18 results on '"Mustafa Karakaplan"'
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2. Percutaneous needle aponeurotomy for the treatment of Dupuytren’s contracture
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Yunus Oklu, Haci Polat, Kadir Ertem, Mehmet Şah Sakçı, and Mustafa Karakaplan
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Adult ,Male ,Reoperation ,030506 rehabilitation ,medicine.medical_specialty ,Percutaneous ,Visual analogue scale ,Aponeurotomy ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,Recurrence ,Surveys and Questionnaires ,medicine ,Humans ,Orthopedics and Sports Medicine ,Dupuytren's contracture ,Family history ,Aged ,Retrospective Studies ,Aged, 80 and over ,030222 orthopedics ,business.industry ,Rehabilitation ,Retrospective cohort study ,Middle Aged ,medicine.disease ,Fasciotomy ,Surgery ,Dupuytren Contracture ,Treatment Outcome ,Aponeurosis ,Needles ,Patient Satisfaction ,Female ,Neoplasm Recurrence, Local ,Contracture ,medicine.symptom ,0305 other medical science ,business ,Follow-Up Studies - Abstract
Objectives This study aims to present the early-period outcomes of patients with Dupuytren's contracture (DC) treated with percutaneous needle aponeurotomy technique. Patients and methods This retrospective study included 28 patients (20 males, 8 females; mean age 63 years; range, 44 to 88 years) (75 fingers) treated with percutaneous aponeurotomy due to DC between November 2011 and December 2015. Patients were evaluated according to their demographic characteristics, presence of additional disease, family history, history of drug use, complication rate, recurrence development, postoperative patient satisfaction, reoperational request, postoperative Disability of Arm Shoulder and Hand Questionnaire and visual analog scale scores. Results Mean follow-up duration was 29 months (range, 12 to 60 months). In the postoperative satisfaction questionnaire, 92.9% (n=26) of patients stated that they were satisfied. In the questionnaire of reoperation request, 82.1% (n=23) of patients accepted the reoperation. While the complication rate was 39.3%, recurrence rate was 35.7%. Conclusion Percutaneous needle aponeurotomy technique may be an effective, simple, and safe method for the treatment of DC.
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- 2019
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3. One portal endoscopic release of the first extensor compartment in de Quervain's disease
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Kadir Ertem, Ali Canbay, Mustafa Karakaplan, Okan Aslantürk, and Saim Yologlu
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Adult ,Male ,Wrist Joint ,medicine.medical_specialty ,Turkey ,Visual analogue scale ,Wrist ,De Quervain's disease ,Arthroscopy ,03 medical and health sciences ,0302 clinical medicine ,lcsh:Orthopedic surgery ,One portal ,Dash ,medicine ,Humans ,Orthopedics and Sports Medicine ,Stenosing tenosynovitis ,De Quervain Disease ,Radial nerve ,Aged ,Pain Measurement ,Retrospective Studies ,Subluxation ,030222 orthopedics ,medicine.diagnostic_test ,business.industry ,Endoscopy ,030229 sport sciences ,General Medicine ,Middle Aged ,Decompression, Surgical ,medicine.disease ,Arthralgia ,Surgery ,lcsh:RD701-811 ,Tenotomy ,Treatment Outcome ,medicine.anatomical_structure ,Female ,business ,Research Paper - Abstract
Objectives: We aimed to present preliminary result of one portal endoscopic assisted release of first dorsal compartment at wrist in a case series with de Quervain disease as a minimal invasive surgical method. Materials and methods: The patients, who underwent an endoscopic-assisted release of the first extensor compartment for de Quervain's disease by same hand surgeon between 2015 and 2017, were retrospectively analyzed. Operative treatment was considered if the patients did not respond to non-operative treatment including oral anti-inflammatory medications, splinting, and steroid injection. Surgical release was recommended after minimum four months of unsuccesful non-operative treatment, including a steroid injection. 