Person: ERDEN, TUNAY
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Publication Comparison of two types of proximal femoral hails in the treatment of intertrochanteric femur fractures(2015-09-01) Uzer, GÖKÇER; Elmadag, NUH MEHMET; Yildiz, FATİH; Bilsel, Kerem; Erden, TUNAY; Toprak, HÜSEYİN; UZER, GÖKÇER; ELMADAĞ, NUH MEHMET; YILDIZ, FATİH; BİLSEL, İSMAIL KEREM; ERDEN, TUNAY; TOPRAK, HÜSEYİNBackground: Hip nailing is frequently used to treat unstable intertrochanteric femoral fractures (ITF) in elderly patients. In this retrospective study, we compared the functional and radiological results, and the complications, of patients treated using proximal femoral nails (PFN) with an integrated, interlocking, compression lag screw, or two separate lag screws, which allow linear compression at the fracture site. Methods: A total of one hundred and eighteen patients were operated on for AO/OTA 31-A2 ITF between May 2010 and April 2012, and eighty-two of these patients, for whom sufficient follow-up data and documentation were available, were included into the study. PFNs with interlocking, integrated lag screws (Group I) were used in forty-four patients, and PFNs with two separate lag screws (Group II) in thirty-eight. Outcome parameters were the extent of varus collapse and leg length discrepancy on radiographs, and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Harris hip scores (HHS) as functional results. Results: Mean follow-up duration was 20 months (range, 12-36 months); fractures healed in all patients. Mean varus collapse values were 2.03±5.68° and 5.21±5.27° (p=0.01), Harris hip scores 73.2±11.65 and 74.72±11.15 (p=0.54), and WOMAC scores 70.78±11.41 and 71.78±11.19 (p=0.69) in Groups I and II, respectively. No difference was detected between the groups in terms of outcome parameters or complication rate. Conclusion: In the treatment of ITF, PFNs with an integrated, interlocking, compression lag screw, or two separate lag screws did not differ in terms of functional and radiological results or complication rate.Publication ANTERİOR ASETABULUM KIRIKLARINDA MODİFİYE STOPPA YAKLAŞIMI KULLANILARAK YAPILAN TEDAVİ SONUÇLARIMIZ(2014-11-16) ELMADAĞ, NUH MEHMET; UZER, GÖKÇER; YILDIZ, FATİH; ERDEN, TUNAY; BİLSEL, İSMAİL KEREM; TUNCAY, İBRAHİM; ELMADAĞ, NUH MEHMET; UZER, GÖKÇER; YILDIZ, FATİH; ERDEN, TUNAY; BİLSEL, İSMAIL KEREM; TUNCAY, İBRAHİMPublication Straight Proximal Femoral Nails Mismatch with the Anterior Bowing of the Femur(2019-01-01T00:00:00Z) YILDIZ, FATİH; GÜZEL, YUNUS; ERDEN, TUNAY; KARA, DENİZ; ELMADAĞ, Nuh Mehmet; YILDIZ, FATİH; ERDEN, TUNAY; ELMADAĞ, NUH MEHMETObjective: Increased anterior how of the femur due to advanced age and osteoporosis impinges with the distal part of the non-anatomic, standard proximal femoral nails (PFN), which is one of the most preferred implant for the fixation of trochanteric fractures (TF) in the elderly. The relation between increased femoral bowing and standard PFN application was investigated. Methods: Radiographs of 111 patients (59 men, 52 women; mean age 74.5 years), who were treated with PFN due to TF between 2011 and 2015, were evaluated retrospectively. Relation between the nail and the anterior cortex was determined by measuring the angle between distal anatomical axes of the nail and the femur (ADA). The patients were divided into two groups according to their ADA (group 1 ADA <= 4 degrees and group 2 ADA >4 degrees). Functional results and pain was evaluated using Harris Hip Score (HHS) and visual analog scale (VAS). Complications were also recorded. Results: The mean amount of ADA was 4.5 degrees +/- 1.5 degrees. Forty-seven patients were classified in group 1 and 64 patients were in group 2. The mean HHSs were 80.6 and 79.3 (p=0,464), and the mean VAS scores were 2.13 and 5.35 (p<0.001) in group 1 and 2, respectively. Five patients were revised due to cut-out of the lag screws (total hip arthroplasty in two patients and revision of the nails in three