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Öğe A Case of a New Syndrome or a Variant of the Rare Popliteal Pterygium Syndrome(2001) Öğün, T. C.; Tosun, Z.; Arazi, M.; Kapıcıoğlu, SafaThe popliteal pterygium syndrome is very rare, and is characterized by a congenital popliteal web accompanying the genitourinary, craniofacial, and musculoskeletal anomalies. We described a case of presumably popliteal pterygium syndrome with severe right popliteal web, right renal agenesis, left bifurcated ninth rib, urethral orifice in the vagina, right presacral discoloration resembling A-V malformation, imperforate anus, skin dimple in the left gluteal region, right calcaneovalgus foot with supernumerary digits and aberrant profunda femoris artery. This is the first report of this combination in the pertinent literature.Öğe The Effects of Dynamization and Destabilization of the External Fixator on Fracture Healing: A Comparative Biomechanical Study in Dogs(Slack Inc, 2002) Arazi, M.; Daşcı, Z. ; Yalçın, H.; Kutlu, A.; Tarakçıoğlu, N.This study compared the effects of axial dynamization and staged destabilization on fracture healing. Bilateral midshafts of canine tibiae were osteotomized and fixed with an external fixator. The hind limbs were divided into two groups: the destabilized group in which the fixator's stiffness was progressively reduced over time and the axially dynamized group in which the fixator was axially dynamized. The healed tibiae were tested for 3-point bending in the anteroposterior plane. The biomechanical tests performed 2 months postoperatively revealed that the side with the destabilized fixator was more rigid than the side with the axially dynamized fixator, but the differences were insignificant (P=.20). This study showed staged destabilization of the fixator's stiffness was as effective on the enhancement of fracture healing as axial dynamization.Öğe Ilizarov External Fixation for Severely Comminuted Supracondylar and Intercondylar Fractures of the Distal Femur(British Editorial Soc Bone Joint Surgery, 2001) Arazi, M.; Memik, R.; Ogün, T. C.; Yel, M.Our aim was to determine the clinical effectiveness and safety of Ilizarov external fixation for the acute treatment of severely comminuted extra-articular and intercondylar fractures of the distal femur. A total of 14 consecutive patients with complex fractures was treated. There were three type-A3, two type-C2 and nine type-C3 fractures according to the AO/ASIF system. The mean follow-up was 14 months. Most fractures (13) united primarily at a mean of 16 weeks. One patient with a type-IIIA open fracture had infection and nonunion. The mean range of flexion of the knee at the final follow-up was 105 degrees (35 to 130). We conclude that, in the treatment of comminuted fractures of the distal femur, the Ilizarov fixator is safe and effective in providing stability and allowing early rehabilitation.Öğe The Stoppa approach versus the ilio-inguinal approach for anterior acetabular fractures: A case control study assessing blood loss complications and function outcomes(Elsevier Masson SAS, 2014) Elmadağ, M.; Güzel, Y.; Acar, M. Ali; Uzer, G.; Arazi, M.Background: The modified Stoppa approach was introduced to manage fracture of the anterior column instead of the ilio-inguinal approach to reduce morbidity. However, there is no clinical evidence to confirm its efficiency. Therefore, this study was designed to ascertain: (1) if the Stoppa approach versus ilio-inguinal allows less blood loss? (2) if functional and radiological results are superior to that of the ilio-inguinal approach? (3) if the rate of complication was different. Hypothesis: The modified Stoppa approach allows less blood loss than the ilio-inguinal in management of fractures of the anterior column of the acetabulum. Patients and methods: Nineteen patients who were treated with the ilio-inguinal approach (Group A) at a mean follow-up of 33 months and 17 patients who were treated with the modified Stoppa approach (Group B) at a mean follow-up of 28.9 months were retrospectively reviewed. Patients were called to the final follow-up examination, mean follow-up durations were set and the functional evaluation of patients was made with measurement of range of motion, Harris Hip Scores (HHS), and Merle D'Aubigné score. Results: Average blood loss was determined at a mean 1170. mL (range, 750-2150. mL) in group A and at a mean 1110. mL (range, 450-2000. mL) in group B (p= 0.168). The mean HHS (group A. = 89.4 (73-99) and group B. = 88.4 (75-97)) and Merle D'Aubigné scores (group A. = 16.8 (13-18) and group B. = 16.5 (13-18)) showed no significant difference between the groups (p= 0.169). At the final follow-up, the mean hip flexion was found to be 106.83. ±. 12.47 and the hip extension was 10.33. ±. 6.12 in group A, while these values were 103.71. ±. 14.32 and 10.69. ±. 8.17 in group B (NS between groups regarding flexion (p= 0.678) and extension (p= 0.445)). The complication rate was 31% in group A (6 patients) and 23% in group B (4 patients) (p>. 0.05). Discussion: Both surgical approaches give successful results in the treatment of acetabular fractures. Contrary to expectations, there was no difference in the amount of bleeding at the wound site from the Stoppa technique, even though it is minimally invasive, compared to the ilio-inguinal approach. Level of evidence: Level III. Retrospective case control study. © 2014.
