insights into different outcomes, suggesting their concurrent application may yield a more comprehensive prognosis.Öğe Comparison of autogenous bone graft donor site haemostatic agents used in spinal surgery(Turkish Assoc Orthopaedics Traumatology, 2011) Copuroglu, Cem; Ercan, Selcuk; Ozcan, Mert; Ciftdemir, Mert; Turan, F. Nesrin; Yalniz, ErolObjective: The aim of our study was to investigate the effects of haemostatic agents used at the autograft donor sites in spinal fusion. Methods: The study included 66 patients (26 men, 40 women; mean age: 42.9 years) who underwent spinal fusion surgery between March 1999 and October 2002. Patients were randomly assigned to 4 different groups according to the haemostatic agents used during surgery. In Group 1, bone wax was used on the graft donor site. In Group 2, spongostan was used. In Group 3, spongostan was applied to the donor site and removed after 10 minutes. Group 4 Was the control group and no haemostatic agent was applied. Age, sex, diagnosis and incision shape were not taken into consideration during the selection of patient groups. Closed suction drainage systems were used for the evaluation of drainage amount. The drainage system was removed after 48 hours in patients with a daily drainage of less than 30 cc. Results: In Group 1, there was significantly less drainage than the other groups. Group 2 and Group 3 had less drainage than the control group. When a separate incision was used for graft harvesting, keeping the spongostan at the application site (Group 2) was more effective than its removal (Group 3). Conclusion: The application of bone wax and spongostan to bleeding cancellous bone surfaces at the donor site is a safe and effective method to reduce bleeding and hematoma. Bone wax is more effective than spongostan for haemostasis.Öğe Comparison of Different Anesthetic Techniques on Postoperative Outcomes in Elderly Patients with Hip Fracture(Ortadogu Ad Pres & Publ Co, 2012) Sahin, Sevtap Hekimoglu; Heybeli, Nurettin; Colak, Alkin; Arar, Cavidan; Alan, Kudret; Copuroglu, Cem; Yilmaz, BarisObjective: Determining the type of anesthesia is a complex medical decision that depends on many factors including co-morbidity, age, type of surgery performed, and the risk of the anesthetic techniques. This study evaluated the effects of anesthesia type on postoperative mortality and morbidity in hip fractures. Material and Methods: One hundred eighty-five patients older than 60 years who were operated for hip fracture between 2005-2009 were retrospectively analyzed. Patients received general anesthesia (n=67), spinal anesthesia (n=67), or epidural anesthesia (n=51). The clinical features of the patients were obtained from the hospital records. Morbidity outcomes were assessed on postoperative day 7. Mortality rates were calculated on postoperative day 7 and postoperative day 30. Results: There were no significant differences between the three groups with regard to intraoperative blood loss, intraoperative blood transfusion, smoking status, length of stay in hospital, American Society of Anesthesiology (ASA) physical status, and Charlson Comorbidity Index (CCI) (p=0.393, p=0.088, p=0.369, p=0.228, p=0.491, p=0.371 respectively). Similarly, no difference was detected between the three groups regarding patient mortality rates for day 7 and 30 (p=0.738, p=0.805 respectively). Conclusion: No technique was superior to the others. Due to the similar mortality rates among the groups, we suggest that the proper anesthetic technique selected according to the clinical features of the patient combined with adequate monitorization would yield successful results with all three techniques.Öğe Comparison of the functional and radiological results of the conservatively and surgically treated displaced acetabulum fractured patients(Turkish Assoc Trauma Emergency Surgery, 2022) Alpaydin, Eren; Erem, Murat; Copuroglu, CemBACKGROUND: The purpose of the study was to compare the functional and radiological results of the conservatively and surgically treated displaced acetabular fractured patients. METHODS: The study included 61 patients with a displaced acetabulum fracture over the age of 18, who have been treated conservatively or surgically for acetabular fractures, between 2000 and 2014. Patients were divided into two groups according to their treatment type. Group 1 consisted of