10 wrists were treated with one portal endoscopic assisted release. All patients were evaluated at an average of 16.1 months follow-up using visual analog scale (VAS) pain ratings and the Disabilities of Arm, Shoulder and Hand (DASH) score. Results: The mean operating time was 13.9 min (range, 10–21min). The mean VAS and DASH scores were improved from 8.2 to 1.9 and 70.51 to 2.81 respectively. No significant difference was found between operated and non-operated arms in postoperative pinch and strengths. Transient superficial radial nerve paresthesia (two wrists) and significant scar tenderness (one) were identified in three cases. There was no patient that complain of unsightly scar and tendon subluxation. Conclusions: One portal endoscopic assisted release of the extensor compartment is an effective and safe minimal invasive procedure with similar complication rates reported previously in open and endoscopic procedures in patients with de Quervain's disease who are unresponsive to non-operative treatments. Level of Evidence: Level IV Therapeutic Study Keywords: De Quervain's disease, Stenosing tenosynovitis, One portal, Endoscopy, Wrist
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- 2019
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4. Which is more dangerous, earthquake or the panic? Evaluation Of The 24 January 2020 Elazig / Turkey Earthquake Related Musculoskeletal Injuries
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Emre, Ergen, Oğuz, Kaya, Özgür, Yılmaz, Hüseyin Utku, Özdeş, Ömer Cihan, Batur, Serdar, Karaman, İsmail, Güzel, Okan, Aslantürk, and Mustafa, Karakaplan
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Adult ,Male ,Emergency Medical Services ,Soft Tissue Injuries ,business.industry ,Panic ,medicine.disease ,Disasters ,Fractures, Bone ,Anesthesiology and Pain Medicine ,Earthquakes ,Emergency Medicine ,Humans ,Wounds and Injuries ,Medicine ,Female ,Surgery ,Medical emergency ,medicine.symptom ,Child ,business ,Retrospective Studies - Abstract
The aim of this study is to evaluate the musculoskeletal injuries related with 24 January 2020 Elazig/Türkiye earthquake and their treatment protocols.Data of patients applied to İnönü University Medical Faculty Hospital, Elazığ Training and Research Hospital and Malatya Training and Research Hospital emergency departments within 48 h after the earthquake, were evaluated retrospectively. Age, gender, soft tissue injuries and sites, fracture sites and types, fracture etiology, and treatment methods were evaluated.247 patients were evaluated. 118 were women and 139 were men. There were 24 (9.7%) pediatric patients. Mean age was 37.3 (1-92) years. Waist majority of injuries were simple soft-tissue injuries. There were 103 fractures in 86 patients. Thirty-eight patients' fractures were treated surgically.Every major disaster warrants retrospective studies so we can learn how to improve all levels of Emergency Medical Services. Great proportion of Elazıg earthquake victims had only simple soft tissue injuries such as sprain, laceration, or contusion. Many patients were injured due to reasons indirectly related to the destruction brought by the earthquake. Panic caused by the earth-quake caused more injury than the destruction it brought.
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- 2021
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5. Endoscopic assisted retrograde release of posterior interosseous nerve: Preliminary results of a new technique
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Kadir Ertem, Mustafa Karakaplan, Okan Aslantürk, Emre Ergen, Ali Canbay, and Miguel Angel Martin Ferrero
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030222 orthopedics ,medicine.medical_specialty ,business.industry ,Epicondylitis ,Retrospective cohort study ,Radial tunnel syndrome ,030229 sport sciences ,medicine.disease ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,Posterior interosseous nerve ,medicine.anatomical_structure ,Symptom relief ,Concomitant ,Endoscopic assisted ,medicine ,business ,Prospective cohort study - Abstract
Summary Purpose Open surgical release of posterior interosseous nerve (PIN) has been well defined in literature with different surgical approaches. In this retrospective study, we aimed to present outcomes of endoscopic assisted retrograde release of posterior interosseous nerve. Methods From 2015 to 2017, 10 patients with radial tunnel syndrome and concomitant lateral epicondylitis treated endoscopic assisted retrograde posterior interosseous nerve release. Results Mean follow-up time was 24,6 months. Eighty percent of the patients had excellent and good results in final follow-up using the Roles and Maudsley criteria. All of patients but one were satisfied from the surgery in terms of the symptom relief and improved functional state. Conclusion Our study showed that our endoscopic assisted technique could be a good alternative to open techniques. Complication rate of this new technique was similar to open techniques.
