Yazar "Heybeli, Nurettin" seçeneğine göre listele
Listeleniyor 1 - 4 / 4
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Ayak Bileği Artrodezinde Farklı Üç Tekniğin Uzun Dönemli Sonuçları(2021) Karahan, Nazım; Öztermeli, Ahmet; Yılmaz, Barış; Heybeli, NurettinAmaç: Bu çalışmada, ayak bileği artrozu tanısı ile üç farklı yaklaşımla opere edilen hastaların uzun dönem klinik fonksiyonel sonuçlarınıdeğerlendirmeyi amaçladık.Yöntem: 2002-2013 tarihleri arasında opere edilen 49 olgu retrospektif olarak değerlendirildi. İlizarov tekniği ile artrodez yapılan hastalar İABA grubu(n:8) olarak isimlendirildi. Vida ile artrodez yapılan hastalar VABA grubu (n:25) olarak isimlendirildi. Kalkaneotalotibial çivi ile artrodez yapılanhastalar ise KABA grubu (n:16) olarak isimlendirildi. Gruplar; hastane yatış süresi, cerrahi süre, komplikasyon oranı, preoperatif ve postoperatif görselanalog ölçeği (Visual Analogue Scale; VAS) ve postoperatif Maryland ayak skoru açısından değerlendirildi.Bulgular: Gruplara göre preoperatif VAS değerlendirilmesinde anlamlı bir farklılık gözlemlenmedi (p=0,452). İABA grubunda VAS diğer iki grubagöre anlamlı düzeyde düşük olarak gözlemlendi (p=0,01). Gruplara göre Maryland ayak skoru değerlendirmesinde anlamlı bir farklılık gözlemlenmedi(p=0,145). İABA grubunda diğer iki gruba göre daha fazla komplikasyon gözlemlenmiştir. KABA grubunda diğer iki gruba göre daha az komplikasyongözlemlendi (p=0,004).Sonuç: İABA grubunda, diğer gruplara göre VAS daha az olarak bulundu fakat daha yüksek komplikasyon oranı gözlemlendi. KABA grubunda diğeriki gruplara göre daha az komplikasyon oranı gözlemlendi. Postoperatif Maryland ayak skoru açısından; göre gruplar arasında farklılık gözlemlenmedi.Öğe Does radiological evaluation of endobutton positioning in the sagittal plane affect clinical functional results in single-bundle anterior cruciate ligament reconstruction?(Springer, 2021) Günaydın, Burak; Sever, Cem; Çetin, Mehmet Ümit; Sarı, Abdülkadir; Dinçel, Yaşar Mahsut; Şener, Burak; Heybeli, NurettinIntroduction Sports injuries are increasing today due to the increased interest in sports. The most common injured knee ligament is the anterior cruciate ligament (ACL) in sport injuries. Accordingly, surgical treatment of the ACL is performed frequently. In this study, it was aimed to retrospectively evaluate whether the location of an endobutton on lateral knee radiography was effective on knee functional scores in patients who underwent ACL reconstruction. Materials and methods One hundred thirty patients who underwent ACL reconstruction between January 2015 and February 2019 were identified. The patients were divided into three groups according to the location of the endobutton on lateral radiographs taken in the postoperative period. Group 1 patients were classified as anterior, group 2 as middle, and group 3 as posterior according to the location of the endobutton. Functional scoring, physical examination tests, comparative thigh diameter measurements, and single-leg hop tests were compared between the groups. It was evaluated as to whether there was a statistically significant difference between the groups. Results There were 38 patients in group 1, 63 patients in group 2, and 29 patients in group 3. The mean age was 29.1 in group 1, 29.1 in group 2, and 29.7 in group 3. The mean follow-up period of the patients was 18.4 months in group 1, 19.1 months in group 2, and 21.4 months in group 3. The average Lysholm score was 92.9 in group 1, 93.3 in group 2, and 91.7 in group 3. The mean modified Cincinnati scores were 27.0, 27.1, and 26.6, respectively, in the groups. The mean IKDC score of the subjective knee assessments was 92.5, 92.8, and 91, respectively, according to the groups. The average thigh atrophy value was 1 cm, 1 cm, and 1.2 cm, respectively, in the groups. In the single-leg hop test, 34 patients in group 1 jump to over 85% of the distance compared with the intact side, while 58 patients in group 2, and 23 patients in group 3 were successfully able to jump this distance. The effect of the placement of the endobutton in the anterior, middle or posterior was not statistically significant on functional scores and physical examination results. In patients with endobuttons in the middle, functional scores were found better than in those with anterior or posterior placement. Conclusions No statistically significant differences were found in clinical functional results when comparing patients' endobutton location on femur. For this reason, surgical time should not be extended using unnecessary extra effort to change the orientation of the exit hole during surgery.