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Now showing 1 - 10 of 89
  • PublicationMetadata only
    Apophyseal avulsion fracture of the anterior inferior iliac spine due to a simple bone cyst
    (2015-03-01T00:00:00Z) Elmadag, Mehmet; CEYLAN, Hasan H.; ERDIL, Mehmet; Bilsel, Kerem; ELMADAĞ, NUH MEHMET; BİLSEL, İSMAIL KEREM
    Apophyseal avulsion fractures of the anterior inferior iliac spine are rare; they are usually seen in adolescents as a result of sudden contraction of the rectus femoris muscle. Treatment is usually conservative, but surgical management may be necessary in certain circumstances. We present an unusual case of a 14-year-old male who was referred to our department for a suspicious pathological fracture of his right anterior inferior iliac spine; he was found to have an avulsion fracture of the anterior inferior iliac spine due to simple bone cyst. We discuss the treatment of this rare injury caused by a benign osseous tumour.
  • PublicationMetadata only
    Functional Outcomes to Surgical Treatment of the Distal Humerus Intra-Articular Fractures in Adults
    (2013-11-01T00:00:00Z) Yigman, Abdulkadir; Tuncer, Nejat; Erdil, Mehmet; Bilsel, Kerem; Elmadag, Mehmet; Sen, Cengiz; BİLSEL, İSMAIL KEREM; ELMADAĞ, NUH MEHMET
    Aim: Displaced and intraarticular humerus distal fractures require surgical treatment. In this study we evaluated to functional results of the surgical treatment of distal humerus intraarticular fractures in adults. Additionally, we evaluated the factors affecting surgical outcomes. Material and Method: Between 2005 to 2010, 22 elbows of 21 patients who were operated for distal humerus intraarticular fractures were evaluated retrospectively. 11(52.4%) patient were male and 10(47.6%) were female, mean age 46.2 (range 17 to 71). Fractures were classified as type B3 for 10, type Cl for 6 and type C2 for 6 subjects according to AO classifications. We performed paralel double locking plate for 9(41%), perpendicular double plate for 2(9%), K wires and screw combination for 7(32%), and single plate for 4(18%) patients. Functional assesment were performed with the MEPS and q-DASH scoring systems. Results: Mean follow-up was 30.4(5-68) months. Fracture healing was observed in all of the patients. Mean elbow flexion of 117 (90145) degrees and extension loss of 24.3 (0-60) were noted. 10 (47.6%) patients were excellent, 6 (28.6%) were goad, 3 (14.3%) were fair and 2(9.5%) were poor according to MEPS. Mean q-DASH scores were 15 (0-69.8) in 21 patients. Good results were obtained in fractures treated with stable fixation, in early performed surgeries, and in early started rehabilitation. Discussion: Treatment of distal humerus intraarticular fractures with anatomical reduction, stable osteosynthesis, and early rehabilitation are very important in obtaining successful outcomes. Additionally, age and fracture type are important factors to conclude good results..
  • PublicationMetadata only
  • PublicationOpen Access
    A rare cause of deep peroneal nerve palsy due to compression of synovial cyst - Case report
    (2013-04-17) ERDIL, Mehmet; OZKAN, Korhan; OZKAN, Feyza Unlu; Bilsel, Kerem; TURKMEN, Ismail; SENOL, Serkan; SARAR, Serhan; BİLSEL, İSMAIL KEREM
    INTRODUCTION: Synovial cyst is a rare cause of compression neuropathy and its differential diagnosis can be misleading. PRESENTATION OF CASE: This article presents clinical, radiological, and histological findings of deep peroneal nerve palsy due to compression of a synovial cyst in a 30-year-old patient admitted with sudden drop foot. DISCUSSION: Focal nerve entrapment in lower extremity due to synovial cystis a rare entity. Differential diagnosis is important. Surgical excision is the main treatment method with high success rate. CONCLUSION: Synovial cyst compression which can be treated easily with surgical excision should be considered in rapidly progressed drop foot.
  • PublicationMetadata only
  • PublicationMetadata only
    Massive and Irreparable Rotator Cuff Tears
    (2020-01-01T00:00:00Z) Bilgin, Emre; Kapıcıoğlu, Mehmet; Bilsel, İsmail Kerem; KAPICIOĞLU, MEHMET; BİLSEL, İSMAIL KEREM
    Rotator cuff (RC) tears are a considerable reason of shoulder disability in both the young and elderly population. Although instrumentation methods and surgical techniques have been improving, the failure rates remain still high after tendon repairs attributed to large tear size, increased age, poor tendon quality and fatty infiltration of the RC muscle.To enhance the healing potential of RC and improve outcomes after repair, various augmentation methods have been introduced over the past two decades. Growth factors, stem cell therapies and scaffolds are the main augmentation approaches. The aim of these procedures is to enhance the healing potential of the repair construct and, simultaneously, help the restoration of the native tendon-to-bone interface.This chapter will focus on scaffold devices and their role in the augmentation of RC repair. The biomechanical properties of the scaffolds, their efficacy, outcomes and complications based on both preclinical and clinical studies are discussed. An overview of the future trends in scaffold augmentation for RC surgery is presented in light of the current literature.
