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Öğe An analysis of the 50 most cited articles on congenital spinal anomalies Most-cited articles on congenital spinal anomalies(Bayrakol Medical Publisher, 2021) Mert, Ahmet; Bozgeyik, BahriAim: In this study, we aimed to identify the SO most cited articles on congenital spinal anomalies in the literature. Material and Methods: 'Congenital spinal anomalies' and 'congenital spinal abnormalities' were used as search words in the Web of Science database. The 50 most cited articles were analyzed. The study was carried out in May 2020. The publications in the study covered the years between 1990-2020. For all the articles, the journal in which they were published, the number of citations, the year of publication, the country of origin for citations, the level of evidence, and the type of study were recorded. Results: After searching in the Web of Science database, 1632 articles were found in the search results. The number of citations of the articles ranged from 35 to 391. The most cited article was by Bowman et al. titled 'Spina bifida outcome: 25-year prospective' published in Pediatric Neurosurgery in 2001. The most published journal was the 'Spine' journal. Twenty-six (52%) articles were conducted in the United States of America. The main focus of the articles was on congenital segmentation defects. Original research articles (n 31) were the most common study type. Discussion: Congenital spinal anomalies are difficult to diagnose and treat in spinal diseases. Analyzing the studies conducted in the literature will show, which topics are needed for more research and will guide the authors.Öğe COMPARATIVE ANALYSIS OF OPEN AND CLOSED FLOATING KNEE INJURIES(Sociedade Brasileira de Ortopedia e Traumatologia, 2023) Bozgeyik, Bahri; Büyükbebeci, Orhan; Güner, Savaş; Mert, AhmetObjective: To compare the functional outcomes between floating knee injuries with open femur and tibia fractures and closed floating knee injuries. Methods: Floating knee injuries (followed up and treated in our clinic) were retrospectively analyzed. Patients were divided into two groups: floating knee injuries with open femur and tibia fractures (Group 1) and floating knee injuries with closed femur and tibia fractures (Group 2). Patients were compared according to their demographic characteristics and clinical and functional outcomes. Results: Of 52 study patients, 28 had Group 1 injuries and 24, Group 2 injuries. We found a statistically significant difference in length of hospital stay between the two groups (p = 0.01) and a statistically significant difference in Karlström-Olerud functional scores between the groups (p = 0.02). We found osteomyelitis in five (17%) patients in Group 1 and in one (4%) patient in Group 2. Conclusion: Patients with floating knee injuries and open fractures showed poorer outcomes than those with closed fractures. Those with open floating knee injuries show complications more often and longer hospital stays. Level of Evidence III, Therapeutic Studies Investigating the Results of Treatment. © 2023, SciELO-Scientific Electronic Library Online. All Rights Reserved.Öğe Evaluation of the treatment efficacy of titanium elastic nail in addition to external fixator in humeral diaphyseal fractures: Comparison of three treatment methods(2022) Mert, Ahmet; Bozgeyik, Bahri; Tekin, Sezgin BahadırAim: This study aimed to compare the clinical and radiological outcomes of combined titanium elastic nailing and external fixator application (TEN+EFA) with EFA and plate osteosynthesis in patients with humerus diaphysis fractures. Materials and Methods: Data of the patients who underwent surgical treatment for a humerus diaphysis fracture were retrospectively reviewed. The patients were divided into three groups based on the surgical technique. Group 1 consisted of the patients who underwent plate osteosynthesis, Group 2 included those who underwent EFA, and Group 3 included those who went through TEN+EFA. Results: Eighty patients were included. The number of patients in the study groups was 32, 25, and 23 in Group 1, 2, 3, respectively. The duration of surgery was statistically significantly shorter in Groups 2 and 3 than in Group 1 (p=0.02). Nonunion was diagnosed in 3 patients (9.3%) and in 1 patient (4%) in Groups 1 and 2, respectively. The presence of nonunion was not statistically significant. (p=0.28) Malunion was encountered in 2 patients (4%) in Group 2, while no patients experienced malunion in Groups 1 and 3. The presence of malunion was not statistically significant. (p=0.10). Conclusion: The EFA+TEN is a practical, safe and fast procedure providing a minimally invasive surgical treatment option for patients with humerus diaphysis fractures.