LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 5 of total 5

Search options

  1. Article ; Online: Evaluation of free vascularized medial femoral condyle bone grafts in the treatment of avascular scaphoid waist nonunion.

    Kilic, Enver / Unal, Kazim Onur / Ozdemir, Guzelali / Bingol, Olgun / Keskin, Omer Halit / Akinci, Metin

    Joint diseases and related surgery

    2023  Volume 34, Issue 3, Page(s) 661–668

    Abstract: Objectives: The aim of this study was to evaluate the medial femoral condyle (MFC) bone graft procedure for scaphoid waist nonunion with avascular necrosis on magnetic resonance imaging or prior surgery failure.: Patients and methods: Between June ... ...

    Abstract Objectives: The aim of this study was to evaluate the medial femoral condyle (MFC) bone graft procedure for scaphoid waist nonunion with avascular necrosis on magnetic resonance imaging or prior surgery failure.
    Patients and methods: Between June 2015 and December 2018, a total of 17 patients (16 males, 1 female; mean age: 29±8.2 years; range, 16 to 40 years) with scaphoid waist nonunion who were treated with vascularized MFC bone grafting were retrospectively analyzed. Pre- and postoperative carpal indices, grip strengths for both hands, range of motion, Visual Analog Scale (VAS) pain score, Quick Disabilities of the Arm, Shoulder, and Hand (QDASH) score, and Mayo Wrist Score (MWS) were evaluated.
    Results: After vascularized MFC bone graft surgery, 15 patients healed and returned to work without any limitations. Ten patients of left scaphoid nonunion and seven cases of right scaphoid nonunion were treated; for eight of these patients, the operation was on the dominant side. Eight of these patients were smokers. The mean follow-up was 22.4±5.8 months. The mean hand grip strength was increased from 74.5 to 84% on the contralateral side (p<0.05). The average revised carpal height ratio improved from 1.57 to 1.59 (p<0.05) and the scapholunate angle changed from 56.9° to 51.6° (p<0.05).
    Conclusion: The MFC bone grafting is one of the best surgical procedures for small defects such as scaphoid waist nonunion with high union rates, good functional outcomes, and minimal donor site morbidity.
    MeSH term(s) Male ; Humans ; Female ; Young Adult ; Adult ; Retrospective Studies ; Hand Strength ; Fractures, Ununited/diagnostic imaging ; Fractures, Ununited/surgery ; Scaphoid Bone/diagnostic imaging ; Scaphoid Bone/surgery ; Femur/diagnostic imaging ; Femur/surgery
    Language English
    Publishing date 2023-09-16
    Publishing country Turkey
    Document type Journal Article
    ISSN 2687-4792
    ISSN (online) 2687-4792
    DOI 10.52312/jdrs.2023.1009
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

  2. Article ; Online: Medium-term clinical and radiological results of surgically treated stage 3A Kienböck's disease.

    Unal, Kazim Onur / Bingol, Olgun / Korucu, Alperen / Kilic, Enver / Ozdemir, Guzelali / Akinci, Metin

    Hand surgery & rehabilitation

    2021  Volume 40, Issue 6, Page(s) 737–743

    Abstract: The purpose of this study was to compare the methods of distal radial shortening osteotomy (RSO), lateral closing distal radial wedge osteotomy (RWO), and scaphotrapeziotrapezoid (STT) fusion in the treatment of stage 3A Kienböck's disease (KD). The ... ...

