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Acute Kidney Injury In Children
(2024) Gökceoglu, Arife Uslu; Aslan, Ahmet
Acute kidney injury (AKI) is a clinical condition characterized by sudden deterioration in kidney functions, increase in blood urea nitrogen (BUN) and serum creatinine levels, hyperkalemia, metabolic acidosis and hypertension. When defining AKI, current guidelines that consist of criterias determined by serum creatinine level and urine output are used. There are three main causes of AKI; prerenal, renal and postrenal. Prerenal AKI is most common etiology in children. Clinical symptoms of AKI vary depending on etiology. When evaluating a child with AKI, it should be noted that an increase in creatinine typically occurs 48 hours after renal injury and is the result of events 2-3 days earlier. The prognosis of AKI varies depending on the
Analgesic use may not decrease in the first postoperative year in patients underwent total knee arthroplasty due to advanced osteoarthritis
(Elsevier B.V., 2024) Aslan, Ahmet; Maytalman, Erkan; Gulcu, Anil
Background: Total knee arthroplasty (TKA) is expected to relieve pain and reduce the use of analgesics in patients with advanced knee osteoarthritis. However, in some cases, there is no relief in the pain of the patients and the use of analgesics continues. The aim of this study was to compare analgesic consumption one year before and after TKA in the same patient group and to evaluate whether there is a decrease in analgesic consumption after TKA. Method: The cumulative amounts of analgesia used by the patients in the one-year periods before and after the operation were checked from the automated patient records system and the national systems showing drug prescriptions. The dosages of all the analgesics used in the one-year periods before and after the operation were calculated and converted to oral morphine equivalents (OME). The demographic data of the patients, cumulative OME and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were used in the assessment. Results: It was observed that there was a statistically significant improvement in Womac scores after the treatment compared to the pre-treatment. Although the mean amount of analgesics decreased compared to pre-treatment, it was not statistically significant. Also, age and preoperative analgesic use were found to be the two most important factors in relation to total postoperative analgesic consumption. Conclusion: The results of this study indicate that there may not be a substantial reduction in the use of analgesic by patients within the first year after TKA. Furthermore, the age and preoperative analgesic use were identified as the two primary factors influencing postoperative analgesic consumption. Level of evidence: Retrospective Cohort Study. © 2024 Delhi Orthopedic Association
Analysis of routine blood markers for predicting amputation/re-amputation risk in diabetic foot
(Wiley, 2020) Gülcü, Anıl; Etli, Mustafa; Karahan, Oğuz; Aslan, Ahmet
Diabetic foot is challenging progressive disease which requires multisystemic control. Neuropathy, arteriopathy, and cellular responses should treated collaboratively. Despite all medical advances, diabetic foot can highly resulted with amputation and also re-amputation can be required because of failed wound healing. In this study, we aimed to investigate the relation between blood parameters and amputation events. Diabetic 323 patients include to the study who referred to orthopaedic clinic for amputation. Amputation levels (amputation levels phalanx, metatarsal, lisfranc, syme, below knee, knee-disarticulation, above-knee amputation) and re-amputations recorded and compared with routine blood parameters. Re-amputation was observed at 69 patients. The significant difference detected between lower albumin, higher HbA1c, higher CRP levels (P < 0.05) in regards to gross amputation levels, and increased wound depth. Furthermore, lower albumin levels and higher levels of WBC, HbA1c, CRP, and Creatinine were detected in re-amputation levels. Especially, HbA1c, CRP, and Creatinine levels were found as upper bound of reference line for re-amputation. The statistically optimal HbA1c cutoff point for diabetes was >= 7.05%, with a sensitivity of 86% and a specificity of 59%. In according to our results, simple blood parameters can be useful for observing the progress of amputation in diabetic foot. Particularly, lower albumin, and higher HbA1c, CRP, and Creatinine levels detected as related with poor prognosis. Besides, screening of HbA1c level seems to be highly sensitive for detecting of re-amputation possibility.
Are fragility fractures being treated properly?