Öğe How does tranexamic acid affect blood transfusion and bleeding amount in pelvis-acetabulum fractures treated with open reduction and internal fixation?(Turkish Assoc Trauma Emergency Surgery, 2022) Tekin, Sezgin Bahadir; Demir, Ibrahim Halil; Bozgeyik, Bahri; Mert, AhmetBACKGROUND: This study aimed to investigate intravenous tranexamic acid's (TA) effect on blood loss and transfusion ratios in pelvis-acetabulum fractures treated with open reduction and internal fixation.METHODS: Patients who underwent open reduction and internal fixation due to pelvis-acetabulum fractures between January 2017 and January 2019 constituted this study's target population. After applying inclusion and exclusion criteria, patients were divided into two groups: Those who were perioperatively given 15 mg/kg TA (i.e., Group 1) and those who were not (i.e., Group 2). Data including age, gender, mechanism of injury, fracture type, presence or absence of additional injuries, the time interval between admission and surgery, incision site, pre-operative and post-operative hemoglobin levels, intraoperative estimated blood loss (EBL), number of blood units transfused, and complications were recorded. Two groups were compared regarding these parameters.RESULTS: The study cohort included 58 patients. There were 30 patients in Group 1 and 28 patients in Group 2. Our analysis revealed that the number of blood units transfused was significantly higher in Group 2 than Group 1 (p=0.016). However, there was no significant difference between the two groups regarding intraoperative EBL, pre-operative and post-operative hemoglobin levels, and the time interval between admission and surgery.CONCLUSION: Administration of intravenous TA reduces blood transfusion requirement in patients with pelvis-acetabulum fractures treated with open reduction and internal fixation. This approach can prevent potential blood transfusion-related complications.Öğe Relationship between admission neutrophil/lymphocyte, thrombocyte/lymphocyte, and monocyte/lymphocyte ratios and 1-year mortality in geriatric hip fractures: Triple comparison(Turkish Assoc Trauma Emergency Surgery, 2022) Tekin, Sezgin Bahadir; Bozgeyik, Bahri; Mert, AhmetBACKGROUND: Elderly patients with hip fractures have a high post-operative 1-year mortality rate. The aim of this study was to investigate the relationship of the neutrophil/lymphocyte ratio (NLR), thrombocyte/lymphocyte ratio (TLR), and monocyte/lymphocyte ratio (MLR) with mortality. METHODS: The data of 350 patients who suffered femoral intertrochanteric fractures between January 2015 and January 2020 were examined, and the demographic data of 124 patients who met the study criteria were evaluated. During the 1-year follow-up, 92 patients (74%) who continued their lives and 32 patients (25%) who died were divided into two groups: Group 1 (survivors) and Group 2 (non-survivors). NLR, TLO, MLO, presence of comorbidities, age, sex, American Society of Anesthesiologists Physical Status Classification, length of hospital stay, fracture type, and fracture pattern values were statistically compared between the two groups. RESULTS: NLR, TLR, and MLR are the laboratory parameters assessed within the scope of the study. Preoperatively, the mean NLR was 6.59 (1.61-26.29), mean TLR was 197.94 (86-516), and mean MLR was 0.73 (0.19-15.68). In this study, a significant relationship was found between NLR, TLR, and MLR values and the occurrence of post-operative 1-year mortality ( p=0.01). In addition, the result was significant in the correlation between these parameters. Cutoff values were found to be 7.53 for NLR, 192 for TLR, and 0.54 for MLR in receiver operator characteristic curve analysis (p<0.01). CONCLUSION: NLR, TLR, and PLR are significant predictors of 1-year mortality in patients aged over 60 years with hip fractures.