Yazar "Kanatli, Ulunay" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim
    Öğe
    Comparison of Surgical Treatment and Conservative Approach for Type III Acromioclavicular Dislocations
    (Ortadogu Ad Pres & Publ Co, 2011) Esen, Erdinc; Ozturk, Akif Muhtar; Dogramaci, Yunus; Kanatli, Ulunay; Bolukbasi, Selcuk
    Objective: In this study, we aimed to compare the effectiveness and the results of surgical (modified Weaver-Dunn) and conservative treatment techniques for Rockwood type III acromioclavicular dislocation. Material and Methods: Thirty four patients with acromioclavicular dislocation were included in this study. The mean age was 43.6 +/- 10.2 years (range 21-60). Modified Weaver-Dunn technique was performed on 17 patients. The mean operation time after the trauma was 12 +/- 6.9 days (range 3-24 days). The remaining 17 patients were treated conservatively with an acromioclavicular bandage. The range of motion and strengthening of the shoulder muscles started during the sixth week of treatment in both groups. The mean follow up period of both groups was 32.8 +/- 12.1 months (range 12-72). Results: No complication occurred in either groups. According to Poigenfurst's criteria, the results were classified as good or excellent in both groups. No statistically significant difference was found between the results of the groups according to Poigenfurst's criteria (p> 0.05). Conclusion: Treatment modalities of type III acromioclavicular dislocation remain controversial. Satisfactory results have been reported when Modified Weaver-Dunn techniques were performed initially to young, active, laborer and athletes with acromioclavicular dislocation of the dominant extremity. In this study, we did not find a significant difference between surgical treatment and conservative approach in terms of measurements of functional outcomes. We concluded that the treatment of stage III dislocation can be modified according to the personal characteristics and the expectations of the patient. Current data indicates that both treatment modalities can be satisfactory.
  • Küçük Resim
    Öğe
    Factors affecting results of patients with humeral proximal end fractures undergoing primary hemiarthroplasty: A retrospective study in 42 patients
    (Elsevier Sci Ltd, 2009) Esen, Erdinc; Dogramaci, Yunus; Gultekin, Serap; Deveci, Mehmet Ali; Suluova, Fatih; Kanatli, Ulunay; Bolukbasi, Selcuk
    Aim: Our study reports long-term results and factors related to patient satisfaction in the case of primary hemiarthroplasty for humeral proximal end fractures. Patients and methods: We retrospectively evaluated 42 patients with humeral proximal end fractures who underwent primary hemiarthroplasty in our clinic from February 1994 to March 2004. Of the 42 patients, 14 (33%) were male and 28 (67%) female. The mean age was 68.9 +/- 5.57 years (age range: 59-81 years). The mean follow-up period was 78.8 +/- 26.6 months (range: 48-118 months). We evaluated the following parameters: fracture type according to the Neer classification, the time interval between the fracture and the operation, postoperative radiological examination, the Neer outcome assessment criteria for patient satisfaction and functions, according to the Constant and Murley Scoring (CMS) system. Results: We found good-to-excel lent outcomes in 36 (85.7%) and poor outcome in six (14.3%) patients according to the Neer criteria. The average values for CMS score, anterior elevation and external rotation were 73.59 +/- 17.95 (25-94), 121.30 +/- 42.99 degrees (range: 30-170 degrees) and 30 degrees (range: 0-80 degrees), respectively. The patients who had been operated in the early period (within 2 weeks) had better functional outcomes (p < 0.001) and had significant pain relief. There was a strong positive correlation between the humeral offset (distance between the head and the tuberosities) and the degree of elevation (r = 0.872, p < 0.001). There was a strong negative correlation between the height of the humeral head and the degree of elevation (r = -0.853, p < 0.001). Conclusion: In humeral proximal end fractures, primary hemiarthroplasty in the early period with the anatomic reconstruction of bone and soft tissues of the shoulder joint and long-term regular rehabilitation programme are important factors contributing to increased patient satisfaction. (C) 2009 Elsevier Ltd. All rights reserved.
  • Küçük Resim
    Öğe
    The Prevalence of the Palmaris Longus Agenesis: A Study in Afghan Population
    (Ortadogu Ad Pres & Publ Co, 2010) Dogramaci, Yunus; Kalacı, Aydıner; Savas, Nazan; Esen, Erdinc; Ucar, Edip; Duman, I. Gokhan; Kanatli, Ulunay
    Objective: Palmaris longus (PL) is a structure often used in reconstructive surgery mainly in the setting of tendon grafting. The palmaris longus agenesis varies depending on the race/ethnicity. Awareness of the prevalence in the treated population or ethnic group is important. The prevalence of palmaris longus agenesis has, to the best of the authors' knowledge, not been reported in Afghan population. Material and Methods: Four-hundred and thirty healthy Afghan subjects (215 males and 215 females) were clinically examined for the presence or absence of palmaris longus. The examination entailed observation of the volar aspect of the wrist, looking for the palmaris longus tendon using Schaeffer's test and Mishra's second test. Results: PL tendon was found to be absent unilaterally in 7.7% and bilaterally in 14.2% of study participants. The overall prevalence of absence of PL (unilateral or bilateral) was 21.9%. Bilateral absence of PL was statistically more frequent than the unilateral absence. The prevalence of absence of PL was statistically similar between the genders and the sites. Conclusion: The prevalence of the palmaris longus agenesis in the Afghan subjects was found to be much higher than the reported average prevalence in the Asian population.