Person: ŞENARAN, HAKAN
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Publication Metadata only Patients with black hip and black knee due to ochronotic arthropathy: case report and review of literature.(2013-11-01T00:00:00Z) ACAR, MA; ERKOCAK, OF; AYDIN, BK; ALTAN, E; SENARAN, HAKAN; Elmadağ, NUH MEHMET; ŞENARAN, HAKAN; ELMADAĞ, NUH MEHMETPublication Metadata only Evaluation of postural control in children with increased femoral anteversion.(2022-04-16T00:00:00Z) Tuncer, Deniz; Gurses, Hulya Nilgun; Senaran, Hakan; Uzer, GÖKÇER; Tuncay, Ibrahim; TUNCER, DENİZ; GÜRSES, HÜLYA NILGÜN; ŞENARAN, HAKAN; UZER, GÖKÇER; TUNCAY, İBRAHİMPublication Metadata only Migration of intra-articular K-wire into the contralateral pelvis after surgery for developmental dysplasia of the hip: a case report(2010-09-01T00:00:00Z) Yurtcu, Muslim; Senaran, Hakan; Turk, Hakan H.; Abasiyanik, Adnan; Tuncay, İBRAHİM; ŞENARAN, HAKAN; TUNCAY, İBRAHİMTransarticular fixation of femoral head into acetabulum with K-wire is a seldomly used surgical method in difficult cases of developmental dysplasia of the hip (DDH). This paper presents a child with intrapelvic transvesicular migration of a K-wire without any symptoms after treatment of DDH. Eight years old girl who had multiple surgeries 4 years ago due to bilateral DDH applied to the orthopedics clinic with limping. She had good range of motion of both hips. At the pelvis radiograph, there was an intrapelvic K-wire standing between two hemipelvises like a bridge. She did not have any enteral and urological symptoms after the previous operations. We planned to remove the K-wire in cooperation with the pediatric surgery department. On the cystoscopy, K-wire was seen passing through the urinary bladder. Wire was cut at the middle point and taken out of the body by laparotomy. The patient was discharged without any postoperative complications. K-wire retention in the body has high chance of migration. Early postoperative removal of the K-wire is necessary to prevent possible complications.Publication Metadata only 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, HAKANTarsal 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.Publication Metadata only An Eastern Europe and Middle East multinational expert Delphi consensus study on the prevention, diagnosis, and treatment of developmental dysplasia of the hip before walking age(2023-12-27) Oemeroglu H.; Yueksel S.; DEMİR P.; Alexiev V.; Alsiddiky A.; Anticevic D.; Bozinovski Z.; Bytyqi C.; Cosma D.; Ducic S.; et al.; ŞENARAN, HAKANPurpose The incidence of developmental dysplasia of the hip (DDH) is higher in Eastern Europeans and Middle Easterners. This study aimed to establish consensus among experts in this geographical area on the management of DDH before walking age.Methods Fourteen experienced orthopedic surgeons agreed to participate in a four-round online consensus panel by the Delphi method. The questionnaire included 31 statements concerning the prevention, diagnosis, and treatment of DDH before walking age.Results Consensus was established for 26 (84%) of 31 statements. Hip ultrasonography is the proper diagnostic tool under six months in DDH; universal newborn hip screening between three and six weeks is necessary; positive family history, breech presentation, female gender, and postnatal swaddling are the most important risk factors; Ortolani, Barlow tests, and limitation of abduction are the most important clinical findings; Pavlik harness is the first bracing preference; some Graf type IIa hips and all Graf type IIb and worse hips need abduction bracing treatment; the uppermost age limit for closed and open reductions is 12 months and 12-24 months, respectively; anatomic reduction is essential in closed and open reductions, postoperative MRI or CT is not always indicated; anterior approach open reduction is better than medial approach open reduction; forceful reduction and extreme positioning of the hips (> 60 degrees hip abduction) are the two significant risk factors for osteonecrosis of the femoral head.Conclusion The findings of the present study may be useful for clinicians because a practical reference, based on the opinions of the multinational expert panel, but may not be applicable to all settings is provided.Publication Metadata only Management preferences of orthopedic surgeons in developmental dysplasia of the hip under 1 year of age in Türkiye: Results of a nationwide cross-sectional survey(2023-11-01) Cetin B. V.; Bakircioglu S.; Ciftci S.; Soylemez M. S.; Erkus S.; TURHAN Y.; Camurcu I. Y.; Duman S.; Yildirim T.; MEMİŞOĞLU K.; et al.; ŞENARAN, HAKANObjective: This study aimed to evaluate the diagnosis and treatment preferences of orthopedic surgeons in developmental dysplasia of the hip (DDH) cases under the age of 1 in Turkiye with a higher incidence of DDH, estimated to be around 5-15 per 1000 live births. Methods: This was a nationwide cross-sectional survey. A link for the online survey, including 16 multiple-choice questions, was sent to the email group of the National Orthopedic Society. Results: Among 233 filled -out surveys, 211 met the inclusion criteria. Half of the participants had experience of 25 DDH cases per year. Over one-third used both anterior and medial approach open reduction, but a trend to anterior open reduction alone was more evident in surgeons treating >50 DDH cases per year. More experienced surgeons were more prone to check the intraoperative reduction with postoperative computed tomography or magnetic resonance imaging. Diagnosis and treatment ages of DDH cases did not significantly change during the coronavirus disease 2019 pandemic. Conclusion: Management preferences of orthopedic surgeons in DDH before walking age primarily depend on the rate of pediatric patients in daily practice and the number of treated DDH cases per year.