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- 2018
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6. [Gluteal compartment syndrome developing after nephrectomy and incisional hernia surgery]
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Mehmet Fatih Korkmaz, Mustafa Karakaplan, Gökay Görmeli, and Emre Ergen
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Male ,medicine.medical_specialty ,Incisional hernia ,medicine.medical_treatment ,Ischemia ,Compartment Syndromes ,Nephrectomy ,Fasciotomy ,Sepsis ,Postoperative Complications ,medicine ,Humans ,Incisional Hernia ,Orthopedics and Sports Medicine ,Buttocks ,Gluteal muscles ,business.industry ,Rehabilitation ,Middle Aged ,medicine.disease ,Surgery ,body regions ,medicine.anatomical_structure ,Anesthesia ,Trendelenburg gait ,medicine.symptom ,business - Abstract
Gluteal compartment syndrome is a rather rare syndrome often leading to severe sequelae, sepsis, renal failure, and even death due to delayed diagnosis. Establishing early diagnosis is essential to prevent complications associated with ischemia. In this article, we report a 56-year-old male patient who developed gluteal compartment syndrome after incisional hernia and nephrectomy surgery in lateral decubitus position. Gluteal muscle insufficiency developing after fasciotomy and Trendelenburg gait improved within two years.
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- 2017
7. Vascular pedicled iliac bone grafting is effective in patients with an early stage of femoral head avascular necrosis
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Haldun Topgül, Cihat Dağgez, Kadir Ertem, Demet Pepele, Mustafa Karakaplan, Nurzat Elmalı, and ELMALI, NURZAT
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Adult ,Male ,musculoskeletal diseases ,medicine.medical_specialty ,genetic structures ,Arthroplasty, Replacement, Hip ,Avascular necrosis ,Surgically-Created Structures ,Iliac crest ,Ilium ,Femoral head ,Femur Head Necrosis ,Hip replacement ,medicine ,Humans ,Orthopedics and Sports Medicine ,Femur ,Stage (cooking) ,Retrospective Studies ,Bone Transplantation ,business.industry ,Rehabilitation ,Patient Acuity ,Middle Aged ,musculoskeletal system ,Decompression, Surgical ,medicine.disease ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Harris Hip Score ,Orthopedic surgery ,Female ,business - Abstract
OBJECTIVES This study aims to evaluate clinical and radiological findings of a series of patients with avascular necrosis of the femur head (ANFH) treated by core decompression and vascular pedicled iliac crest grafting. PATIENTS AND METHODS This retrospective study included 26 hips of 22 patients (14 males, 8 females; mean age 36 years; range 16 to 48 years) with ANFH using the vascularized iliac bone grafting between March 2003 and July 2010 in our clinic. The main predisposing factor was steroid use in 13 patients. All patients were assessed clinically according to the Harris hip score and by radiographs by the Association Internationale de Recherche sur la Circulation Osseuse (ARCO) staging system. RESULTS The mean follow-up was 36 (range 14 to 62) months. Eleven hips (42%) had stage II and 15 hips (58%) had stage III ANFH. The mean Harris scores increased from 52 (range 31 to 63) to 82.8 (range 62 to 90) after surgery. Based on clinical outcomes, 18 hips (69%) were presented as excellent and good, while eight hips presented fair and poor. According to the ARCO staging system, satisfactory results were provided in 17 (65%) of the 26 hips. Two of four hips at preoperatively stage II progressed to stage III, two other hips to stage IV. Five hips at stage III preoperatively progressed to stage IV and these hips had to undergo hip replacement. CONCLUSION Our results suggest that core decompression and the vascular pedicled iliac bone grafting are effective in early stages of ANFH.