patients). Union was achieved in all patients without infection. Conclusion: Because straight femoral nails impinges anterior cortex of the femur with increased bowing, new design PFN with anterior curve is needed especially for shorter or osteoporotic people, or Caucasian population.Publication Biomechanical Comparison of 2 Different Femoral Stems in the Shortening Osteotomy of the High-Riding Hip(2016-06-01) Tuncay, Ibrahim; Yildiz, FATİH; Bilsel, Kerem; Uzer, GÖKÇER; Elmadag, Mehmet; Erden, TUNAY; Bozdag, Ergun; TUNCAY, İBRAHİM; YILDIZ, FATİH; BİLSEL, İSMAIL KEREM; UZER, GÖKÇER; ELMADAĞ, NUH MEHMET; ERDEN, TUNAYBackground: We hypothesized that a rectangular cross-sectional femoral stem may produce more initial stability of the transverse subtrochanteric femoral shortening osteotomy rather than a circular cross-sectional stem.Publication Does performing total joint arthroplasty in the afternoon or evening increase the risk of prosthetic joint infection?(2020-11-01T00:00:00Z) YILDIZ, FATİH; ALIYEV, ORKHAN; ERDEN, TUNAY; GÜNGÖREN, NURDAN; UÇAN, VAHDET; TUNCAY, İBRAHİM; YILDIZ, FATİH; ALIYEV, ORKHAN; ERDEN, TUNAY; GÜNGÖREN, NURDAN; UÇAN, VAHDET; TUNCAY, İBRAHİMPurpose Does performing total joint arthroplasty in the afternoon or evening increase the rate of early prosthetic joint infection and the likelihood of early prosthetic joint infection? Methods We evaluated patients retrospectively, who underwent primary total hip (THA) or knee arthroplasty (TKA) between January 2016 and December 2019, met the inclusion criteria and had at least 90 days of follow-up. Patients were divided into two groups. Group I consisted of patients whose surgeries had been started and finished before 14:00, and group II included patients whose surgeries started after 14:01. All patients were operated after non-septic cases in specific orthopedic operating rooms. Their demographic data and comorbidities were noted. Primary outcome was to compare the risk of PJI between the groups. Results Group I and group II included 2309 and 1881 patients. Total number of patients with the diagnosis of PJI was 58 (1.4%). It was 31 (1.3%) and 27 (1.4%), respectively (p = 0.79). Performing total joint arthroplasty after 14:01 did not increase likelihood of infection (p = 0.83, OR 1.03). Among the parameters, PJI was significantly associated with age (p < 0.01, OR 0.99), smoking status (p < 0.01, OR 0.15) and operating time (p = 0.04, OR 0.99) in TKA and with direct anterior approach (p = 0.02, OR 4.72) in THA. Age (p = 0.06, OR 1.03) was the factor affecting the risk of subsequent PJI after total joint arthroplasty. Conclusion Performing total joint arthroplasty in the afternoon or in the evening, after aseptic cases does not increase the risk of subsequent of PJI.Publication The effect of onlay cortical fibula strut grafts on biomechanical features of Vancouver type B1 periprosthetic femoral fractures(2022-05-01T00:00:00Z) ALIYEV, ORKHAN; ERDEN, TUNAY; SARIYILMAZ, KERİM; Bozdağ, Süreyya Ergün; Sünbüloğlu, Emin; TUNCAY, İBRAHİM; YILDIZ, FATİH; ALIYEV, ORKHAN; ERDEN, TUNAY; TUNCAY, İBRAHİM; YILDIZ, FATİHObjective: This study aimed to investigate biomechanically the effects of onlay fibula grafts on Vancouver Type B1 Periprosthetic Femoral Fractures (PPFs).Publication Comparison of Clinical Outcomes and Safety of Single-stage Bilateral and Unilateral Unicompartmental Knee Arthroplasty(2019-01-01T00:00:00Z) YILDIZ, FATİH; Erden, Tunay; UZER, GÖKÇER; TUNCAY, İBRAHİM; YILDIZ, FATİH; ERDEN, TUNAY; UZER, GÖKÇER; TUNCAY, İBRAHİMObjective To evaluate the effectiveness and safety of bilateral Oxford medial unicompartmental knee arthroplasty (UKA) in the patients under a single anesthetic procedure. Methods: Between October 2013 and December 2015, 225 knees of 181 (age 67.5 years) patients with at least two years of follow-up were evaluated. They were divided into two groups as unilateral group (group 1, n=137) and one stage simultaneous bilateral group (group 2, n=44) for