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Öğe Analysis of routine blood markers for predicting amputation/re-amputation risk in diabetic foot(Wiley, 2020) Gülcü, Anıl; Etli, Mustafa; Karahan, Oğuz; Aslan, AhmetDiabetic 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.Öğe Are fragility fractures being treated properly?(Turkish Joint Diseases Foundation, 2020) Atık, O. Şahap; Aslan, Ahmet; Odluyurt, Mustafa[No abstract available]Öğe Bilimsel dergilerin Q değerleri: Anlamı, önemi ve kullanımı(Alanya Alaaddin Keykubat Üniversitesi, 2020) Asan, Ahmet; Aslan, AhmetBilimsel 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.Öğe Bilimsellik ve H-endeksi(Alanya Alaaddin Keykubat Üniversitesi, 2020) Karahan, Oğuz; Aslan, AhmetBilimsellik, 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.Öğe 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 NuriObjectives: 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.Öğe 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, HüseyinObjectives: 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.Öğe 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, YakupObjective 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.Öğe 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.Öğe Eklem hastalıkları ve cerrahisi dergisinin bibliometrik analizi: Bölüm-1: SCI-E öncesi dönem(Alanya Alaaddin Keykubat Üniversitesi, 2019) Aslan, AhmetAmaç: 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.Öğe Gri literatür nedir ve nasıl aranır?(Alanya Alaaddin Keykubat Üniversitesi, 2020) Çalış, Hasan; Aslan, AhmetGri 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.Öğe Hip Fracture in The Elderly: An Overvıew(2022) Aslan, AhmetIn 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.Öğe How is hip prosthesis and proximal femoral nail stability affected by lesser trochanter fractures: A comparative finite element analysis(2018) Konya, Mehmet Nuri; Aslan, Ahmet; Bakbak, SibelObjectives: This study aims to evaluate the effects of lesser trochanter (LT) and iliopsoas tendon on implant stability by using finite element analysis (FEA). Materials and methods: Effects of iliacus and psoas major muscles on hip joint was evaluated with inverse dynamics methods to calculate joint reaction and muscle forces. Intertrochanteric femur fracture was simulated according to AO (Arbeitsgemeinschaft für Osteosynthesefragen) 31A1 and 31A2 classifications in threedimensional modelling software. Uncemented three-dimensional model of modular nail prosthesis combination was used in FEA. All analyses were performed with Ti6Al4V’s 114 GPa elastic modulus value. Effects of LT on implant stability were evaluated with two different implant designs using the same femoral stems and four different femoral models, two of which with intact LT and two of which with fractured LT. Results: Reaction forces of the hip joint decreased by 10% in the 0-40° hip flexion range. Maximum stress distribution for proximal femoral nail (PFN) model with fractured LT was 204.68 MPa at the distal locking screw on the interconnection point of PFN, while it was 335.35 MPa for the hip prosthesis with fractured LT. The direction of stress distribution for PFN model with fractured LT varied from medial to lateral and anterior to posterior. Maximum stress distribution for the hip prosthesis model with intact LT was 357.42 MPa, with direction of stress distribution from lateral to medial and posterior to anterior. Conclusion: Hip prosthesis models with intact or fractured LT were similar in terms of stress distribution and deformation values, while there were differences between PFN models with intact or fractured LT. Thus, intact LT was significant in PFN implant stability. Further clinical and experimental analyses are necessary on this topic.