Yazar "Arazi, Mehmet" seçeneğine göre listele

Listeleniyor 1 - 20 / 28
  • Küçük Resim
    Öğe
    Ayrılmış Asetabulum Kırıklarının İlioinguinal Yaklaşımla Cerrahi Tedavisi: Erken Bulgular
    (2001) Arazi, Mehmet; Kutlu, Abdurrahman; Erişti, Yıldıray; Mutlu, Mahmut
    Amaç: Ayrılmış asetabulum kırıklarının cerrahi tedavisinde ilioinguinal yaklaşımın erken sonuçlarının ve uygulamayla ilgili tecrübelerimizin bildirilmesi. Çalışma planı: Prospektif bir çalışma protokolü çerçevesinde, 20 hastanın ayrılmış asetabulum kırığı ilioinguinal yaklaşımla cerrahi olarak tedavi edildi. Hastaların 17’si erkek, üçü kadın idi (yaş ort. 41; dağılım 19-70). Tüm hastalar başvurudan sonraki ilk üç hafta içerisinde ameliyat edildi. Judet ve Letournel sınıflamasına göre, kırıkların 14’ü (%70) kompleks tipte, altısı (%30) elementer tipteydi. Son kontrolde hastaların klinik ve radyolojik değerlendirilmeleri, Matta’nın tanımladığı kriterler kullanılarak yapıldı. Ortalama izlem süresi 14 ay (dağılım 6-32 ay) idi. Sonuçlar: Hastaların %80’inde ameliyat sonrası redüksiyon, anatomik ya da başarılı olarak değerlendirildi. Bir hastada derin yara enfeksiyonu, iki hastada siyatik sinirin peroneal komponentini etkileyen iatrojenik sinir arazı, bir hastada Ghalambor ve ark.nın sınıflamasına göre I. derece heterotopik ossifikasyon gelişti. İzlem süresi içinde bir hastada belirgin posttravmatik artrit, iki hastada ise eklem aralığında orta derecede (%50’den az) daralma saptandı. Son kontrolde hastaların radyolojik değerlendirmelerinin klinik bulguları ile uyumlu olduğu gözlendi. Çıkarımlar: Çalışmamız, asetabulumun ayrılmış kırıklarında ilioinguinal yaklaşımla cerrahi tedavinin etkili bir seçenek olduğunu gösterdi. İlioinguinal yaklaşımla, düşük komplikasyon oranı, hızlı yara iyileşmesi ve çok sayıda kırık tipinde yeterli görünüm sağlanmaktadır.
  • Küçük Resim
    Öğe
    Be Aware of Bone Marrow Edema Syndrome in Ankle Arthroscopy: A Case Successfully Treated with Iloprost
    (W B Saunders Co-elsevier Inc, 2006) Arazi, Mehmet; Yel, Mustafa; Uguz, Bilgehan; Emlik, Dilek
    Bone marrow edema syndrome (BMES) is a nontraumatic syndrome characterized by disabhng joint pain. The disease occurs especially in the hip joint, and the ankle joint has been reported in the English-language literature to be affected only rarely. We describe here the case of an adult with BMES in both ankle joints, She has been treated with nonsteroidal anti-inflammatory drugs and physical therapy, as well as ankle arthroscopy, all of which have been unsuccessful. BMES was diagnosed on the basis of clinical and magnetic resonance imaging (MRI) findings. The patient was treated with iloprost (Ilomedin. Schering AG, Berlin, Germany); the course of therapy consisted 6 of 5 infusions of 40 mu g of iloprost in 500 mL of sodium chloride solution, given over 6 hours on 5 consecutive days. MRI at the third monthly visit showed nearly complete resolution of bone marrow 7 edema. The patient was followed for 2 years and 6 months and was completely asymptomatic. This case report suggests the need for orthopaedic surgeons to know about BMES. Before all-arthroscopic interventions are performed, MRI views should be evaluated carefully. Iloprost infusion therapy seems to be effective and safe in the management of BMES.
