Yazar "Elmadağ, Mehmet" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim Yok
    Öğe
    Does femoral back wall failure affect the functional results of arthroscopic anterior cruciate ligament surgery?
    (EDIZIONI MINERVA MEDICA, 2013) Elmadağ, Mehmet; Erdil, Mehmet; Bilsel, Kerem; Acar, Mehmet Ali; Tuncay, I.; Yel, M.
    Aim. The aim of the study was to evaluate the effects of femoral back wall failure (FBWF) due to tunnel enlargement after anterior cruciate ligament (ACL) surgery on clinical outcomes. Methods. The functional results of 40 ACL reconstructions were evaluated prospectively. The study includes ACL reconstructions with transtibial single bundle technique with hamstring autografts whereas those with concomitant knee ligament injuries were excluded. Tunnel enlargements were measured with CT scan at the end of the 12th month after surgery Functional results were evaluated at the first year follow-up by an anterior drawer test, Lachman test, rollimeter, IKDC, and Lysholm Knee Scale. Results. Femoral and tibial tunnel enlargement was measured in all of our patients with 39% mean enlargement in femoral tunnels and 48% in tibial tunnels. No significant correlation between amount of tunnel enlargement and clinical outcomes was obtained. Additionally, no significant correlation between tibial fixation type and tibial tunnel enlargement was found (P>0.05). In nine patients (22.5%), FBWF was evaluated. These nine patients did not show any significant difference in clinical outcomes than the other 31 patients (P>0.05). Conclusion. Excessive femoral tunnel enlargements after ACL surgeries may lead FBWF. This pathology does not affect clinical outcomes. However, FBWF with bone defect may cause more complicated ACL revision surgery. This fact must be kept in mind by orthopedic surgeons.
  • Küçük Resim Yok
    Öğe
  • Küçük Resim Yok
    Öğe
    Reconstruction of dorsal hand and finger defects with reverse radial fasciocutaneous forearm flaps
    (Springer-Verlag France, 2015) Acar, Mehmet Ali; Güleç, Ali; Aydın, Bahattin Kerem; Erkoçak, Ömer Faruk; Elmadağ, Mehmet; Türkmen, Faik
    Objectives: To evaluate the midterm outcome and the degree of satisfaction of patients who underwent reconstruction of dorsal hand and finger defects with reverse flow radial fasciocutaneous forearm flaps and to test whether or not this is a reliable method which can be applied without the need for microsurgery. Patients and methods: Eleven patients were admitted with post-traumatic complex hand defects and treated by reconstruction with reverse flow radial fasciocutaneous forearm flaps from January 2010 to May 2013. The patient demographics, size of the hand and finger defects, and complications were recorded. The functional status of each of the patients was evaluated using the quick disabilities of the arm, shoulder and hand (DASH) scoring system, and patient satisfaction was assessed  using Likert scores. Results: The patients comprised nine males and two females with a mean age of 30.7 ± 9.7 years. The mean follow-up period was 18.4 ± 5.2 months. The average defect size was 41 ± 14.3 cm². None of the patients had circulation defects caused by the sacrifice of the radial artery. The mean quick DASH score was determined as 30.2 ± 15.3. The Likert patient satisfaction evaluation was good in one patient, and very good in ten patients. All flaps survived well with only two complications; superficial skin necrosis occurred at the suture site in one patient and venous insufficiency occurred in the other patient. Both complications recovered with secondary healing following wound debridement. Conclusions: The reverse-flow radial forearm flap is a reliable method in the management of dorsal defects of the hand and does not require micro-surgical techniques. © 2014, Springer-Verlag France.
  • Küçük Resim Yok
    Öğe
    Safety of modified Stoppa approach for Ganz periacetabular osteotomy: A preliminary cadaveric study -- 2
    (Ekin Medical Publishing, 2016) Elmadağ, Mehmet; Uzer, Gökçer; Yıldız, Fatih; Ceylan, Hasan; Acar, Mehmet Ali
    Objective: The aim of this cadaveric study was to investigate the efficacy of the modified Stoppa approach in Ganz periacetabular osteotomy (PAO). Methods: The Ganz PAO was performed on 10 hemipelvises with normal hips, from 5 cadavers using the modified Stoppa approach through the Pfannenstiel incision. All of the osteotomies were performed under fluoroscopic control and direct visualizing the osteotomy site from the same incision. After the osteotomy, the acetabulum was medialized and redirected anterolaterally, and fixed with 2 screws. The neurovascular structures and the joints were examined by dissecting the soft tissues after fixation of the osteotomies. Outcome parameters were center-edge (CE) angle, the distances between the osteotomy and anterior superior iliac spine (ASIS), and between the osteotomy and the sciatic notch, neurovascular and joint penetrations. Results: After the osteotomy, the mean CE angle was improved from 19.8° to 25.2°, mean distance between the osteotomy and ASIS was 3.1 cm, and the mean distance between the osteotomy and the sciatic notch was 10.2 mm. The neurovascular structures and the joints were examined by dissecting the soft tissues after fixation of the osteotomies. No damage to the joint, surrounding arteries, veins or nerves was detected in any of the cadavers. Conclusions: Bilateral dysplastic hips can be treated with a 10 cm, cosmetically more acceptable incision in the same session using this approach. Quadrilateral surface of the acetabulum can be directly seen using this approach and the osteotomy can be safely performed. © 2016 Turkish Association of Orthopaedics and Traumatology.