(Turkish Joint Diseases Foundation, 2020) Atık, O. Şahap; Aslan, Ahmet; Odluyurt, Mustafa
[No abstract available]
Bibliometric Analysis of the Joint Diseases and Related Surgery: Part-2: The period after the SCI-E
(2024) Aslan, Ahmet; Asan, Ahmet
Aim: The first part of this article, the pre-SCI-E period, was previously published in Acta Medica Alanya as ‘Bibliometric analysis of the Journal of Joint Diseases and Related Surgery (JDRS). In this article, in the second part of the study, the factors affecting citation and the definition of bibliometric data in the post-SCI-E period were investigated by scanning Google Scholar, Scopus and WOS. Methods: This second study was designed as retrospective bibliometric. Articles were reviewed beginning from 2007 when the Journal covered by SCI-E, up to 2020 when it covered by PMC. Both authors scanned one by one the articles published in the JDRS Journal within the above stated time period, according to the Turkish-English or English titles and by using the information available on the journal's website for each article. At the end of year 2021 and in a 3 month period all articles were chronologically scanned in Google Scholar, Scopus, and Web of Science databases. All accessed articles were analyzed according to the characteristics and institutions of the authors, also language, type, topic, and discipline of the article. Results: Scanning for Scopus, Google, and WOS showed that the mean number of citations were 7.69 ± 11.72 for Google Scholar, 5.11 ± 6.88 for Scopus, and 4.36 ± 6.18 for WOS. In the last step of the logistic regression model analysis performed with the backward stepwise method; the article year-volume, male author, foreign author, article subtopic (6), article type (2), article type (1), and article language (1) were found to be variables effective on having a citation. In the linear regression analysis, the male sex variable was found to be significant for citations in all databases. English as the article language was a significant variable in citations, in all databases and subvariables. Conclusion: The results of this study showed that research articles and/or review articles contribute significantly to citations, and having English as the article language is important. Also, acceptance of articles that may call the attention of more than one specialty may increase the number of citations.
Bilimsel dergilerin Q değerleri: Anlamı, önemi ve kullanımı
(Alanya Alaaddin Keykubat Üniversitesi, 2020) Asan, Ahmet; Aslan, Ahmet
Bilimsel dergilerin Q değerleri, dergilerin kendi grubunda ve etki faktörüne bağlı sıralamasını belirleyen analitik bir araçtır. Derginin kendi grubu içindeki sıralamasını gösterir, yararlıdır ve akademisyenlerin dergi seçiminde de yol göstericidir ancak akademik yükseltmelerde kullanılmasında dikkatli olunmalıdır. Q değerleri bilimsel alanlara göre değişiklik gösterebilir. Bir derginin Q değeri kısaca, derginin bulunduğu alandaki dergi sayısının dörde bölünmesiyle ortaya çıkan% 25’lik dilimleri gösterir. İlk% 25’lik dilim Q1 değerini alırken, son% 25’lik dilim Q4 değerini alır. Dolayısıyle ikinci% 25’lik dilim Q2, üçüncü% 25’lik dilim ise Q3 değerini alır.
Bilimsellik ve H-endeksi
(Alanya Alaaddin Keykubat Üniversitesi, 2020) Karahan, Oğuz; Aslan, Ahmet
Bilimsellik, bir akademisyenin veya bir bilim adamının literatüre bilimsel katkısını tanımlayan kapsamlı bir ifadedir. Bilimselliği saptamak için kabul edilen bazı belirleyiciler vardır. h-endeksi, katkıda bulunanların bilimsel seviyesinin tespiti için hali hazırda kullanılan göstergelerden biridir. Bu yazıda h-indeksi ve gerekliliğini açıklamaya odaklandık.
Clinical, radiological and patient-reported outcomes in intra-articular calcaneal fractures: Comparison of conservative and surgical treatment
(2019) Aslan, Ahmet; Sargın, Serdar; Gülcü, Anıl; Konya, Mehmet Nuri
Objectives: This study aims to compare the radiological, clinical and patient-reported outcomes of patients with intra-articular calcaneus fractures treated conservatively or surgically. Patients and methods: Fifty-four patients (30 males, 24 females; mean age 41.0 years; range, 18 to 73 years) treated due to calcaneus fracture were included in the study. Twenty-nine patients underwent conservative treatment (group 1) and 25 patients underwent surgical treatment (group 2). The fractures were classified according to Sanders. At the final follow-up, patients’ Bohler’s angle, The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score and Foot Function Index (FFI) were used to evaluate their radiological, clinical and patient-reported outcomes. Postoperative complications were also noted. Results: The fracture was at the right foot in 28 patients and the left foot in 26 patients. The mean follow-up duration was 41.1±23.2 months (range, 24 to 126 months). No statistically significant differences were found between the groups in terms of gender, fracture side, mean age, or follow-up duration (p=0.951, p=0.571, p=0.326, and p=0.620, respectively). According to Sanders classification, 18 patients were type 2 and 11 patients were type 3 in group 1, while 11 patients were type 2 and 14 patients were type 3 in group 2. However, there was no statistically significant difference between the groups in terms of the type of the fracture (p=0.184). On the other hand, the outcomes were significantly better for group 2 compared to group 1 in terms of the Bohler’s angle, AOFAS and FFI scores (p=0.004, p=0.003 and p=0.006, respectively). In group 1, subtalar arthritis developed in three patients. In group 2, wound healing problems and superficial infection developed in three patients, while subtalar arthritis developed in two patients. Conclusion: Surgical treatment is more effective in intra-articular calcaneus fractures compared to conservative treatment according to clinical, radiological and patient-reported outcomes. In addition, wound problems should be considered in surgical management.
