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Öğe Children with fractures show higher levels of impulsive-hyperactive behavior(Lippincott Williams & Wilkins, 2007) Uslu, Murad; Uslu, Runa; Eksioglu, Fatih; Özen, Nurper ErberkChildren with fractures have been reported to have impulsive-hyperactive behavior problems although whether they exhibited such behavior more often than children with other orthopaedic conditions is unknown. We investigated whether impulsivity-hyperactivity was more prominent in children with extremity fractures than in children with orthopaedic conditions not involving a fracture. From outpatient clinical intakes, we recruited 39 consecutive children with extremity fractures and 33 children with orthopaedic conditions not involving a fracture. We used the Conners' Parent Rating Scale to detect behavioral symptoms in children with and without extremity fractures. Children who were treated for extremity fractures had higher mean scores for impulsivity-hyperactivity than those treated for nontrauma-related reasons. Additionally, more children in the fracture group reached impulsive-hyperactive behavior scores high enough to warrant additional psychiatric evaluation. In terms of injury prevention, the orthopaedic surgeon should be familiar with problem behaviors of children, particularly impulsivity and hyperactivity, to be able to make appropriate referrals for psychiatric evaluation and treatment.Öğe Contrary intermittent skin release of complete syndactyly without skin graft in adults(Lippincott Williams & Wilkins, 2005) Çetik, Özgür; Özşar, Barış K.; Ekşioğlu, Fatih; Uslu, Murad; Çetik, GültenIntroduction: There are many different surgical treatment techniques of complete syndactyly. Most of them are techniques involving using skin grafts. We developed a surgical technique that does not require skin grafts, which cause problems in the distal nail border pulp and interdigital web space. Materials and Methods: Syndactyly release was performed in 12 web spaces of I I adult male patients. The average age was 21. In addition to a zig-zag incision, contrary intermittent skin release was performed. Primary coverage of the interdigital web space and nail border pulp was achieved without skin graft. Results: We obtained good results by the contrary intermittent skin release method that we developed, in adult complete syndactyly patients who had no chance for the surgical treatment due to several reasons, previously. Conclusion: With such a surgical technique, in our cases we obtained successful results, both cosmetic and functional. The presented technique is an alternative method for syndactyly release without using skin graft in adult patients.Öğe Contrary intermittent skin release of complete syndactyly without skin graft in adults - Response(Lippincott Williams & Wilkins, 2006) Çetik, Özgür; Uslu, Murad; Ekşioğlu, Fatih…Öğe Eklem ve yüz anomalisi olan Larsen sendromlu bir vaka(2015) Aliefendioğlua, Didem; Gül, Davut; Alpcan, Ayşegül; Mısırlıoğlu, Emine D; Uslu, MuradLarsen sendromu doğan bebeklerin 100.000'de birinde görülen nadir bir genetik hastalıktır. Prenatal tanıdan ultrasonografinin önemi vardır. Yenidoğan döneminde tipik yassı yüz şekli, eklemlerde doğuştan dislokasyonlar, spinal deformite ile karakterizedir. Otozomal dominant formu ve daha ciddi klinik formu olan otozomal resesif tipi tanımlanmıştır. Bu çalışmada Larsen sendromlu bir vaka literatürdeki vakalar araştırılarak tartışılmıştırÖğe Experience with the surgical treatment of radial polydactyly in adults(Lippincott Williams & Wilkins, 2005) Çetik, Özgür; Uslu, Murad; Çırpar, Meriç; Ekşioğlu, FatihPurpose: The aim of this study is to investigate the functional and cosmetic outcome after surgical reconstruction in adult patients. Methods: Eleven hands of the 10 adult patients with radial polydactyly were treated surgically. Clinical and radiologic examination was performed and cases were classified according to the Wassel system. The outcome was evaluated according to the Modified Wood criteria. Results: Average age of the patients was 20 years (range, 19-23 years) and all patients were male. All of the patients were admitted with the social consequences of the cosmetic problems resulting from the anomaly. Cosmetic and functional results were excellent in 9 cases and good in 2 cases. Conclusion: The findings of this study revealed that radial polydactyly can be surgically reconstructed satisfactorily in adulthood. However, the fact that these patients were mainly admitted as a result of the psychosocial consequences of the cosmetic aspect of the anomaly, we concluded that regardless of age, surgery should not be delayed after diagnosis.