Öğe Histopathological Evaluation of the Anterior Cruciate Ligament in Patients With Advanced Gonarthrosis(Wiley, 2025) Polat, Elif; Gunaydin, Burak; Karabag, Sevil; Heybeli, NurettinIntroduction: Knee osteoarthritis is a degenerative disease of the knee joint that leads to progressive loss of articular cartilage. There is only limited information in the literature on the degeneration of the anterior cruciate ligament (ACL) in patients with gonarthrosis. In this study, ACL samples excised during the surgery of patients undergoing total knee replacement (TKR) in 2019-2020 were evaluated histopathologically. The present study aims to investigate the relationship between the degeneration of the ACL and the stage of gonarthrosis. Methods: Direct X-rays of 47 patients undergoing knee arthroplasty were evaluated and stratified into two groups: Stage 3 (Group 1) and Stage 4 (Group 2). ACL samples were examined histopathologically. Staining was performed with hematoxylin-eosin (H&E), Alcian blue, and Masson's trichrome. The degree of degeneration was determined according to the Movin score and Bonar score. Based on these scores, the statistical significance of the relationship between the stage of gonarthrosis and histopathological examination results was evaluated. Results: When Group 1 patients were graded according to total Movin scores, the result was mild degeneration in 72.7% of the patients, while the corresponding rates were 76% in Group 2. None of the patients had a score reflecting severe degeneration. The total Bonar scores showed mild degeneration in 68.2% of Group 1 patients. In Group 2, the scores showed mild degeneration in 52% of the patients. No statistically significant difference was found between the groups in either scoring. Conclusion: It was determined that comparable degeneration occurred in the ACL with the progression of the stage of gonarthrosis.Öğe Investigation of the Optimal Interval for Staged Total Knee Arthroplasty for the Treatment of Advanced Bilateral Gonarthrosis(Galen Sro, 2020) Yılmaz, Barış; Şirin, Evrim; Kılınç, Bekir Eray; Özdemir, Güzelali; Kömür, Baran; Heybeli, NurettinPURPOSE OF THE STUDY This study investigated whether there was an optimal interval between two operations for total knee arthroplasties in patients with advanced bilateral gonarthrosis scheduled to undergo staged total knee arthroplasty (TKA). MATERIAL AND METHODS A prospective cohort of 219 patients (136 females, 83 males) undergoing staged total knee arthroplasty for the treatment of advanced bilateral gonarthrosis were followed for up to 12 months. The mean was 69.51 +/- 5.02 (56-80) years. Patients were categorized into five groups based on the time between the first and second operations; Group I (21-90 days), Group II (91-180 days), Group III (181-270 days), Group IV (271-360 days), and Group V (more than 360 days). Patients were evaluated based on time from surgery and were assigned to corresponding groups. The data recorded included age, body mass index (BMI), side of operated knee, complications, and radiological and clinical findings. Visual analog scale (VAS) for non-operated knees was applied. Activities of Daily Living Score (ADLS) was applied to the patients at last follow-up. RESULTS No statistically significant difference was noted in BMI values (p=0.634), range of joint motion (RJM) (p=0.940) and age (p=0.785) distribution between the five groups. In Group I, the mean VAS score increased by 7.83 to 7.98, 7.86 to 8.53 in Group II, by 7.85 to 8.54 in Group III, 7.85 to 8.59 in Group IV, and 7.88 to 8.64 in Group V. There was no statistically significant difference in preoperative ADLS between the groups (p=0.064), but there was a statistically significant difference in postoperative ADLS (p=0.001). Group I patients had significantly lower postoperative ADLS compared to the other groups (p=0.001). The mean increase in postoperative ADLS versus preoperative scores of all groups were statistically significant The most significant improvements occurred in Groups II and III. Similarly, preexisting pain in the non-operated knee started to increase in Group II and continued in all groups. DISCUSSION Given all these findings, we believe that it is reasonable to advise patients to receive their second TKA, 3-6 months after their initial TKA, as this interval will allow for the greatest improvements in functional and daily living activities, and pain in the non-operated knee simultaneously becomes more severe. This recommended interval would minimize both the functional problems with the operated extremity due to pain, and deformity and dysfunction in the non-operated knee and the subsequent overloading. CONCLUSIONS Even though a number of factors influence the optimal interval for staged TKAs in bilateral gonarthrosis, an interval of 91-270 days appears to be the optimal interval between surgeries in terms of minimizing pain and maximizing ADL s and knee scores.