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- 2014
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8. Arthroscopic limited intercarpal fusion without bone graft in patients with Kienböck's disease
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Yunus Karakoc, Okan Aslantürk, Gökay Görmeli, Mustafa Karakaplan, and Kadir Ertem
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Adult ,Male ,Wrist Joint ,medicine.medical_specialty ,Adolescent ,Arthrodesis ,medicine.medical_treatment ,Wrist ,03 medical and health sciences ,Arthroscopy ,Disability Evaluation ,Young Adult ,0302 clinical medicine ,medicine ,Humans ,Orthopedics and Sports Medicine ,In patient ,Lunate Bone ,Stage (cooking) ,030222 orthopedics ,Bone Transplantation ,medicine.diagnostic_test ,business.industry ,Rehabilitation ,Osteonecrosis ,Postoperative complication ,030229 sport sciences ,Middle Aged ,medicine.disease ,Surgery ,Lunate ,medicine.anatomical_structure ,Female ,Kienböck's disease ,business ,Follow-Up Studies - Abstract
Objectives This study aims to present our clinical results obtained in arthroscopic limited intercarpal fusion performed without using bone graft in patients with Kienbock's disease. Patients and methods The study included 11 patients with Kienbock's disease (6 males, 5 females; mean age 28.9 years; range 14 to 51 years) who were performed arthroscopic lunate excision and scaphocapitate fusion between November 2012 and December 2013. Bain and Begg Arthroscopic Classification was used for the staging of Kienbock's disease. Quick Disabilities of Arm, Shoulder and Hand and Mayo Wrist scorings were used for clinical evaluation. Results Intercarpal fusion was achieved in approximately 7.2 weeks. There was a statistically significant difference in Mayo Wrist scores of postoperative third and sixth months and pre- and postoperative Quick Disabilities of Arm, Shoulder and Hand scores. There was no postoperative complication. Conclusion According to our study findings, arthroscopic limited intercarpal fusion without using bone graft may be performed in patients with Kienbock's disease. Satisfactory clinical and functional results were obtained as a result of treatment with this method in stage 3 and 4 Kienbock's disease.
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- 2016
9. Isolated Tuberculosis of Capitate and Triquetrum
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Kadir Ertem, Okan Aslantürk, Mustafa Karakaplan, Zeynep Özdemir, Muhammed Köroğlu, and Emre Ergen
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musculoskeletal diseases ,Triquetrum Bone ,medicine.medical_specialty ,Tuberculosis ,Debridement ,business.industry ,medicine.medical_treatment ,Wrist ,medicine.disease ,Curettage ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Triquetrum ,030220 oncology & carcinogenesis ,medicine ,Orthopedics and Sports Medicine ,business ,030217 neurology & neurosurgery ,After treatment ,Sinus (anatomy) - Abstract
Musculoskeletal system is involved in about 20% of the patients diagnosed with tuberculosis. Although musculoskeletal tuberculosis generally affects spine and large joints (hip and knee), hand involvement of the tuberculosis is seen in 10% of the patients with musculoskeletal involvement and also isolated tuberculosis of hand or wrist is much rarer. In the following report, we discuss the case of a 23-year-old male patient who was diagnosed with isolated tuberculosis of the capitate and triquetrum bone. The patient presented with a nonhealing sinus on the left wrist joint. Imaging revealed lytic lesions of the capitate and triquetrum. The diagnosis of tuberculosis was confirmed by histopathological examination on the bone specimen obtained from the debridement and curettage. Antituberculosis therapy was started postoperatively and 1 month later, healing of the sinus was observed. There was no sign of reactivation seen at follow-up 22 months after treatment.