conservatively treated 31 between 2000 and 2010 patients and Group 2 consisted of surgically treated 30 patients between 2010 and 2014. The fractures were classified according to Judet and Letournel classification. Clinical evaluation of the patients was conducted according to Modified Merle D'Aubigne Score, SF-36, and Harris Hip Score. Radiological evaluation was evaluated according to Matta's Radiological Evaluation Criteria. Kolmogorov-Smirnov, t-test, Mann-Whitney U-test, and two Wilcoxon paired sample tests were used for statistical analysis. The significance limit was chosen as p<0.05. RESULTS: The mean follow-up time was 10 years for the conservative group and 5.5 years for the surgery group. There was no statistically significant difference in functional scores between both groups (p>0.05), Matta's radiological staging score was significantly higher in the operated group (p=0.023). CONCLUSION: Radiological scores are not directly correlated with the functional capacity. We obtained good radiological and functional scores in the surgical group, operative treatment should be considered when absolute indications are there. The outcome of conservatively managed fractures is not bleak. We think that there is an alternative to surgical treatment in displaced acetabular fractures and that similar functional results can be obtained in selected cases.Öğe Does an abnormal infrapatellar plica increase the risk of chondral damage in the knee(Springer, 2011) Ozcan, Mert; Copuroglu, Cem; Ciftdemir, Mert; Turan, Fatma Nesrin; Calpur, Osman UgurThe aim of this study was to evaluate abnormal infrapatellar plicae that cause chondral lesions on the patellofemoral sulcus and superior aspect of intercondylar notch. In this study, 133 abnormal infrapatellar plicae were evaluated. The abnormal infrapatellar plicae may lead to chondral lesions on the superior portion of intercondylar notch and on the inferior portion of the patellofemoral sulcus with striking, friction, and compression forces during knee motion. The chondral lesions that were caused by abnormal infrapatellar plicae were more severe than the chondral lesions that were caused by normal infrapatellar plicae. The width of the plica did not affect the severity of chondral lesions. Abnormal infrapatellar plicae might be one of the causes of chondral lesions on the superior portion of intercondylar notch and on the patellofemoral sulcus. The width of the plica did not affect the severity of chondral lesions.Öğe Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?(Springer, 2015) Ciftdemir, Mert; Tuncel, Sedat A.; Ozcan, Mert; Copuroglu, Cem; Erem, MuratPurpose The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. Methods A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were evaluated regarding demographic features, injury mechanism, fracture type, interval between trauma and nailing, operation time and number of image intensifier shots during the operation at least one year after nailing. Patients were divided into two groups according to distal locking technique. All patients had also undergone clinical examination for lower extremity alignment and range of motion and filled out the SF-36 questionnaire and undergone ultrasound measurement of femoral anteversion angles to reveal any rotational femoral malalignment. Results Group 1 consisted of 47 patients (41.6 %) with electromagnetic-manual targeting guided distal locking and group 2 consisted of 66 patients (58.4 %) with free-hand distal locking. Both groups were statistically similar regarding demographic features, injury mechanism, fracture type, interval between trauma and nailing, clinical examination and SF-36 results. Operation time and number of image intensifier shots were significantly less in group 1. No statistically significant difference was found between the femoral anteversion angles of injured and uninjured sides of the patients in both groups. Conclusions Although there is no significant effect on malrotation, previously known advantages lead us to state that electromagnetic-manual guided distal interlocking is an advantageous treatment option in femoral shaft fractures.