Comparison of Clinical Outcomes on Different Treatment Methods for Lateral Epicondylitis
(2022) Aksoy, Ahmet; Gülcü, Anıl; Aslan, Ahmet
Aim: In our study, the effectiveness of steroid injection therapy, extracorporeal shock wave therapy (ESWT) and splint use in the treatment of lateral epicondylitis, were compared.Methods: A total of 97 patients (28 males, 57 females, mean age: 47 years) with a clinical diagnosis of lateral epicondylitis were included in the study. The patients were divided into three treatment groups. Steroid injection was applied to 30 patients, ESWT treatment to 28 patients, and bandage treatment to 29 patients. Patients were evaluated with Visual analog scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores before and after treatment.Results: A decrease in VAS and DASH scores and clinical improvement compared to pre-treatment were observed in all three groups. Although positive results were obtained with all three treatment methods, we found that the most statistically significant treatment method was steroid injection. Better results were obtained in the group that received steroid injection with the peppering technique. (p<0.05).Conclusion: The results of this study showed that local steroid injection, ESWT application and bandage treatment may be beneficial in the short term in the treatment of patients with lateral epicondylitis. However, it was evaluated that the best improvement in scores was obtained with local steroid injection with the peppering technique, whereas the least improvement was obtained with bandage treatment.
Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy
(2019) Aslan, Ahmet; Diril, Sabri Kerem; Demirci, Demir; Yorgancıgil, Hüseyin
Objectives: This study aims to compare patients treated with single event multilevel surgery (SEMS) and multiple surgical events (MSE) for disorders of the lower extremities due to cerebral palsy (CP). Patients and methods: The study included 130 patients (74 males, 56 females; mean age 7.7±4 years; range, 4 to 13 years) who were retrospectively staged preoperatively and at the final follow-up with the Gross Motor Function Classification System (GMFCS). The patients were divided into two groups as group 1 (MSE) and group 2 (SEMS). Gross Motor Function Measure-88 (GMFM-88) was used as evaluation criteria and visual analog scale was used to measure family satisfaction. Results: In the final follow-up, group 2 had better GMFM- 88 D and E scores (p=0.037 and p=0.045, respectively). Similarly, family satisfaction was better in group 2 (p=0.047). There was a difference between preoperative and final followup GMFCS stages (I, II, III) of all patients (21/53/56 and 53/49/28; respectively, p<0.001). A total of 3.8 (range, 2-7) operations were performed per child. Conclusion: In this study, SEMS contributed significantly to movement, posture and independence of children with CP compared to MSE. Single event multilevel surgery also increased family satisfaction.
