Person: ELMALI, NURZAT
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Publication Metadata only Clinical Effects of Platelet-Rich Plasma and Hyaluronic Acid as an Additional Therapy for Talar Osteochondral Lesions Treated with Microfracture Surgery: A Prospective Randomized Clinical Trial(2015-08-01) Gormeli, Gokay; KARAKAPLAN, MUSTAFA; GÖRMELİ, CEMİLE AYŞE; Sarikaya, Baran; Elmali, NURZAT; ERSOY, YÜKSEL; ELMALI, NURZATBackground: Osteochondral ankle injuries commonly affect the dome of the talus, and these injuries are a common cause of athletic disability. Various treatment options are available for these injuries including intra-articular hyaluronic acid (HA) and platelet-rich plasma (PRP) injections. The purpose of this study was to compare the effects of HA and PRP as adjunct therapies after arthroscopic microfracture in osteochondral lesions (OCLs) of the talus.Publication Metadata only Vascular pedicled iliac bone grafting is effective in patients with an early stage of femoral head avascular necrosis(2014-01-01T00:00:00Z) Elmali, NURZAT; ERTEM, KADİR; KARAKAPLAN, MUSTAFA; PEPELE, Demet; Daggez, Cihat; Topgul, Haldun; ELMALI, NURZATObjectives: This study aims to evaluate clinical and radiological findings of a series of patients with avascular necrosis of the femur head (ANFH) treated by core decompression and vascular pedicled iliac crest grafting.Publication Metadata only Early Results of Anatomic Double Bundle Anterior Cruciate Ligament Reconstruction(2015-03-01) Pepele, Demet; KARAKAPLAN, MUSTAFA; Elmali, NURZAT; Topgul, Haldun; Ozen, Metehan; ELMALI, NURZATAim: The goal in anterior cruciate ligament reconstruction (ACLR) is to restore the normal anatomic structure and function of the knee. In the significant proportion of patients after the traditional single-bundle ACLR, complaints of instability still continue. Anatomic double bundle ACLR may provide normal kinematics in knees, much closer to the natural anatomy. The aim of this study is to clinically assess the early outcomes of our anatomical double bundle ACLR. Material and Method: In our clinic between June 2009 and March 2010, performed the anatomic double bundle ACLR with autogenous hamstring grafts 20 patients were evaluated prospectively with Cincinnati, IKDC and Lysholm scores and in clinically for muscle strength and with Cybex II dynamometer. Results: The mean follow-up is 17.8 months (13-21 months). Patients- scores of Cincinnati, IKDC and Lysholm were respectively, preoperative 18.1, 39.3 and 39.8, while the post-op increased to 27.2, 76.3 and 86.3. In their last check, 17 percent of the patients according to IKDC scores (85%) A (excellent) and B (good) group and 3 patients took place as C (adequate) group. The power measurements of quadriceps and hamstring muscle groups of patients who underwent surgery showed no significant difference compared with the intact knees. Discussion: Double-bundle ACL reconstruction is a satisfactory method. There is a need comparative, long-term studies in large numbers in order to determine improving clinical outcome, preventing degeneration and restoring the knee biomechanics better.Publication Open Access Effect of microfracture and autologous-conditioned plasma application in the focal full-thickness chondral defect of the knee: an experimental study on rabbits(2015-07-16) KARAKAPLAN, MUSTAFA; Sahin, Nurhan; MIREL, Efe; Ergen, Emre; ELMALI, Candan; ELMALI, NURZAT; ŞAHİN, NURHANPurpose: The aim of the present study was to evaluate the effect of microfracture and intraarticular autologous conditioned plasma (ACP) injection on cartilage regeneration in a focal full-thickness chondral defect model created in the knee joint. Methods: Full-thickness chondral defects of 3 × 6 mm(2) were surgically created in right medial femoral condyles (MFC) of New Zealand rabbits, and the rabbits were then divided into three groups according to