Öğe EFFECTIVENESS OF FRACTURE-END REGENERATION OR EXTRACORPOREAL SHOCK WAVE THERAPY IN DELAY OF TIBIAL UNION: EXPERIMENTAL STUDY(2023) Kaya, Murat; Çiftdemir, Mert; Copuroglu, Cem; Özcan, MertOBJECTIVE: The purpose of this present study was to compare the results of fracture regeneration or Extracorporeal Shock Wave Therapy (ESWT) added to the fracture dynamization procedure in the rat tibia delayed union model. MATERIAL AND METHODS: A total of 30 female Sprague-Dawley Rats were divided into three groups. Right tibia transverse diaphyseal fractures were made in all rats. After the intramedullary fixation for delayed fracture union model, the fracture line was distracted with a propylene spacer, which was removed in all groups at the end of the 6th week, and the fracture line was dynamized. Only dynamization was applied to the Control Group (Group 1). The fracture ends were regenerated during dynamization in the fracture-end regeneration group (Group 2). In the ESWT group (Group 3), 15 kV 500 shock waves were applied at the 24th hour of dynamization. After the sacrification at the end of the 12th week, all right tibiae were taken for radiological and histopathological examinations. RESULTS: Radiological and histopathological union scores were found to be significantly higher in Group 2 and Group 3 than in the Control Group (P=0.001). No significant differences were detected between Group 2 and Group 3 in terms of radiological union scores (P=0.254). Histopathological scoring was significantly higher in Group 3 than in Group 2 (P=0.001). CONCLUSIONS: The addition of fracture-end regeneration or ESWT to dynamization in the rat tibia delayed union model allowed us to obtain better radiological and histopathological results when compared to the dynamization group alone. A clinical comparative study will contribute to the literature.Öğe The effects of intravenous and local tranexamic acid on bone healing: An experimental study in the rat tibia fracture model(Elsevier Sci Ltd, 2020) Balkanli, Bahadir; Copuroglu, Cem; Copuroglu, ElifBackground: Tranexamic acid (TXA) is an antifibrinolytic agent. It has long been used to reduce the need for perioperative blood loss in various surgeries. Few studies have investigated the effects of local and intravenous administration of TXA on fracture healing. Thus, we aimed to evaluate if TXA influences hematoma volume and fracture healing in the rat tibia fracture model. Materials and methods: A tibia fracture with intramedullary Kirschner wire fixation was created in all animals. Rats were randomly divided into three groups as local TXA, intravenous TXA, and control. A dose of 50 mg/kg local and intravenous TXA was administered to the study groups. Hematoma volume was measured on the first and third days of the study. The animals were sacrificed on the 14th and 21st days for radiological and histopathological examinations. Results: There was no significant difference between the groups in terms of hematoma volume measured on Day 1 and the mean decrease of hematoma volume from Day 1 to Day 3 (p = 0.158 and p = 0.239, respectively). The total radiological scores of Day 14 and Day 21 were similar in all groups (p > 0.05 for all). There was also no significant difference between the histological staging of the fracture repair on Day 14 and Day 21 for all groups (p > 0.05 for all). Conclusion: Our findings suggest that TXA's local and intravenous application makes no significant difference in fracture healing. (C) 2020 Elsevier Ltd. All rights reserved.Öğe An Evaluation of the Effect of the Biological Dose of Fluoroscopic Radiation Exposure in the Operating Room(Aves, 2018) Yilmaz, Baris; Copuroglu, Cem; Tabakcioglu, Kiymet; Pala, Funda Sibel; Ozcan, Mert; Ciftdemir, MertObjective: Through an evaluation of the biological dose, we aimed to evaluate the risks of ionizing radiation to which physicians and auxiliary healthcare personnel working in orthopedic operating rooms are exposed to via diagnostic use of fluoroscopy. Methods: Blood samples were collected from physicians and auxiliary healthcare personnel working in the orthopedic operating room. The biological dose was evaluated using micronucleus and dicentric analysis. To assess the effects of physical and chemical agents together, a total of 31,000 binucleate cells were evaluated using the micronucleus method and 16,500 metaphase plaques were evaluated using dicentric analysis, which is accepted as the most important indicator in determining the effects of radiation. Results: The study participants comprised 18 males and 5 females (16 physicians, 4 nurses, and 3 