Coxa Magna following treatment of developmental dysplasia of the hip: investigation for associated potential factors
(Lippincott Williams & Wilkins, 2024) Topak, Duran; Aslan, Ahmet; Yorgancigil, Hueseyin
Coxa Magna (CM) is defined as a condition in which the horizontal (transverse) diameter of the femoral head is larger on the affected side than on the intact side. CM can occur as a manifestation of avascular necrosis (AVN) following treatment for the developmental dysplasia of the hip (DDH). Alternatively, it can also be secondary to other hip disorders, such as Perthes' disease. This study aimed to determine the prevalence and indicators of CM and AVN of the femoral head that can be detected during follow-up in patients with unilateral DDH treated with closed reduction (CR) or open reduction (OR) surgery. The files of 143 patients treated for unilateral DDH between January 1997 and December 2017 were reviewed retrospectively. A total of 104 patients, including Group 1 (n = 49) patients who underwent CR under general anesthesia and Group 2 (n = 55) patients who underwent OR were included in the study. CM; It was considered as the case where the femoral head was 15% or more larger than the intact side. A total of 104 patients were followed up for 77.27 +/- 13.96 months, with a mean age of 15.43 +/- 7.76 months. When Group 1 and Group 2 were compared, there was no statistical difference in terms of sex, side, adductor tenotomy, and AVN (P > 0.05). CM developed in 22.4% (n = 11) of the patients in Group 1 and in 49.1% (n = 27) in Group 2, and the difference was statistically significant (P = 0.008). When the effect of independent variables on the development of CM is evaluated with the multivariate logistic regression model, the risk of developing CM is 3474 times higher in those who underwent iliopsoas tenotomy compared with those who did not. The primary outcome of this study is that CM is more frequent in patients treated with OR for DDH. CM may be a nonpathological condition that occurs in connection with iliopsoas tenotomy or surgical treatment. Prospective studies with a larger number of cases, designed to minimize confounding factors, are required.
Determination of the acoustical performance of multipurpose music classrooms
(Taylor & Francis Ltd, 2024) Aslan, Ahmet; Oktav, Akin; Metin, Buket
It is important to analyse the multipurpose music classrooms (MMCs), where active teaching and music practice are held in the same space, with an eligible acoustical parameter set. In the current study, three different operational conditions (OCs) are introduced to determine such a parameter set, which includes T30, EDT, D50, C80, and STI. The aim of the study is to outline the acoustical performance of the MMCs according to the OCs. The acoustical performance of three MMCs located in three different schools is investigated. For the experimental component of the study, impulse response tests are conducted in the MMCs. The computational analysis incorporates the construction of 3D models of the MMCs. To cope with the epistemic uncertainties, a model update study is performed by synthesizing the experimental and computational outcomes. The results of the updated models are then compared to the regulations and the relevant studies available in the literature.
Does the Type of Surgical Technique and the Use of Prophylactic Antibiotics Affect the Clinical Results in Symptomatic Ingrown Toenail Patients?
(Sage Publications Inc, 2024) Sargin, Serdar; Gulcu, Anil; Aslan, Ahmet
Ingrown toenails are a common reason for referral to orthopedics and podiatry clinics. Recurrence and infection are common complications in ingrown toenail surgery. This study investigates the effect of an electrocautery matrixectomy on the recurrence and clinical outcomes in the Winograd technique applied in ingrown toenail surgery and whether prophylactic antibiotic use is necessary for these surgeries. One hundred forty-three patients who underwent surgery for ingrown toenails were analyzed retrospectively. Eighty-two patients underwent the Winograd procedure with electrocautery matrixectomy, whereas 61 patients underwent the Winograd procedure. While 78 patients were given prophylactic antibiotics, 65 patients were not. Patient satisfaction was evaluated with a surgical satisfaction questionnaire (SSQ). A visual analog score was used to evaluate the pain. Recurrence was observed in 3 toenails in the Winograd and electrocautery groups, while recurrence was observed in 9 toenails in the Winograd group (P = .018). In both groups, there was no statistically significant difference between the infection rates between patients who took antibiotics and those who did not (P > .05). There was no statistically significant difference between the groups in terms of SSQ scores (P > .05). It was observed that the surgery performed had a positive effect on pain, and this effect was statistically highly significant in both groups (P < .05). The outcomes of the present study suggest that the addition of an electrocautery matrixectomy to the Winograd technique in the surgical treatment of symptomatic Ingrown toenails may decrease recurrence rates. Additionally, this study showed that oral antibiotics, when used in addition to Ingrown toenail surgery, do not reduce postoperative morbidity.