  • Küçük Resim Yok
    Öğe
    Bone marrow edema syndrome of the third metatarsal bone: a rare cause of metatarsalgia treated with Iloprost
    (SPRINGER, 2011) Arazi, Mehmet; Kiresi, Demet
    Bone marrow edema syndrome (BMES) is a non-traumatic clinical condition characterized by typical pattern of changes on magnetic resonance imaging (MRI). The disease rarely occurs in the forefoot region. A 37-year-old woman was diagnosed with BMES of the third metatarsal bone with typical MRI findings. She was successfully treated with iloprost infusion therapy consisted of infusion of 40 mu g of iloprost in 500 ml of sodium chloride solution given over 6 h daily, for five consecutive days. In conclusion, BMES should be kept in mind, as one of the causes of severe pain of forefoot region, and iloprost seems to be an effective treatment method for BMES.
  • Küçük Resim
    Öğe
    Case 161: Hydatid Disease with Water Lily Sign Manifesting as a Soft-Tissue Mass in the Calf of a Child
    (Radiological Soc North America, 2010) Kerimoğlu, Ülkü; Kapıcıoğlu, Safa; Emlik, Dilek; Arazi, Mehmet; Ural, Onur
    History An 8-year-old girl presented with pain and tenderness of 6 months duration in the distal part of her calf above the left ankle. She denied having experienced any trauma, and her clinical history was otherwise normal. A physical examination revealed a tender mass associated with redness on the skin. As part of the diagnostic imaging protocol, conventional radiography of the ankle was performed. This was followed by 1.5-T magnetic resonance (MR) imaging (Symphony; Siemens Medical Systems, Erlangen, Germany) for further evaluation.
  • Küçük Resim Yok
    Öğe
    The de Barsy Syndrome
    (TURKISH J PEDIATRICS, 2001) Arazi, Mehmet; Kapıcıoğlu, M. I. S.; Mutlu, M.
    We report a child with de Barsy syndrome, which is a very rare, genetically transmitted clinical entity associated with mental and growth retardation, severe cutis laxa, joint laxity and various ocular and skeletal system findings. The patient was operated to treat her orthopedic disabilities. Typical findings of this case with eight-year follow-up beginning from birth are described and compared with previously reported cases. The main aim of this paper was to describe the diagnostic and therapeutic difficulties of this rarely encountered syndrome.
  • Küçük Resim
    Öğe
    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.
  • Küçük Resim
    Öğe
    Easily Removed Drill Guide for Pin Insertion During External Fixation
    (LIPPINCOTT WILLIAMS & WILKINS, 2001) Arazi, Mehmet; Kutlu, Abdurrahman
    A new guide for tissue protection while drilling and inserting screws in external fixation without taking down the system is presented. It can be used for pin insertion in both unilateral and ring-type external fixators. The external fixator is used as a template guide, and pin insertion can be easily per formed with the fixator in place. With its use, operative time is decreased, and tissue protection is achieved for all pin insertions in any part of the musculoskeletal system.
  • Küçük Resim
    Öğe
    Effects of Aprotinin on Pulmonary Functions in Experimental Fat Embolism: Changes in Arterial Blood Gas Levels and Scintigraphic Findings
    (2000) Yel, Mustafa; Dalgıç, Hülya; Taştekin, Güngör; Arazi, Mehmet; Kutlu, Abdurrahman
    Purpose: To assess the effects of aprotinin on the formation and resolution of fat embolism of the lungs. Methods: The changes in arterial blood gas levels and perfusion scintigraphy were studied by forming experimental standardized fat embolism in rabbits with autogenous fat obtained from their femur medullas. Two groups, each consisting of 14 albino rabbits, were used in this study. Group 1, which received intravenous saline solution, was the control group. Group 2, which received aprotinin, was referred to as the aprotinin group. Autogenous femoral medullary content was used for embolization procedures. Arterial blood gas levels were recorded 72 hours before and 1, 24, 72 hours and 10 days following the embolization procedure. Pulmonary perfusion scintigraphies were performed 72 hours before the embolization procedure and on the first and 72nd hours, and the 10th day. Results: Fat embolism was achieved in all rabbits. Seven rabbits in the control group and one rabbit in the aprotinin group died within an hour after the embolization procedure. According to blood gas levels and perfusion scintigraphic findings, the aprotinin group significantly had less pulmonary fat embolism and recovered faster than the control group, especially during the first 24 hours. There was no significant difference in regression of pulmonary dysfunction between the two groups. Conclusion: The correlation between the blood gas levels and scintigraphic findings suggested that the administration of aprotinin for prophylactic purposes had favorable effects on the development of pulmonary gas exchange disturbance and perfusion defect in fat embolism.
