Person: DEMİRKIRAN, CEMİL BURAK
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Publication Metadata only Could intermittent change of conventional dressing affect risk of periprosthetic joint infection after primary total joint arthroplasty?(2021-07-01T00:00:00Z) Aghazada, Aghamazahir; ALIYEV, ORKHAN; DEMİRKIRAN, CEMİL BURAK; UZER, GÖKÇER; Citak, Mustafa; TUNCAY, İBRAHİM; YILDIZ, FATİH; ALIYEV, ORKHAN; AGHAZADAA, AGHAMAZAHIR; DEMİRKIRAN, CEMİL BURAK; UZER, GÖKÇER; TUNCAY, İBRAHİM; YILDIZ, FATİHPurpose Periprosthetic joint infection (PJI) is one of the most dreaded and challenging complications after total joint arthroplasty (TJA). The aim of this study was to evaluate the effect of keeping the dressing without change on the occurrence of PJI in patients undergoing TJA. Methods 4877 Patients with a minimum follow-up of 90 days were included to investigate the effect of dressing on the PJI occurring within 3 months of surgery. Patients were divided into two consecutive groups as the intermittent change of traditional dressing (group 1-before 2019) and keeping dressing for 5 days without change (group 2-after 2019). A backward stepwise logistic regression model was used to estimate independent risk factors for PJI. Results Group 1 and group 2 consisted of 4172 and 705 patients, and the numbers of diagnosed PJI cases in the groups were 40 (1.0%) and 10 (1.4%), respectively (p = 0.1). The backward stepwise logistic regression model analysis revealed that keeping the dressing unchanged and removing it after the first week postoperatively was not an independent risk factor for the occurrence of PJI. Older age, diabetes mellitus and coronary artery diseases were independent risk factors for PJI (p < 0.05). Conclusion Our study results present, that intermittent change of conventional dressing is unnecessary, because it does not decrease the risk of PJI after TJA.Publication Metadata only Letter to editor -Risk factors for aseptic loosening in complex revision total knee arthroplasty using rotating hinge implants-(2021-01-01T00:00:00Z) ALIYEV, ORKHAN; DEMİRKIRAN, CEMİL BURAK; YILDIZ, FATİH; TUNCAY, İBRAHİM; ALIYEV, ORKHAN; DEMİRKIRAN, CEMİL BURAK; YILDIZ, FATİH; TUNCAY, İBRAHİMPublication Metadata only Comparison of the Functional and Radiological Outcomes of Single- and Two-Stage Bilateral Open Wedge High Tibial Osteotomy Single-Stage and Two-Staged Bilateral Open Wedge High Tibial Osteotomy(2021-11-01T00:00:00Z) UÇAN, VAHDET; ALIYEV, ORKHAN; DEMİRKIRAN, CEMİL BURAK; YILDIZ, FATİH; ELMALI, NURZAT; UZER, GÖKÇER; UÇAN, VAHDET; ALIYEV, ORKHAN; DEMİRKIRAN, CEMİL BURAK; YILDIZ, FATİH; ELMALI, NURZAT; UZER, GÖKÇERZusammenfassungPublication Open Access Spina Iliaca Anterior Superior Avulsion Fracture: A Case Report and Review of the Literature(2020-01-01T00:00:00Z) PULATKAN, MEHMET ANIL; DEMİRKIRAN, CEMİL BURAK; Uzun, Mustafa; TUNCAY, İBRAHİM; PULATKAN, MEHMET ANIL; DEMİRKIRAN, CEMİL BURAK; TUNCAY, İBRAHİMSpina iliaca anterior superior (SIAS) avulsion fracture is a type of injury that is rare and possible to be overlooked in emergency services. SIAS is the insertion area of the Tensor fascia lata and Sartorius muscles, which are two of the hip flexor muscles and forceful contractions of these muscles which can be observed while kicking a ball, can lead avulsion fractures of SIAS, especially among adolescents. In our case, a 16-year-old male athlete attended the emergency service with a movement restriction and severe pain causing limping that started as an instant pain in the left hip after kicking the ball during a soccer game. It was misdiagnosed as soft tissue injury and no radiological imaging was performed. After plain radiography of the hip was performed in control appointment, the patient was diagnosed as having SIAS avulsion fracture, and a complete and pain-free range of motion was achieved after a conservative treatment of nonsteroid anti-inflammatory drugs, three weeks rest along with cold therapy and walking with crutches without full weight bearing. Even though SIAS fractures are generally treated with conservative methods, they can be misdiagnosed as soft tissue injury in case of poor physical examination and especially displaced fractures may cause clinical problems.Publication Metadata only Vertical Versus Pfannenstiel Incision-Modified Stoppa Approach in the Treatment of Acetabular Fractures(2024-03-01) Kara D.; ELMADAĞ N. M.; Ali J.; Misir A.; Cetin H.; DEMİRKIRAN C. B.; Mraja H.; Pulatkan A.; ELMADAĞ, NUH MEHMET; ALİ, JOTYAR; ÇETİN, HUZEYFE; DEMİRKIRAN, CEMİL BURAKOBJECTIVES:The aims of this study were to compare the patient and fracture characteristics, radiological, functional, and quality of life outcomes; the need for a lateral window approach and requirement of total hip arthroplasty; and complications in patients with simple and complex acetabular fractures who underwent a modified Stoppa approach through vertical and Pfannenstiel incisions.METHODS:Design:This was a retrospective comparison study.Setting:Level 1 trauma center.Patient Selection Criteria:Patients with acetabular fractures (A-O-/-O-T-A type 62A-B-C) treated with vertical (group V) or Pfannenstiel (group P) incision-modified Stoppa approach between 2010 and 2020 were included.Outcome Measures and Comparisons:Patient characteristics, radiological evaluations (reduction quality and posttraumatic osteoarthritis), patient functional outcomes [12-item Short-Form Survey (SF-12) physical component score, SF-12 mental component score, Harris Hip Score, and Merle d\"Aubigné-Postel], approach modifications and stratification by fracture type and complications were compared between those treated with vertical or Pfannenstiel incisions.RESULTS:One hundred four patients (mean age of 38.5 ± 14.3 years) were included. There was no significant difference between the Pfannenstiel or vertical groups regarding patient and fracture characteristics (P = 0.137), postoperative reduction quality (P = 0.130), or the mean functional and quality of life outcome scores at the last follow-up (P = 0.483 for the Harris Hip Score, P = 0.717 for the Merle d\"Aubigné-Postel score, P = 0.682 for the SF-12 physical component score, and P = 0.781 for the SF-12 mental component score). In group P, significantly more patients needed additional lateral incisions (40.8% vs. 10.9%; P 0.001) and total hip replacement procedures (12.2% vs. 1.8%; P = 0.049). The total, early, and late complication rates were significantly higher in group P (P 0.001, P = 0.034, and P = 0.049, respectively).CONCLUSIONS:Pfannenstiel incision was associated with higher complication rates than vertical incision in acetabular fractures treated through a modified Stoppa approach. Fracture complexity is associated with the need for a lateral window approach and total hip arthroplasty, as well as a worse functional and radiological outcome regardless of incision type. However, it was not associated with the development of intraoperative or postoperative complications.LEVEL OF EVIDENCE:Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.