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    A New Technique of Subtrochanteric Shortening in Total Hip Replacement for Crowe Type 3 to 4 Dysplasia of the Hip
    (Churchill Livingstone Inc Medical Publishers, 2010) Togrul, Emre; Ozkan, Cenk; Kalacı, Aydıner; Gulsen, Mahir
    A new technique of femoral fixation that uses a transverse osteotomy for subtrochanteric shortening and derotation in total hip arthroplasty for Crowe type 3 to 4 dysplasia of the hip is described. This series included 21 cases in 12 women and 2 men, with a mean age of 42.3 years. Follow-up averaged 41.2 months. Bone pegs prepared from the resected femoral segment were seated in the medullary canal around the stem for femoral fixation. Merle d'Aubigne scores for pain, motion, and walking improved from 2.9, 4.4, and 3.7 to 5.2, 5.4, and 5.5, respectively. Radiographic union was detected within 12 +/- 3.4 (range, 6-24) weeks in all cases. Complications were early dislocation in 2 cases. This technique allows correction of anteversion, provides excellent rotational stability, and eliminates the need for additional osteosynthesis regardless of the stem design.
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    Results of using Ilizarov distraction osteogenesis technique for the treatment of cubitus varus deformities in adults
    (Springer, 2010) Ozkan, Cenk; Dogramaci, Yunus; Kalacı, Aydıner; Gulsen, Mahir; Bayram, Hueseyin
    Five adult patients, with posttraumatic cubitus varus deformity underwent corrective surgery by the Ilizarov method of distraction osteogenesis. A standard technique was applied in all patients. The average follow-up was 28 (range, 24-38) months. Preoperative carrying angle ranged from 12A degrees to 22A degrees of varus (average 16.6A degrees) and postoperative carrying angle ranged from 10A degrees to 14A degrees of valgus (average, 11.6A degrees) equalized to the contralateral side. The outcome was rated as excellent in all patients. No complication was observed, except a grade-2 pin-tract infection in two patients. Rigid fixation, early rehabilitation, precise correction, satisfactory cosmetic scars and functionally excellent results can be obtained with this method.