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Öğe Öğe Complications following surgical treatment of shoulder instability and revision interventions for stabilization [Omuz instabilitesi için yapilan cerrahi tedaviden sonra görülen komplikasyonlar ve tedavisi.](2005) Yel M.; Arazi M.; Senaran H.A successful surgical intervention to restore glenohumeral stability should be based on the detection of all the problems and on a plan to correct all those that are reparable. Contribution of arthroscopy to better understand the pathological anatomy and to evaluate coexisting intra-articular problems, and advances in imaging modalities and in implant technology have increased the success rates and decreased complications. The best way to avoid complications is to gather all the relevant data preoperatively and during surgery to draw the correct diagnosis and to employ the most appropriate approach or approaches accordingly. Complication rates are lower with open surgical techniques, where problems mainly arise from limited joint movements, implant deficiency, and degenerative changes. Although arthroscopic surgery is associated with significantly fewer complications seen with open techniques, it results in higher recurrence rates. Revision surgery for stabilization of the shoulder should be directed to well-defined pathologies using appropriate techniques. The most common complication encountered is the recurrence of instability, which should primarily be dealt with by open surgical techniques.Öğe The functional results of arthroscopic bankart repair with knotless anchors for anterior glenohumeral instability [Anterior glenohumeral instabilite tedavisinde artroskopik bankart tamirinin sonuçları](TIP ARASTIRMALARI DERNEGI, 2010) Erkoçak O.F.; Yel M.Aim: The purpose of this study was to evaluate the functional results of arthroscopic Bankart repair in patients with posttraumatic recurrent anterior glenohumeral instability Method: Forty one patients (6 female, 35 male; mean age 24.4; range 19 to 39 years) underwent arthroscopic Bankart repair with knotless anchors for posttraumatic recurrent anterior glenohumeral instability. The mean age that first dislocation occured was 22.3 (range 16 to 36 years old). Involvement was on the right side in 27 patients, on the left in 14 patients, and on the dominant side in 32 patients. Pre and postoperative evaluations included detailed physical examination, assesment with the Rowe and Constant scale for shoulder functions, anteroposterior and axillary radiographs, routinely arthro-CT and arthro-MRI. Postoperatively the mean follow up was 29.8 months (range to 6 to 62 months). Result: According to Rowe score, the results were excellent in 31 patients (75.7%), good in 6 patients (14.6%), fair in 3 patients (7.3%) and poor in 1 (2.4%) patients. The mean preoperative Rowe score was 20.1, which increased postoperatively 89.1. Preoperative mean Constant scale was 64.2 and 87.6 postoperatively. The mean preoperative active external rotation was 45°, which decreased postoperatively to 40° respectively (p<0.05). Thirty seven (90.2%) patients were satisfied with the operation. The patient with the poor result developed redislocation postoperatively seventh month due to epileptic seizure. Conclusion: This study shows arthroscopic Bankart repair with knotless anchors for recurrent anterior glenohumeral instability is a useful and succesful procedure.Öğe Osteomusculocutaneous flap for clavicular reconstruction: a case report [Osteomuskülokütanöz flep ile klavikula rekonstrüksiyonu: Olgu sunumu.](2007) Yel M.; Karalezli M.N.; Tosun Z.; Sezgin S.; Savaci N.Radiotherapy for tumors can cause soft tissue necrosis, osteonecrosis, and pathologic fractures. A 47-year-old woman presented with a pathologic fracture of the left clavicle 10 years after radiotherapy following radical mastectomy for breast cancer. She was treated with a compound rib-latissimus dorsi osteomusculocutaneous flap with a 4-cm segment of the sixth rib. Fusion of the bones was achieved in three months. Donor site morbidity was cosmetically acceptable and function of the shoulder was improved. The Constant shoulder score which was 36 preoperatively increased to 88 after 38 months of follow-up.