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- 2016
10. Resection Arthroplasty in Shoulder Joint Tuberculosis: A Case Presentation
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ReÅŸit Sevimli, Mustafa Karakaplan, Mehmet Fatih Korkmaz, and Gökay Gormeli
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medicine.medical_specialty ,Tuberculosis ,medicine.anatomical_structure ,business.industry ,General surgery ,Resection arthroplasty ,medicine ,Shoulder joint ,General Medicine ,Case presentation ,Medical journal ,medicine.disease ,business - Published
- 2016
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11. Hydatid Cyst in the Biceps and Gluteus Muscles: Case Report
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Mustafa Karakaplan and Mustafa Ates
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Adult ,Male ,Microbiology (medical) ,Adolescent ,Turkey ,Hydatid cyst ,Biceps ,Muscular Diseases ,Echinococcosis ,parasitic diseases ,Animals ,Humans ,Medicine ,Cyst ,Gluteus maximus muscle ,Muscle, Skeletal ,medicine.diagnostic_test ,business.industry ,Magnetic resonance imaging ,Anatomy ,medicine.disease ,Magnetic Resonance Imaging ,Echinococcus ,Infectious Diseases ,Arm ,Geographic regions ,Buttocks ,Surgery ,Differential diagnosis ,business - Abstract
Primary hydatid disease in the muscle is extremely rare. Usually, intramuscular hydatid cysts are secondary, resulting either from the spread of cysts spontaneously or after operations for hydatidosis in distant regions.Report of two unusual cases of primary hydatid cysts in the gluteus and biceps brachii muscles, behaving as enlarging soft-tissue tumors, with review of the pertinent English-language literature.Magnetic resonance imaging and ultrasound examinations revealed an intramuscular cyst in the anterior aspect of one patient's biceps brachii and the other patient's gluteus maximus muscle; and no cyst existed in any other location. The cysts were excised totally, and the diagnosis of muscular hydatidosis was confirmed by histopathologic examination. In followup of two years after the operation, there has been no recurrence in either patient.In geographic regions where hydatidosis is endemic, hydatid cyst should be included in the differential diagnosis of a cystic mass in the muscle to avoid fine-needle biopsy and the consequences of spillage of cyst contents.
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- 2007
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12. Peroneal Intraneural Ganglion Cyst Arising from Proximal Tibiofibular Joint: Advantages of Magnetic Resonance Imaging on Preoperative Diagnosis
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Cemile Ayşe Görmeli Meryem Merve Hamurcu, Zeynep Özdemir, Aysegul Kahraman, Haldun Topgül, and Mustafa Karakaplan
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education.field_of_study ,medicine.diagnostic_test ,business.industry ,Palpable Masses ,Population ,Superior tibiofibular joint ,Magnetic resonance imaging ,Ganglion Kisti ,Peroneal Sinir ,Süperior Tibyofibular Eklem ,Manyetik Rezonans Görüntülemesi ,Anatomy ,Lateral side ,medicine.disease ,Intraneural ganglion ,Ganglion cyst ,medicine.anatomical_structure ,medicine ,Cyst ,Ganglion Cyst ,Peroneal Nerve ,Superior Tibiofibular Joint ,Magnetic Resonance Imaging ,business ,education - Abstract
Peroneal intraneural ganglion cystsusually occur in adult male population and may cause neurological symptoms. Most patients complain of pain and palpable mass located near the lateral part of the fibular neck where peroneal nerve passes through.Most of the patients share complaints of pain and palpable masses located near the lateral part of the fibular neck where peroneal nerve passes through. We would like to present the case of a 14-year-old girl who presented in our clinic with pain and mass at the lateral side of her knee and drop foot due to a peroneal intraneural ganglion cyst, a rare cause of lower extremity paralysis. In order to regain best possible recovery, quick diagnosis and immediate treatment are essential in such cases. Magnetic resonance imaging (MRI) provides reliable and proper information and while also shedding light on therapeutic approaches. Key words: Ganglion Cyst; Peroneal Nerve; Superior Tibiofibular Joint; Magnetic Resonance Imaging., Peroneal intranöral ganglion kisti, genelde erişkin yaşta erkeklerde ortaya çıkar ve nörolojik bulgulara yol açabilir. Hastaların çoğunda peroneal sinirin geçtiği fibula boynu laterali komşuluğunda ele gelen şişlik ve ağrı şikayeti ile karşılaşılmaktadır. Tanıda elektromiyografi ve radyolojik görüntüleme yöntemleri kullanılmaktadır. Biz burada dizinin dış yan tarafında ağrılı şişlik ve düşük ayak klinik tablosu ile başvuran 14 yaşında kız hastada alt ekstremite paralizisinin nadir nedenlerinden biri olan peroneal sinir yerleşimli intranöral ganglion kisti olgusunu sunduk. Sinir fonksiyonlarının geri kazanılabilmesi için mümkün olan en kısa zamanda cerrahi müdahale yapılmalıdır. Manyetik rezonans görüntülemesi (MRG) bu lezyonun hızlı ve doğru tanısına katkı sağlamakta ve tedavi yaklaşımlarına ışık tutmaktadır. Anahtar kelimeler: Ganglion Kisti; Peroneal Sinir; Süperior Tibyofibular Eklem; Manyetik Rezonans Görüntülemesi.