Öğe Investigation into the effects of static and electric fields on bone healing process: An experimental tibial fracture model study in Wistar-Albino male rats(2021) Aslan, Ahmet; Koçak, Ahmet; Çömlekçi, Selçuk; Kirdemir, VecihiOBJECTIVE: In this experimental study, we aimed to investigate whether 0 Hz-Static and 50 Hz-Electric fields have an effect on bone healing.METHODS: In this study, 45 male Wistar-Albino rats were equally and randomly separated into three groups as follows: a 0 Hz-Static electric field (SEF), a 50-Hz low-frequency electric field (LFEF) and a control group. A manual fracture was per-formed in the left tibia diaphysis of all rats, and fractures were fixed using circular plaster over the knee. The LFEF group was exposed to 50 Hz electric field for 30 minutes a day, five days a week, for a total of eight weeks. The SEF group was exposed to 0 Hz electric field within the same time interval. The control group was held in identical environmental conditions, without exposure to electric field. Periodic radiographs were taken from all the animals. At the end of this study, rats were sacrificed and mechanical/histopathologic examinations were performed.RESULTS: Radiologic, mechanical and histologic scores of the LFEF group were lower than those of the SEF and control groups; however, no significant difference was found in group comparisons in terms of average histologic and radiologic scores (p>0.05).CONCLUSION: Results extracted from the current study suggest that 0-hz static and 50-hz electric field exposures affect bone healing tissue of tibial fracture models in rats, although it is not significant.Öğe Is electromagnetic guidance system superior to a free-hand technique for distal locking in intramedullary nailing of tibial fractures? A prospective comparative study(2020) Aslan, Ahmet; Konya, Mehmet Nuri; Gülcü, Anıl; Sargın, SerdarABSTRACT BACKGROUND: Intramedullary nailing (IMN) technique is the gold standard for the treatment of closed fractures of the lower extremity long bones. For orthopedic surgeons, one of the most important problems in IMN procedures is the fixation of distal locking screws (DLS). Accurate and rapid placement of DLSs with minimal radiation exposure is crucial. In this study, we aimed to compare the results of two different distal locking methods concerning surgery duration and radiation exposure in patients who underwent osteosynthesis of tibia fractures with IMN. METHODS: In this prospective study, the results of 56 patients who met the inclusion and exclusion criteria from 72 patients were evaluated. Patients were divided into two groups according to the distal screwing method. Group 1 (n=29) comprised patients who used free-hand technique (FHT) for distal locking, while Group 2 (n=27) consisted of patients who used electromagnetic guidance system (EMGS) for distal locking. Demographic and medical data of the patients, duration of surgery time, amount of bleeding, total fluoroscopy counts, the time elapsed for distal locking, the measure of radiation exposure, number of attempts for distal screw locking, incorrect screw placements, complications and follow-up time were recorded. The groups were compared concerning demographic data and clinical results. RESULTS: There was no statistically significant difference between the groups about gender and side (p=0.928 and p=0.432, respectively). The mean age in Group-1 was higher than that of Group-2, and the difference was statistically significant (p=0.012). However, there was no statistically significant difference in length of hospital stay in Group-1 (p=0.140). On the other hand, in Group-2, the number of distal shots, fluoroscopy duration, effective radiation dose and operation duration were lower compared to Group-1, although this difference was not statistically significant (p=0.057, 0.073, 0.058 and 0.056, respectively). Failure was encountered in distal locking during the first attempt in three cases in Group-1 and in two cases in Group-2. Aseptic nonunion was observed in one patient in both groups. CONCLUSION: Both the FHT distal screwing technique and the EMGS distal screwing technique are highly effective methods for distal locking. The duration of operation, the duration of the fluoroscopy and radiation exposure were similar. FHT can be preferred for distal locking in conventional intramedullary nail applications, as it is effective, easy and inexpensive.Öğe Kalça gelişimsel çıkığı'nın kapalı veya açık redüksiyon ile tedavisi sonrası Koksa Magna: Süreç veya sekel mi?