    Abstract The purpose of this study was to compare the methods of distal radial shortening osteotomy (RSO), lateral closing distal radial wedge osteotomy (RWO), and scaphotrapeziotrapezoid (STT) fusion in the treatment of stage 3A Kienböck's disease (KD). The research was planned as a single-center and retrospective study for the period 2008-2018. Patients were allocated to three groups according to surgical method: group 1, patients with negative ulnar variance, undergoing RSO; group 2, patients with non-negative (neutral or positive) ulnar variance, undergoing RWO; and group 3, patients with non-negative ulnar variance, undergoing STT fusion. Radiological measurements were compared: pre- and postoperative Stahl index, radioscaphoid angle, and carpal height ratio. Clinical comparison used QuickDASH and modified Mayo wrist scores. Fifty-one patients, with a mean age of 34 ± 12 years (range; 16-69 years), were included. Mean follow-up was 4.47 ± 1.8 (range 2-9) years. No statistically significant difference was observed between the groups in terms of change in carpal height ratio or Stahl index (respectively; P = 0.08, P = 0.065). A significant difference was observed in change in radioscaphoid angle between patients undergoing STT fusion versus RWO (P < 0.05). There was no statistically significant difference in postoperative functional scores between groups, and similar postoperative functional scores were achieved with STT fusion and with RWO in the surgical treatment of stage 3A KD with positive or neutral ulnar variance. Good medium-term radiological and clinical results were obtained with RSO in patients with stage 3A KD with negative ulnar variance.
    MeSH term(s) Adult ; Carpal Bones ; Humans ; Middle Aged ; Osteonecrosis/diagnostic imaging ; Osteonecrosis/surgery ; Radius/diagnostic imaging ; Radius/surgery ; Retrospective Studies ; Wrist Joint/diagnostic imaging ; Wrist Joint/surgery ; Young Adult
    Language English
    Publishing date 2021-07-08
    Publishing country France
    Document type Journal Article
    ZDB-ID 2848776-X
    ISSN 2468-1210
    ISSN (online) 2468-1210
    DOI 10.1016/j.hansur.2021.07.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 1791: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  3. Article ; Online: Total Infrapatellar Fat Pad Excision Leads to Worse Isokinetic Performance in Total Knee Arthroplasty: A Randomized Controlled Trial.

    Cankaya, Deniz / Akti, Sefa / Yasar, Niyazi Erdem / Karakus, Dilek / Unal, Kazim Onur / Karhan, Taha Esref / Sezgin, Erdem Aras

    The journal of knee surgery

    2021  

    Abstract: There are concerns that total infrapatellar fat pad (IPFP) excision in total knee arthroplasty (TKA) results in patellar tendon shortening due to ischemic contracture, but individual preference of the surgeon is still the main determinant between total ... ...

    Abstract There are concerns that total infrapatellar fat pad (IPFP) excision in total knee arthroplasty (TKA) results in patellar tendon shortening due to ischemic contracture, but individual preference of the surgeon is still the main determinant between total or partial excision. The aim of this randomized controlled study was to compare isokinetic performance and clinical outcome of TKAs with total and partial excision of the IPFP. Seventy-two patients scheduled to undergo TKA for primary knee osteoarthritis by a single surgeon were randomly assigned to either total or partial excision group. Patients were evaluated preoperatively and at postoperative 1 year, with Knee Society Score (KSS) and isokinetic measurements. The physiatrist performing isokinetic tests and patients were blinded to the study. There were no significant differences between the groups in respect of age, body mass index, gender, and preoperative KSS and isokinetic performance. Postoperatively, both groups had improved KSS knee and KSS function scores, with no difference determined. Knee extension peak torque was significantly higher postoperatively in the partial excision group at postoperative 1 year (
    Language English
    Publishing date 2021-03-31
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2075354-8
    ISSN 1938-2480 ; 1538-8506 ; 0899-7403
    ISSN (online) 1938-2480
    ISSN 1538-8506 ; 0899-7403
    DOI 10.1055/s-0041-1727114
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 3867: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  4. Article: Total Infrapatellar Fat Pad Excision Leads to Worse Isokinetic Performance in Total Knee Arthroplasty: A Randomized Controlled Trial

    Cankaya, Deniz / Akti, Sefa / Yasar, Niyazi Erdem / Karakus, Dilek / Unal, Kazim Onur / Karhan, Taha Esref / Sezgin, Erdem Aras

    The Journal of Knee Surgery

    2021  Volume 35, Issue 14, Page(s) 1544–1548

    Abstract: There are concerns that total infrapatellar fat pad (IPFP) excision in total knee arthroplasty (TKA) results in patellar tendon shortening due to ischemic contracture, but individual preference of the surgeon is still the main determinant between total ... ...