  • Küçük Resim Yok
    Öğe
  • Küçük Resim Yok
    Öğe
    Glenohumeral Instabilitelerde Pnömoartro-Bilgisayarlı Tomografi
    (2001) Yel, Mustafa; Karabacakoğlu, Aydın; Karaköse, Serdar; Arazi, Mehmet; Akçalı, Ömer
    Amaç: Travmatik, tek yönlü glenohumeral (GH) instabilitelerdeki kemik ve yumuşak doku değişikliklerini radyografi, bilgisayarlı tomografi (BT) ve pnömoartro-BT (PA-BT) ile incelemek ve artroskopi veya artrotomi bulgularıyla karşılaştırarak doğruluk oranlarını belirlemek. Çalışma planı: Glenohumeral instabilite saptanan ve cerrahi olarak tedavi edilen 20 hastanın (19 erkek, 1 kadın; ort. yaş 23.4; dağılım 17-41) omuz radyografileri, BT ve PA-BT incelemeleri değerlendirildi. Radyografi, BT ve PA-BT ile belirlenen kemik lezyonları ve yumuşak doku değişiklikleri, omuz artroskopi veya artrotomi bulgularıyla karşılaştırıldı; bu yöntemlerin tanıdaki etkinlikleri ve doğruluk oranları belirlendi. Sonuçlar: Kemik lezyonlarında artroskopi bulguları ile radyografi, BT, PA-BT bulguları karşılaştırıldığında, doğruluk oranları glenoid köşe kırığında radyografide %11.1 1/9), BT'de %100 (9/9), PA-BT'de %100 (9/9); Hill-Sachs lezyonunda sırasıyla %42.9 (3/7), %71.4 (5/7) ve %71.4 5/7) bulundu. Yumuşak doku lezyonlarında artroskopi bulguları ile PA-BT bulguları karşılaştırıldığında PA-BT' nin doğruluk oranı Bankart lezyonunda %81.8 (9/11), anterior kapsüler bollaşmada %95 (19/20) olarak belirlendi. Çıkarımlar: invaziv bir yöntem olmasına rağmen, PABT incelemesinin GH instabilitelerdeki kemik ve yumuşak doku değişikliklerini belirlemede başarılı ve ucuz bir görüntüleme yöntemi olduğu sonucuna varıldı.
  • Küçük Resim
    Öğe
    Kombine Önkol Yaralanmalarında Sinir Onarımı Sonrası Erken Veya Geç Hareket Sonucu Değiştirir Mi?
    (2001) Öğün, Tunç Cevat; Arazi, Mehmet; Kapıcıoğlu, M. İ. Safa
    Amaç: Önkol kombine yaralanmalarının primer tamiri sonrasında erken kontrollü hareket veya üç hafta tespiti takiben aşamalı hareket şeklinde iki farklı rehabilitasyon yöntemi arasında sinir tamir sonuçları yönünden bir fark olup olmadığını belirlemek. Çalışma planı: Önkol kombine yaralanmaları olan 11 hastada (ort. yaş 31.5) primer tamir sonrasında erken kontrollü hareket uygulandı. Başka bir grup hastada (n=14, ort. yaş 32) ise üç hafta tespiti takiben aşamalı hareket uygulandı. Takip süresi birinci grupta 32 ay, ikinci grupta 16.3 ay idi. Sinir tamir sonuçlarına etki eden yaş unsurunda homojenlik sağlamak için 20 yaş altındaki hastalar çalışmaya alınmadı. Sinir tamir sonuçları, motor, duyu ve fonksiyonel testler ile değerlendirildi. Ayrıca, parmak hareket genişlikleri ölçüldü. Sonuçlar: Ulnar ve median sinir kesileri, eşlik eden tendon kesisi sayısı, duyu, motor ve fonksiyonel değerlendirme testleri sonuçları ve eklem hareket genişlikleri açısından iki grup arasında anlamlı farklılık bulunmadı (p>0.05). Çıkarımlar: Önkol kombine yaralanmalarında primer sinir onarımını takiben erken veya geç hareket temeline dayalı iki farklı yöntem de sinir iyileşmesi yönünden benzer sonuçlar vermektedir.