treatment: Group 1 received only microfracture (mfx), Group 2 received mfx plus intraarticular ACP, and Group 3 received mfx; the defect was covered by the periosteum, and then, ACP was applied subperiosteally and intraarticularly. Twelve weeks after injection, the animals were sacrificed and the femoral condyles were evaluated macroscopically and histologically by hematoxylin-eosin staining. Then, histological sections were scored using the International Cartilage Repair Society (ICRS) visual histological scale. Results: Findings showed that in both mfx/ACP-treated groups, the defects were filled regularly and smoothly, the defects had a greater fill and good integration into the surrounding host tissue, and the repair matrix had more hyaline-like character. On the other hand, defects were filled with an irregular, fibrous cartilage in the mfx-treated group. Histological scores in Group 2 and Group 3 were better compared to Group 1. Conclusion: In the present study, we were able to demonstrate a beneficial effect of intraarticular administration of ACP as a coadjuvant of microfractures in order to regenerate hyaline-like cartilage in full-thickness chondral lesions in a rabbit model.Publication Metadata only Monoplanar versus biplanar medial open-wedge proximal tibial osteotomy for varus gonarthrosis: a comparison of clinical and radiological outcomes(2013-12-01T00:00:00Z) Elmali, NURZAT; ESENKAYA, Irfan; CAN, Murat; KARAKAPLAN, MUSTAFA; ELMALI, NURZATWe compared clinical and radiological results of two proximal tibial osteotomy (PTO) techniques: monoplanar medial open-wedge osteotomy and biplanar retrotubercle medial open-wedge osteotomy, stabilised by a wedged plate.Publication Metadata only Posterior cruciate ligament reconstruction via tibial inlay technique in multiligament knee injuries(2015-01-01) Zehir, Sinan; Elmali, NURZAT; Sahin, Ercan; Calbiyik, Murat; KARAKAPLAN, MUSTAFA; TASDEMIR, Zeki; ELMALI, NURZATObjective: The aim of this study is to report our institution-s experience regarding the use of open tibial inlay technique in patients undergoing single-stage combined posterior cruciate ligament (PCL) reconstruction.Publication Metadata only Does platelet-rich plasma have a favorable effect in the early stages of steroid-associated femoral head osteonecrosis in a rabbit model?(2017-01-01) KARAKAPLAN, MUSTAFA; GULABI, Deniz; TOPGUL, Haldun; Elmali, NURZAT; ELMALI, NURZATObjectives: This study aims to investigate the effect of platelet-rich plasma (PRP) on femoral head osteonecrosis and compare it with bone marrow injection and core decompression.Publication Metadata only Bilateral Achilles Tendon Xanthomas in a Patient with Cerebrotendinous Xanthomatosis A Case Report(2017-01-01) KARAKAPLAN, MUSTAFA; ERGEN, Emre; Gormeli, Gokay; KORKMAZ, MEHMET FATİH; Elmali, NURZAT; ELMALI, NURZATCerebrotendinous xanthomatosis is a rare, autosomal recessive, lipid storage disease with accumulation of cholestanol in most tissues, particularly in the Achilles tendons. We described a 23-year-old female patient who had progressive painfull swelling of both Achilles tendons due to cerebrotendinous xanthomatosis. We performed surgery on both-side Achilles tendon tumors. Wide degenerative areas of the tendons were resected, and the flexor hallucis longus tendon was harvested and transferred to reconstruct motion function.Publication Metadata only Outcome of the treatment of chronic isolated and combined posterolateral corner knee injuries with 2-to 6-year follow-up(2015-10-01) Gormeli, Gokay; GÖRMELİ, CEMİLE AYŞE; Elmali, NURZAT; KARAKAPLAN, MUSTAFA; ERTEM, KADİR; ERSOY, YÜKSEL; ELMALI, NURZATInjuries of the posterolateral corner (PLC) of the knee are rare. They are difficult to diagnose and can cause severe disability. This study presents the 20- to 70-month clinical and radiological outcomes of the anatomical reconstruction technique of LaPrade et al.