Akel, İbrahim
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Akel, ibrahim
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ibrahim.akel@gmail.com
Main Affiliation
07.03. Physiotherapy and Rehabilitation
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Former Staff
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Documents
24
Citations
388
h-index
11
Documents
23
Citations
323
Scholarly Output
3
Articles
3
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0/0
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0
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0
WoS Citation Count
3
Scopus Citation Count
5
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1
Scopus h-index
1
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0
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0
WoS Citations per Publication
1.00
Scopus Citations per Publication
1.67
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1
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0
| Journal | Count |
|---|---|
| European Journal of Plastıc Surgery | 1 |
| Hıp Internatıonal | 1 |
| Journal of Turkish Spinal Surgery | 1 |
Current Page: 1 / 1
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Article Citation - Scopus: 1Replantation of the Total Skin-Only Avulsions of Fingers(Springer, 2020) Mersa, Berkan; Ozcelik, Ismail Bulent; Yildiran, Gokce; Akel, İbrahim; Kabakas, FatihBackground Skin-only avulsion is a particular type of avulsion surgery. In this type of injury, tendons, bones, and joints maintain their integrity. In this report, we aimed to report the promising results of replantation in seven fingers with total skin-only avulsions. Methods From 2007 to 2015, 6 patients with a mean age of 34.6 (20-52) who underwent replantation surgery for total skin-only avulsion injuries distal to metacarpophalangeal (MP) joint were evaluated according to the injury type, etiology, level of repair, and the repaired structures. Results Seven fingers of 6 patients were evaluated. The mean repaired artery and vein number were 1.5 (1-2) and 3.8 (3-5), respectively. The mean percentage of partial necrosis in the three fingers and an amputated finger was 25.70%. Three fingers survived completely, whereas three developed partial necrosis which were managed by debridement and full thickness skin grafting. Mean static and dynamic two-point discriminations were 6 mm and 3.83 mm, respectively. The mean ROM degree of PIP/IP joints and DIP joints was 74.1 (60-85) and 56.6 (40-70) degrees, respectively. The mean follow-up was 28.3 months (24-36). Conclusions Skin-only avulsions are a particular type of avulsion injury and very challenging to treat. In order to avoid from the partial necrosis due to the vascular deprivation of perforating branches of the proper digital artery, we recommend repairing both arteries in this type of avulsion. Skin-only replantation results can be successful when several technical details are observed. Level of evidence: Level V, therapeutic study.Article Citation - WoS: 3Citation - Scopus: 4Titanium Cage Reconstruction of Acetabular Defects in Revision Hip Arthroplasty Results in Favourable Outcomes: Up To 17 Years Follow-Up(Sage Publications Ltd, 2020) Akel, İbrahim; Caglar, Omur; Tokgozoglu, A. Mazhar; Atilla, BulentIntroduction: Titanium cages are valuable implant solutions in management of severe acetabular defects during total hip revisions. We aimed to report clinical and radiological results of our cases in which we used titanium cages for reconstruction of acetabular defects. Methods: Patients underwent titanium cage reconstruction and bone grafting for their acetabular defects with minimum 2 year-follow-up are included to the study. Analysis of patient records, modified Hospital for Special Surgery hip score and radiological examinations on plain X-rays were evaluated. Acetabular defects are classified according to Paprosky's classification. Kaplan Meier survival analysis is performed. Results: Fifty-six hips of 54 patients (2 bilateral) aged between 29-79 (mean 57 years ) are followed up for 7.06 years +/- 3.72 (2-17 years). Five patients required revision surgeries at a mean of 2.6 +/- 2.2 years. Kaplan Meier's analysis revealed a survival rate of 91,5 % and mean revision free duration was 15,66 +/- 0,56 years. HSS scores of the patients before revision surgery yielded a mean score of 27,9 +/- 4,9 (14-38). HSS scores at final follow up showed a significant improvement at a mean score of 45,9 +/- 7 (28-56) differences were statistically significant, p<0,001) Discussion: Titanium cages are successful for restoring bone stock in severe acetabular defects. It is critical to pay attention on meticulous bone grafting of the presented defects and obtain good hip mechanics during cage insertion. Mechanical reasons are the leading cause of failure in long term but restoration of the bone stock and improvement in defect severity were regularly observed even in failed cages.Article The Radiological Analysis of The Effects Ofraloxifene, Nitric-Oxide and Estrogen on Scoliosis: Abipedal C57bl6 Mice Model(2020) Demirkıran, H. Gökhan; Baş, Can Emre; Acaroğlu, Emre; Akel, İbrahimObjective: Raloxifene (RLX), estrogen and nitric oxide (NO) medications were showed to be related to scoliosis, but the complex mechanism has not yet been elucidated. The prevention and non-surgical treatment of scoliosis may be achieved with these drugs since they are safe for use in humans. We aimed to investigate the effects of oestrogen, RLX and NO on scoliosis progression, bone mineral density and sagittal plan deformities.Materials and Methods: One hundred and fifty-two C57BL6 mice were grouped into bipedal Estrogen, bipedal RLX, bipedal NO, bipedal control and quadrupedal control groups. All of the animals’ forelimbs and tails were amputated, except for the quadrupedal group (n=28), and followedup for five weeks. Estrogen, NO and RLX groups received orally administered Estrogen, NO and RLX after the $5^th$ week for 35 weeks. Anteroposterior and lateral X-ray imaging were done at the$5^th$, $20^th$ and $40^th$ weeks and bone mineral density measurements were done at the $20^th$ and $40^th$ weeks.Results: There was no significant difference in mean Cobb angles between the groups at the fifth, $20^th$ and $40^th$ weeks (p=0.917, p=0.066, p=0.562, respectively). In contrast, a significant increase in mean Cobb angles was found in the quadrupedal group between the $20^th$ and $40^th$ weeks. In addition, no significant difference was found between the groups in terms of scoliosis incidence at the fifth and $20^th$ weeks (p=1.000, p=0.132, respectively). However, when the scoliosis progression was investigated, a decreasing tendency was found in the RLX group compared to the other groups. Although there was a decreasing tendency in terms of the thoracic kyphosis angles and pelvic incidence between the $20^th$ and $40^th$ weeks in all groups, no statistical difference was found. Spinosacral angles increased significantly between the $20^th$ and $40^th$ weeks in all groups, except the quadrupedal group. There was a significant increase of the bone mineral density in the RLX group (p=0.041). Conclusion: RLX may decrease scoliosis progression in a C57BL/6 mice model and increase the bone mineral density. Unlike previous studies, the quadrupedal mice group had a tendency to increase scoliosis progression between the $20^th$ and $40^th$weeks