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- 2014
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13. Surgical Results of Developmental Dysplasia of the Hip
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Mehmet Fatih Korkmaz and Mustafa Karakaplan
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Surgical results ,musculoskeletal diseases ,medicine.medical_specialty ,business.industry ,Developmental dysplasia ,osteonecrosis ,lcsh:R ,lcsh:Medicine ,General Medicine ,medicine.disease ,Salter’s osteotomy ,Dysplasia ,developmental dysplasia of the hip ,Medicine ,Radiology ,business - Abstract
Surgical Results of Developmental Dysplasia of the Hip
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- 2014
14. Monoplanar versus biplanar medial open-wedge proximal tibial osteotomy for varus gonarthrosis: a comparison of clinical and radiological outcomes
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Nurzat Elmalı, Murat Can, Irfan Esenkaya, Mustafa Karakaplan, and ELMALI, NURZAT
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Male ,medicine.medical_specialty ,medicine.medical_treatment ,Radiography ,Osteoarthritis ,Osteotomy ,Arthroscopy ,High tibial osteotomy ,Bone plate ,medicine ,Humans ,Orthopedics and Sports Medicine ,Orthodontics ,Tibia ,medicine.diagnostic_test ,business.industry ,Patella ,Middle Aged ,Osteoarthritis, Knee ,medicine.disease ,Treatment Outcome ,Debridement ,Radiological weapon ,Orthopedic surgery ,Female ,Surgery ,business ,Bone Plates - Abstract
We compared clinical and radiological results of two proximal tibial osteotomy (PTO) techniques: monoplanar medial open-wedge osteotomy and biplanar retrotubercle medial open-wedge osteotomy, stabilised by a wedged plate.We evaluated 88 knees in 78 patients. Monoplanar medial open-wedge PTO was performed on 56 knees in 50 patients with a mean age of 55 ± 9 years. Biplanar retrotubercle medial open-wedge PTO was performed on 32 knees in 28 patients with a mean age of 57 ± 7 years. Mean follow-up periods were 40.6 ± 7 months for the monoplanar PTO group and 38 ± 5 months for the biplanar retrotubercle PTO group. Clinical outcome was evaluated using the hospital for special surgery scoring system, and radiological outcome was evaluated by the measurements of femorotibial angle (FTA), patellar height and tibial slope changes.In both groups, post-operative HSS scores increased significantly. No significant difference was found between groups in FTA alteration, but the FTA decreased significantly in both groups. Patellar index ratios decreased significantly in the monoplanar PTO group (Insall-Salvati Index by 0.07, Blackburne-Peel Index by 0.07), but not in the biplanar retrotubercle PTO group. Tibial slopes were increased significantly in the monoplanar PTO group, but not in the retrotubercle PTO group.Biplanar retrotubercle medial open-wedge osteotomy and monoplanar medial open-wedge osteotomy are both clinically effective for the treatment for varus gonarthrosis. Retrotubercle osteotomy also prevents patella infera and tibial slope changes radiologically.
