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  • Küçük Resim Yok
    Öğe
    Does total joint replacement effect slimming?
    (Ortadogu Ad Pres & Publ Co, 2008) Altıntaş, Faik; Gökçe, Alper; Yavuz, Umut; Uğutmen, Ender
    Objective: Obesity is a growing health problem with increasing incidence. The close relationship between obesity and immobility and the diseases causing immobility are well established. The hypothesis that weight loss and evenly distribution of body weight will occur after surgery due to regained mobility was investigated. Material and Methods: The study group consisted of 139 patients (118 females and 21 males) who underwent total hip or knee replacement in the year 2005 in the same medical center. Patients were followed with body mass index (BMI) and regional body measurements at three different reference regions (circumference of upper arm CA, thigh CT and umbilicus CU). BMI was calculated using the 'BMI= Body mass (kg)/body height (meters)2' formula. After one year of follow-up same measurements were repeated and compared with preoperative values. None of the patients were given any, diet regimen or any type of drugs affecting metabolism. Results: Mean BMI values decreased from 29.17 kg/m(2) to 29.53 kg/m(2). There was no significant difference between local body measurements and body mass index and between pre- and postoperative regional body measurements of CA, CT, and CU after one year of follow-up. Conclusion: This study suggested that regaining of mobility with surgically reconstructed joints did not have an impact on body size and distribution by burning more calories at 1 year of follow-up.
  • Küçük Resim
    Öğe
    Sentetik Polyester Ligament ile Akromioklavikuler Eklem Çıkığı Tedavisi
    (Yerkure Tanitim & Yayincilik Hizmetleri A S, 2018) Çetinkaya, Engin; Gül, Murat; Özcafer, Raşit; Yavuz, Umut; Lapcin, Osman; Özkan, Bilge; Kabukçuoğlu, Yavuz Selim
    Objective: The aim of the study was to determine whether radiographic fixation with synthetic polyester ligament was achieved after fixation and to evaluate the functional results in the medium term. Methods: Between 2011 and 2015, 16 male patients were treated with surgical fixation with Surgilig synthetic ligament for Type 3 (n=1), Type 4 (n=1) and Type 5 (n=14) acromioclavicular (AK) All of the patients were acute cases admitted within the first 3 weeks after injury. Visual analogue scale (VAS) form was used to evaluate preoperative and postoperative pain. The Constant shoulder function assessment score was used for clinical evaluation in the postoperative period. Results: The mean age of the patients was 38.5 (range: 22-58) years. All patients were male. The mean follow-up period of the patients was 20 (range: 7-54) months. At the last follow-up, the mean Constant score was 82.78 points (range: 72-92). The mean preoperative VAS score was 8.6 (range: 7-10), with a mean of 1.4 (range: 0-3) at the last follow-up. The decrease in VAS score was statistically significant (p < 0.05). Radiologically, there was osteolytic appearance around the screw in 1 patient but there was no patient with complete loss of reduction or fracture. Conclusion: How to make optimal surgical treatment of ACJ dislocation is not clear yet. In the treatment, coracoclavicular fixation with Surgilig is successful both clinically and radiologically.