patient carers) with a mean age of 34.1 years (range, 22-58 years) who were thought to have been exposed to ionizing radiation in the working environment. The mean duration of working under ionizing radiation was 73.6 months (range, 1.5-420 months). In the blood samples, the total micronucleus frequency was determined as 8.8 +/- 1.4. In the evaluation of the 16,500 metaphysis plaques, radiation-specific dicentric was observed in 5 subjects (normal frequency: 5/10,000). As a result of the analysis made use both methods, the dose was determined to be slightly above background level, and below risk level in 6 subjects. The dose was related with medical applications in 4 of these subjects. Conclusion: Fluoroscopy should be attempted in the operating room within a restricted time as far as possible and at measurements of high kV and low mA. kV-mA values are of utmost importance for providing the best results according to the nature of the operation; the tube outlet is predefined away from the patient's skin.Öğe Fracture non-union: Who is at risk?(Elsevier Sci Ltd, 2013) Copuroglu, Cem; Calori, Giorgio M.; Giannoudis, Peter V.[Abstract Not Available]Öğe Fractures of the femoral head: what are the reasons for poor outcome?(Turkish Assoc Trauma Emergency Surgery, 2011) Ozcan, Mert; Copuroglu, Cem; Saridogan, KenanBACKGROUND In this article, we aimed to discuss treatment strategies in fracture of the femoral head, which is a very rare injury. METHODS We reviewed five patients (six fractures) who admitted to our emergency department due to femoral head fracture between March 2006 and December 2007. Functional outcomes of the patients who were treated operatively and nonoperatively were compared. RESULTS Half of the fractures were treated nonoperatively and half of them surgically. We observed a rate of 50% excellent to good results. Avascular necrosis developed in a patient with bilateral injury. The functional results were poor for this patient. Early posttraumatic arthritis was observed in a patient who was treated surgically; this patient had moderate results. CONCLUSION We should aim at anatomic reduction of the fragments with minimum soft tissue injury. The best approach should be chosen for excellent view of the fragments. We should not forget that half of these patients will have a poor outcome despite all treatment strategies.Öğe FREQUENCY OF HIP FRACTURES ADMITTED TO A UNIVERSITY HOSPITAL FOR THE LAST TEN YEARS(Gunes Kitabevi Ltd Sti, 2011) Copuroglu, Cem; Ozcan, Mert; Ciftdemir, Mert; Unver, Kagan Volkan; Saridogan, KenanIntroduction: Hip fractures are an important cause of morbidity and mortality. We aimed to analyze the annual rate and demographic properties of the hip fractured patients who were operated in our university hospital. Materials and Method: We evaluated 923 patients ove a 10-year period. Data on age, sex, injury patterns, and types of fractures were evaluated retrospectively. Results: Sixty-eight (7.4%) of the patients had subtrochanteric femur fractures, 513 (55.5%) had inter-trochanteric femur fractures, and 342 (37.1%) had collum femoris fractures. According to years, in year 2000; 41 hip fractured patients were operated, in 2001; 58, in 2002; 48, in 2003; 63, in 2004; 65, in 2005; 121, in 2006; 111, in 2007; 123, in 2008; 154 and in 2009; 139 hip fractures were operated in our clinic. Mean age of the patients were 70.5 years. Five hundred thirty eight of them were females and 385 of them were males. Six hundred forty five of the injuries were due to low energy, the others were due to high energy injuries. Conclusion: Hip fractures are frequent. In order to decrease the morbidity and mortality of the osteoporotic fractures, fracture prevention strategies should be developed and the patients should be returned to their daily activity levels as soon as possible.Öğe Is olecranon osteotomy necessary fort he surgical treatment of distal humerus fractures located close to intra-articular area?