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    Arthrodesis for tuberculous coxarthritis: Good outcome in 32 adolescents
    (2004) Özdemir H.M.; Yensel U.; Cevat Ögün T.; Senaran H.; Kutlu A.
    Background: There is no consensus on best treatment of advanced tuberculous coxarthritis in young patients. Patients and methods: We report our results concerning hip arthrodesis for advanced tuberculous arthritis of the hip in 32 adolescents. The operation was preceded by standard antituberculous chemotherapy for 4 weeks, which was continued for 12 months after surgery. At the last follow-up, clinical and radiographic examinations of the ipsilateral knee, contralateral hip and lower back were done. We evaluated function, limitations, and presence of pain with our usual questions. Results: Their average age at the time of operation was 16 (12-18) years and the average duration of follow-up 12 (10-18) years. Solid bony fusion occurred in all patients after mean 5 months and no complications developed in the postoperative period. 28 patients were satisfied with the fused hip. No patients had reactivation of tuberculosis in any part of their body. The results were comparable to those of arthrodesis performed for other causes. Interpretation: Hip arthrodesis is an alternative method of treatment for advanced stages of tuberculous coxarthritis in the adolescent.
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    Iliac horn [İli?ak boynuz]
    (2003) Yensel U.; Mutlu M.; Özdemir H.M.; Tuncer I.
    Iliac horns are very rare bone variations. This variation confused with benign and malign disease of the bone in both clinical and radiological point of view. The majority of the iliac horns are associated with hereditery Nail-patella syndrome. Three iliac horn were found in anatomic bone survey. And we evaluated anatomomorphologic characteristics of the iliac horns and its orthopaedic associations.
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    A Lasting Solution Is Hard to Achieve in Primary Hydatid Disease of the Spine: Long-Term Results and an Overview
    (2004) Özdemir H.M.; Ögün T.C.; Tasbas B.
    Study Dseign. Retrospective evaluation of patients with primary hydatid disease was done, with an overview of the pertinent literature. Objectives. To determine the results of surgical decompression and antihelminthic treatment. Summary of Background Data. Bone involvement in hydatid disease has been reported to be only 0.5 to 4%. Spinal involvement is found in 50% of these cases, with mortality over 50%. Paraplegia is the most serious complication of the disease, caused by compression of the spinal cord by the cysts. Aggressive surgery combined with antihelminthic therapy is recommended to eradicate the disease and prevent recurrence. Methods. Three patients with primary spinal hydatid disease were operated on several times for multiple recurrences. Combined chemotherapy with either mebendazole or albendazole was also given. The mean age was 52 years, and the mean follow-up time was 92 months. Results. Surgery and chemotherapy improved the symptoms in all cases but could not prevent recurrences and multiple operations. Conclusions. Primary spinal echinococcosis must be considered in the preoperative differential diagnosis of the atypical presentation of vertebral lesions, especially in patients with risk factors. Early diagnosis and preferably anterior radical surgery combined with antihelminthic therapy of sufficient duration are mandatory to at least halt the progression of symptoms, but these measures could not provide a lasting solution for the patients described here.