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Öğe Congenital Dislocation of The Hip and Its Relation to Swaddling Used In Turkey(LIPPINCOTT-RAVEN PUBL, 1992) Kutlu, A.; Memik, R; Mutlu, M; Kutlu, R; Arslan, AA screening program was initiated and performed at five hospitals in Konya, Turkey from 1988 to 1990. Four thousand one hundred seventy-three infants aged 3-24 months were examined. With this study, we hoped to determine the incidence of and contributing factors to the etiology of congenital dislocation of the hip (CDH) in the central region of Turkey. The overall CDH incidence was 1.34%. CDH occurred about three times more often among girls than boys (40 girls vs. 16 boys). No infant with CDH had been delivered by Cesarean section or breech presentation. No teratologic CDH was detected. The relationship between CDH and swaddling (bundled in extension and adduction) was statistically significant.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 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 SafaThe 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.