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İNCESOY, MUSTAFA ALPER

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MUSTAFA ALPER

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İNCESOY

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2023 - 20242
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    Distal femur morphology and the suitability of standard guides for knee arthroplasty in the Turkish population
    (2024-01-01) İNCESOY M. A.; Güngören N.; Aliyev O.; ELMALI N.; Tuncay İ.; YILDIZ F.; İNCESOY, MUSTAFA ALPER; ELMALI, NURZAT; TUNCAY, İBRAHİM; YILDIZ, FATİH
    Objective: The aim of this study was to evaluate the posterior condylar angle (PCA) and condylar twist angle (CTA) of the distal femur in the Turkish population and its concordance with the current standard prosthesis guides used in total knee arthroplasty (TKA). Methods: Two hundred and forty knees of 120 Turkish subjects (60 male and 60 female) were included in this study. PCA, CTA, femoral mediolateral lengths (fML), medial femoral anteroposterior lengths (fMAP), lateral femoral anteroposterior lengths (fLAP), distances between the trochlear groove and fMAP (DBTG–fMAP), distances between the trochlear groove and fLAP (DBTG–fLAP), medial posterior condylar cartilage thickness (MPCCT) and lateral posterior condylar cartilage thicknesses (LPCCT) were measured on magnetic resonance imaging (MRI). Results: The median CTA was 7° (range: 0°-13.0°) and the median PCA was 4° (range 0°-11.0°) (P <.0001). The median fML was 79.5 mm (range: 65.7-98.9). The median length of the fMAP was 58.2 mm (range: 46.8-69.0) and the median length of fLAP was 58.2 mm (range: 48.4-73.0). The DBTG–fMAP was 15.2 mm (range: 5.2-23.2), and DBTG–fLAP length was 21.9mm (range: 16.4-29.4). The median MPCCT and LPCCT were 2.4 mm (range: 1.6-3.6) and 2.3 mm (range: 1.2-2.8), respectively. The intraclass correlation coefficient for quantifying interobserver and intraobserver reliability showed excellent agreement regarding the PCA and CTA. Conclusion: This study has shown us that PCA and CTA may be higher in the Turkish population. Although it is not known whether these results have any clinical utility, it may be useful for surgeons to keep this in mind to prevent femoral component malposition. Level of Evidence: Level IV, Diagnostic Study.
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    Cavus Foot Deformity with Calcaneonavicular and Medial Cuneiform–Navicular Coalition: A Case Series
    (2023-01-01) İNCESOY M. A.; UZER G.; ORUJOV S.; Geckalan M. A.; ŞENARAN H.; İNCESOY, MUSTAFA ALPER; UZER, GÖKÇER; ORUJOV, SAİD; ŞENARAN, HAKAN
    Tarsal coalitions have only very infrequently been observed in the context of cavus foot abnormalities. Recognizing this diagnosis could be crucial to effective cavus repair. We report tarsal coalitions observed in cavus deformity here. Between 2022 and 2023, the records of every patient treated by one of the authors for a varus deformity who was later determined to have either a unilateral or bilateral tarsal coalition were examined. Two patients with cavus deformities who were treated by one of the authors have either a unilateral or bilateral tarsal coalition. Three foot (medial cuneiform–navicular n = 1 and calcaneonavicular n = 2) with tarsal coalition were examined. All of these cases occurred in patients with idiopathic cavus deformity. Computed tomography scans were used to make a firm diagnosis for each patient. We advise surgeons to keep an awareness for this potential comorbid issue in all cavus foot abnormalities and to take advanced imaging into consideration. In these uncommon cases, the medial cuneiform–navicular and calcaneonavicular joints formed an osseous coalition with pes cavus deformity, which successfully resolved with conservative and surgical treatment, respectively. Level of Clinical Evidence: IV.