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    A new method for diagnosis of anterior cruciate ligament tear: MRI with maximum flexion of knee in the prone position: A case control study
    (Elsevier Ltd, 2019) Günaydın, Burak; Şahin, Gülcan Güçer; Sarı, Abdulkadir; Kara, A.; Dinçel, Yaşar Mahsut; Çetin, Mehmet Ümit; Kabukçuoğlu, Yavuz Selim; Tekin, Çağatay
    Background: The diagnosis of anterior cruciate ligament tear can be made by physical examination and magnetic resonance imaging (MRI) in the supine position. In cases where the tear is partially evaluated on MRI, the choice of treatment may vary. The purpose of the study was to investigate the efficiency of MRI at maximum knee flexion in the prone position and to compare the images with findings of the ACL detected during surgery. Materials and methods: Sixty-one patients with partial ACL tears with meniscal and cartilage lesions requiring arthroscopic knee surgery were included in the study between 2017 and 2019. MRI of these patients was prescribed at maximum knee flexion in the prone position. Then, an arthroscopic operation was performed on 61 patients and the findings (intact, partial or total tear of ACL) were recorded. The ACL was evaluated as being intact and partial or total tear. The statistical significance of the efficacy of MRI in the supine position with the knee at maximum flexion in the prone position was compared. Results: It was found that, of 61 patients with suspected partial ACL tears, 25 patients had intact ACLs, 22 patients had partial tears and 14 patients had total ACL tears, through the interpretation of MRIs of the prone position by the radiologist. In the arthroscopic surgery of 61 patients, 20 patients had intact ACLs, 27 patients had a partial tear and 14 patients had a total tear. The MRI results with maximum knee flexion in the prone position were more compatible with the findings of the arthroscopic surgery. Conclusions: It could be considered that MRI with maximum knee flexion in the prone position may also be guiding in the diagnosis and treatment of patients with partial anterior cruciate ligament rupture. © 2019
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    An Effective Technique in Treatment of Femoral Neck Fractures - Ostheosynthesis under Double Fluoroscopic Guidance
    (Galen Sro, 2019) Gülenç, B.; Günaydın, Burak; Çamur, S.; Talmac, M. A.; Güler, V.; Kara, A.
    PURPOSE OF THE STUDY The most commonly used technique for fixation of the femoral neck fractures is percutaneous osteosynthesis with cannulated screw under fluoroscopy guidance. Osteosynthesis performed under single-fluoroscopic guidance requires continuous repositioning the fluoroscope to obtain biplane imaging. This study aimed to evaluate whether there is a statistically significant difference between the osteosynthesis procedures performed under guidance of single-fluoroscopy and double fluoroscopy with respect to radiation emission safety and treatment parameters for fixation of femoral neck fractures. MATERIAL AND METHODS This retrospective study included 35 patients operated for femoral neck fracture between December 2013 and October 2017. Osteosynthesis was performed in 21 of these patients using cannulated screw under guidance of single-fluoroscopy whereas other 14 patients underwent same type of osteosynthesis assisted by double-fluoroscopy. The parameters of these two groups such as duration of surgery preparation, duration of the surgery, duration of radiation exposure, collo-diaphyseal angle and Harris hip score values were recorded. RESULTS No significant difference was found between the groups regarding time for surgery preparation (p > 0.05). On the other hand, duration of surgery and overall duration of radiation exposure were found 14 (p < 0.05) and 15 (p < 0.05) minutes shorter in the double-fluoroscopy group, respectively. No significant difference was found between the groups in terms of collo-diaphyseal angle and Harris hip score values (p > 0.05). CONCLUSIONS Use of double-fluoroscopy significantly reduces time of surgical duration and also level of radiation exposure in surgery of femoral neck fractures.
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    An Effective Technique in Treatment of Femoral Neck Fractures – Ostheosynthesis under Double Fluoroscopic Guidance
    (Galen s.r.o., 2019) Gülenç, Barış; Günaydin, B.; Çamur, S.; Talmaç, M.A.; Güler, Y.; Kara, A.
    PURPOSE OF THE STUDY The most commonly used technique for fixation of the femoral neck fractures is percutaneous osteosynthesis with cannulated screw under fluoroscopy guidance. Osteosynthesis performed under single-fluoroscopic guidance requires continuous repositioning the fluoroscope to obtain biplane imaging. This study aimed to evaluate whether there is a statistically significant difference between the osteosynthesis procedures performed under guidance of single-fluoroscopy and double fluoroscopy with respect to radiation emission safety and treatment parameters for fixation of femoral neck fractures. MATERIAL AND METHODS This retrospective study included 35 patients operated for femoral neck fracture between December 2013 and October 2017. Osteosynthesis was performed in 21 of these patients using cannulated screw under guidance of single-fluoroscopy whereas other 14 patients underwent same type of osteosynthesis assisted by double-fluoroscopy. The parameters of these two groups such as duration of surgery preparation, duration of the surgery, duration of radiation exposure, collo-diaphyseal angle and Harris hip score values were recorded. RESULTS No significant difference was found between the groups regarding time for surgery preparation (p > 0.05). On the other hand, duration of surgery and overall duration of radiation exposure were found 14 (p < 0.05) and 15 (p < 0.05) minutes shorter in the double-fluoroscopy group, respectively. No significant difference was found between the groups in terms of collo-diaphyseal angle and Harris hip score values (p > 0.05). CONCLUSIONS Use of double-fluoroscopy significantly reduces time of surgical duration and also level of radiation exposure in surgery of femoral neck fractures. © 2019, Galen s.r.o. All rights reserved.
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    Corrigendum to "A new method for diagnosis of anterior cruciate ligament tear: MRI with maximum flexion of knee in the prone position: A case control study" (International Journal of Surgery (2019) 68 (142-147), (S1743919119301451), (10.1016/j.ijsu.2019.06.017))
    (Elsevier Ltd, 2020) Günaydın, Burak; Şahin, Gülcan Güçer; Sarı, Abdulkadir; Kara, A.; Dinçel, Yaşar Mahsut; Çetin, Mehmet Ümit; Kabukçuoğlu, Yavuz Selim; Tekin, Çağatay
    The authors regret that the figure captions in this article appeared incorrectly and should have been displayed as follows: Fig. 3. First patient's suspected partial tear in the sagittal section in the supine position with the knee in extension (knee MRI image) Fig. 4. The first patient's total tear image in a sagittal section in the prone position with the knee in maximum flexion (knee MRI image) Fig. 5. The second patient's suspected partial tear in a sagittal section in the supine position with the knee in extension (knee MRI image) Fig. 6. The second patient's total tear image in a sagittal section in the prone position with the knee in maximum flexion (knee MRI image) Fig. 7. The third patient's suspected partial tear in a sagittal section in the supine position with the knee in extension (knee MRI image) Fig. 8. The third patient's partial tear image in a sagittal section in the prone position with the knee in maximum flexion (knee MRI image)The authors would like to apologise for any inconvenience caused. © 2019