Effect of vertical and lateral offset restoration on clinical outcomes in intracapsular and extracapsular hip fractures undergoing hemiarthroplasty
(2022) Dinçer, Recep; Gülcü, Anıl; Atay, Tolga; Başal, Özgür; Aslan, Ahmet; Baykal, Yakup
Objective We aimed to investigate whether there is a change in the postoperative lateral and vertical femoral offset (FO) in patients who underwent bipolar straight stem hemiarthroplasty (SSHA) and calcar stem hemiarthroplasty (CRHA) and whether this change makes a difference in the comparison of both groups. Material and methods This study included 109 patients who met these criteria. Patients are divided into two groups according to treatment methods. There were 58 patients (group 1) who underwent SSHA due to intracapsular (AO type 31- B neck and 31-C head fracture) femur fracture, and there were 51 patients (group 2) who underwent CRHA due to extracapsular (AO type 31-A intertrochanteric) femur fracture. We analyzed femoral vertical and lateral femoral offset, Wiberg angle, and head-neck angle difference in both groups. Results The median age was significantly higher in the CRHA group (p=0.042). The Harris hip score (HHS) was significantly higher in the SSHA group (p=0.023). The femoral offset difference was 5 mm in the SSHA group, while it was significantly lower (-6 mm) in the CRHA group (p<0.001). The Wiberg angle difference did not differ significantly between patient groups (p=0.214). The limb length difference was found to be similar in both surgical groups (p=0.483). Conclusions The study results show that there was no negative correlation between clinical and radiological outcomes in the SSHA group, whereas there was a negative correlation between clinical and radiological outcomes in the CRHA group. It is very difficult to control vertical and lateral offset reconstruction, especially in extracapsular hip fractures reconstructed by hemiarthroplasty. Deficiencies in lateral and vertical stabilization restoration may be associated with poor clinical outcomes in CRHA patients. Orthopedic surgeries should be performed carefully when restoring leg length and femoral offset, especially calcar replacement hemiarthroplasties.
Effect of Vertical and Lateral Offset Restoration on Clinical Outcomes in Intracapsular and Extracapsular Hip Fractures Undergoing Hemiarthroplasty
(2022) Dinçer, Recep; Gülcü, Anıl; Tolga, Atay; Başal, Özgür; Aslan, Ahmet; Baykal, Yakup B.
Objective We aimed to investigate whether there is a change in the postoperative lateral and vertical femoral offset (FO) in patients who underwent bipolar straight stem hemiarthroplasty (SSHA) and calcar stem hemiarthroplasty (CRHA) and whether this change makes a difference in the comparison of both groups. Material and methods This study included 109 patients who met these criteria. Patients are divided into two groups according to treatment methods. There were 58 patients (group 1) who underwent SSHA due to intracapsular (AO type 31-B neck and 31-C head fracture) femur fracture, and there were 51 patients (group 2) who underwent CRHA due to extracapsular (AO type 31-A intertrochanteric) femur fracture. We analyzed femoral vertical and lateral femoral offset, Wiberg angle, and head-neck angle difference in both groups. Results The median age was significantly higher in the CRHA group (p=0.042). The Harris hip score (HHS) was significantly higher in the SSHA group (p=0.023). The femoral offset difference was 5 mm in the SSHA group, while it was significantly lower (-6 mm) in the CRHA group (p<0.001). The Wiberg angle difference did not differ significantly between patient groups (p=0.214). The limb length difference was found to be similar in both surgical groups (p=0.483). Conclusions The study results show that there was no negative correlation between clinical and radiological outcomes in the SSHA group, whereas there was a negative correlation between clinical and radiological outcomes in the CRHA group. It is very difficult to control vertical and lateral offset reconstruction, especially in extracapsular hip fractures reconstructed by hemiarthroplasty. Deficiencies in lateral and vertical stabilization restoration may be associated with poor clinical outcomes in CRHA patients. Orthopedic surgeries should be performed carefully when restoring leg length and femoral offset, especially calcar replacement hemiarthroplasties.