(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2017) Yilmaz, Baris; Copuroglu, Cem; Ciftdemir, Mert; Ozcan, Mert; Imge, Erdi; Saridogan, KenanObjective: The aim of this study is to evaluate the clinical results and necessary of olecranon osteotomy by open reduction and internal fixation by parallel plating of distal humerus located close to intra-articular surface of distal humerus. Materials and Methods: 43 patients were evaluated in this study separated into two groups. In group 1 olecranon osteotomy was performed and in group 2 paratricipital approach was performed to all patients. All patients were evaluated by hospital stay time, follow-up, surgical time, range of motion (ROM), complications and Mayo elbow performance scoring system functions. Results: Mean age was 44.35 +/- 11.61 (19-62) years. There was no statistically significant difference by age, sex, side distribution, hospital stay, follow-up time and ROM. Operation time was 133.04 +/- 18.14 minutes in Group 1 and 171 +/- 15.1 minutes in Group 2. There was statistically significant decrease in surgical time in Group 1 compared to group 2 (p:0.001; p<0.05). There was not any postoperative complication and union was achieved clinically and radiologically in both groups. Mayo elbow score was 85.65 +/- 4.34 while 90.25 +/- 4.13 in group 2 (p:0.001; p<0.05). Conclusion: There was better ROM and functional scores in paratrisipital approach group while only surgical time increased in this group. In conclusion, olecranon osteotomy should not be performed in intra-articular fractures of distal humerus whom treated by open reduction and parallel plating if it is not necessary to protect congruity of joint.Öğe Is success objective or subjective in knee prosthesis?(Yerkure Tanitim & Yayincilik Hizmetleri A S, 2009) Copuroglu, Cem; Ozcan, Mert; Aykac, Bilal; Yilmaz, Baris; Yalniz, ErolObjective: To analyze the relation between the radiological and functional results and satisfaction of the knee prosthesis. Material and Methods: In this study, knee prosthesis applied to 43 patients' 76 knees were retrospectively evaluated. As a radiologic parameter; anatomical alignment, and as a functional measurement; range of motion was evaluated. Visual analogue scale (VAS) was measured as a pain score. The relation of functional and radiological measurements with VAS scores was analyzed. All the patients were re-evaluated with Oxford knee score. Results: Study group included 37 women and 6 men with a mean age of 63 (26-76). A total number of 76 knees (33 bilateral, 10 unilateral) were evaluated. Mean follow up time was 16.25 months (2-29 months). In the last evaluation; according to the preoperative evaluation, varus deformity improved, functional improvement could not be gained and VAS decreased, in 23 knees. In 21 knees, no radiological and functional improvement could be gained, VAS decreased. In 13 knees, no radiological difference was obtained, functions got worse, VAS decreased. In 3 knees, no radiological difference was obtained, functions were better, VAS decreased. Three knees were radiologically worse, without any change in functions, VAS decreased. In 2 knees, radiological and functional results improved, VAS decreased. In 2 knees, although there was postoperative infection, VAS decreased. In only 3 knees, radiological and functional results were worse and VAS score did not change. Mean Oxford knee score was 9.7. Conclusions: Although radiological and functional results are not so good, application of the knee prosthesis decreases the patients' pain and increases the patients' satisfaction.Öğe Isolated synovial chondromatosis of the proximal tibiofibular joint(Turkish Assoc Orthopaedics Traumatology, 2009) Heybeli, Nurettin; Ozcan, Mert; Copuroglu, Cem; Yalniz, ErolSynovial chondromatosis is a chronic, progressive disease of the synovial tissue where free chondral loose bodies are formed after metaplasia. It is mostly seen as a monoarticular disease in the knee, hip, shoulder, ankle, and elbow joints. To our knowledge, isolated synovial chondromatosis of the proximal tibiofibular joint has not been reported. A 36-year-old male patient presented with a complaint of pain on the lateral side of the right knee, whose severity gradually increased within the past two years. Radiological findings were suggestive of synovial chondromatosis of the proximal tibiofibular joint. The patient was treated with resection of the fibular head. including the satellite lesions. Histopathological examination confirmed the diagnosis. At one-year follow-up, the patient was symptomless, had full range of motion of the knee without pain, and had no problems in maintaining daily activities. Pathologies of the proximal tibiofibular joint must be kept in mind in patients with lateral knee pain.