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Öğe Comparison of Mortality Rates and Functional Scores of Proximal Femur Nail and Partial Hip Arthroplasty in Intertrochanteric Femur Fractures: A Retrospective Study(Gazi Univ, Fac Med, 2023) Tepedelenlioglu, Hueseyin Emre; Orhan, Ozlem; Aydin, Murat; Polat, Yusuf; Uslu, Mehmet Baran; Arikan, Sefik MuratObjective: Intertrochanteric femur fractures are common fractures with increasing life expectancy. The aim of treatment is to provide early mobilization and pre-fracture function in patients. In this study, we aimed to compare the mortality and function scores of two treatment modalities (proximal femoral nail and bipolar hemiarthroplasty) commonly used in the treatment of intertrochanteric femur fractures in a secondary care hospital. Materials and Methods: The study was planned for patients who underwent proximal femoral nail (PFNA) and bipolar hemiarthroplasty (BHA) due to femoral intertrochanteric fracture in a second-care hospital between 2017 and 2020. The data from a total of 199 patients were analyzed retrospectively. The operation method, age, sex, vitality, operation time, and hospitalization were recorded. The short form-36 (SF-36) questionnaire, recorded at the last visit, was evaluated in the surviving patients. Results: No significant difference has been found for gender and age compared to the operation method. However, the mortality rate of BHA is found to be higher than the rate of PFNA (p<0.001). Compared to the time of death, no significant difference is found between operation methods. The operative time and hospitalization were significantly lower in the PFNA (p<0.01, p<0.05; respectively). At postoperative measurements, SF-36 physical functioning, energy/fatigue, emotional well-being, social functioning, pain, general health, and total scores were higher in the PFNA. Conclusion: In this study, PFNA has low mortality and high functional scores in treating femoral intertrochanteric fractures. Therefore, PFNA is safer in a secondary hospital treating femoral intertrochanteric fractures and is recommended as a primary treatment option.Öğe Comparison of stiffness, elasticity and resilience values of ACL with autografts used instead of ACL in terms of texture analysis(Cell Press, 2024) Mert, Ahmet; Cinaroglu, Selim; Aydin, Murat; Cicek, Fatih; Ceranoglu, Faruk GaziBackground: Anterior cruciate ligament (ACL) ruptures are one of the most extensively studied injuries in the field of orthopedics, but despite the extensive research, graft selection for ACL reconstruction remains a matter of debate. The present study aims to evaluate the stiffness and elasticity of native ACLs using texture profile analysis and compare results with those of autografts used in ACL reconstruction. Methods: Included in the study were dissected 12 cadavers from which grafts were recovered. The graft characteristics, such as stiffness, elasticity and resilience, were measured using a TA.XT Plus Texture Analyzer. Findings: Among the grafts studied, Achilles' tendon graft (0.70; 0.64) had the highest resilience in both males and females, while the greatest elasticity was identified in the patellar tendon graft (Male: 93 %; Female: 94 %) in all subjects. The highest stiffness value in males was recorded for the quadriceps tendon graft (2928.76 N), while the highest stiffness value in females was recorded for Achilles' tendon graft (2204.61 N). Interpretation: According to the study data, the autografts that may be considered as an alternative to ACL were, listed in order of strength from high to low, the quadriceps, Achilles', patella and hamstring tendons in men, and the Achilles', quadriceps, patellar and hamstring tendons in women. It is worthy of note that the hamstring tendon graft, which is the most frequently preferred autograft in ACL reconstruction, was found to be the lowest in all parameters in both groups.Öğe Evaluation of Autografts Used in Anterior Cruciate Ligament Reconstruction in Terms of Tensile Strength(Springernature, 2023) Mert, Ahmet; Cinaroglu, Selim; Keles, Haci; Aydin, Murat; cicek, FatihIntroduction Anterior cruciate ligament (ACL) injuries increase the likelihood of chronic knee problems in later years, including early onset osteoarthritis. Therefore, ACL treatment is important in preventing knee problems from developing. The treatment of choice for ACL tears is surgery (ACL reconstruction), and the most popular tendons for ACL reconstruction are the patellar tendon, hamstring tendon (semitendinosus and gracilis tendons), and bone-patellar tendon-bone. The present study compares the tensile strength of autografts used in ACL reconstruction to identify the optimum autograft for ACL in terms of mechanical properties. Methods Cadavers were dissected, and the Achilles tendons, quadriceps tendons, hamstring tendons (semitendinosus and gracilis tendons), patellar tendon grafts, and ACLs were harvested. Tensile tests of each tendon graft were performed using a Shimadzu Autograph AG-IS 100 kN tester (Shimadzu, Kyoto, Japan). Results The mean difference in tensile strength between ACL and other grafts was lowest for the quadriceps in both males and females (p < 0.001), meaning that ACL and quadriceps grafts are more compatible than other tendon grafts in terms of tensile strength. Conclusion The present study found the lowest mean difference in tensile strength to be between the ACL and the quadriceps tendon, suggesting that the use of the quadriceps tendon in ACL reconstruction will yield more positive outcomes.