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    An alternative treatment method for defective pseudoarthrosis
    (ARSMB-KVBMG Avenue W. Churchill-laan 11/30 Brussels B-1180, 2016) Uraş, Ismail; Yavuz, Osman Yüksel; Uygun, Murat; Paslioglu, Ebubekir; Kömürcü, Mahmut
    Pseudoarthrosis with bone loss is one of the most challenging orthopaedic problems for surgeons. Bone loss usually leads to technical difficulties during surgery due to instability in the fracture area. Eight patients with pseudoarthrosis of different long bones were operated on by the same surgeon. The median age was 53 years (25-61), and the median time period after the index operation was 21 months (12-72 months). Radiographic union was achieved in all patients in 3.62 months (2-5 months). Efficient healing with new bone formation was observed in all of the patients. The result of the current case series is promising. This treatment method can be used for the treatment of pseudoarthrosis without increasing morbidity. Long-term follow-up and larger case series are needed for evidence of the adequacy and reliability of this method of treatment. © 2016 Elsevier B.V., All rights reserved.
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    Does the wedge wing in the neck screw prevent cut-out failure in OTA/AO 31- A2 trochanteric fractures in elderly patients?
    (ARSMB-KVBMG aob.edit@skynet.be). amb@skynet.be Avenue W. Churchill-laan 11/30 Brussels B-1180, 2014) Günay, Cüneyd; Atalar, Hakan; Altay, Murat; Yavuz, Osman Yüksel; Yildirim, Ahmet Özgür; Öken, Fuad O.
    The purpose of this retrospective study was to evaluate the effects of Dyna Locking Trochanteric (DLT) nail (U & I Corporation 529-1, Yonghyun-dong, Uijungbu Kyunggi-Do, Korea 480-050) in 31-A1 and 31-A2 intertrochanteric femur fractures. Eightyseven patients (63 female and 24 male, mean age 77 years) were treated. The mean duration of followup was 16.6 ± 3.1 months (range, 12-24 months). There were 36 cases of 31-A1 and 51 cases of 31-A2 fractures. The duration of surgery, fluoroscopy screening time, the blood loss, the hospital stay, the tip-apex distance were significantly less in the 31-A1 fracture group compared with the 31-A2 fracture group (p < 0.001). Cut-out was observed in 13 patients (14.9%) above 80 years old with 31-A2 fractures. Especially in elderly patients with unstable 31-A2 fractures, the wedge wing on the neck screw does not work properly. Therefore further biomechanical investigations and also prospective clinical studies with larger series are needed to improve the device. © 2014, Acta Orthopdica Belgica. © 2014 Elsevier B.V., All rights reserved.
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    Efect of Ankaferd Blood Stopper on muscle healing
    (The Canadian Society for Clinical Investigation, 2016) Uygun, Murat; Yavuz, Osman Yüksel; Uraş, Ismail; Duman, İbrahim Gökhan; Haltaş, Hacer; Kömürcü, Mahmut
    Purpose: Ankaferd Blood Stopper (ABS), which is a standardized mixture of herbal extracts obtained from fve plants, has been proven as an efcient hemostatic agent and is still used in emergency situations. It is not known exactly if decreased bleeding has positive or negative efects on muscle healing and fbrosis, so the purpose of this study was to test the efect of ABS on muscle healing and morphology.Methods: A total of 66 outbred Wistar rats were divided into three control and three experimental subgroups. In the experimental groups, ABS was sprayed on the cut surface of the soleus. In the control groups, a saline solution was sprayed on the cut surface of the soleus. Subgroups were euthanized afer 2 weeks, 3 weeks and 4 weeks, respectively. In each subgroup, eight rats were used for the biomechanical study to determine muscle healing and three rats were used for the histopathological investigation.Results: Although muscle strength in the control groups was lower than that of the experimental groups in early weeks, no diferences were found between the control and the experimental groups at 4 weeks.Conclusions: ABS has no negative efect on muscle healing. We also observed that ABS accelerated muscle healing compared to the control group. ABS could be used in hemostasis of open fractures and elective orthopedic surgeries. © 2021 Elsevier B.V., All rights reserved.
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    Index finger pollicization for treating a congenitally nonfunctioning thumb in patients with radial longitudinal deficiency
    (Yuzuncu Yil Universitesi Tip Fakultesi Eastern Journal of Medicine Van 65100, 2014) Kömürcü, Mahmut; Yüce, Serdar; Yavuz, Osman Yüksel; Uraş, Ismail; Uygun, Murat; Kürklü, Mustafa
    Radial longitudinal deficiency (radial club hand) is a congenital deformity in the upper extremity that can present with a range of thumb deficiencies. A variety of surgical procedures to correct for absence of a thumb have been described, such as pollicization, osteoplastic reconstruction, toe to hand transfer, and extension with distraction. We have reviewed 8 index finger pollicizations in 6 patients after correction of the radial club hand deformity through wrist centralization. Four hands used were the dominant hand. Buck-Gramcko’s technique was used with a mean age of 4.6 (range from 2 to 14) years. The mean follow-up time was 6 (range from 2 to 10) years. The mean active range of motion at the pollicized digit was 121.4 (range from 83 to 150) degrees. The result was considered excellent in 5 cases (62.5%), good in 2 cases (25%), and fair in 1 case (12.5%) in accordance with Percival’s scoring system; none of the outcomes were poor. The younger patients adapted easier. Index finger pollicization is a method that provides dramatic improvement to hand function in thumb aplasia or severe hypoplasia, which may be preferred in treatment. The operations improved hand cosmetic appearance and functional ability. © 2017 Elsevier B.V., All rights reserved.
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    Maternal height and infant body mass index are possible risk factors for developmental dysplasia of the hip in female infants
    (Okayama University actamed@cc.okayama-u.ac.jp, 2015) Atalar, Hakan; Günay, Cüneyd; Yavuz, Osman Yüksel; Duyan-Çamurdan, Aysu; Uraş, Ismail; Eren, Ali
    Developmental dysplasia of the hip (DDH) is a wide-spectrum disease with a multifactorial etiology and, despite its prevalence, no definitive etiology has yet been established. The aim of this study was to investigate new risk factors for DDH by evaluating newly defined potential risk factors. A total of 71 infants were separated into 2 groups: Group I, 28 female first-born infants diagnosed with DDH and their mothers; and Group II, 43 healthy female first-born infants and their mothers. The maternal height and weight before pregnancy, infant height and weight at birth, and body mass index (BMI) of both mother and infant were determined. Calculations were made of the ratios between these parameters. Of the examined risk factors, only maternal height and the ratio of maternal height to infant BMI (MH/I-BMI) were found to be significant for DDH in infants. In conclusion, the results of this study show that a short maternal height and a low MH/I-BMI increase the risk of DDH. Further studies with a larger series are necessary to confirm these results. © 2016 Elsevier B.V., All rights reserved.