  • PublicationMetadata only
    Comparison of Arthrodesis, Resurfacing Hemiarthroplasty, and Total Joint Replacement in the Treatment of Advanced Hallux Rigidus
    (2013-09-01T00:00:00Z) ERDIL, Mehmet; Elmadag, NUH MEHMET; POLAT, Gokhan; TUNCER, Nejat; Bilsel, Kerem; Ucan, Vandet; Erkocak, Omer Faruk; SEN, Cengiz; ELMADAĞ, NUH MEHMET; BİLSEL, İSMAIL KEREM; UÇAN, VAHDET
    The purpose of the present study was to compare the functional results of arthrodesis, resurfacing hemiarthroplasty, and total joint replacement in hallux rigidus. The data from patients treated from 2006 to 2010 for advanced stage hallux rigidus were retrospectively reviewed. A total of 38 patients who had at least 2 years (range 24 to 66 months, mean 31.1) of follow-up were included in the present study. Of the 38 patients, 12 were included in the total joint replacement group (group A), 14 in the resurfacing hemiarthroplasty group (group B), and 12 in the arthrodesis group (group C). At the last follow-up visit, the functional outcomes were evaluated using the American Orthopaedic Foot and Ankle Society-Hallux Metatarsophalangeal Interphalangeal (AOFAS-HMI) scale, visual analog scale (VAS), and metatarsophalangeal range of motion. Significant improvements were seen in the AOFAS-HMI score, with a decrease in the VAS score in all 3 groups. According to the AOFAS-HMI score, no significant difference was found between groups A and B. However, in group C, the AOFAS-HMI scores were significantly lower than in the other groups owing to the lack of motion. According to the final VAS scores, no significant difference was found between groups A and B; however, the VAS score had decreased significantly more in group C than in the other groups. No major complications occurred in any of the 3 groups. After 2 years of follow-up, all the groups had good functional outcomes. Although arthrodesis is still the most reliable procedure, implant arthroplasty is also a good alternative for advanced stage hallux rigidus. (C) 2013 by the American College of Foot and Ankle Surgeons. All rights reserved.
  • PublicationMetadata only
    The olecranon osteotomy provides better outcome than the triceps-lifting approach for the treatment of distal humerus fractures
    (2014-01-01) Elmadag, Mehmet; ERDIL, Mehmet; Bilsel, Kerem; Acar, Mehmet Ali; TUNCER, Nejat; TUNCAY, İBRAHİM; ELMADAĞ, NUH MEHMET; BİLSEL, İSMAIL KEREM; TUNCAY, İBRAHİM
  • PublicationMetadata only
    Bilateral Shoulder Dislocation
    (2015-11-01) Bilsel, Kerem; SAYAR, Safak; CEYLAN, Hasan Huseyin; ERDIL, Mehmet; Elmadag, Mehmet; BİLSEL, İSMAIL KEREM; ELMADAĞ, NUH MEHMET
    Aim: The aim of this case report is to discuss the evaluation of potential complications and treatment options associated with bilateral anterior shoulder dislocation. Material and Method: The data for this rarely encountered case was collected, during the consultation and treatment phases for a 66-year-old female patient who first presented at the emergency department of Bezmiaiem Vakif University Medical Center with restriction of movements in her both shoulders after falling down the stairs in her home. Results: Evaluation of the patient-s pre-operative X-rays and computed tomography (CT scan) images and post operative evaluation of the shoulders was achieved using DASH and the Constant shoulder score. Discussion: Osteoporotic elderly patients and their relatives should be informed of possible complications when considering closed reduction of severe glenoid and humeral head fractures. Instead, an associated risk will most likely necessitate open reduction in this patient population after anesthesia has been administered for closed reduction. Hence, obtaining consent and educating the patient about a possibile need for internal fixation and prosthetic joint replacement using surgical implants should be included in the preoperative consultation and treatment planning session before the patient receives sedation.
  • PublicationMetadata only
    Open 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 KEREM
    Purpose: 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.