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    Early Weight-Bearing After Statically Locked Reamed Intramedullary Nailing of Comminuted Femoral Fractures: Is It a Safe Procedure?
    (LIPPINCOTT WILLIAMS & WILKINS, 2001) Arazi, Mehmet; Öğün, Tunç C.; Oktar, M. Nihat; Memik, Recep; Kutlu, Abdurrahman
    Background: The purpose of this study was to determine the safety of early weight-bearing after statically locked reamed nailing of comminuted fractures of the femoral diaphysis, and to assess the rate of implant failure and fracture heating. Methods: Thirty consecutive patients with comminuted diaphyseal femur fractures (Winquist type II, III, and IV) were treated with statically locked reamed intramedullary nailing. Six patients were lost to follow-up, and the remaining 24 patients were followed at least 1 year, Early weight-bearing was allowed and encouraged in the first 2 weeks after the operation. The nail diameters were 13 mm in 16 patients, 12 mm in 6 patients, and 14 mm in 2 patients. Results: Most of the patients could start weight-bearing between the first 2 and 4 weeks postoperatively, None of the patients, except one, were using any walking aids at the second month postoperatively, All the fractures healed without any significant complications. Nail bending or breakage did not occur in any patients, but there was slight bending in one distal interlocking screw and one proximal interlocking screw, The fractures of the patients with bent screws healed uneventfully, Conclusion: This study showed that early weight-bearing after reamed static interlocking nailing of Winquist type II, III, and IV femoral fractures is a safe and effective method, and the risk of implant failure does not preclude the procedure.
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    Normal Development of the Tibiofemoral Angle in Children: A Clinical Study of 590 Normal Subjects From 3 to 17 Years of Age
    (LIPPINCOTT WILLIAMS & WILKINS, 2001) Arazi, Mehmet; Öğün, Tunç C.; Memik, Recep
    In evaluation of genu varum-genu valgum, tibiofemoral (TF) angle and intercondylar (IC) or intermalleolar (IM) distance are commonly measured. In this study, we determined mean values and normal limits for TF angle and IC/IM distance in 590 normal Turkish children (287 girls and 303 buys) aged from 3 to 17 years using clinical methods. We noted a significantly higher degree of valgus angle than that in previous reports. The maximal mean valgus angle was 9.6 degrees at 7 years for boys and 9.8 degrees at 6 years for girls. These differences were considered racial differences between Turkish children and those of other races. Turkish children, aged between 3 and 17 years, exhibited less than or equal to 11 degrees physiologic valgus. A measurable varus angle or a valgus higher than 11 degrees during this period should be considered abnormal.
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    One-Stage Treatment of Open Tibial Fracture in a Child Using a Distally Based Sural Artery Flap: A Case Report
    (LIPPINCOTT WILLIAMS & WILKINS, 2001) Öğün, Tunç C.; Arazi, Mehmet; Özdemir, M.; Sarlak, A.
    Open fractures in children have a high level of morbidity and require early treatment. This case describes the successful treatment of a child who sustained an open tibial fracture with soft tissue loss. The fracture was stabilized with a monolateral external fixator devised in our clinic, and the soft tissue loss was covered with a distally based sural artery flap. The flap is simple, can be done quickly, and a surgeon does not need microsurgical or specialty training to perform the operation. This combined use of external fixation and distally based sural artery nap is a straightforward technique in distal tibial open fractures of children with soft tissue loss.
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    Osteoid Osteoma of the Carpal Bones
    (SPRINGER, 2001) Arazi, Mehmet; Memik, Recep; Yel, Mustafa; Öğün, Tunç C.
    Osteoid osteoma is a benign bone tumor that rarely localizes in the hand or the carpal bones. We report two cases of osteoid osteoma localized in two different carpal banes. Unremitting wrist pain was a major clinical symptom. Surgical treatment including excision of the nidus was dramatically curative. In young patients, osteoid osteoma should be considered in the differential diagnosis of chronic wrist pain.
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    Uzun Kemiklerde Kaynama Gecikmesi ve Yokluğunun Perkütanöz Kemik İliği Enjeksiyonu ile Tedavisi: Erken Sonuçların Bildirimi
    (2000) Arazi, Mehmet; Öğün, Tunç C.; Mutlu, Mahmut; Ertürk, Erol; Kutlu, Abdurrahman
    Amaç: Perkütan kemik iliği enjeksiyonunun uzun kemik kaynama problemlerinin tedavisinde klinik etkinliğini değerlendirmek. Çalışma planı: Uzun kemik kırığı bulunan ve kaynama problemi olan sekiz hasta (2 kadın, 6 erkek; ortalama yaş 34.3; yaş dağılımı 20-47) perkütan kemik iliği enjeksiyonu ile tedavi edildi ve prospektif olarak değerlendirildi. Kırıkların lokalizasyonları tibia (n3), humerus (n2), ulna (n2) ve radius (n1) şeklindeydi. Sonuçlar: Bir hasta takipten ayrıldı, kalan yedi hastanın beşinde, ortalama 4.2 ayda (3-6 ay) yeterli kaynama elde edildi. Çıkarımlar: Seçilmiş hastalarda, kaynama problemlerinin tedavisinde, perkütanöz kemik iliği enjeksiyonunun, emniyetli, basit ve alternatif bir tedavi yaklaşımı olduğu sonucuna varıldı.