Person: ELMALI, NURZAT
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Publication Metadata only Patellofemoral instabilite revizyon cerrahisinin prensipleri ve cerrahi incelikleri(TOTBİD Dergisi, 2022-01-01) ELMALI N.; Ferhadov A.; UÇAN V.; ELMALI, NURZAT; UÇAN, VAHDETPublication Metadata only Glenoid Anterior Derinlik Açısı ve Glenoid Versiyonun Tekrarlayan Anterior Glenohumeral Dislokasyonlara Etkisi(2020-09-01T00:00:00Z) Taşdemir, Zeki; Semiz, İsmail; Bulut, Güven; Elmalı, Nurzat; ELMALI, NURZATAmaç: Anterior dislokasyonlar Glenohumeral Eklem Dislokasyonlarının (GED) %85-ini oluşturur ve erken cerrahi önerilir. Bu çalışmanın amacı, Glenoid Anterior Derinlik Açısı (GADA) ve Glenoid Versiyon Açısı-nın (GVA) tekrarlayan anterior glenohumeral çıkıklar (TAGD) üzerindeki etkilerini araştırmaktır. Aynı zamanda, TAGD-de glenoid anatomik formundan kaynaklanan riski belirlemeyi ve cerrahi planlamayı aydınlatmayı amaçladık. Gereç ve Yöntemler: Çalışmamız kontrollü ve tek kör olarak tasarlanmıştır. Toplam 41 ön çıkık bir yılda en az üç kez tekrarlanmış ve manyetik rezonans görüntüleme (MRG) ile belgelenmiştir. 47 kontrol grubu hastadan elde edilen MRG-leri çalışmaya dahil edilmiştir. Eksenel MR görüntülerinden GVA ve GADA ölçüldü. Bulgular: Cinsiyetin gruplar arasında dağılımı benzerdi. Hastaların yaş ortalaması 40,38 ± 15,96 yaş idi. GADA ve GVA değerleri sırasıyla 26.90 ± 5.62 (11-37.7) ve 11.74 ± 4.31 (1.8-20.4) olarak ölçüldü. GADA ölçümleri açısından gruplar arasında 0.927 uyumu istatistiksel olarak anlamlı idi (p = 0.001). Birinci ve ikinci gözlemcinin ilk GADA ölçümleri birbiriyle uyumluydu (0.881). Gruplar arasında ortalama GADA değerleri açısından anlamlı fark vardı (p = 0.00, kritik t 1.99). Gruplar arasında ortalama GVA değerleri açısından anlamlı fark vardı (p = 0.00, kritik t1.99). Sonuç: AGED tanısı olan hastalarda Anterior Glenohumeral Eklem Dislokasyonu (AGED) nüks riski 11,22 ° -den düşük GRA ve 25,21 °- den düşük GRA varlığında yüksektir. Anahtar Kelimeler: Kontrol Grupları; Glenoid Açı; Glenohumeral Eklem ÇıkıklarıPublication Metadata only Sık Yapılan Ortopedik Ameliyatlar ve Rehabilitasyon Yaklaşımları(2021-01-01T00:00:00Z) Elmalı, Nurzat; ELMALI, NURZAT; UÇAN, VAHDETPublication Metadata only Safety of one-stage bilateral total knee arthroplasty -one surgeon sequential vs. two surgeons simultaneous: a randomized controlled study(2020-07-01T00:00:00Z) UZER, GÖKÇER; ALIYEV, ORKHAN; YILDIZ, FATİH; ELMALI, NURZAT; TUNCAY, İBRAHİM; UZER, GÖKÇER; ALIYEV, ORKHAN; YILDIZ, FATİH; GÜNGÖREN, NURDAN; ELMALI, NURZAT; TUNCAY, İBRAHİMPurpose This study aimed to examine the complications by comparing two surgeons simultaneous bilateral total knee arthroplasty (two-surgeon bilateral TKA) to one surgeon sequential bilateral total knee arthroplasty (single-surgeon bilateral TKA).Publication Open Access Reply to Letter to Editor: Safety of one-stage bilateral total knee arthroplasty-one-surgeon sequential vs. two surgeons simultaneous: a randomized controlled study(2020-08-01T00:00:00Z) Gungoren, Nurdan; UZER, GÖKÇER; ALIYEV, ORKHAN; YILDIZ, FATİH; ELMALI, NURZAT; TUNCAY, İBRAHİM; UZER, GÖKÇER; ALIYEV, ORKHAN; YILDIZ, FATİH; GÜNGÖREN, NURDAN; ELMALI, NURZAT; TUNCAY, İBRAHİMPublication Metadata only Anstabil artrozlu dizde kombine tedavi: proksimal tibial osteotomi ve ön çapraz bağ rekonstrüksiyonu(TOTBİD Dergisi, 2020-01-01) ELMALI N.; UÇAN V.; AĞIR M.; ELMALI, NURZAT; UÇAN, VAHDET; AĞIR, MUZAFFERPublication Open Access Use of cement combined grafting in upper and lower extremity benign bone tumors(2020-01-01T00:00:00Z) Pulatkan, Anil; Ucan, Vandet; TOKDEMİR, SEVİL; ELMALI, NURZAT; GÜRKAN, Volkan; UÇAN, VAHDET; TOKDEMİR, SEVİL; ELMALI, NURZAT; GÜRKAN, VOLKANObjectives: This study aims to investigate the effectivity of cement combined demineralized bone matrix (DBM) treatment on new bone formation in the cortical window as well as to evaluate the effect of new bone formation on functional outcomes. Patients and methods: Thirty-two benign bone