(Alanya Alaaddin Keykubat Üniversitesi, 2019) Aslan, AhmetAmaç:Bu çalışmada kapalı redüksiyon (KR) ya da açık redüksiyon (AR) ile tedavi edilen tek taraflı Gelişimsel Kalça Displazisi (GKD) olgularının takiplerinde görülen, Koksa Magna (KM) sıklığının belirlenmesi ve etkileyen faktörlerin araştırılması amaçlandı. Yöntem: Hastalar retrospektif olarak iki gruba ayrıldı. Grup-1: Genel anestezi altında kapalı redüksiyon (KR) ve pelvipedal alçı yapılan olgulardan oluşuyordu. Grup-2: Medial Açık redüksiyon (AR) ve pelvipedal alçı uygulanan olgulardan oluşuyordu. Son kontrolde femur başı çaplarının ölçümü yapıldı. KM tanısına sağlam tarafa göre %15 fazla büyüklük ölçütüyle karar verildi. Avasküler nekroz (AVN) tanısı Salter ve ark. ölçütlerine göre kondu. AVN sınıflandırması KalamchiMc Ewen ölçütleriyle yapıldı. Bulgular: Gruplar arasında ameliyat öncesi Tönnis evresi ve tedavi yaşı bakımından anlamlı farklılık vardı (sırasıyla p=0,000 ve p=0,003) ancak diğer parametreler bakımından farklılık bulunamadı (p>0,05). Grup 2’de KM görülme sıklığı anlamlı olarak daha fazlaydı (p=0,017) ancak AVN bakımından gruplar arasında fark bulunamadı (p=0,532). Sonuç: Bu çalışmanın ana sonuçları GKD nedeniyle AR yapılan olgularda KM sıklığının daha fazla olduğunu göstermektedir. KM iliopsoas tenotomisiyle ve/veya uygulanan tedaviyle ilişkili patolojik olmayan bir durum olabilir. Bununla birlikte bu KM olguları Tip 1 AVN’un bir tezahürü de olabilir. Bu konuda daha fazla olgu sayısıyla, sonuçları etkileyebilecek faktörlerin en aza indirildiği, ileriye dönük iyi dizayn edilmiş çalışmalara ihtiyaç vardır.Öğe Kanıta dayalı tıp ve klinik uygulama klavuzları(Alanya Alaaddin Keykubat Üniversitesi, 2018) Aslan, Ahmet[No abstract available]Öğe Kronik Rotator Manşet Yırtıklarının Cerrahi Tedavisinde Klinik Sonuçlarımız: Retrospektif Karşılaştırmalı Çalışma(2021) Gülcü, Anıl; Aydın,Serkan; Aslan, AhmetBu çalışmada, tam kat rotator manşet yırtıklarının cerrahitedavisinde artroskopik yardımlı mini açık yöntem ile tamartroskopik yöntemin klinik sonuçlarının karşılaştırılmasıamaçlandı. Kliniğimizde 2017-2018 yılları arasında tam katrotator manşet yırtığı nedeniyle cerrahi tedavisi yapılan ve en azbir yıl takip edilen 42 hastanın sonuçları retrospektif olarakdeğerlendirildi. Hastaların tanısı klinik fizik muayene vemanyetik rezonans görüntüleme ile konuldu. Hastalar tedaviyöntemine göre iki gruba ayrıldı. Grup 1 (Tam Artroskopik) 25hastandan ve Grup 2 (Artroskopik yardımlı mini açık) 17 hastadanoluşmaktaydı. Hastaların klinik sonuçlarınındeğerlendirilmesinde UCLA (University of California LosAngeles) ve ASES (American Shoulder and Elbow Surgeons)skorları kullanıldı. Rotator manşet yırtıkları boyutuna göreküçük,orta, geniş olarak sınıflandırıldı. Hastaların hepsinehastanemizde aynı fizik tedavi protokolü uygulandı. Gruplararasında, cinsiyet, taraf, ek patoloji, ameliyat ve hastanede kalışsüreleri bakımından anlamlı farklılık saptanmadı(sırasıylap=0.952; p=0.716; p=0.952; p=0.88 ve p=0.138). Rotator manşetyırtığının boyutunda (küçük, orta, geniş yırtık) gruplar arasındaanlamlı farklılık bulunamadı(p=0.158). Grupların preoperatif, 6.ay ve 1. yıl UCLA skorlarında istatistiksel olarak benzer bulundu(sırasıyla p=0.979; p=0.678 ve p=0.676). Benzer şekilde ASESskorlarında da gruplar arası anlamlı farklılık bulunamadı(sırasıyla p=0.083; p=0.154 ve p=0.795). Diğer yandan grup içideğerlendirmede preoperatif UCLA skorlarına göre, postoperatif6. ay ve 1. yıl skorları istatistiksel olarak daha iyiydi (p<0.001).Yine preoperatif ASES skorlarına göre, postoperatif 6. ay ve 1. yılskorları istatistiksel olarak anlamlıydı.(p<0.001). Bu çalışmanınsonuçları, hastaların her iki tedavi yönteminden de fayda gördüğüve artroskopik yardımlı mini açık ve sadece artroskopik yönteminsonuçlarının benzer olduğunu göstermektedir.Öğe Osteoporosis and Fragilty Fractures: An Overview.(2021) Aslan, AhmetOsteoporosis (OP); It is a metabolic bone disease characterized by decreased bone mineral density (BMD) and bone strength, increased bone fragility and fracture risk, and deterioration in the microarchitecture of bone tissue. The most important cause of morbidity and mortality in OP are fragility fractures such as osteoporotic hip fractures. Prevention and treatment of osteoporosis can prevent hip fractures and comorbidities. In this paper, the available information about Osteoporosis and Osteoporotic fractures is briefly reviewed.