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Öğe A 10-year-old boy with limping complaint(Galenos Yayincilik, 2015) Ciftdemir, Mert; Ciftdemir, Nukhet Aladag; Aydin, Deniz; Ozbek, Ulfet Vatansever; Saridogan, Kenan[Abstract Not Available]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 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 Pelvic Rib: Developmental Anomaly, A Case Report(Aves Yayincilik, Ibrahim Kara, 2008) Tuna, Hakan; Tastekin, Nurettin; Uenlue, Ercuement; Cermik, Tevfik Fikret; Saridogan, KenanPelvic rib is a rare and benign developmental abnormality. It typically appears as a rib or phalanx-like bone in radiological evaluation. Cortical type bone is pronounced in its structure and pseudoarticulation can exist. It is generally asymptomatic and does not require surgical treatment. In differential diagnosis, myositis ossificans and avulsion injury must be ruled out. In our case, this developmental abnormality was identified accidentally by radiographic evaluation of a patient who had trauma. Therefore, pelvic rib should be remembered in differential diagnosis of developmental skeletal abnormalities. (Rheumatism 2008; 23: 151-3)Öğe Reliability of ultrasonographic measurements in suspected patients of developmental dysplasia of the hip and correlation with the acetabular index(Medknow Publications, 2011) Copuroglu, Cem; Ozcan, Mert; Aykac, Bilal; Tuncer, Beyti; Saridogan, KenanBackground: Ultrasonography is accepted as a useful imaging modality in the early detection of developmental dysplasia of the hip (DDH). Early detection and early treatment of DDH prevents hip dislocation and related physical, social, economic, and psychological problems. The purpose of this study was to evaluate the reliability of ultrasonographic and roentgenographic measurements measured by seven different observers. Materials and Methods: The alpha angles of 66 hips in 33 patients were measured using the Graf method by seven different observers. Acetabular index degrees on plane roentgenograms were measured in order to assess the correlation between the ultrasonographic alpha angle and the radiographic acetabular index, which both show the bony acetabular depth, retrospectively. Results: The interclass correlation coefficient, measuring the interobserver reliability, was high and statistically significant for the ultrasonographic measurements. There was a negative correlation between the alpha angle and the acetabular index. Conclusions: Ultrasonography, when applied properly, is a reliable technique between different observers, in the diagnosis and follow up of DDH. When assessed concomitantly with the roentgenographic measurements, the results are reliable and statistically meaningful.Öğe Scintigraphic findings in plant thorn tenosynovitis of finger(Lippincott Williams & Wilkins, 2008) Kaya, Meryem; Tuna, Hakan; Tuncbilek, Nermin; Cermik, Tevfik Fikret; Saridogan, KenanA 37-year-old women with pain and swelling in the third finger of the left hand for 10 months secondary to a plant-thorn injury in her garden is presented. Three-phase bone scintigraphy was subsequently requested after the results of plain radiography were reported as normal. Dynamic bone scintigraphy showed increased activity in the proximal phalanx on the 3 phases of the study. Magnetic resonance imaging described the inflammatory soft tissue formation around the third flexor tendon as tenosynovitis. Culture of biopsy material was negative, and the histology was consistent with chronic inflammatory changes.Öğe Which Classification System is More Useful for Intertrochanteric Fractures? AO/ASIF or Jensen?(Aves Yayincilik, Ibrahim Kara, 2008) Memisoglu, Serdar; Eskin, Deniz; Yamak, Erkan; Guerbuez, Aydin; Saridogan, Kenan; Duelger, HakanObjectives: The aim of this study was to determine intra- and interobserver reliability of AO/ASIF and Jensen classification systems, and to compare reliability when applied by unexperienced and experienced orthopaedic surgeons. Patients and Methods: The anteroposterior and lateral radiographs of 60 intertrochanteric hip fractures were reviewed and classified by two groups (G1, G2) of orthopaedic surgeons using the AO and Jensen classification systems on two separate occasions three months apart. Each group consisted of five orthopaedic surgeons. Group 1 had less than five years, and group 2 had more than 10 years of experience. Kappa statistical analysis was used for determination of intra- and interobserver variation. Results: For the AO classification system without subgroups, the mean kappa value was 0.67 (range 0.47-0.90) for intraobserver variation and 0.42 (range 0.10-0.73) for interobserver variation. For the Jensen classification, the mean kappa value was 0.57 (range 0.35-0.80) for intraobserver variation and 0.30 (range 0.10-0.60) for interobserver variation. For the AO classification system with subgroups, the mean kappa value was 0.49 (range 0.21-0.81) for intraobserver variation and 0.23 (range 0.09-0.51) for interobserver variation. Conclusion: Although these classification systems have disadvantages, this study suggests that AO system without subgroups is more useful than Jensen and AO system with subgroups to classify intertrochanteric fractures of the proximal femur.