  • Küçük Resim Yok
    Öğe
    Modified Medial Stoppa Approach For Acetabular Fractures: An Anatomic Study
    (LIPPINCOTT WILLIAMS & WILKINS, 2011) Kaçıra, Burkay Kutluhan; Arazi, Mehmet; Çiçekcibaşı, Aynur Emine; Büyükmumcu, Mustafa; Demirci, Şerafettin
    Background: The modified medial Stoppa approach is an alternative and new surgical approach to access to the internal pelvis and medial wall of the acetabulum. There is little information about the clinical anatomic specifications of exposure in the literature. In this study, the pertinent surgical anatomy that involved the modified medial Stoppa approach was further defined and the anatomic positions and variations of the structures seen in the surgical site were analyzed. Methods: We dissected five formalized cadavers to present structures at risk in a standard modified medial Stoppa approach. The internal iliac artery and branches were colored with latex injection in formalized cadavers. Morpho-metrical measurements of the neurovascular structures adjacent to quadrilateral surface and their anatomic variations were noted. Results: It was detected that the obturator vessels and nerve and the iliolumbar vessels were primarily the structures at risk. Obturator vessels and nerve were the most important structures to pay attention because of their direct contact to quadrilateral surface. There was communication (corona mortis) between obturator and inferior epigastric veins in 4 (40%) of 10 hemipelvises. Conclusions: Before clinical applications, performing cadaver dissection is important to minimize intraoperative complications. This study was the first anatomic study in the literature that reveals the structures that are at risk during surgical treatment of acetabular fractures, which was treated with the modified medial Stoppa approach.
  • Küçük Resim
    Öğe
    Modüler Unipolar Kalça Protezi Kırılması ve Revizyonu (Stem Çıkarmada Yeni Bir Teknik) (Olgu Sunumu)
    (2000) Yel, Mustafa; Arazi, Mehmet; Öğün, Tunç Cevat; Kutlu, Abdurrahman
    Selçuk Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalında femur boyun kırığına bağlı modüler unipolar kalça protezi uygulanan hastada 30 ay sonra femoral stem kırılması tespit edildi. Hastanın protezi ve kırık stem parçası bu ameliyat için geliştirilen aletlerle çıkarılarak total kalça protezi uygulandı. Çelik delici matkap ucu, buna uygun yapılan yiv açıcı ve yivli çıkarıcı ile uyguladığımız bu teknik bir çok avantajlar sağladı. Bunlar ameliyat süresinden tasarruf, daha küçük cilt insizyonu, ilave kesi ve osteotomilere ihtiyaç göstermemesi, ameliyat sonrası erken rehabilitasyon ve erken fonksiyon kazandırma olarak sayılabilir.
  • Küçük Resim
    Öğe
    Neurologically Intact Fracture-Dislocations of the Thoracolumbar Spine
    (2001) Öğün, Tunç Cevat; Özdemir, Mustafa; Arazi, Mehmet; Kapıcıoğlu, Mehmet İsmail Safa; Kutlu, Abdurrahman
    Purpose: In this study, we presented ten neurologically intact fracture-dislocations of the thoracolumbar spine which are extremely rare, and reported the results of treatment. Methods: Ten fracture-dislocations of the thoracolumbar spine were treated in a period of nine years. Surgical reduction and stabilization were performed in six patients. Four patients rejected surgery and were treated conservatively. The average follow-up was 55 months. Results: During the conservative course of treatment, surprisingly, the neurologic status did not deteriorate. However, varying degrees of pain and roentgenographic deterioration of spinal alignment and canal compromise were detected. In the operated group, there were also no deteriorations in the neurologic status and the roentgenograms revealed no serious loss of reduction. One of the patients from the conservative group and two of the patients from the operative group were able to return to their pre-injury works. Conclusion: Surgical treatment was satisfactory, both clinically and radiologically, in a group of patients with thoracolumbar fracture-dislocations. Well-known drawbacks of conservative treatment, including long-term bed-rest, social and economic losses and long-lasting treatment, led us to favor surgical treatment.
  • Küçük Resim
    Öğe
    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.
  • Küçük Resim Yok
    Öğe
    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.
  • Küçük Resim
    Öğe
    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.
