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Öğe Di?z Artroskopi?si?nde Anti?bi?yoti?k Profi?laksi?si?ni?n Yeri? Varmıdır?(2001) Yel, Mustafa; Memik, Recep; Özdemir, Mustafa; Kapıcıoğlu, M. İ. SefaPurpose: A comparative and prospective study was carried out to find out the effects of the prophylactic antibiotic use on the knee arthroscopy. Materials and Methods: Between 1993 and 1996, 450 patients who underwent knee arthroscopy because of various knee pathologies, were evaluated by dividing them into two equal groups. Single dose of 1 gr cephalosporin (ceftriaxone) as prophylactic antibiotic was given to 225 patients who underwent knee arthroscopy in the first group one hour before arthroscopy. Prophylactic antibiotic was not given to 225 patients in the second group. Results: There was no significant statistical difference between the groups in terms of their sexes, average ages, mean duration of operations, diagnosis, and treatment. There were no clinical findings of infection in any of the patients in both groups after knee arthroscopy. Conclusion: These results suggest that the routine use of prophylactic antibiotics in such knee problems has no clinical value. Moreover, antibiotics may increase the cost of treatment and cause allergic reactions.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, AbdurrahmanBackground: 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.Öğe Femur Başı Epifiz Kaymasında Cerrahi Tedavi Sonuçlarımız(2000) Yel, Mustafa; Özdemir, H. Mustafa; Ertürk, Erol; Memik, RecepFemur başı epifiz kayması (FBEK) adolesan çağın en sık görülen kalça hastalıklarından biridir. Kliniğimizde 13 yıllık periyod içinde FBEK teşhisi alarak tedavi edilmiş 17 kalçanın tedavi sonuçları retrospektif olarak değerlendirildi. Ortalama yaşları 13.7 olan hastalarda ortalama semptom süresi 4.4 aydı. Kaymalar; 9 hastada kronik, 4 hastada akut ve 4 hastada kronik zemin üzerine akut kayma şeklindeydi. Bu hastaların radyolojik incelemelerinde 3 hastada hafif, 11 hastada orta ve 3 hastada ileri derecede kayma mevcuttu. Cerrahi tedavi olarak; 9 kalçaya subtrokanterik biplanar osteotomi, 3 kalçaya küneiform osteotomi, 3 kalçaya kapalı redüksiyon ve 2 kalçaya ise in situ çivileme yapıldı. Ortalama 33 ay takip edilen hastalar, klinik ve radyolojik (Heyman-Herdon) olarak değerlendirildiğinde; hastalardan 10'u çok iyi ve iyi, 4'ü orta, 2'si kötü olarak bulundu. Komplikasyon olarak; 2 kalçada avasküler nekroz (AVN), 3 kalçada kondroliz, 1 kalçada eklem sertliği, 1 kalçada infeksiyon ve 1 kalçada çivi migrasyonu gelişti. FBEK olan hastalarda kayma derecesi ve süresi ile cerrahi korreksiyon ve osteotomi seviyesi sonuçları etkilemektedir. Bu çalışmada mükemmel cerrahi korreksiyon sağlanmasa da endikasyonları içinde subtrokanterik osteotomi daha başarılı bulunmuştur.Öğe Giant Osteochondral Loose Body of the Knee Joint(2000) Yel, Mustafa; Avunduk, Mustafa Cihat; Memik, Recep; Kutlu, AbdurrahmanA rare giant loose body in the knee joint and the treatment carried out were reported. Two loose bodies sized 5.5 and 1.5 cm were extracted from the knee of a patient who suffered from pain and knee motion restricted chronically. The histopathological evaluation revealed normal bone, hyaline cartilaginous tissue, and partly fibrocartilaginous tissue. These loose bodies suggested that they were separated in small pieces from the femoral condyles and were nourished by the synovial fluid. Over time, they adhered to each other in the knee joint.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, RecepIn 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.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.