    Abstract There are concerns that total infrapatellar fat pad (IPFP) excision in total knee arthroplasty (TKA) results in patellar tendon shortening due to ischemic contracture, but individual preference of the surgeon is still the main determinant between total or partial excision. The aim of this randomized controlled study was to compare isokinetic performance and clinical outcome of TKAs with total and partial excision of the IPFP. Seventy-two patients scheduled to undergo TKA for primary knee osteoarthritis by a single surgeon were randomly assigned to either total or partial excision group. Patients were evaluated preoperatively and at postoperative 1 year, with Knee Society Score (KSS) and isokinetic measurements. The physiatrist performing isokinetic tests and patients were blinded to the study. There were no significant differences between the groups in respect of age, body mass index, gender, and preoperative KSS and isokinetic performance. Postoperatively, both groups had improved KSS knee and KSS function scores, with no difference determined. Knee extension peak torque was significantly higher postoperatively in the partial excision group at postoperative 1 year ( p  = 0.036). However, there were no significant differences in knee flexion peak torque following TKA ( p  = 0.649). The results of this study demonstrated that total excision of the IPFP during TKA is associated with worse isokinetic performance, which is most likely due to changes in the knee biomechanics with the development of patella baja. Partial excision of the IPFP appears to be a valid alternative to overcome this potential detrimental effect without impeding exposure to the lateral compartment. This is a Level I, therapeutic study.
    Keywords infrapatellar fat pad ; patellar tendon ; total knee arthroplasty ; isokinetic test
    Language English
    Publishing date 2021-03-31
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2075354-8
    ISSN 1938-2480 ; 1538-8506 ; 0899-7403
    ISSN (online) 1938-2480
    ISSN 1538-8506 ; 0899-7403
    DOI 10.1055/s-0041-1727114
    Database Thieme publisher's database

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 3867: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  5. Article: Treatment of femoral head osteonecrosis with core decompression and subsequent hyperbaric oxygen therapy

    Deveci, Alper / Fırat, Ahmet / Yılmaz, Serdar / Ünal, Kazım Onur / Tecimel, Osman / Bozkurt, Murat / Atabey, Mustafa

    Cumhuriyet Medical Journal; Vol 35, No 2 (2013): June 2013; 231-238

    Abstract: Abstract Aim. Regardless the etiologic factor, femoral head avascular necrosis is a process that occurs with femoral head local blood supply deficiency. The purpose of our study was to evaluate the clinical and radiologic outcomes in patients diagnozed ... ...

    Abstract Abstract Aim. Regardless the etiologic factor, femoral head avascular necrosis is a process that occurs with femoral head local blood supply deficiency. The purpose of our study was to evaluate the clinical and radiologic outcomes in patients diagnozed with grade 1 and 2 avascular necrosis of the femoral head who were treated with a combination of core decompression and hyperbaric oxygen therapy. Method. In our study we have evaluated 21 hips of 16 patients retrospectively, which we have treated with a combination of core decompression and hyperbaric oxygen therapy. We performed clinical and radiological evaluation to the patients. Result. VAS and Harris hip scores showed improvement in all of our patients except in short term results. Conclusion. Core decompression and subsequent hyperbaric oxygen therapy are accomplishing each other because of their synergistic effects. Keywords: Femoral head, osteonecrosis, hyperbaric oxygen therapy   Özet Amaç. Femur başı vasküler nekrozu etyolojik sebep ne olursa olsun femur başı lokal kan akımının azalması ile başlayan bir süreçtir. Çalışmamızın amacı kor dekompresyon sonrası hiperbarik oksijen terapisi ile tedavi edilen evre 1 ve 2 femur başı avasküler nekrozu olgularının klinik ve radyolojik sonuçlarını değerlendirmekti. Yöntem. Çalışmamızda kor dekompresyon sonrası hiperbarik oksijen tedavisi uyguladığımız 16 hastanın 21 kalçasını klinik ve radyolojik olarak retrospektif değerlendirdik. Bulgu. Kısa dönem sonuçlarımızda 1 hasta hariç tüm hastaların VAS ve Harris kalça skorlarında düzelme tespit ettik. Sonuç. Gerek kor dekompresyon gerekse hiperbarik oksijen tedavisi etki mekanizmaları ve sonuçlarına baktığımızda sinerjistik etki göstererek birbirini tamamlayan tedavi yöntemleridir. Anahtar sözcükler: Femur başı, osteonekroz, hiperbarik, oksijen
    Language English
    Document type Article
    ISSN 1305-0028
    Database AGRIS - International Information System for the Agricultural Sciences and Technology

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

To top