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Öğe Has the Covid-19 Pandemic Affected the Practice of Orthopedics and Traumatology?(2022) Aksoy, Ahmet; Sargın, Serdar; Atik, Aziz; Gülcü, AnılAbout the impact of the Covid-19 pandemic on the practice of Orthopedics and TraumatologyÖğe Reproducible and Reliable Method for Syndesmotic Screw Fixation: An MRI-Based Cross-Sectional Image Analysis(Elsevier Science Inc, 2022) Sargin, Serdar; Atik, Aziz; Ulusal, Ali Engin; Aslan, Ahmet; Kulunk, Mert IsmailAnkle arthrosis may be an unexpected potential result in syndesmotic injuries because of instability and malreduction. For anatomical reduction and stabilization, a reliable and stable reference point is crucial to correctly place syndesmotic screw. The aim of this study was to determine a reliable reference point and to quantify the ideal angle for placement of the screw. In this prospective cohort study, 99 healthy volunteers underwent right ankle magnetic resonance (MR) imaging. On the axial sections, the ideal axis of the syndesmotic screw and other reference points were depicted with 4 lines and 2 angles which were evaluated at the level 2 cm above the tibial plafond. Values were recorded by 2 independent observers to assess for interobserver reliability. The mean value of syndesmotic screw position according to the ground line was 28 degrees +/- 6.4 degrees like Arbeitsgemeinschaft fur Osteosynthesefragen suggestion. Furthermore, it was determined that the syndesmotic screw could be placed more precisely in the position when placed at an angle of 26.2 degrees +/- 1.1 degrees with the axis perpendicular to the line passing through the anterior tibial and Achilles tendons. Ideal syndesmotic screw positioning must be stable enough in case not to be affected by lower extremity alignment deficiencies or foot deformities. So, the anterior tibial and Achilles tendons can be used as reproducible and reliable landmarks for the placement of syndesmotic screws. (C) 2021 by the American College of Foot and Ankle Surgeons. All rights reserved.Öğe Should We Suture Arthroscopic Portals? Effects on Intra-articular Fluid Retention(Georg Thieme Verlag Kg, 2023) Sargin, Serdar; Atik, Aziz; Aslan, AhmetKnee arthroscopy is one of the most common surgical procedures in orthopaedics and especially in sports medicine. Portal problems and effusion after knee arthroscopy have been reported. The fluid retention within the joint in knee arthroscopy can affect clinical outcomes, but there is no consensus on portal management. The studies of portal management in knee arthroscopy have mainly addressed wound healing and cosmetic problems. There is insufficient information in the literature about whether the irrigation fluid used in this effusion contributes to the process. This study investigates whether arthroscopic irrigation fluid is retained in the joint and whether portal-closure management has an effect on effusion. In this randomized, prospective study, 91 patients (46 [50.5%] sutured-portal group and 45 [49.5%] open-portal group) were included. Suprapatellar knee-diameter measurement and the number of times the dressing was changed were used to assess intra-articular fluid collection. The visual analog scale (VAS) score, Oxford knee score, and Knee Society score were used to evaluate knee problems. All portal wounds in both groups healed without any problems. Superficial or deep infection was not observed in either group. There was no statistically significant difference in VAS score, Oxford knee scores, and Knee Society scores between groups. Although there was a decrease in the knee diameter of both groups between the early postoperative period and first postoperative day, a statistically significant difference in knee diameter was found, especially in the open-portal group. There was a significant difference between the groups in terms of the number of dressings used in the first 24hours after surgery. Leaving portals open may be effective in preventing intra-articular fluid retention. We thus advise leaving the arthroscopy portals open with just a simple dressing for selected patients.Öğe The relationship of inflammatory indicators and metabolic syndrome with gonarthrotic cartilage degeneration: A novel glance(2021) Atik, Aziz; Altun, ErenObjective: The combination of a number of metabolic abnormalities such as high body mass index (BMI), central obesity, low high-density lipoprotein (HDL), high triglycerides, high blood pressure, and hyperglycemia is defined as metabolic syndrome (MetS). This study aimed to clarify the effect of metabolic syndrome components on joint degeneration and investigate the relationship between systemic inflammatory response and end-stage osteoarthritis clinical course. Material and Methods: Fifty-seven patients, who underwent total knee arthroplasty due to primary knee osteoarthritis, were classified according to metabolic syndrome diagnosis criteria. Their medial and lateral tibial plateau specimens were graded histopathologically according to Osteoarthritis Research Society International scoring system (OARSI). Results: 33 patients were performed right total arthroplasty (57.9%), 24 were performed left (42.1%). The mean age was 68.46 ± 6.88 (range 57 to 85). The mean BMI value was 30.31 ± 5.26 (range 20.2 to 48). According to the International Diabetes Foundation (IDF) 2005 metabolic syndrome (MetS) diagnostic criteria; 31.5% (n = 18) of the patients did not have MetS, while 68.4% (n = 39) had. There was no statistically significant relationship between tibial plateau OARSI scores and metabolic syndrome (p> 0.05). Besides, these OARSI scores and the operation side, hypertension, and BMI had no statistically significant relationship (p> 0.05). Conclusions: Metabolic syndrome components may play a role in initiating the osteoarthritic process via adipokines, but we could not identify certain effects of pro-inflammatory mediator components on tibial plateau cartilage degeneration with histopathological scores till end-stage arthritic progress.Öğe The role of arthroscopic decompression in subacromial impingement syndrome(Alanya Alaaddin Keykubat Üniversitesi, 2019) Atik, AzizAim: The aim of this study was to evaluate the clinical results of patients who had arthroscopic subacromial decompression for the diagnosis of subacromial impingement syndrome which is characterized by compression of the coracoacromial arc on rotator cuff tendons. Patients and Methods: We have evaluated the Constant scores, rest VAS and motion VAS scores of 25 patients who had arthroscopic subacromial decompression after six months of failed conservative treatment, at the preoperative day, 15th day and 6th month after the operation. Results: There was a statistically significant difference between pre-operative and 15th day / 6th month scores with Mann Whitney U test (p <0.0001). We found that the patients’ pain decreased and shoulder functions improved statistically. Conclusion: We believe that the choice of treatment for early stages of subacromial impingement syndrome is conservative, but if complaints persist even six months after conservative treatment, then arthroscopic subacromial decompression is a good choice of treatment.