Öğe Is there a safe area for the axillary nerve in the deltoid muscle? A cadaveric study(Journal Bone Joint Surgery Inc, 2006) Çetik, Özgür; Uslu, Murad; Acar, Halil Ibrahim; Cömert, Ayhan; Tekdemir, Ibrahim; Çift, HakanBackground: Several authors have defined a variety of so-called safe zones for deltoid-splitting incisions. The first aim of the present study was to investigate the distance of the axillary nerve from the acromion and its relation to arm length. The second aim was to identify a safe area for the axillary nerve during surgical dissection of the deltoid muscle. Methods: Twenty-four shoulders of embalmed adult cadavers were included in the study. The distance from the anterior edge of the acromion to the course of the axillary nerve was measured and was recorded as the anterior distance. The same measurement from the posterior edge of the acromion to the course of the axillary nerve was made and was recorded as the posterior distance for each limb. Correlation analysis was performed between the arm length and the anterior distance and the posterior distance for each limb. The ratios between arm length and the anterior and posterior distances were calculated for each case and were recorded as an anterior index and a posterior index. Results: The average arm length was 30.40 cm. The average anterior distance was 6.08 cm, and the average posterior distance was 4.87 cm. There was a significant correlation between arm length and both anterior distance (r = 0.79, p < 0.001) and posterior distance (r = 0.61, p = 0.001). The axillary nerve was not found to lie at a constant distance from the acromion at every point along its course. The average anterior index was 0.20, and the average posterior index was 0.16. Conclusions: The present study describes a safe area above the axillary nerve that is quadrangular in shape, with the length of the lateral edges being dependent on the individual's arm length. Using this safe area should provide a safe exposure for the axillary nerve during shoulder operations.Öğe Localized pigmented villonodular synovitis of the knee: acute onset in pregnancy(Springer, 2006) Uslu, Murad; Çetik, Özgür; Atasoy, Pınar; Eksioglu, Fatih; Engin, MuratA pregnant patient in the first trimester presented with acute onset knee pain and effusion. As the clinical status was mimicking septic arthritis, surgery was performed. Arthroscopy demonstrated a local synovial tumor and excision was performed with arthrotomy. Microscopic evaluation revealed localized pigmented villonodular synovitis. Due to the presence of necrosis and hematoma in the tumor, we hypothesize that, that torsion or bleeding of the tumor in the presence of physiological pregnancy- related metabolic changes might have been the cause of acute presentation.Öğe O. Cetik and M. Uslu reply(Journal of Bone and Joint Surgery Inc., 2007) Çetik, Özgür; Uslu, Murad[No abstract available]Öğe Open repair of Bankart lesions using suture anchors in hard workers(2006) Cetik, Özgür; Uslu, Murad; Özsar, Barış K.; Eksioğlu, Fatih; Çetik, GültenThe surgical techniques applied to recurrent anterior dislocation of the shoulder, especially in hard working patients, must reconstruct a stable shoulder joint with a good range of motion, which will not redislocate, so the patients can return to their hardworking duties. The aim of this study was to evaluate the results of open Bankart repairs with suture anchors, in high-demand sportsmen and hard workers with recurrent anterior shoulder dislocation. Thirty shoulders of 29 patients were included in the study. All patients were active hard workers. A modified deltopectoral incision was used and Mitek GII Suture Anchors were implanted with 7-10 mm intervals into the bone-cartilage zone of the glenoid rim. Average follow-up time was 30 months (range, 22-38). Postoperative results were analysed according to the Rowe Scoring System. We obtained good and excellent results in 93.3% of cases. The open Bankart repair using suture anchors appeared in this study as a reliable technique for hard workers or physically high-demand patients. © 2006, Acta Orthopædica Belgica.