Yazar "Demirayak, Mehmet" seçeneğine göre listele

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  • Küçük Resim
    Öğe
    Ankilozan Spondilitli Bir Olguda Travma Sonrası Servikal Change Kırığı: Olgu Sunumu
    (2006) Özdemir, H. Mustafa; Erkoçak, Ömer; Demirayak, Mehmet; Ögün, Tunç
    Ankilozan spondilitte omurgayı oluşturan kemik ve bağ yapı- lardaki kırılganlık sonucu küçük travmalarda bile omur kırığı oluşabilir. Kırıklar sıklıkla torakolomber bölgede, nadiren servikal bölgede meydana gelir. Bu yazıda ankilozan spondiliti olan ve yüksekten düşme sonrası alt ekstremitede güçsüzlük ve yürüme güçlüğü şikayetleriyle kliniğimize başvuran 52 yaşında erkek hasta sunuldu. Nörolojik muayenede giderek artış gösteren motor fonksiyon kaybı vardı. Manyetik rezonans görüntülemede servikal beşinci ve altıncı omurlar seviyesinde Chance kırığı saptandı. Ameliyatta tek seanslı anterior füzyon, stabilizasyon ve posterior dekompresyon yapıldı. Ameliyat sonrası nörolojik tabloda giderek artan düzelme görüldü. Hasta ameliyat sonrası yedinci günde akciğer yetersizliği nedeniyle kaybedildi.
  • Küçük Resim Yok
    Öğe
    Medial opening wedge high tibial osteotomy fixation with short plate without any graft, synthetic material or spacer
    (SAGE Publications Ltd, 2014) Türkmen, Faik; Sever, Cem; Kaçıra, Burkay Kutluhan; Demirayak, Mehmet; Acar, Mehmet Ali; Toker, Serdar
    Objectives: Medial opening-wedge high tibial osteotomy (MOWHTO) is an effective surgical procedure for patients who have medial compartmental osteoarthritis of the knee with varus deformity of the limb. The abnormal load on the medial compartment of the knee relocates to the lateral compartment with this procedure. A gap occurs on the proximal tibia during the correction of varus deformity. Filling this gap with bone grafts or synthetic materials has gained wide acceptance for preventing nonunion or osteotomy site collapse. The aim of this study is to report our results of MOWHTOs performed without any bone graft or any other synthetic materials. Methods: We evaluated 41 MOWHTOs performed between 2009 and 2012 with no use of bone grafts, synthetic materials or spacers. Age of the patients ranged from 43 to 67. Thirty five of the patients were female and 3 of them were male. The follow-up time was 6 months. Results: There were no any non-unions or loss of correction. The mean bone union time was 12,8 weeks. No major complications were seen. Conclusion: The results of our study has shown that achieve satisfactory results can be obtained in MOWHTO without using any bone graft, synthetic materials or spacer. © The Author(s) 2014.
  • Küçük Resim Yok
    Öğe
    Medial opening-wedge high tibial osteotomy fixation with short plate without any graft, synthetic material or spacer
    (Springer-Verlag France, 2014) Türkmen, Faik; Sever, Cem; Kaçıra, Burkay Kutluhan; Demirayak, Mehmet; Acar, Mehmet Ali; Toker, Serdar
    Purpose: Medial opening-wedge high tibial osteotomy (MOWHTO) is an effective surgical procedure for patients who have medial compartmental osteoarthritis of the knee with varus deformity of the limb. The abnormal load on the medial compartment of the knee is directed to the lateral compartment with this procedure. A gap occurs on the proximal tibia while providing adequate correction. Filling this gap with bone grafts or synthetic materials has gained wide acceptance for preventing bone union problems or osteotomy site collapse. The aim of this study is to report our results of MOWHTOs performed without any bone graft or any other synthetic materials.Methods: We evaluated 41 MOWHTOs that have been performed between 2009 and 2012 with no use of any grafts or synthetic materials and spacer. Age of the patients ranged from 43 to 67. Thirty-five of the patients were females and three of them were males. The follow-up time was 6 months.Results: Seven knees had opening at the osteotomy site <10 mm, 26 knees had 10–12.5 mm, and eight knees had >12.5 mm (range 7.5–14 mm, mean 11.07 mm). All osteotomies united without loss of correction. The mean bone union time was 12.8 weeks. We did not have any major complication regarding the technique.Conclusion: The results of our study have shown that we can achieve satisfactory and good results by performing MOWHTO procedure without using any bone grafts or synthetic materials and spacer. © 2014, Springer-Verlag France.