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- 2013
15. Adventitious Bursitis Overlying an Osteochondroma of the Humerus Facing the Thoracic Wall
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Mustafa Karakaplan, Zeynep Özdemir, Aysegul Kahraman, and Nese Karadag
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Osteochondroma ,lcsh:Medical physics. Medical radiology. Nuclear medicine ,medicine.medical_specialty ,endocrine system ,animal structures ,Bursitis ,medicine.diagnostic_test ,business.industry ,lcsh:R895-920 ,Magnetic resonance imaging ,Case Report ,General Medicine ,Anatomy ,medicine.disease ,Surgery ,medicine.anatomical_structure ,medicine ,Humerus ,business ,Thoracic wall - Abstract
One of the complications of osteochondromas is the development of a bursa over the cartilaginous cap. We report a 15-year-old boy with a rapidly expanded adventitious bursitis overlying an osteochondroma of the humerus facing the thoracic wall, a location not previously reported for such bursa formation. Magnetic resonance imaging readily showed adventitious bursitis overlying the osteochondroma, thereby dispelling concerns for malignant transformation.
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- 2013
16. Effect of end-to-side repair of proximal nerve stumps of transected peripheral nerves on the development of neuroma (Experimental study)
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İrfan Ayan, Burak Germen, Suzan Zorludemir, Esin Atik, Muharrem Inan, Bora Bostan, Mustafa Karakaplan, Arslan Bora, Tokat Gaziosmanpaşa Üniversitesi, Çukurova Üniversitesi, Ayan, I., Bora, A., Karakaplan, M., Inan, M., Bostan, B., Germen, B., Atik, E., and Yeditepe Üniversitesi
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medicine.medical_specialty ,business.industry ,End-to-side ,Nerve ,Anastomosis ,Neuroma ,medicine.disease ,Surgery ,Peripheral ,Plastic surgery ,Medicine ,Original Article ,Orthopedics and Sports Medicine ,Epineurial repair ,business ,Standard therapy ,End to side anastomosis - Abstract
Objective: Neuroma is a psychologically and physically disabling problematic condition without any current standard therapy. For that reason, we investigated whether end-to-side anastomosis of the proximal end of the transected nerve into the adjacent nerve will prevent the development of neuroma in different types of nerve injuries. Study design: In this study, hind legs of 18 Sprague - Dawley female rats were used. Six groups were formed. In group I, peroneal nerves were transected and its proximal end was attached end-to-side through the epineural window to the adjacent tibial nerve. In group II, contrary to group I, an epineural window was created in the tibial nerve and the same number of sutures were employed. In group III, tibial nerve was transected proximal to the end-to-side repair site, whereas in group IV, distal segment of the nerve was cut, and an end-to-end repair procedure was repeated. In group V, unlike group I, an approximately 1-cm segment was resected and removed distal (from tibial nerve) to the end-to-side repair site. In group VI, an epineural window was created in the tibial nerve and the same number of sutures were used, and also a 1-cm distal nerve segment was resected. The rats were followed for 2 months, and then all of the groups were evaluated histopathologically, and weights of the posterior muscle groups of hind legs were evaluated. Findings and Conclusions: No neuroma formation was observed in the proximal stumps of peroneal nerve segments in end-to-side repair sites in groups I, III, IV, and V, and proximal stumps of the tibial nerve in group V. In group VI, neuroma formation was observed in the proximal end of the tibial nerve. When weights of the posterior muscle groups of hind legs in groups I and II were comparatively assessed, statistically significant difference was not detected. In conclusion, based on histological data obtained for proximal nerve ends and segments distal to the end-to-side repair sites, we think that end to side neurorrhaphy of the proximal end of the damaged nerve to adjacent nerve will prevent the development of neuroma without injuring the intact nerve segment. © American Association for Hand Surgery 2007. Acknowledgements We express our gratitude to Dr. Ahmet Harma for schematic presentation of control and test groups and to Dr. Mücahit Eğri for statistical evaluations. This study received no financial support.