Öğe Radiologically Guided Versus Blinded Intra-articular Injection in Patients With Hip Osteoarthritis: A Retrospective Comparative Study(2022) Aksoy, Ahmet; Gülcü, Anıl; Tuna, Mehmet Mert; Aslan, AhmetOBjeCTIVeS: The aim of this study was to present the clinical results of patients with Kellgren-Lawrence (KL) stage 2-4 hip osteoarthritis who were administered intra-articular corticosteroid (CS) or hyaluronic acid (HA), with or without fluoroscopy.MeTHOdS: This retrospective comparative study was conducted in the clinics where the authors worked between 2010 and 2018. Patients with stage 2-4 hip osteoarthritis according to KL criteria were included in the study. Age, body mass index, American Society of Anesthesi-ologists stages, and Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores (3rd, 6th, and 12th months) were recorded. Two groups were created as patients who underwent injection with or without fluoroscopy guidance. In group 1, CS (triamnisolone) was administered, and in group 2, sodium hyaluronate 88 mg/4 mL was administered. Obtained parameters were compared.ReSulT S: The WOMAC scores at 3 months of both the CS and HA groups were statistically significantly better than before the application, with the improvement in the CS group found to be significantly better than in the HA group (P = .047). At 6 months, the mean WOMAC scores of the CS and HA groups were better than prior to the application, and there was a statistically significant difference (P< .001). No significant differ-ence was found in either the CS or HA group in the comparison of 12-month WOMAC scores with the baseline scores (P = .744 and P = .054).COnCluSIOn: In symptomatic hip OA patients, intra-articular administration of CS and HA was seen to be effective at 3 and 6 months after administration. However, the effectiveness was determined to have disappeared within 1 year. Furthermore, in hip OA intra-articular drug applications, it was determined that the blinded technique without radiological guidance performed in the outpatient clinic is as effective and safe as the radiologically guided technique administered in the operating roomÖğe Relationship Between Diagnostic Anatomic Shoulder Parameters and Degenerative Rotator Cuff Tears: An MRI Study(2022) Gülcü, Anıl; Aslan, Ahmet; Dinçer, Recep; Özmanevra, Ramadan; Huri, GaziBackground: Numerous radiographic measurement methods related to rotator cuff tears (RCTs) have been described. The most widely used of these parameters is the critical shoulder angle (CSA) as measured via radiography. However, magnetic resonance imaging (MRI) measurements provide more accurate results than direct radiography. Purpose: To determine the relationship between anatomic shoulder parameters and RCT type via MRI scans. Study Design: Cross-sectional study; Level of evidence, 3. Methods: The data and physical examination notes of 389 patients were retrospectively analyzed, and 242 patients were included in the study. Patients were divided into 2 groups: those with RCT (n = 127) and those without RCT (control group; n = 115). Using suitable MRI sections, the CSA, lateral acromial angle, acromial index, superior glenoid inclination, acromion–greater tuberosity impingement index, and acromiohumeral distance were compared between the RCT and control groups. The correlation of these shoulder parameters with the presence of RCT was investigated, and the predictive value of each parameter was examined using receiver operating characteristic (ROC) analysis. Results: There were significant positive relationships between the presence of RCT and CSA, acromial index, acromion–greater tuberosity impingement index, and superior glenoid inclination, with the strongest correlation belonging to CSA (r = 0.716). There were also significant negative relationships between presence of RCT and lateral acromial angle (r = –0.510) and acromiohumeral distance (r = –0.222). The ROC analysis revealed CSA to be the best predictor for the presence of RCT (area under the ROC curve = 0.899). Conclusion: The study outcomes showed that CSA as measured on MRI is the best predictor for determining the presence of RCTs. In patients with shoulder pain attributed to RCT, it may be helpful to examine the CSA on MRI.
