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Öğe Ilizarov' un sirküler eksternal fiksasyon sistemi: Bölüm VI. Ilizarov tekniğinin komplikasyonları(2004) Gül, N. Y.; Bilgili, H.; Kürüm, B.; Yanık, K.Ortopedi ve travmatoloji biliminin birçok patolojisinde (kırıklar, psöydoartrozlar, boy eşitsizlikleri vs.) eksternal fiksatörlerden (EF) faydalanılmaktadır. Eksternal fıksatörle sağaltım, ortopedide en yüksek komplikasyona sahip konulardan biridir. Komplikasyon oram uygulanan tekniğe, cerrahın deneyimine ve uygulama endikasyonuna bağlı olarak % 1-300 arasında değişmektedir. Ilizarov Tekniği'nin her geçen gün kullanım sahasının artması ve komplikasyonlarının çeşitliliği nedeniyle sınıflandırılması güç olmaktadır. Bu konuda günümüze kadar bir çok sınıflandırma yapılmıştır. Eksternal fiksasyona ilişkin komplikasyonlar; istenmeyen, sağaltım planında değişikliğe yol açan, sonuçları değiştiren durum olarak açıklanmıştır ve sorunlar, engeller 've gerçek komplikasyonlar (majör, minör ve sekel) olarak sınıflan-dırılmıştır. Diğer bir sınıflandırmada ise; majör ve minör komplikasyonlar olarak nitelendirilmiştir. Bu derlemede, Ilizarov'un Sirküler Eksternal Fiksasyon Sistemi'nin uygulanması esnasında karşılaşılan problemler, engeller ye komplikasyonlar ile bunların sağaltım seçeneklerinin detaylı olarak sunulması amaçlanmıştır.Öğe Treatment of fractures of the mandible and maxilla by mini titanium plate fixation systems in dogs and cats(Australian Veterinary Assn, 2003) Bilgili, H.; Kurum, B.Mini titanium plates were used to repair certain fractures of the maxilla and mandible in dogs and cats, under general anaesthesia. The location of the fractures treated were: corpus mandible, one dog; corpus mandible and symphysis, two dogs; caudal mandible, two dogs; rostral mandible, one dog; maxilla, one dog; nasal bone, one dog; corpus mandible and symphysis, one cat; caudal mandible, one cat; and maxilla, one cat. The healing periods varied from 6 to 9 weeks. In seven cases, implants were removed after a period of 3.5 to 18 months. In four cases the implants were left in place. The follow up period was between 8 and 36 months. In ten cases the procedure was successful, however in one case the outcome was not satisfactory due to a broken plate. There were no instances of dental malocclusion, nonunion, malunion, osteomyelitis or soft tissue infection. Eating, playing with toys, a fast transition to solid food and a quick return to normal jaw movements were observed. In our hands, the mini titanium plate fixation system was a safe and effective method for repairing certain maxillary and mandibular fractures in dogs and cats.Öğe Treatment of radius-ulna and tibia fractures with circular external skeletal fixator in 19 dogs(Polska Akad Nauk, Polish Acad Sciences, Univ Warmia & Mazury Olsztyn, 2007) Bilgili, H.; Kurum, B.; Captuğ, O.This study was carried out on 19 dogs of different breed, age and sex. 10 different types of radius-ulna and 9 tibia fractures were treated by circular external skeletal fixator. The cases were followed by clinical and radiological controls in the postoperative period. It was observed that the cases tolerated the apparatus well. There was no looseness of fixator stability and configuration during the 15-day interval examination. Complications like pin track, serous drainage and pin loosening were observed postoperatively. It was concluded that radiographic, clinical and anatomical data together with good preoperative planning, the Ilizarov Method and circular external skeletal fixator was successful for the treatment of open or closed fragmented radius-ulna and tibia fractures in dogs.Öğe Unifocal internal and external bone lengthening with circular external skeletal fixator in 5 dogs(Polska Akad Nauk, Polish Acad Sciences, Univ Warmia & Mazury Olsztyn, 2008) Captug, O.; Bilgili, H.; Kurum, B.The purpose of this study was to investigate the effectiveness of treatment of long bone defects and extremity shortness in 5 dogs using circular external skeletal fixator. In one case a bone necrosis and osteomyelitis shortened radius by 7.0 cm; however in others extremity shortening between 3.0 and 6.0 cm affected radius-ulna or tibia. 2 or 3 rings of 80.0-100.0 mm diameters, and 3 rods were used as a circular external skeletal fixator. The distractions at the rate of 0.5 mm X 2 times/day were performed following a latent period of 3 days after the corticotomy. Unifocal internal lengthening for case 1 and unifocal external lengthening for the others were performed. Distraction was performed between 30 and 70 days (mean 50 days). It was noted that the circular external skeletal fixator was well-tolerated in all cases. The first usages of limbs in all cases were on postoperative day between 8 and 43 (mean 22 days). The radiographic follow-up examinations revealed a complete consolidation on postoperative day between 35 and 75 (mean 55.6 days). The fixators were removed on the postoperative day between 45 and 85 (mean 65 days). The treatment was successful in restoring the appropriate length of the limbs. After removing the fixator, functional and cosmetic results were graded as excellent in 3 cases, good in one case and fair in one case.