Öğe Evolution of a traditional technique: Comparison of a 4-mm lag screw and Kirschner wire technique versus a 4-mm lag screw and Kirschner technique with anti-gliding miniplate fixation for the treatment of medial malleolar fractures(Turkish Assoc Trauma Emergency Surgery, 2022) Aydin, Murat; Cinaroglu, SelimBACKGROUND: In this study, we aimed to compare a 4-mm lag screw and Kirschner wire technique versus a 4-mm lag screw and Kirschner wire (K-wire) technique with additional miniplate fixation for the treatment of medial malleolar fractures. METHODS: A total of 23 patients who were diagnosed with isolated fractures of the medial malleolus and operated in our center were retrospectively analyzed. The patients were divided into two groups: Group A, medial malleolar fracture fixed with a 4-mm cannulated screw and a K-wire (n=11) and Group B, a 4-mm cannulated screw and K-wire used for fixation with miniplate fixation for extra stability (n=12). Clinical outcomes were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hind foot Score at 2, 6, 12, and 24 months postoperatively. At 12-24 months, the presence of pain and tenderness in the medial malleolus with palpation was evaluated using the visual analog scale (VAS) pain scores. RESULTS: The mean time to union was 2.23 +/- 0.56 (range, 1.8-2.9) months in Group A and 2.46 +/- 0.45 (range, 1.9-3.1) months in Group B, indicating no statistically significant difference between the two groups (p 0.01). However, there was no statistically significant difference in the mean AOFAS scores at 6 and 12 months between the groups (p 0.05). The mean VAS pain scores at 12-24 months postoperatively did not significantly differ between the groups (p>0.05). CONCLUSION: Our study results suggest that the treatment of medial malleolar fractures with a cannulated screw and K-wire with additional stabilization using a miniplate ensures favorable early outcomes with early return to daily living activities. However, both techniques have similar outcomes in the mid-term.Öğe Is malignancy effective in the healing time of pressure ulcers in intensive care patients?(Bayrakol Medical Publisher, 2021) Argun, Guldeniz; Aydin, Murat; Incel, Gulyasar Ketenci; Karaismailoglu, EdaAim: In this study, we aimed to investigate the duration of wound healing and an effective treatment management approach to patients with or without malignancy receiving wound care to provide effective wound care and to accelerate discharge. Material and Methods: Three hundred and forty-five patients who were treated in our clinic were included in the study. Records of patients with pressure ulcers among those who stayed in the Surgical Intensive Care Unit between January 1, 2018 and January 1, 2020 were accessed. Patients' pressure ulcers were graded on the Waterlow scale and standardized therapies were applied according to the grades. Dates of admission to the Intensive Care Unit (ICU), the pressure ulcers grades, comorbidities, laboratory values, administered treatment protocols and treatment response times were retrieved from the records and evaluated. Results: The patients were divided into two groups: patients with malignancy (Group M, n = 78) and those without malignancy (Group NM, n = 73). Comparison of all parameters according to pressure ulcer stages revealed a significantly low albumin level in malignant patients with Stage 2 and 3 pressure ulcers when compared to the non-malignant patients (Group M / Group NM, Stage 2 p<.01 and stage 3 p = 0.015). In malignant patients with low albumin levels and Stage 2 pressure ulcers, the wound healing time was prolonged statistically significant (Group M/Group NM, 13.28 +/- 5.64/11.50 +/- 6.34 days, p = 0.047). No significant difference was established in the mean duration of wound healing between patients with and without malignancy when groups were taken up in general (Group M/Group NM: 8.00 +/- 6.49 / 6.67 +/- 6.35 days, p = 0.52). Discussion: Malignancy does not play a role in the duration of wound healing in malignant and non-malignant patients treated in the intensive care unit at stage 1 pressure wounds. Furthermore, there is a difference in the duration of wound healing between malignant and non-malignant patients, even for Stage 2 and 3 pressure ulcers on the Waterlow scale.Öğe Residual Symptoms After Carpal Tunnel Decompression and Treatment With Gabapentin: A Multicenter Study(Springernature, 2021) Aydin, Murat; Argun, Guldeniz; Acar, Baver; Arikan, Murat; Cinaroglu, Selim; Mert, Ahmet; Togral, GiirayObjectives To identify postoperative residual symptoms of carpal tunnel syndrome (CTS) and to investigate the effectiveness of gabapentin in the treatment of residual symptoms. Materials and methods Of a total of 412 patients who underwent surgery for CTS in four centers over a four-year period, 14 who had residual symptoms after CTS release and did not receive gabapentin (Group A) and 14 patients with postoperative residual symptoms and received gabapentin were included in this retrospective study. Postoperative residual symptoms were defined as persistent nocturnal numbness and tingling with or without occasional daytime pain. Tinel's and Phalen's tests were performed for the diagnosis of residual symptoms. Functional Severity Score (FSS), Symptom Severity Score (SSS), and Visual Analog Scale (VAS) were used to evaluate functional outcomes, severity of symptoms, and numbness and sleep quality, respectively at six and 12 weeks postoperatively. Results There was no statistically significant difference in the mean postoperative FSS (p=0.845) and VAS-numbness scores (p=0.367) between the groups. However, there was a statistically significant difference in the mean postoperative SSS (p=0.025) and VAS-sleep quality scores (p<0.001) between the groups. Conclusion Gabapentin treatment can be a treatment of choice for residual symptoms after CTS surgery and clinical improvement can be achieved owing to its relieving effect, particularly in nocturnal symptoms of patients having neuropathic pain.