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- 2007
17. Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases
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Mehmet Fatih Korkmaz, Engin Burak Selçuk, Abdullah Gogus, Mustafa Karakaplan, Zeliha Disli, and Mehmet Nuri Erdem
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Adult ,Male ,medicine.medical_specialty ,ASA ,Radiography ,medicine.medical_treatment ,Dentistry ,Bone Nails ,femoral fracture ,Fracture Fixation, Internal ,medicine ,Humans ,Internal fixation ,Aged ,Retrospective Studies ,Original Research ,Aged, 80 and over ,Osteosynthesis ,Hip Fractures ,business.industry ,Age Factors ,Implant failure ,Retrospective cohort study ,General Medicine ,Femoral fracture ,Middle Aged ,medicine.disease ,proximal femoral nail ,Surgery ,Pulmonary embolism ,Treatment Outcome ,Harris Hip Score ,Clinical Interventions in Aging ,Female ,Harris score ,Geriatrics and Gerontology ,business - Abstract
Mehmet Fatih Korkmaz,1 Mehmet Nuri Erdem,2 Zeliha Disli,3 Engin Burak Selcuk,4 Mustafa Karakaplan,1 Abdullah Gogus5 1Department of Orthopedics and Traumatology, Inonu University School of Medicine, Malatya, Turkey; 2Department of Orthopedics and Traumatology, Nisantasi University School of Medicine, Istanbul, Turkey; 3Department of Anesthesiology, Malatya Government Hospital, Malatya, Turkey; 4Department of Family Medicine, Inonu University School of Medicine, Malatya, Turkey; 5Department of Orthopedics and Traumatology, Florence Nightingale Hospital, Istanbul, Turkey Purpose: In this study, we aimed to report the results of a retrospective study carried out at our institute regarding cases of patients who had suffered proximal femoral fractures between January 2002 and February 2007, and who were treated with a proximal femoral nail. Materials and methods: One hundred consecutive cases were included in the study. A case documentation form was used to obtain intraoperative data including age, sex, mechanism of injury, type of fracture according to Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF) classification and the American Society of Anesthesiologists' (ASA) physical status classification (ASA grade). Clinical and radiographic examinations were performed at the time of admission and at the 6th week; subsequent visits were organized on the 3rd month, 6th month, and 12th month, and in patients with longer follow-up and annually postoperatively. The Harris score of hip function was used, and any change in the position of the implants and the progress of the fracture union, which was determined radiologically, was noted. Results: The mean age of the patients was 77.66 years (range: 37–98 years), and the sex distribution was 32 males and 68 females. Seventy-three fractures were reduced by closed means, whereas 27 needed limited open reduction. The mean follow-up time for the study group was 31.3 months (range: 12–75 months). Postoperative radiographs showed a near-anatomical fracture reduction in 78% of patients. The Harris hip score was negatively correlated with the ASA score and patient age. No cases of implant failure were observed. Three patients died before discharge (one due to pulmonary embolism, two due to cardiac arrest), and five patients died due to unrelated medical conditions within the first 3 months of the follow-up. Conclusion: Our study showed that proximal femoral nail is a reliable fixation with good fracture union, and it is not associated with major complications in any type of trochanteric femoral fracture. Keywords: ASA, femoral fracture, Harris score, proximal femoral nail
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- 2014
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18. Pseudoaneurysm discovered during reverse radial forearm flap after a gunshot injury: a case report
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Mustafa Karakaplan, Mehmet Fatih Korkmaz, Okan Aslantürk, and Kadir Ertem
- Subjects
Vascular wall ,lcsh:R5-920 ,medicine.medical_specialty ,Gunshot wound ,Radial forearm flap ,medicine.diagnostic_test ,business.industry ,Fistula ,lcsh:R ,GUNSHOT INJURY ,Thermal effect ,pseudoaneurysm ,lcsh:Medicine ,medicine.disease ,Surgery ,body regions ,Pseudoaneurysm ,radial forearm flap ,Angiography ,Medicine ,Radiology ,hand injury ,lcsh:Medicine (General) ,business - Abstract
Gunshots cause injury on the vascular wall by phsical forces and thermal effect. These injuries are minor intimal damage, complete or partial transaction of the vessel, arteriovenoous fistula and pseudoaneurysm. In this article we report a pseudoaneursym case, at a gunshot wound on right hand planned to repair by reverse radial forearm flap for to cover the defect occured at the ipsilateral dorsum of the right hand, which was suspected on CT angiography but missed out preoperatively and seen in surgery during exploration and reparied. [Med-Science 2013; 2(1.000): 414-22]
- Published
- 2013
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