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ELMALI, NURZAT

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ELMALI
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Item Type: Publication × Start date: 2010 × End date: 2019 ×

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    ARTROSKOPİK CERRAHİ GÜNCEL BİLGİLER VE TEKNİKLER (TUSYAD EĞİTİCİ KİTAP SERİSİ)
    (2016-01-01) ELMALI, NURZAT; GÖRMELİ, GÖKAY; UZER, GÖKÇER; ELMALI, NURZAT; UZER, GÖKÇER
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    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, NURZAT
    Background: 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.
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    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, NURZAT
    Objectives: 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.
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    Early Results of Anatomic Double Bundle Anterior Cruciate Ligament Reconstruction
    (2015-03-01) Pepele, Demet; KARAKAPLAN, MUSTAFA; Elmali, NURZAT; Topgul, Haldun; Ozen, Metehan; ELMALI, NURZAT
    Aim: 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.
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    Diz Çevresi Osteotomileri
    (2018-12-01T00:00:00Z) Elmalı, Nurzat; Yıldız, Fatih; ELMALI, NURZAT; YILDIZ, FATİH
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    Gangliyon Kisti Nedenli Supraskapular Sinir Sıkışması: Üç Olgudaki Tedavi Sonuçları ve Literatür Değerlendirmesi
    (2018-04-01T00:00:00Z) Taşdemir, Zeki; Bulut, Güven; Eceviz, Engin; Elmalı, Nurzat; ELMALI, NURZAT
    Posteriyor glenohumeral eklemdeki gangliyon kistinin supraskapular sinire basısı nadiren karşılaşılan bir omuz ağrısı nedenidir. Bu çalışmada supraskapular sinir sıkışmasına neden olan gangliyon kistlerine yönelik farklı tedavi yöntemlerinin uygulanabilirliğini ilgili literatür ışığında tartışmayı amaçladık. Manyetik rezonans (MR) görüntülemede travma öyküsü olmayan ve omuz ağrısından yakınan üç hastada sağ glenohumeral eklem arkasında gangliyon kisti görünümü ile uyumlu kistik yapı gözlemledik. Glenohumeral eklemde ağrı ve güçsüzlüğe neden olan gangliyon kistleri için literatürde konservatif ve cerrahi tedavi yöntemleri önerilmiştir. Medikal tedaviye yanıtsız hastalarda supraskapular sinirin dekompresyonu için kist nedeninin artroskopik tamirinin veya ortadan kaldırılmasının başarılı sonuçlar verdiği gözlenmiştir. Artroskopik teknik daha az morbidite görülmesi, fonksiyonların daha hızlı düzelmesi, eklem içi patolojilerin daha kolay tespit ve tedavi edilebilmesi nedeniyle açık cerrahiye göre daha avantajlıdır. Anahtar Sözcükler: Nervus suprascapularis, Ganglion kisti, Glenohumeral eklem
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    Comparison of the Transepicondylar Axis Measured Using Computed Tomography Before Primary Total Knee Arthroplasty and the Surgical Measurement
    (2017-09-01T00:00:00Z) Taşdemir, Zeki; Bulut, Güven; Baysal, Özgür; Çevik, Hüseyin Bilgehan; Elmalı, Nurzat; ELMALI, NURZAT
    Objective: The purpose of this study was to evaluate the consistency of the angle between the posterior condylar line (PCL) and the transepicondylar axis (TEA) measured during surgery (sTEA) with that of the clinical transepicondylar axis (cTEA) measured using computerized tomography (CT) before primary total knee arthroplasty (TKA). Methods: The records of patients who had undergone primary TKA between 2013 and 2105 and with a preoperative CT measurement of the knee were evaluated. During surgery, following the distal femoral incision, PCL and sTEA lines were drawn on the surface with a ruler and a pencil and recorded with a digital camera. The angle between the cTEA, or the line joining the most prominent points of the medial and lateral epicondyles, and the PCL was measured using a picture archiving communication system (PACS). Results: The study group consisted of 9 knees of 9 patients (1 male, 8 female; mean age: 67 years, range: 59–80 years). The photographs indicating the angle between the sTEA line and the PCL revealed external rotation in 9 knees (100%), with a mean angle of 2.67±1.41° (range: 1–6°). The preoperative axial CT images also demonstrated external rotation in 9 knees (100%), with a mean angle of 4.67±1.41° (range: 2–7°). Conclusion: There was a difference between the sTEA, which is used to determine the rotation of femoral component during TKA, and the cTEA measured preoperatively using CT. It is safe to use 1 of these 2 techniques to check the result of the other. In the future, measurements made using CT will be used to design personalized anatomical prostheses.
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    Diz Eklemi Bağ ve Tendon Sorunları Güncel Tedavi Yaklaşımları
    (2016-07-01) Elmalı, Nurzat; ELMALI, NURZAT
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    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, NURHAN
    Purpose: 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.