  • Küçük Resim Yok
    Öğe
    The Pelvic External Fixation: The Mid-Term Results of 41 Patients Treated With a Newly Designed Fixator
    (Springer-Verlag, 2000) Arazi, Mehmet; Kutlu, A.; Mutlu, M.; Yel, Mustafa; Kapıcıoğlu, Mehmet İsmail Safa
    The purpose of this study was to evaluate the clinical and radiological results of unstable pelvic fractures:treated with a new external fixation device. Between May 1992:and May 1998, 43 patients with unstable pelvic fractures were treated with a new anterior pelvic external fixator. Two died, and therefore 41 patients' results were evaluated. There were 29 men and 12 women, and their average age was 34 years (range 12-70 years). Traffic accidents accounted for 34 injuries. Three patients fell from a height, 3 were injured in industrial accidents, and 1 was hit by a train. According to the Tile classification, there Were 24 type B pelvic injuries and 17 type C. Associated injuries Were observed in 21 patients. A considerable reduction of the pelvic pain was noted after application of the fixator in all patients. Excessive blood transfusion was not required in any patient, The average follow-up was 24 months (range 12-50 months). Clinical results at final evaluation were good according to the criteria of Matta and Saucedo in 34 patients and poor in 7, In conclusion,:the new pelvic external fixator is effective, safe, and easy to apply in the treatment of unstable pelvic fractures. The fixator can be used alone in patients with type B pelvic injuries such as open book and lateral compression. However, it does not provide sufficient stability for severely displaced type C injuries when applied alone. Nevertheless, it may be helpful for fixing type C injuries like a posterior iliac fracture without dislocation of the sacroiliac joint.
  • Küçük Resim
    Öğe
    Pelvis Yaralanmalarının Tedavisinde Eksternal Fiksasyonun Yeri: Endikasyonlar ve Güncel Eğilimler
    (2000) Arazi, Mehmet; Kutlu, Abdurrahman
    Günümüzde pelvisin anstabil lezyonlarının tedavisi, travmatolojinin önemli bir konusu olmaya devam etmektedir. Tedavide, internal tespit araçları ve eksternal fiksatör uygulamaları gibi cerrahi yaklaşımlar sıklıkla uygulanmaktadır. Uygulanan tedavi şekli ile prognoz arasında doğrudan bir ilişki olmasa da, erken hasta rehabilitasyonu amacıyla, anatomik ve sağlam bir tespit gerekmektedir. Eksternal fiksatörler, kolay ve emniyetli ancak her zaman anatomik olmayan bir tespite imkan vermektedir. Yine de eksternal fiksatörler, özellikle erken dönemde öldürücü pelvik hemorajinin tedavisinde ve bazı tip B yaralanmaların kalıcı tedavisinde etkili olmaktadır. Tip C yaralanmalarda ise stabilite sorunu devam etmektedir. Eksternal fiksatörlerin tek başına kullanıldığında yetersiz kalacağı bu tip vakalarda erken rehabilitasyon amacıyla, tecrübeli ekiplerce yapılacak internal tespitten kaçınılmamalıdır. Redüksiyon ve stabilite sorunları nedeniyle kalıcı tedavideki yeri daralmakla birlikte, pelvik eksternal fiksasyon, basit ve emniyetli uygulanması nedeniyle, uygun endikasyonlarda ve dikkatlice seçilmiş hastalarda alternatif bir tedavi yaklaşımı olmaya devam etmektedir.
  • Küçük Resim Yok
    Öğe
    Pes ekinovarus deformitesinin cerrahi tedavisinde postero-medial gevşetme sonuçlarımız
    (1998) Mutlu, Mahmut; Öğün, Tunç; Kapıcıoğlu, M. İ. Safa; Arazi, Mehmet; Kutlu, Abdurrahman
    Henüz nedeni kesin olarak bilinmeyen Pes ekino varus (PEV) tedavisi zor, kompleks bir konjenital ayak deformitesidir. Selçuk Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji kliniğinde 72 hastanın 106 ayağı posteromedial gevşetme metodu ile cerrahi olarak tedavi edildi. Hastalardan 19'u kız, 53 'ü erkek idi. Hastalardan 58 'inin en az 6 ay, en çok 7 yıl 3 ay (ort. 26.4 ay) takipleri yapıldı. 4 hastanın 7 ayağında nüks meydana geldi. Klinik ve radyolojik değerlendirme sonrasında %81 çok iyi, %11 iyi, %8 kötü sonuç elde edildi.