Person: BİLSEL, İSMAIL KEREM
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Publication Realignment osteotomies in the treatment of chronic instabilities of the knee associated with malalignment (case report)(2012-01-01) Bilsel, Kerem; ERDIL, Mehmet; Elmadag, Mehmet; SEN, Cengiz; BİLSEL, İSMAIL KEREMIntroduction: Chronic knee instabilities associated with malalignment are complex and unusual disorders with various treatment modalities. Presentation of case: We describe two cases of chronic instability of the knee with malalignment. Furthermore, we describe realignment osteotomies as the treatment of chronic instabilities for these cases. Discussion: In the literature review, there are few cases of chronic instabilities treated by realignment osteotomy. Only soft tissue procedures are not enough to treat the chronic instability of the knee with limb malalignment. Conclusion: Deformity analysis with good preoperative planning and then realignment of the lower extremity, lead to better results and will preserve the joint from instability.Publication 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 MEHMETAim: 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..Publication BIOMECHANICAL COMPARISON OF THREE DIFFERENT PLATE CONFIGURATION FOR CLAVICLE MIDSHAFT FRACTURE FIXATION(2017-12-01) UZER, GÖKÇER; YILDIZ, FATİH; BATAR, SUAT; BİLSEL, İSMAİL KEREM; BOZDAĞ, SÜREYYA ERGUN; KUDUZ, HACER; UZER, GÖKÇER; YILDIZ, FATİH; BİLSEL, İSMAIL KEREMPublication 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 KEREMINTRODUCTION: 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.Publication Massive and Irreparable Rotator Cuff Tears(2020-01-01T00:00:00Z) Bilgin, Emre; Kapıcıoğlu, Mehmet; Bilsel, İsmail Kerem; KAPICIOĞLU, MEHMET; BİLSEL, İSMAIL KEREMRotator 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.Publication 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, VAHDETThe 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.Publication Comparison of Single and Double Incision Repair Techniques in Distal Biceps Tendon Rupture(2022-08-01T00:00:00Z) KAPICIOĞLU, Mehmet; Pulatkan, Anil; UÇAN, VAHDET; TEZGEL, OKAN; Bilsel, Kerem; KAPICIOĞLU, MEHMET; UÇAN, VAHDET; TEZGEL, OKAN; BİLSEL, İSMAIL KEREMObjective: The purpose of this study was to compare the complications and functional outcomes of single versus doubleincision repair techniques for the treatment of distal biceps brachii tendon rupture Methods: Between 2012 and 2018, patients with distal biceps brachii tendon rupture who were treated with a single or doubleincision repair technique were included in this retrospective study. Range of motion (ROM) and Mayo elbow performance scores (MEPS) were evaluated. Results: Seventeen patients with a mean age of 45.6±6.4 years (range: 34-58 years) who underwent single (n=9) and double (n=8) incision techniques were included in this study. The mean followup was 33±10.5 months (range: 24-62 months). Preoperative and postoperative ROM and MEPS were similar between two groups (p>0.05). In the single incision repair technique group, 3 patients had lateral antebrachial cutaneous nerve (LACN) palsy and 1 patient was re-operated due to re-rupture. In the double incision repair technique group, 1 patient had posterior interosseous nerve (PIN) palsy and 1 patient had hematoma that did not require surgical drainage. No significant differences were detected in terms of complications (p=0.62). Conclusion: Good functional results were obtained after both single and double incision techniques for the treatment of distal biceps brachii tendon rupture. Both single and double incision techniques were reliable however LACN was at risk in single incision technique and PIN in double incision technique.Publication Clinical and anatomical outcomes of isolated coracoclavicular fixation after acromioclavicular joint injury: is it stable enough or is additional horizontal fixation necessary?(2023-01-01) ŞAHİN K.; Ertogrul R.; KAPICIOĞLU M.; Erşen A.; Bilsel K.; ŞAHİN, KORAY; KAPICIOĞLU, MEHMET; BİLSEL, İSMAIL KEREM© 2022 The AuthorsBackground: Recently, an emphasis has been put on anatomical reduction of acromioclavicular (AC) joint both in vertical and hortizontal planes for management of AC joint injuries due to persisting horizontal instability. Therefore, an additional AC fixation in horizontal plane has been recommended. However, relation between horizontal AC joint instability and clinical outcomes is still controversial. This study aims to evaluate outcomes of isolated coraco-clavicular fixation using arthroscopic assisted single coraco-clavicular tunnel technique in grade III and V AC joint injuries and to investigate the correlation between anatomical and clinical outcomes. Methods: This study was conducted with 19 patients with grade III or V AC joint injury. Clinical outcomes included postoperative pain intensity and functional outcomes (Constant Score, American Shoulder and Elbow Surgeons, and Subjective Shoulder Value). Radiological evaluations were performed using radiographs and postoperative computed tomography scans. Degree of initial injury and postoperative stability both on axial and coronal planes were evaluated after radiological assessment. Correlations between anatomical and clinical outcomes were investigated using Pearson\"s correlation test. Results: At the final follow-up assessment, the mean pain score was 1.8 ± 1.8, mean American Shoulder and Elbow Surgeons score was 81.0 ± 15.4, mean Subjective Shoulder Value was 81.3 ± 19.6, and mean Constant Score was 86.3 ± 14.8. The mean loosening ratio and AC distance were 43.5 ± 30.6% and 4.3 ± 12.4 mm, respectively. No correlation was observed between postoperative anatomical and clinical outcomes (P > .05). Conclusion: Additional AC fixation on horizontal plane is not a prerequisite for all injuries, there is no significant association between horizontal instability and clinical outcomes and indications of an additional AC fixation needs to be determined.Publication Comminuted Scapular Fracture From Electric Injury: An Unusual Cause(2013-01-01) CEYLAN, Hasan Huseyin; Kucukdurmaz, FATİH; Bilsel, Kerem; SEN, Cengiz; KÜÇÜKDURMAZ, FATİH; BİLSEL, İSMAIL KEREMPublication 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 KEREMApophyseal 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.