TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14365/4
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Article Long-Stem Prosthesis for Intertrochanteric and Femoral Neck Fractures in the Elderly: Retrospective Comparison of Short-Term Clinical Outcomes(Galenos Yayincilik, 2021-04-09) Biçen, Ahmet Çağdaş; Akdemir, Mehmet; Turken, Mehmet Aykut; Cekok, KubraObjective: Hip fracture treatment in elderly patients remains challenging. This study aimed to evaluate short-term clinical results of long-stem cementless arthroplasty in elderly patients with femoral neck and intertrochanteric fractures. Materials and Methods: We collected data of patients we treated with long-stem cementless arthroplasty between January 2011 and December 2019 due to hip fractures. This study included 48 patients (>= 65 years of age) with femoral neck and intertrochanteric fractures. The patients underwent either bipolar or total hip arthroplasty. A 2-year follow-up was conducted in all the patients. Outcomes were evaluated with the Harris hip score (HHS), Koval categories, complications and hip and mid-thigh pain. We compared clinical results of patients with femoral neck fractures and those with intertrochanteric fractures. Results: The mean follow-up period was 57 (34-92) months. Sixteen patients had femoral neck fractures and 32 had intertrochanteric fractures. No difference in demographic characteristics and comorbidities was noted between groups. The mean preoperative Barthel index of activities of daily living score was 79. At the last follow-up, the mean HHS of the control group was 77 and the mean Koval categories score was 3. Revision surgeries were conducted in two patients due to dislocation. Infection was observed in one patient and was treated by debridement and anti-biotherapy. Implant loosening and periprosthetic fractures were not noted. Conclusion: With fair outcomes, long-stem cementless arthroplasty is a potential treatment for hip fractures in elderly patients. A longer follow-up to evaluate the efficacy of these prostheses is warranted.Review Article Effects of Coronavirus Disease-2019 Pandemic and New Normal on the Orthopedic Outpatient Clinic Practice(Galenos Yayincilik, 2021-12-28) Biçen, Ahmet Çağdaş; Turken, Mehmet Aykut; Bicen, CagdasObjective: This study aimed to evaluate the effects of the coronavirus disease-2019 pandemic on the orthopedic outpatient clinic, including an investigation of the number, changes in complaints, and demographics of patients. Materials and Methods: Data of patients who visited the orthopedic outpatient clinic at our hospital within four periods were evaluated. Period 1 was between March and May 2019, period 2 was between June and August 2019, period 3 was between March and May 2020, and period 4 was between June and August 2020. Data of patients were recorded for each period including age, gender, number, and International Classification of Diseases 10th Revision codes for comparative analysis. Results: This study included 7,120 patients who were admitted to the orthopedic outpatient clinic within the four periods. The lowest number of patients (1,119) who visited the outpatient clinic was observed in the three months following the pandemic declaration (period 3), in March 2020, whereas the highest number (2,149) was observed in the three months following the lifting of restrictions, in June 2020 (period 4). No significant difference was observed in the age between the four periods (p=0.945). However, a difference was found between the periods for patients aged >= 65 years. Reasons for admission were also different between the periods. In period 3, admissions due to traumatic reasons were statistically higher compared with the other three periods (p<0.001, p=0.003, p<0.001). Conclusion: It was observed that the number of patients visiting the orthopedic outpatient clinic increased after the restrictions were lifted. Outpatient clinic management must be organized in a way that prevents contamination and preserves efficient outpatient support.Article Effects of Visual and Auditory Stimuli on Performance During Sustained Attention Task(Galenos Yayincilik, 2020-04-01) Sendulger, Yamac; Adali, Sevim; Kilic, Fatma; Akin, Guliz; Ergonul, Ipek; Inanc, Gonca; Taslica, Serhat; Öztürk, Güliz Akın; Hurman, Ipek Ergonul; Onız, Adıle; Ozgoren, MuratObjective: Although many studies are investigating the effects of stimuli on sustained attention performance, only a few studies compare auditory, visual and neutral conditions. Thus, this study aimed to investigate the effect of visual and auditory stimuli on performance during sustained attention task. Materials and Methods: Twenty-six volunteers participated in this study. Participants executed sustained attention task in three different sessions. In the auditory session, participants listened to a highly paced folk music during the Mackworth Clock test. In the ''visual session, happy emoticons were presented around the test screen. In the neutral session, the test was carried out without any extra stimulus. The order of sessions was randomised. The time interval between sessions was at least 48 hours, and each session took 5 minute. The reaction times of all responses and correct responses and correct response rates were evaluated. Repeated-measures analysis of variance and Friedman tests were used depending on the distribution characteristics of data. Results: The reaction times of all responses or correct responses alone did not differ significantly among sessions. The correct response rates were 91.18%, 89.74% and 89.24% for the auditory, neutral and visual sessions, respectively. However, no statistically significant difference was found when these sessions were compared. Conclusion: Music was expected to improve performance in a sustained attention test, which is not complex but difficult because of monotony, like Mackworth Clock test. Visual stimuli are expected to hamper performance, as they share the modality of the test Although data had this trend, no statistically significant difference was found. Further research with increased number of participants and more difficult Mackworth Clock test, by extending its duration and using different types of music and visuals, is warranted.Article Citation - WoS: 2Effects of Three-Dimensional Measurement of the Urinary Stone Size on the Surgical Outcomes of Retrograde Intrarenal Stone Surgery(Galenos Yayincilik, 2021-06-09) Ergani, Batuhan; Kozacıoğlu, Zafer; Ergan, BatuhanObjective: This study aimed to investigate peri-/postoperative effects of three-dimensional measurement of stone size in patients who underwent retrograde intrarenal surgery, where preoperative stone size calculations determine the operation decisions and prognosis. Another aim is to determine a limit value in cm(3) for retrograde intrarenal surgery and to predict stone-free status based on this limit value. Materials and Methods: Data of 184 patients were retrospectively analysed. Patients were divided into two groups according to whether the stone-free status was achieved. Postoperative stone-free status and related effective parameters were analysed statistically. Results: No significant difference was found between age, gender, Hounsfield unit, length of hospital stay, secondary retrograde intrarenal surgery, renal unit abnormality, stone side, stone opacity, presence of additional ureteral stone, hydronephrosis and preoperative Double-J stent placement with stone-free rate. Subsequent interventions for residual stones, number of stones, stone sizes in cm(2) and cm(3) and operation time were determined as parameters that significantly affected the stone-free rate. As a result of the receiver operating characteristic analysis, the threshold stone size was 1.54 cm(3). Conclusion: More accurate indications can be determined by calculating the volume of the stone. Retrograde intrarenal surgery success decreases in stones >1.54 cm(3) by volume calculation. A different method such as percutaneous nephrolithotomy should be considered with higher preference for stones above this value.