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ELMADAĞ, NUH MEHMET

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NUH MEHMET
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ELMADAĞ
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Author: BİLSEL, İSMAIL KEREM × Type: Article ×

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    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.
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    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..
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    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.
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    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
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    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.
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    PublicationOpen 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, İBRAHİM
    Acute 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.
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    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 MEHMET
    Introduction: 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.
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    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, TUNAY
    Background: 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.
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    PublicationOpen Access
    Comparison of two types of proximal femoral hails in the treatment of intertrochanteric femur fractures
    (2015-09-01) Uzer, GÖKÇER; Elmadag, NUH MEHMET; Yildiz, FATİH; Bilsel, Kerem; Erden, TUNAY; Toprak, HÜSEYİN; UZER, GÖKÇER; ELMADAĞ, NUH MEHMET; YILDIZ, FATİH; BİLSEL, İSMAIL KEREM; ERDEN, TUNAY; TOPRAK, HÜSEYİN
    Background: Hip nailing is frequently used to treat unstable intertrochanteric femoral fractures (ITF) in elderly patients. In this retrospective study, we compared the functional and radiological results, and the complications, of patients treated using proximal femoral nails (PFN) with an integrated, interlocking, compression lag screw, or two separate lag screws, which allow linear compression at the fracture site. Methods: A total of one hundred and eighteen patients were operated on for AO/OTA 31-A2 ITF between May 2010 and April 2012, and eighty-two of these patients, for whom sufficient follow-up data and documentation were available, were included into the study. PFNs with interlocking, integrated lag screws (Group I) were used in forty-four patients, and PFNs with two separate lag screws (Group II) in thirty-eight. Outcome parameters were the extent of varus collapse and leg length discrepancy on radiographs, and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Harris hip scores (HHS) as functional results. Results: Mean follow-up duration was 20 months (range, 12-36 months); fractures healed in all patients. Mean varus collapse values were 2.03±5.68° and 5.21±5.27° (p=0.01), Harris hip scores 73.2±11.65 and 74.72±11.15 (p=0.54), and WOMAC scores 70.78±11.41 and 71.78±11.19 (p=0.69) in Groups I and II, respectively. No difference was detected between the groups in terms of outcome parameters or complication rate. Conclusion: In the treatment of ITF, PFNs with an integrated, interlocking, compression lag screw, or two separate lag screws did not differ in terms of functional and radiological results or complication rate.
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    Comparison of four different techniques for performing an osteotomy A BIOMECHANICAL, RADIOLOGICAL AND HISTOLOGICAL STUDY ON RABBITS TIBIAS
    (2015-12-01) Elmadag, M.; Uzer, GÖKÇER; Yildiz, FATİH; ERDEN, TUNAY; Bilsel, K.; Buyukpinarbasili, NUR; USUMEZ, A.; BOZDAG, E.; SEN, C.; ELMADAĞ, NUH MEHMET; UZER, GÖKÇER; YILDIZ, FATİH; ERDEN, TUNAY; BİLSEL, İSMAIL KEREM; BÜYÜKPINARBAŞILI, NUR
    This animal study compares different methods of performing an osteotomy, including using an Erbium-doped Yttrium Aluminum Garnet laser, histologically, radiologically and biomechanically. A total of 24 New Zealand rabbits were divided into four groups (Group I: multihole-drilling; Group II: Gigli saw; Group III: electrical saw blade and Group IV: laser). A proximal transverse diaphyseal osteotomy was performed on the right tibias of the rabbits after the application of a circular external fixator. The rabbits were killed six weeks after the procedure, the operated tibias were resected and radiographs taken.