tumor patients (15 males, 17 females; median age 38 years; range, 12 to 68 years), who were treated with cement combined DBM between February 2010 and December 2014, were evaluated retrospectively. Patient characteristics were recorded as age, gender, tumor localization, histological diagnosis, Enneking stage, tumor size, size of the cortical window, usage of prophylactic fixation, time to return to work, Musculoskeletal Tumor Society (MSTS) functional score, tumor relapse, and new bone formation on the cortical window in the computed tomography scans after one year of surgery. Results: Median tumor volume was 17.2 cm 3 (range, 2.8 to 139.6 cm 3 ), median area of the cortical window was 8.3 cm 2 (range, 1.6 to 28.4 cm 2 ), and median postoperative one-year MSTS score was 84.5 (range, 66 to 97). MSTS scores were significantly worse with the usage of prophylactic fixation (p<0.001). There was a statistically significant difference between the usage of prophylactic fixation and cortical window size (p=0.013). There was a low-level negative correlation in terms of age and bone formation on the cortical window (p=0.046, r= -0.356) and mid -level negative correlation between cortical window size and functional scores (p=0.001, r= -0.577). Conclusion: Application of cement combined with DBM procedure is an effective, alternative, and biological treatment in bone tumors that provides immediate stability and stimulates new bone formation on the cortical window.Publication Metadata only Two-surgeon simultaneous bilateral total knee arthroplasty does not provide poor prosthetic alignment A prospective randomized controlled study(2021-11-01T00:00:00Z) YILDIZ, FATİH; ALIYEV, ORKHAN; Aghazada, Aghamazahir; UZER, GÖKÇER; TUNCAY, İBRAHİM; YILDIZ, FATİH; ALIYEV, ORKHAN; AGHAZADAA, AGHAMAZAHIR; ELMALI, NURZAT; UZER, GÖKÇER; TUNCAY, İBRAHİMPurpose Two-surgeon, simultaneous bilateral total knee arthroplasty (TKA) is considered as an unpredictable, complex procedure in terms of its radiographic and functional outcomes because of different surgeons and teams, and too many instruments and hands in a narrow space. We compared radiological and functional results of simultaneous bilateral TKA and single-surgeon sequential bilateral TKA. Methods The 136 participants with a minimum of 24 months follow-up were prospectively randomized into 2 groups: two-surgeon bilateral TKA and single-surgeon bilateral TKA. We prespecified primary outcome of the study as between-group differences in terms of component alignment in the coronal and sagittal planes. Short-term functional outcomes were evaluated prospectively using the Oxford Knee Score (OKS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results Each group consisted of 136 knees of 68 patients. The mean tibial medial angles (TMA) were 89 degrees +/- 3 degrees and 88 degrees +/- 5 degrees in two-surgeons and single surgeon groups, respectively (p = 0.24). Radiological outcomes showed that the mean femoral lateral angles (FLA) were 87.9 +/- 3.5 degrees and 85.84 +/- 3.7 degrees (p = 0.12), posterior tibial slope angles (PTSA) were 8.2 +/- 16.9 degrees and 7.6 +/- 17.8 degrees (p = 0.84), and femoral flexion angles (FFA)were 86.8 +/- 3.8 degrees and 86.3 +/- 3.5 degrees (p = 0.41), anterior femoral offset ratios (AFOR) (%) were 29.5 +/- 11.1 and 27.7 +/- 7.9 (p = 0.31), and posterior femoral offset ratio (PFOR) (%) were 108.41 +/- 31.3 and 108.45 +/- 25.7 (p = 0.98), respectively. Conclusion Two-team simultaneous bilateral TKA is as safe as single stage one-surgeon sequential bilateral TKA in terms of short-term component radiological and the functional outcomes.Publication Metadata only Ön çapraz bağ yaralanmalarının tedavisinde güncel literatür bilgileri(TOTBİD Dergisi, 2020-01-01) UÇAN V.; PULATKAN M. A.; ELMALI N.; UÇAN, VAHDET; PULATKAN, MEHMET ANIL; ELMALI, NURZATPublication Metadata only Ortopedik Cerrahi Yöntemler ve Ekipmanlar(İstanbul Tıp Kitabevi, 2021-01-01) ELMALI N.; UÇAN V.; ELMALI, NURZAT; UÇAN, VAHDET