Öğe Quadrilateral space syndrome caused by a humeral osteochondroma: A case report and review of literature(2006) Çırpar, Meriç; Güdemez, Etfal; Çetik, Özgür; Uslu, Murad; Ekşioglu, FatihQuadrilateral space syndrome (QSS) is a rare condition in which the posterior humeral circumflex artery and the axillary nerve are entrapped within the quadrilateral space. The main causes of the entrapment are abnormal fibrous bands and hypertrophy of the muscular boundaries. Many other space-occupying causes such as a glenoidal labral cyst or fracture hematoma have been reported in the literature. However, we could not find a report on classical QSS caused by an osteochondroma. The aim of this case report is to attract attention to an unusual etiology of shoulder pain, and to emphasize the importance of physical examination and x-ray imaging before performing more complex attempts for differential diagnosing.Öğe The relationship between Hill-Sachs lesion and recurrent anterior shoulder dislocation(Acta Medica Belgica, 2007) Çetik, Özgür; Uslu, Murad; Ozsar, Baris K.The relationship between the number of shoulder dislocations and the depth and percent of head involvement of the Hill-Sachs lesions was investigated in this study. Thirty patients with recurrent anterior dislocation of the shoulder were divided into three groups according to the numbers of dislocations they had presented : Group 1 : 1 to 5 dislocations; Group 2 : 6 to 20 Group 3 : over 20. The mean percentage of head involvement was 11.9% in the first group, 25.4% in the second group and 26% in the third group of patients with Hill-Sachs lesions. The average depth of the Hill-Sachs lesions was 4.14 mm in the first group, 5.13 mm in the second group and 4.38 mm in the third group. Based on these findings, it appears that there is a correlation between the number of dislocations and the extent and depth of the Hill-Sachs lesions. Surgical treatment should therefore be performed as early as possible in patients with recurrent anterior dislocation of the shoulder, in order to prevent progression of the Hill-Sachs lesion which can become by itself a cause of instability.Öğe Simultaneous bucket handle tear of both medial and lateral menisci of a knee with chronic anterior cruciate ligament deficiency(Springer, 2006) Çetik, Özgür; Çırpar, Meriç; Ekşioğlu, Fatih; Uslu, MuradBucket handle meniscus tears constitute about 10% of all meniscal tears. Bucket handle tears of medial meniscus is three times more than lateral meniscus. Most of these tears are associated with anterior cruciate ligament (ACL) deficiency. Lateral meniscus lesions are more common with acute ACL deficiency, where medial meniscus lesions are more associated with chronic ACL deficiency. We identified bucket handle tears of each meniscus of a 30-year-old male patient while performing diagnostic arthroscopy during ACL reconstruction procedure. We present an ACL deficient knee with bucket handle tears of medial and lateral meniscus of the same knee and discuss the treatment.Öğe The Use of Computed Tomography to Determine Femoral Component Size A Study of Cadaver Femora(J Michael Ryan Publishing Inc, 2005) Uslu, Murad; Ozsar, Baris; Kendi, Tuba; Kara, Simay; Tekdemir, Ibrahim; Atik, O. SahapComputed tomography is used to assess whether ideal femoral component size in knee arthroplasty can be made more accurately. Ideal femoral component size was measured on radiography, computed tomography, and by direct measurement of 20 cadaver femora and analyzed statistically. There was no significance between the tomographically anticipated ideal femoral component size and ideal femoral size values (Wilcoxon W 388.5; p 0.565). There was difference between radiographically anticipated ideal femoral size and ideal femoral size values (Wilcoxon W 324.5; p 0.020). Anticipating the ideal femoral size can be made more precisely with computed tomography than radiographs in cadaver femora. Anticipating the ideal femoral component size by computed tomography may solve the problems in in-between sizes. Future total knee designs may be manufactured in more anatomic sizes.
