Person: ALİ, JOTYAR
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Publication Metadata onlyARTROSKOPİK LATERJET:ÖĞRENME EĞRİSİ VE ERKEN DÖNEM SONUÇLARI(2014-11-16) BİLSEL, İSMAİL KEREM; UZER, GÖKÇER; ELMADAĞ, NUH MEHMET; YILDIZ, FATİH; ALİ, JOTYAR; TUNCAY, İBRAHİM; BİLSEL, İSMAIL KEREM; UZER, GÖKÇER; ELMADAĞ, NUH MEHMET; YILDIZ, FATİH; ALİ, JOTYAR; TUNCAY, İBRAHİM Publication Metadata onlyOpen Versus Arthroscopic Latarjet Procedure for the Treatment of Chronic Anterior Glenohumeral Instability With Glenoid Bone Loss(2020-04-01T00:00:00Z) ALİ, JOTYAR; Altintas, Burak; Pulatkan, Anil; Boykin, Robert E.; AKSOY, DİRENÇ ÖZLEM; Bilsel, Kerem; ALİ, JOTYAR; AKSOY, DİRENÇ ÖZLEM; BİLSEL, İSMAIL KEREMPurpose: The purpose of this study was to compare the clinical, functional, and radiographic outcomes of open versus arthroscopic Latarjet procedures. Methods: Between December 2009 to January 2015, all patients older than 18 years of age who were treated with a Latarjet procedure for chronic osseous anterior instability by a single surgeon were included in this retrospective cohort study. Range of motion, strength, Rowe, Western Ontario Shoulder Instability Index (WOSI) scores, and pain level according to the Visual Analog Scale (VAS) were evaluated. In addition, postoperative computed tomography scans were used to evaluate the position of the transferred coracoid, screw orientation, and degree of graft resorption. Results: Forty-eight patients with a mean age of 29.5 years (range 19-59 years) who underwent open (n = 15; group OL) and arthroscopic (n = 33; group AL) Latarjet procedures were included in the study. The mean followup was 30.5 months (range 24-50 months). At final follow-up there were significant differences in the mean internal rotation loss (mean of 9 degrees vs 14 degrees, P = .044) favoring open surgery and WOSI (P = .017) scores favoring arthroscopic. No significant differences were detected in mean forward flexion loss (P = .918), external rotation loss (P = .883), Rowe (P = .429), and Visual Analog Scale (P = .208) scores. Mean superoinferior position of the coracoid bone graft was found between the 1:55 and 4:49 o-clock positions (2:05-4:55 for group OL; 1:51-4:47 for group AL) in en-face views. The grafts were placed laterally in 13% (group OL) and 9% (group AL) of patients. The mean a angles of the screws were 11 degrees and 19.2 degrees, respectively (P = .004). The mean graft resorption rates were 21% and 34% (P = .087), respectively. Conclusion: Good functional results were obtained after both open and arthroscopic Latarjet procedures for the treatment of chronic osseous anterior shoulder instability. Comparative analysis showed small but statistically significant differences in internal rotation loss favoring open and in WOSI favoring arthroscopic techniques. All measured radiographic parameters were similar with the exception of a significant difference in alpha angle with improved screw position in open surgery. OL and AL techniques provide similar clinical and radiographic outcomes. Publication Open AccessFunctional and Radiographic Results of Hemiarthroplasty in the Treatment of Hallux Rigidus of the First Metatarsophalangeal Joint(2018-07-01T00:00:00Z) UZER, GÖKÇER; YILDIZ, FATİH; ALİ, JOTYARObjective: The purpose of this study was to evaluate changes in the radiological, clinical, and functional results following the application of hemiarthroplasty in patients with grade 3 or 4 first metatarsophalangeal joint osteoarthritis. Methods: Twenty-one feet of nineteen patients who were who were diagnosed as grade 3 or 4 hallux rigidus and treated with hemiarthroplasty, between January 2013 and December 2015, were retrospectively evaluated. Functional results [visual analog scale (VAS) and American Orthopedic Foot and Ankle Society (AOFAS) scores, Short Form-12 (SF12) physical and mental scores], clinical results (ranges of dorsiflexion and plantar flexion), and radiological results (osteolysis, loosening, hallux valgus angles (HVA), and intermetatarsal angles (IMA)) were evaluated at their follow-up. Results: The mean follow-up period was 24 (range: 12-66) months. The mean ranges of flexion was increased from 6 degrees (range: 0 degrees-20 degrees) to 8 degrees (range: 0 degrees-20 degrees) and ranges of extension from 4 degrees (range; 0 degrees-10 degrees) to 7 degrees (range: 0 degrees-30 degrees), postoperatively. Preoperative and postoperative values of the mean IMA (9 degrees vs. 11 degrees) and HVA (18 degrees vs. 13 degrees) did not change significantly. The mean AOFAS scores increased from 72 to 96 (p=0.003). The mean VAS, SF12-MCS, and SF12-PCS scores were 7.8 (range: 4-10), 42.7 (range: 33.8-55.7), and 51.1 (range, 36.7-61.2), postoperatively and comparisons to their preoperative values were not significant. Radiographic follow-up did not show findings of osteolysis around the prosthesis or loosening in any patient. Conclusion: In the treatment of hallux rigidus with hemiarthroplasty, although postoperative range of movement was found to be limited, patient satisfaction and pain levels were improved in all patients.