Eklem hastalıkları ve cerrahisi dergisinin bibliometrik analizi: Bölüm-1: SCI-E öncesi dönem
(Alanya Alaaddin Keykubat Üniversitesi, 2019) Aslan, Ahmet
Amaç: Bibliyometrik analizler; bilimsel dergilerin iç değerlendirilmesinin yapılması ve etki değerinin arttırılmasına yönelik editöryal politikaların belirlenmesi açısından önemlidir. Bu makalede Eklem Hastalıkları ve Cerrahisi (EHC) Dergisinin bibliyometrik verilerin tanımlanması ve atıf almasını etkileyen faktörler araştırılmıştır. Gereç ve Yöntem: Retrospektif bibliyometrik olarak dizayn edilen bu çalışmada: Yayımlandığı ilk sayısından bu yana 30 yılık süreçteki EHC tüm makaleleri gözden geçirildi. Çalışmanın bu ilk bölümünde SCI-E öncesi dönem araştırıldı. Makalelerin yazar, kurum, çeşit ve konu özellikleri değerlendirildi. Atıf almayı etkileyen faktörler analiz edildi. Kategorik veriler için ki-kare, sayısal veriler için Anova testi ve posthoc karşılaştırmada t testi kullanıldı. Bulgular: Değerlendirilen toplam 688 makaleden 134 ü (%19,5) en az bir atıf almıştır. Bu çalışmada atıf almayı etkileyen en önemli faktör; makalelerin tam metinine internetten ulaşılabilmesi olmuştur (p<0,01). Ayrıca makale dili de atıf almada anlamlı bulundu (p=0,026). Makale başına ortalama yazar sayısı 3,8 ve atıf sayısı 0,7 olarak bulundu. Makalelerin en çok Üniversitelerden gönderildiği tespit edildi. Sonuç: Bilimsel bir derginin gelişim süreci içerisinde bazı mesafeler kat etmesi gerekmektedi. Dergide yayımlanan makalelerin tam metinlerine web ortamında erişilebilir olması, atıf almada önemli bir etkendir. Ayrıca özgün araştırma ve derleme türü makalelerin daha çok atıf alabileceği değerlendirilmiştir. Bununla birlikte iyi seçilmiş bir olgu sunumu da atıf alabilir. Son olarak uluslararası atıf açısından yurtdışı ve İngilizce makaleler avantajlı olabilir.
Evaluation of the Orthopedic Traumas in the Earliest Days of the 2023 Kahramanmaraş Earthquakes
(2023) Aslan, Ahmet; Balta, Orhan; Coskun, Huseyin Sina
In this editorial article, we endeavor to describe our experiences concerning earthquake victims with orthopedic injuries in a secondary hospital in one of the epicenters in the immediate post-quake period.
Gri literatür nedir ve nasıl aranır?
(Alanya Alaaddin Keykubat Üniversitesi, 2020) Çalış, Hasan; Aslan, Ahmet
Gri literatür terimi, ticari amaçlı basım şirketleri tarafından kontrol edilmeyen, kitap ya da dergilerde yayımlanmamış, basılı ya da elektronik formattaki akademik çalışmaların oluşturduğu literatür olarak tanımlanır. Birçok sistematik derleme ve metaanalizi, gri literatür kaynaklarını ve İngilizce dışındaki dillerde yayınlanan çalışmaları içermez. Bunların dahil edilmesi kesinliği artırır ve sistematik hataları azaltabilir. Gri literatürün bilimsel çalışmalar yaparken kaynaklar arasında taramaya katılması, kanıta dayalı sonuçlar elde etmek açısından çok önemlidir. Acta Medica Alanya dergisi özellikle derleme ve editöryal yazılarında gri literatüre yer vermekte ve araştırma yazılarında Türkçe dahil Ülkemiz kaynaklı makalelere atıfta bulunmayı desteklemektedir.
Hip and Knee Osteoarthritis: An Overvıew
(2022) Aslan, Ahmet
Osteoarthritis (OA) is currently the most common musculoskeletal disease causing significant pain, disability and socioeconomic costs worldwide. It primarily affects weight-bearing joints such as the knees and hips. It is the leading cause of disability in older adults causes pain, loss of function and impaired quality of life. The etiopathology of OA is complex and multifactorial with genetic, biological and biomechanical components. OA was previously thought to be simply a \"wear and tear\" disease predominantly associated with aging, and mechanically driven. However, it is now known that it is a much more complex process including mechanic, inflammatory and metabolic factors. Most clinical studies of hip and knee OA have focused primarily on improvement in pain and joint function. Current treatment methods do not seem to be sufficient to stop the course of OA, and functional outcomes may be poor in despite of all treatment modalities. The focus is so now on disease prevention and early OA treatment.
Hip Fracture in The Elderly: An Overvıew
(2022) Aslan, Ahmet
In this paper, the available information about hıp fracture ın the elderly is briefly reviewed. Intracapsular and extracapsular hip fractures, which usually occur due to low energy trauma in elderly patients, are one of the most important causes of functional disability, morbidity and mortality. Treatment of hip fractures; it requires the management of a broad spectrum from prevention to surgery and post-operative care. It is important to mobilize elderly patients with hip fractures as soon as possible by treating them with the appropriate method and to avoid systemic complications that may occur due to immobility.

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