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 YouTube Does Not Provide Reliable Information About Glenohumeral Osteoarthritis: A Quantitative Analysis(2024-11-29) Kaymakoglu, Mehmet; Huri, Gazi; Kolaç, Ulaş Can; Ayik, Gokhan; Aksoy, Taha; Familiari, Filippo; Jackson, GarrettAmaç: Diğer formlarından daha az yaygın olmasına rağmen, glenohumeral osteoartrit yaşlı yetişkinlerin neredeyse beşte birini etkilemektedir. YouTube, hastalar için popüler bir sağlık bilgisi kaynağı haline gelmiştir, ancak hekimler yanıltıcı içerik potansiyeli konusunda giderek daha fazla endişe duymaktadır. Özellikle, YouTube videolarının glenohumeral osteoartrit üzerine kalitesi konusunda literatürde önemli bir boşluk bulunmaktadır. Bu çalışma, bu boşluğu ele almayı ve glenohumeral osteoartrit üzerine çevrimiçi sağlık bilgilerinin güvenilirliğine değerli katkılarda bulunmayı amaçlamaktadır. Gereç ve Yöntemler: YouTube veritabanında \"glenohumeral artrit\", \"omuz artriti\" ve \"omuz osteoartriti\" terimleri kullanılarak sistematik bir arama gerçekleştirildi. Videoların güvenilirliğini, doğruluğunu ve içerik kalitesini değerlendirmek için DISCERN, JAMA Referans Kriterleri ve Küresel Kalite Skalası (GQS) kullanıldı. Video özelliklerinin görüntülenme sayısı, beğeni sayısı, video süresi ile korelasyonu varyans analizi (ANOVA) modeli kullanılarak incelendi. Video kaynaklarına dayalı puan varyasyonları iki örneklem t-testleri ve regresyon analizleri ile değerlendirildi. İnceleyenler arasındaki anlaşma, sınıflararası korelasyon katsayısı ile değerlendirildi. Bulgular: Çalışmaya toplam 102 video dahil edildi. Ortalama video süresi 8.7 dakika idi. Ortalama görüntülenme sayısı 348 ve görüntülenme oranı 0.25 idi. Ortalama beğeni sayısı 46.3'tü. Ortalama DISCERN puanı 44.73 (ICC=0.93), ortalama GQS 2.59 (ICC=0.87) ve ortalama JAMA puanı 2.5 idi. DISCERN sınıflandırmasına göre; videoların %13.6'sı çok yetersiz kalitede, %45'i yetersiz kalitede, %32.3'ü ortalama kalitede ve %7.8'i iyi kalitede idi. Küresel Kalite Skoruna göre, 60 video (%58.9) düşük kalite olarak değerlendirildi. Sonuç: Sonuçlarımız, glenohumeral osteoartrit ile ilgili YouTube videolarının çoğunluğunun içeriğinin yetersiz kalitede olduğunu göstermektedir. Sağlık profesyonelleri bu sınırlamaları tanımalı ve hasta memnuniyetini ve tedavi sonuçlarını olumlu yönde etkilemek için daha yüksek kaliteli eğitim içeriği sağlama konusunda yoğun çaba göstermelidir.Article Comparison of Conservative and Arthroplasty Treatment for 3 or 4 Part Proximal Humerus Fractures in the Elderly(2024-05-16) Akdemir, Mehmet; Biçen, Ahmet Çağdaş; Turan, Ahmet Cemil; Ekin, Ahmet; Kılıç, Ali İhsan; Ünal, MeriçAim: Proximal humerus fractures are common injuries in the elderly population. This study hypothesizes that arthroplasty is not superior to conservative treatment in the management of multi-part proximal humerus fractures in elderly patients. Material and Method: Patients aged 65 and above with 3–4-part proximal humerus fractures, treated either conservatively or with arthroplasty, were included in the study. The minimum follow-up period was set at 12 months. Functional evaluations of the patients were performed using the Quick Disabilities of Arm, Shoulder and Hand (Q-DASH) scoring system. Statistical analysis comparing the two groups was conducted using the SPSS software. The mean values of numerical data were analyzed using the Mann-Whitney U test, while categorical data were compared using the Chi-square test. A significant level of 0.05 was considered. Results: A total of 67 patients who received adequate clinical follow-up were included in the study (50 conservative 17 arthroplasty). The average age of the patients was 76.12 years, with 9 male and 58 female patients. The average follow-up period was 22.61 months (range: 12-82). There were no statistically significant differences in age, gender, side, follow-up period, and fracture type distribution between the two groups. However, a significant difference in Q-DASH scores was observed (p<0.05). Conclusion: In the treatment of proximal humerus fractures, even when they are multi-part fractures, conservative treatment should may be the first choice. We think that the early results of conservative treatment are better than arthroplasty.Article Histomorphometric Analysis of the Effects of Grape Seed Extract (vitis Vinifera) and Low-Level Laser Therapy (lllt) on Fracture Healing(2020) Kara, Muhammed İsa; İnan, Sevinç; Aydemir, Işıl; Taysı, Seyithan; Aras, Mutan Hamdi; Altundağ Kahraman, Sevil; Ege, Bilal; Kahraman, Sevil Altundag; Kara, İsa; Akgül, HasanAim: In this study, we aim to investigate the effects of supplementary Grape Seed Extract (GSE) and Low-Level Laser Therapy (LLLT)on fracture healing, oxidant and anti-oxidant system in experimental mandible fractures.Materials and Methods: 48 Wistar Albino rats (adult male, n=48) were used in our study. For all the subjects, a vertical fracture linethrough molar teeth in right mandibles was created and internally fixed using a four-hole microplate and four micro screws. Firstly,these subjects were randomly divided into 4 main groups (Control, GSE, LLLT, GSE+LLLLT) of 12 animals each, and