Kadri Yildiz

A Study on the Complications of Surgical Treatment for Bilateral Developmental Dysplasia of the Hip and A Comparison of Two Osteotomy Techniques

OBJECTIVE This study aims to present a review about complications of surgical treatment of Developmental Dysplasia of the Hip and comparing the kinds and ratios of two osteotomy technique (Salter Innominate Osteotomy and Pemberton Pericapsular Osteotomy). MATERIALS AND METHODS Fifty-seven patients of 126 that had bilateral developmental dysplasia of the hip are the case series that had undewent to Salter Innominate Osteotomy for one hip and Pemberton Pericapsular Osteotomy for other hip by one surgeon in one stage. RESULTS Avascular Necrosis ratio was 19.29% on hips with Salter Innominate Osteotomy, and 8.77% on hips with Pemberton Pericapsular Osteotomy. Salter Innominate Osteotomy made lower limb discrepency with 0.47 cm mean in all patients. There were 17 general complications on hips with Salter Innominate Osteotomy (SIO) (14.91%) and 9 general complications on hip with Pemberton Pericapsular Osteotomy (PPO) (7.89%). As looking for general complications, SIO/PPO ratio were 1.8 (17/9). CONCLUSION By the comparing two osteotomy technique for complication ratios, SIO had two-fold of complications than PPO. SIO had 65% more complications as to PPO.

Effect of platelet-rich fibrin on epidural fibrosis and comparison to ADCON® Gel and hyaluronic acid

Objective In this experimental study, PRF (Platelet Rich Fibrin), HA (Hyaluronic Acid) gel and ADCON® Gel were compared in terms of preventing epidural fibrosis. Methods Twenty-eight Sprague–Dawley rats (mean weight, 400–450 g) were divided into 4 groups. L3-L4 laminectomy was performed in each group. Following laminectomy, Adcon® Gel, HA gel and PRF were applied onto the surgery site locally in Group 1, 2 and 3, respectively. Group 4 was maintained as control without any local application. After five weeks, L3-L4 vertebrae were removed totally and taken to histopathological evaluation for epidural fibrosis, acute inflammatory cell density, chronic inflammatory cell density, hemorrhage, angiogenesis and new bone formation. Results Acute inflammation cell density, angiogenesis, and new bone formation levels were comparable among the study groups (p > 0.05). However, new bone formation was higher in the PRF group. Epidural fibrosis and chronic inflammatory cell density were significantly lower in the PRF group (p < 0.05). Conclusion We concluded that PRF contributed to hemostasis and prevented epidural fibrosis.

Çoklu yer değiştirmiş metatarsal stres kırığının etiyolojik araştırması

Romatoid artrite bagli olarak uzun sureli dusuk doz kortikosteroidlerle yapilan tedavi sonucu gelisen sekonder osteoporozla olusan coklu metatarsal kirik sunulmaktadir. Elli uc yasinda kadin hasta 12 yildir romatoid artrit nedeniyle dusuk doz kortikosteroid kullanmaktadir. Son klinik kontrollerde yaklasik 3 ay once coklu metatarsal kiriklar meydana gelmistir. Yapilan 3 aylik seri poliklinik kontrollerinde hastanin coklu metatars kirigi konservatif tedavi ile iyilesmistir. Romatoid artritli hastalarda uzun sureli, dusuk doz olsa bile, kortikosteroid kullanilan hastalarda, alisilmadik kemiklerde kiriklar acisindan gorulebilmektedir.

The relationship between anthropometric features and dynamical-statical balance values of competitor sporters

The purposes of this study were to revealing correlation between the angles of body in the motor performance and stages take-off (time of phase & push angle) in each phases (hop, step and jump) for elite Algerian in triple jump. Our study based on the kinematic analyzes of the phases triple jump in the collision and push stages, through the Kinovea programmer. For this study, we have chosen the analysis of correlation (the Pearson correlation ”R”) in each of the phases (hop, step and jump) in the collision and push stages. Based on the practices and weaknesses of elites in practice; we confirm: 1) there is a statistically significant the correlation in the collision stage (hop phase; the angle of trunk°) with the time and angle of push, 2) the problem of our elites is in the hop phase, and its relationship with; the step and jump phases, 3) Improve achieve horizontal vertical velocity in hop phase and preservation in next phases (step and jump) as solution. Article visualizations:

A compare on snow: Snowboard? Skiing?

Aim: Snowboard and skiing are differnt winter sport methods. This study aimed to compare the two techniques. Methods: In the 2016-2017 winter season, 108 winter sportmen/women were evaluated for traumas in Palandoken Ski Center/Erzurum. 61 of 108 were ski-user (Group A) and 47 were snowboard-user (Group B). Results: In Group A, traumas were: 27 knee, 16 elbow, 11 hip and 7 ankle. In Group B: 21 wrist, 11 skull, 9 vertebra, 6 knee. 6 cases have needed intensive care in Group B, and only one in Group A. Conclussion: Snowboard has balance-active, younger and easy-learning method. Skiing has speedy, prolonged-time, more harder method. Traumas of snowboard may be more mortal than skiing; but skiing more morbid than snowboard.

A Biomechanical Comparison between Salter Innominate Osteotomy and Pemberton Pericapsular Osteotomy

OBJECTIVE This study aims to compare the pelvic biomechanics of patients who underwent Salter innominate osteotomy (SIO) for one hip and Pemberton pericapsular osteotomy (PPO) for the other hip. MATERIALS AND METHODS Fifty-seven of 126 patients who received a one-stage procedure involving SIO for one hip and PPO for the other hip were included in this series. Preoperative x-rays, archived reports and patient recall were obtained and retrospectively analyzed for these 57 patients. Pelvic biomechanics of the two osteotomy techniques were compared on x-rays and computerized tomography imaging. RESULTS Based on x-rays, three hips with SIO and 1 hip with PPO had changes that could reflect unstable pelvic biomechanics. SIO caused an average lower limb discrepancy of 0.47 cm in all patients. Positive results were found in 5 patients at their most recent clinical examination. CONCLUSION PPO affects the biomechanics of the pelvis much less than SIO. PPO demonstrated ideal biomechanical results compared with SIO, with fewer changes to the pelvic ring and the hip joints.

Escobar syndrome mimicing congenital patellar syndrome.

Multiple pterygium syndrome (MPS) is a syndrome that is characterized abnormal face, short length and skin pterygiums on some body legions (servical, antecubital, popliteal, interdigital and on neck). It is also called as Pterygium Colli syndrome, Escobar syndrome or Pterygium syndrome. Escobar (multyple pterygium) syndrome is a rare syndrome. Intrauterin growth reterdation, abnormal face, wide-spead pterygiums that resulted in joint contractures, ptosis, chryptoorchidism, patellar dysplasia and foot deformities are seen on this syndrome. Primarly autosomal resesive crossing are observed; also autosomal dominant and X-linked crossing. This case were presented as it has components of Escobar syndrome and Isolated Patellar Aplasia syndrome in same time.

Bilateral Femoral Neck Fracture-Related Hyperparathyroidism

Bilateral femoral neck fracture is not common as unilateral femoral fracture. Femoral neck fracture generally occurs by the high energized traumas. Traffic accidents and fallings are the most common reason for this fracture kind. But suddenly and minor traumatic fractures is not common. Especially, in the hormonal and pathogenic fractures is not common. In this case minor traumatic bilateral femoral fracture is presented. The fracture occurs in the background of critical medical condition by hyperparathyroidism. It can be said chronic hyperparathyroidism conditions must be determined for femoral neck fracture. Because these patients many times fell little disturbed by this fracture, diagnosis can be missed many times.