the comparisons. The outcome parameters were femoral and tibial component positions measured on the full-length radiographs, clinical outcomes using Oxford Knee Score (OKS), International Knee Documentation Committee Score (IKDC), patient reported satisfaction and complications. Results: Between the groups, the mean follow-up periods (p=0.125), age (p=0.447), preoperative body mass index (p=0.288), OKS (p=0.314) and IKDC (p=0.127) scores were not significantly different. Postoperatively, the mean flexion of the femoral component (p=0.544), posterior slope (p=0.511), varus-valgus angulation of the tibial components (p=0.358) were statistically similar berwcen groups. Although the mcan varus-valgus angulation of the femoral components (p=0.033) was statistically different between groups, the difference was too small to make clinical significance. The mean postoperative OKS (p=0.272) and IKDC (p=0.106) were similar between the groups. In group 1, 21 (16.0%) patients reported excellent, 91 (69.5%) good and 4 (3.1%) moderate satisfaction. Fifteen (11.5%) patients reported non-satisfaction. In group 2, patients reported excellent satisfaction in 20 (24.4%) knees, good in 50 (61.0%) knees patients moderate in 2(2.4%) knees. Patients reported non-satisfaction in 10 (12.2%) knees (p>0.05). Eight (5.8%) complications in group 1 and, 3 (3.4%) complications in group 2 were observed. The number of complications was not statistically different between the groups (p=0.535). Conclusion: One-stage simultaneous bilateral Oxford medial UKA is a safe and effective method with acceptable complication rates compared to unilateral surgery.Publication Comparison of four different techniques for performing an osteotomy A BIOMECHANICAL, RADIOLOGICAL AND HISTOLOGICAL STUDY ON RABBITS TIBIAS(2015-12-01) Elmadag, M.; Uzer, GÖKÇER; Yildiz, FATİH; ERDEN, TUNAY; Bilsel, K.; Buyukpinarbasili, NUR; USUMEZ, A.; BOZDAG, E.; SEN, C.; ELMADAĞ, NUH MEHMET; UZER, GÖKÇER; YILDIZ, FATİH; ERDEN, TUNAY; BİLSEL, İSMAIL KEREM; BÜYÜKPINARBAŞILI, NURThis animal study compares different methods of performing an osteotomy, including using an Erbium-doped Yttrium Aluminum Garnet laser, histologically, radiologically and biomechanically. A total of 24 New Zealand rabbits were divided into four groups (Group I: multihole-drilling; Group II: Gigli saw; Group III: electrical saw blade and Group IV: laser). A proximal transverse diaphyseal osteotomy was performed on the right tibias of the rabbits after the application of a circular external fixator. The rabbits were killed six weeks after the procedure, the operated tibias were resected and radiographs taken.Publication Acetabular dysplasia may be related to global joint hyperlaxity(2016-05-01) Bilsel, Kerem; CEYLAN, Hasan Huseyin; Yildiz, FATİH; Erden, TUNAY; Toprak, ALİ; Tuncay, Ibrahim; BİLSEL, İSMAIL KEREM; YILDIZ, FATİH; ERDEN, TUNAY; TOPRAK, ALİ; TUNCAY, İBRAHİMPurpose Some patients with shoulder laxity complain of coxalgia without a history of trauma. We hypothesised that patients who have recurrent shoulder instability accompanied with generalised joint hyperlaxity tend to have acetabular dysplasia.Publication Periprosthetic joint infection with streptococcus dysgalactiae subspecies equisimilis: Case report(2020-01-01T00:00:00Z) Erden, Tunay; Gultepe, Bilge Sumbul; KÜÇÜKDURMAZ, FATİH; ERDEN, TUNAY; SÜMBÜL, BİLGEStreptococcus dysgalactiae (SD) is a common pathogen among elderly population. However, to our knowledge, there is no periprosthetic joint infection case reported that is infected with Streptococcus dysgalactiae subspecies equisimilis (SDSE) in the English literature. In this article, we report a 77 -year -old male patient who had undergone total knee arthroplasty three years ago and had the diagnosis of cellulitis at his leg followed by swelling, pain and hyperemia localized at his knee. Three knee aspirations were performed and the SDSE was identified. There was no direct contact of patient to animals.