then these wereindividually separated into two sub-groups of 7th and 21st days. The number of groups (n=6) was 8 in total. GSE of 300 mg/kg/day were provided to the subjects before they were sacrificed. LLLT of 23 J/cm2 was administered to two different points alongwith the fracture line at intervals of 48 hours for 7 days in the 7th day sub-groups and for 14 days in the 21st day sub-groups. Afterthe procedure, while biochemical values such as TAS, TOS and OSI are measured; histopathologically it was examined in termsof capillary number and width, inflammatory cell, fibroblast count, collagen fibers, osteoblast count, ossification and mature boneformations.Results: For biochemical analyses, there was statistically significant difference only in TAS values on either the 7th or 21st day forthe groups. Histological analyses showed that mandibular fracture healing were significantly better in the GSE and GSE+LLLT groupscompared to the control group. The group of only LLLT had limited recovery while the combination of GSE+LLLT was the best forossification.Conclusions: It is concluded that GSE may be one of the potential methods to accelerate fracture healings in mandibular fracturescommon in oral and maxillofacial surgery clinic and thus help patients recover in shorter time, and however LLLT can have positiveeffects on the process of ossification and recovery only when combined with the extract, which may result in better outcomes inclinical use.Article Evaluation of the Elasticity and Thickness of the Heel Fat Pad With Ultrasound in Plantar Fasciitis(2022-09-30) Yıldırım, Mahir Utku; Biçen, Ahmet Çağdaş; Ünal, Abdullah Meriç; Yıldırım, Utku Mahir; Unal, MericObjective The aim of this study was to evaluate thickness and elasticity of heel fat pad in patients with unilateral plantar fasciitis and to investigate the effects of age, sex, body mass index (BMI), and functional scores on plantar fasciitis. Material and Method 70 patients who had been suffering from unilateral plantar fasciitis longer than 6 months were enrolled in the study. The thickness and elasticity of fat pad were compared between the painful and healthy feet of the patients with ultrasound. For measurement of elasticity, shear wave elastography (SWE) was used. Comparative analysis was performed for thickness and elasticity variables between the painful and healthy feet with Mann–Whitney U and independent samples t-test. Results Average of age of the patients was 44±11.66. The average thickness of the heel fat pad was 17.9±3.1 mm on the affected side and 18.3±3.3 mm on the healthy side. The mean SWE value of the painful side was 23.9 m/s (range 9.3-32) and was 24.7 m/s (range 10.8-34) on the healthy side. Heel fat pad thickness was greater in the healthy feet than in the painful feet, but there was no statistical significance (p=0.448). The painful feet were stiffer, but the difference was statistically similar (p=0.347). BMI had a statistically significant impact on thickness of heel fat pad. Conclusion The results showed that a decrease in the heel fat pad thickness was a supporting finding of plantar fasciitis in patients with normal BMI but not in patients with BMI>25.Article Efficacy of Preoperative Mri in Detecting Biceps Tendon Pathologies in Rotator Cuff Tears: Correlation of Mri and Intraoperative Findings(2022-03-01) Biçen, Ahmet Çağdaş; Ünal, Abdullah Meriç; Ekin, Ahmet; Özkan, Mustafa; Unal, MericObjective The aim of this study is to evaluate the accuracy of magnetic resonance imaging (MRI) in detecting biceps lesions in patients with rotator cuff tears. Material and Methods A total of 168 patients operated on between January 2012 and February 2020 were included in the study. All the patients underwent arthroscopic surgery with the diagnosis of rotator cuff tears. All patients were operated on under general anesthesia and in the beach chair position. Demographic data and preoperative MRI findings were recorded. Arthroscopic findings were accepted as the standard reference and correlated with preoperative MRI records. Results In preoperative images, full-thickness rotator cuff tears were identified in 118 (70.2%) cases and partialthickness tears in 50 (29.8%) cases. Labrum/SLAP lesions were detected in 18 (10.7%) cases. Biceps disorders were reported in 51 (30.4%) cases. During the surgeries, we observed additional pathologies in 41 (24.4%) cases besides the preoperatively detected lesions. Rotator cuff and labrum/SLAP repairs were performed in the same surgical sessions. The majority of newly detected lesions were biceps lesions, being identified in 26 (15.5%) cases. In 41 (24.2%) cases tenodesis, tenolysis, or tenotomy were performed for biceps lesions. LHBT surgery was performed in 26 cases with negative MRI. Biceps lesions were confirmed in 77 (45.8%) cases intraoperatively; therefore, the accuracy of MRI in detecting these lesions was 66.2%. Conclusion Biceps lesions are among the common pathologies of the shoulder. Preoperative MRI is important in evaluation of the shoulder, but the efficacy of MRI may be limited in detecting biceps disorders. Arthroscopic surgery is crucial in diagnosis and treatment of LHBT lesions.