Person: ELMADAĞ, NUH MEHMET
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Publication Metadata 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 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.Publication Metadata 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 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 Metadata 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, İBRAHİMPublication Metadata only Bilateral Shoulder Dislocation(2015-11-01) Bilsel, Kerem; SAYAR, Safak; CEYLAN, Hasan Huseyin; ERDIL, Mehmet; Elmadag, Mehmet; BİLSEL, İSMAIL KEREM; ELMADAĞ, NUH MEHMETAim: 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.Publication Open Access Excess retained cement in the posteromedial compartment after unicondylar knee arthroplasty(2013-07-01) Elmadag, Mehmet; IMREN, Yunus; ERDIL, Mehmet; Bilsel, Kerem; Tuncay, Ibrahim; ELMADAĞ, NUH MEHMET; BİLSEL, İSMAIL KEREM; TUNCAY, İBRAHİMAcute mechanical symptoms due to excess retained cement in the posterior compartment of the knee joint following unicondylar knee arthroplasty (UKA) are uncommon. Infection, aseptic loosening, polyethylene wear and progressive arthritis are well-documented complications of UKA procedure. We present a patient with acute pain and 'clicking' sensation in the knee joint due to cement extrusion in the posteromedial compartment after UKA. Full functional recovery was achieved after arthroscopic removal of the cement debris. Of retrospectively screened 43 UKA cases, asymptomatic cement extrusion was detected in 8 patients in the posteromedial compartment on direct X-rays. Careful inspection of components is essential to minimize the risk of cement extrusion into the posterior compartment and perioperative fluoroscopy may be helpful during UKA procedure.Publication Metadata only Acetabuloplasty at the anatomic centre for treating Crowe class III and IV developmental hip dysplasia: a case series(2016-08-01) Sen, Cengiz; Bilsel, Kerem; Elmadag, Mehmet; Gunes, Taner; SAYGI, Baransel; BİLSEL, İSMAIL KEREM; ELMADAĞ, NUH MEHMETIntroduction: Total hip replacement in patients with developmental dysplasia of the hip (DDH) is a difficult technical procedure for surgeons to perform because of the potential for these patients to have severe anomalies in their bones and soft tissues.Publication Metadata only 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 Open Access Evaluation of mobile bearing unicompartmental knee arthroplasty, opening wedge, and dome-type high tibial osteotomies for knee arthritis(2015-01-01) Tuncay, Ibrahim; Bilsel, Kerem; Elmadag, Mehmet; Erkocak, Omer Faruk; ASCI, Murat; Sen, Cengiz; TUNCAY, İBRAHİM; BİLSEL, İSMAIL KEREM; ELMADAĞ, NUH MEHMETObjective: Three methods of surgery used in the treatment of knee osteoarthritis (OA) are mobile bearing unicompartmental knee arthroplasty (Oxford UKA), opening wedge high tibial osteotomy (HTO), and dome-type HTO. This article aimed to retrospectively compare these three methods in terms of outcomes for health status, patient satisfaction, and function. Methods: Between 2003 and 2010, 255 knees of 235 patients underwent operations for medial knee OA. Three types of surgery were performed. Group 1 consisted of 109 knees of 94 patients who underwent Oxford UKA. Group 2 was made up of 36 knees of 36 patients who underwent HTO using circular external fixation, and Group 3 comprised 57 knees of 52 patients on whom opening wedge type HTO using locking plate fixation was performed. SF-36 and HSS knee scores were used to compare the functional outcomes among groups. Results: Statistically significant differences were found between the preoperative and postoperative measures in all 3 of the treatment groups for physical function, physical role, pain, general health, vitality, social function, emotional role, and mental health according to SF-36 and HSS scores. In the 2nd group, the average correction of the mechanical axis deviation (MAD) was 38 mm with 11.7º along the femorotibial axis and 6.2º along the medial proximal tibial angle (MPTA). In the 3rd group, the average correction in the MAD was 28 mm with 9.7º along the femorotibial axis and 5.6º along the MPTA. All 3 of the treatment alternatives were observed to be sufficient. Satisfactory postoperative results were achieved in the UKA group in terms of social function and mental health, and the patients were able to achieve early rehabilitation and return to their previous life activities. Conclusion: UKA is the ideal option for patients who wish for the earliest possible return to social and recreational activities.Publication Metadata only Does grafting of the tuberosities improve the functional outcomes of proximal humeral fractures treated with reverse shoulder arthroplasty?(2017-01-01T00:00:00Z) Uzer, GÖKÇER; Yildiz, FATİH; BATAR, Suat; BINLAKSAR, Ruwais; Elmadag, Mehmet; Kus, Gamze; Bilsel, Kerem; UZER, GÖKÇER; YILDIZ, FATİH; ELMADAĞ, NUH MEHMET; BİLSEL, İSMAIL KEREMBackground: Functional outcomes of reverse total shoulder arthroplasty (rTSA) can be improved by fixation of the tuberosities. This study compares clinical and radiologic results of patients with comminuted proximal humeral fractures treated with rTSA, with and without autologous grafting.Publication Metadata only Coronal plane fractures of the distal humerus involving the capitellum and trochlea treated with open reduction internal fixation(2013-06-01) Bilsel, Kerem; Atalar, Ata Can; ERDIL, Mehmet; Elmadag, Mehmet; SEN, Cengiz; Demirhan, Mehmet; BİLSEL, İSMAIL KEREM; ELMADAĞ, NUH MEHMETCoronal plane fractures of the distal humerus involving the capitellum and trochlea are rare. Treatments have evolved from closed reduction to open reduction and internal fixation (ORIF) to achieve a stable joint that allows early mobilization.