Öğe Which is superior in the treatment of AO Type 42A tibial shaft fracture? A comparison of talon intramedullary nailing and conventional locked intramedullary nailing(Turkish Assoc Trauma Emergency Surgery, 2022) Tekin, Sezgin Bahadir; Mert, Ahmet; Bozgeyik, BahriBACKGROUND: This study aimed to compare the clinical and radiological outcomes of conventional locked intramedullary nailing (IMN) and talon IMN in AO Type 42A tibial fractures.METHODS: A total of 93 patients with AO Type 42A fracture were retrospectively analyzed. The patients were divided into two groups: Those treated with conventional IMN (Group 1), and those treated with talon distal locked nailing (Group 2). The patients were statistically compared in terms of age, sex, mechanism of injury, follow-up time, time to union, smoking status, presence of open fracture, presence of concomitant fibula fracture, development of malunion and nonunion, and the number of intraoperative fluoros -copy shots captured. All patients were evaluated with American Orthopaedic Foot and Ankle Society and Tegner Lysholm scores for clinical outcomes.RESULTS: A total of 93 patients (68 men and 35 women) participated in the study. Group 1 consisted of 35 (71.4%) men and 14 (28.6%) women, a total of 49 patients, while Group 2 consisted of 33 (75%) men and 11 (25%) women, a total of 44 patients. There were no significant differences between the two groups in terms of age, sex, mechanism of injury, follow-up times, smoking status, concomitant fibula fracture, presence of malunion, and presence of open fracture (p>0.05). However, there were significant differences between both groups in terms of time to union, nonunion rate, and the number of fluoroscopy shots captured (p<0.05). American Orthopaedic Foot and Ankle Society and Tegner Lysholm score were analyzed and compared, no statistically differences were found (p=0.786 and p=0.764).CONCLUSION: Although talon IMN reduces radiation exposure, locked conventional IMN has lower nonunion rates and achieves union faster.Öğe Which is Superior in the Treatment of Femoral Shaft Fracture? A Comparison of Talon Intramedullary Nailing and Conventional Locked Intramedullary Nailing(Galenos Publishing House, 2022) Mert, Ahmet; Bozgeyik, Bahri; Tekin, Sezgin BahadırObjective: This study compared the clinical and radiological outcomes of screw and talon locking systems, which are distal nail locking systems, in adult femoral shaft fractures treated with intramedullary nails. Methods: The data of patients who received intramedullary nails were retrospectively analyzed. The patients were divided into two groups: patients treated with conventional intramedullary nails (group 1) and those with a talon distal locking system (group 2). Both groups were assessed according to age, sex, fracture side, type of implant, length of surgery, fluoroscopy shot number of intraoperative fluoroscopy, length of postoperative follow-up, time to union, smoking, AO classification of fractures, and presence of malunion and nonunion. Additionally, patients were compared using the Knee Society score and Harris Hip score as clinical functional scores. Results: Among 102 study patients, were 21 (20.5%) females and 81 (79.5%) males, with a mean age of 39.34 (18-65) years. When the time to union, fluoroscopy shots number and length of surgery were compared between the groups, the results were statistically significant (p<0.05). There was no statistically significant difference in malunion and nonunion rates between the groups (p>0.05). Results of clinical scores were similar in both groups and there was no statistically significant difference (p>0.05). Additionally, smoking, age, sex and subtype of fracture did not have a statistically significant association with time to union, and malunion and nonunion rates (p>0.05). Conclusion: The talon system is a reliable method that provides an advantage in terms of radiation exposure and length of surgery compared to the conventional locking system. The union time was observed to be longer in patients using the talon system compared with the conventional method, and a joint decision should be made by the surgeon and the patient on the treatment method, by informing the patients about the advantages and disadvantages of this system before the operation. ©Copyright 2022 by Medical Journal of Bakırköy published by Galenos Yayınevi.
