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Öğe CURRENT SURGICAL TREATMENT OPTIONS FOR CARTILAGE REPAIR(GUNES KITABEVI LTD STI, 2011) Doral, Mahmut Nedim; Atay, O. Ahmet; Bilge, Onur; Donmez, Gurhan; Uzumcugil, Akin; Olgun, Deniz; Ayvav, MehmetJoint cartilage pathologies are popular and developing field of orthopaedic joint surgery due to their limited and controversial healing capacities. Succesfully applied new treatment methods were noted as microfracture, osteoarticular autograft, mosaicplasty and autologous chondrocyte implantation for cartilage regeneration to date but since each methods have some limitations a gold standart therapy was not found yet. Although most of these techniques improve joint functions, they seem inadequate to obtain natural structure and composition of the cartilage. Since then, current studies are focused on gene therapy, mesenchymal stem cells and tissue engineering.Öğe Retroperitoneoscopic drainage of complicated psoas abscesses in patients with tuberculous lumbar spondylitis(SPRINGER, 2012) Büyükbebeci, Orhan; Seçkiner, İlker; Karsh, Burçin; Karakurum, Günhan; Başkonuş, İlyas; Bilge, Onur; Kaçıra, Burkay KutluhanNowadays, endoscopic techniques are widely used in surgical procedures. Retroperitoneoscopy has been an extremely valuable tool for a wide variety of urologic disorders, whereas, it has limited use in orthopedic procedures. We performed retroperitoneoscopic drainage (in combination with medical treatment) of complicated psoas abscess on 12 patients with tuberculous spondylitis. All the procedures were done under general anesthesia and in the lateral decubitus position. Psoas abscess was evacuated during procedure, and postoperatively, drainage was continued through a large silastic tube. The definitive diagnosis and the treatment were made based on the results of culture-antibiogram and PCR testing. Complete clinical and radiologic remission was observed in all patients in 3-6 months. The complication was not observed in any case postoperatively. Retroperitoneoscopic drainage of psoas abscesses gains advantages in terms of rapid recovery, minimal invasiveness, absence of radiation, and shorter hospital stay. This procedure can be used not only for cold abscesses but also for other pathologies of lumbar vertebral area.