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Yayın Distal tibial epiphyseal fracture (tillaux) and capsular interposition(APMA, 2009) Poyanlı, Oğuz; Ünay, Koray; Özkan, Korhan; Üğütmen, EnderArthroscopic-assisted reduction is one recommended technique for pediatric distal tibial epiphyseal fractures. A 15-year-old male patient with a triplane distal tibial epiphyseal fracture (Tillaux type) was scheduled for arthroscopic reduction and pinning, which failed to provide adequate fracture reduction. Open surgery was subsequently performed, which revealed a capsular interposition in the fracture line attributable to an anterior capsular tear of the ankle. The possibility of capsular interposition should always be taken into consideration when problems such as those described in this case presentation are encountered in such patients. This is precisely why direct visualization either through arthroscopy or open arthrotomy is sometimes necessary.Yayın Fractures of the bilateral distal radius and scaphoid: a case report(SpringerLink, 2008) Özkan, Korhan; Üğütmen, Ender; Ünay, Koray; Poyanlı, Oğuz; Güven, Melih; Eren, AbdullahIntroduction Bilateral fractures of the distal radius and scaphoid are extremely rare injuries. Case presentation A patient with bilateral comminuted, displaced distal fractures of the radius and bilateral fractures of the scaphoid was treated via internal fixation of the scaphoid fractures with Herbert screws and internal fixation of the distal radius fractures with locked volar plating. Conclusion Rigid internal fixation of distal radius and scaphoid fractures is mandatory to start early active rehabilitation of the wrist without the need for wrist immobilization with a plaster or external skeletal fixation.Yayın Lateral dislocation of the knee joint after total knee arthroplasty: a case report(SpringerLink, 2008) Üğütmen, Ender; Özkan, Korhan; Ünay, Koray; Mahiroğulları, Mahir; Eceviz, Engin; Taşer, ÖmerBackground Total knee arthroplasty (TKA) is a successful therapy for functional improvement and pain relief in advanced symptomatic degeneration of the knee joint. But it can be associated with many complications, one of which is instability. Case presentation A 70-year-old woman was referred to our hospital because of right knee dislocation after TKA was performed on her right knee due to severe varus deformity and flexion contracture. This instability was caused by persistent MCL tightness and iatrogenic lateral collateral, arcuate ligament, and popliteus tendon injury. The torn lateral collateral ligament and arcuate ligament were sutured with no. 2 non-absorbable (Ethibond) sutures with plication of the posterolateral knee capsule. A deep-dish liner was inserted to optimize soft tissue tension. Conclusion This is a very severe complication, and surgeons must be cautious about ligament balancing and soft tissue resection during TKA for severe varus and valgus deformities.Yayın Long-term use of fondaparinux in major orthopedic surgery(Turkish Joint Diseases Foundation, 2012) Altıntaş, Faik; Uluçay, Çağatay; Üğütmen, Ender; Güven, Melih; Ünay, KorayAmaç: Majör ortopedik cerrahi sonrasında uzun süreli fondaparinuks sodyum kullanımının majör kanmaya yol açıp açmadığı araştırıldı. Hastalar ve yöntemler: Majör ortopedik ameliyat planlanan 18 yaşından büyük 43 hasta (30 kadın, 13 erkek; ort. yaş 66 yıl; dağılım 34-94 yıl) çalışmaya alındı. Total kalça protezi, total diz protezi ve proksimal femur uç kırığı ameliyatları majör ortopedik ameliyatlar olarak belirlendi. Profilaksi için günde bir kez 2.5 mg fondaparinuks sodyum, subkütan olarak uygulandı. Cerrahi kesi kapatıldıktan 6-8 saat sonra ilk doz profilaksi başlandı. Profilaksi süresince (31±3 gün) hastalarda semptomatik derin ven trombozu takibi yapıldı. Ameliyat öncesi ve ameliyat sonrası birinci haftada ve birinci ayda serum kreatinin, trombosit ve hemoglobin düzeyleri ölçüldü. Yara iyileşme süreleri ve iyileşme komplikasyonları ve profilaksi süresince görülen majör-minör kanamalar kaydedildi. Bulgular: Takipler süresince hiçbir hastada semptomatik derin ven trombozu veya semptomatik pulmoner emboli saptanmadı. Hastaların ikisinde (%4.6) yara iyileşmesi gecikmesi, dördünde (%9.3) minör ekimoz gelişti. Hiçbir hastada majör kanama görülmedi. Sonuç: Fondaparinuksun uzun süreli kullanımına bağlı olarak majör kanama komplikasyonu gözlenmedi. Ancak fondaparinuks preparatının uzun süreli kullanımda etkilerini ortaya koymak için daha geniş ve kontrol grubu ile yapılan çalışmalara gereksinim vardır.Yayın Pyomyositis of tensor fascia lata: a case report(BMC Journal, 2008) Özkan, Korhan; Ünay, Koray; Üğütmen, Ender; Eren, Abdullah; Eceviz, Engin; Saygı, BaranselIntroduction Pyomyositis is a disease in which an abscess is formed deep within large striated muscles. Case presentation We report the case of a 10-year-old boy who presented with fever and a painful hip and was subsequently diagnosed with pyomyositis of the tensor fascia lata. In children with clinical and laboratory findings of inflammation in the vicinity of the hip joint, the differential diagnosis includes transient synovitis, an early stage of Legg-Calvé-Perthes disease, infectious arthritis of the hip, rheumatologic diseases and extracapsular infection such as osteomyelitis. Conclusion To the best of the authors' knowledge, this is the first report of pyomyositis of the tensor fascia lata. Although pyomyositis is a rare disease and the differential diagnosis includes a variety of other commonly observed diseases, pyomyositis should be considered in cases where children present with fever, leukocytosis and localized pain.Yayın Reduction and fixation of radius neck fractures in children with intramedullary pin(Wolters & Kluwer, 2010) Üğütmen, Ender; Özkan, Korhan; Özkan, Feyza Ünlü; Eceviz, Engin; Altıntaş, Faik; Ünay, KorayIn radius neck fractures, reduction manipulations applied on the radial head with percutaneous K-wires may lead to epiphysis or physis damage. In this study, 16 cases were evaluated without using any percutaneous manipulations upon the displaced radius head. Rather, an Ender-pin-like, curve-tipped K-wire was inserted intramedullarly (Metaizeau technique) after a certain amount of reduction by manual manipulation under fluoroscopic guidance. Complete reduction was obtained with wire rotations in 16 patients. A total of 16 patients with open growth plates with an average age of 8 years were enrolled within the scope of the study. Thirteen patients (81.25%) showed excellent clinical results, two patients (12.5%) showed good results, and one patient (6.25%) showed average results. None of the cases exhibited poor results. A single K-wire was used in nine cases, whereas two K-wires were used for fixation rigidity in seven cases with larger medullas. No sign of neurovascular deficit, synostosis, or infection was observed in any of the cases. In conclusion, the use of two wires in patients with larger medullas and emphasis on the importance of closed reduction, even without percutaneous K-wire manipulation, might lead to the development of a new treatment approach for pediatric patients with radial head fractures.Yayın Simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of the fifth phalanx: A case report(BMC Journal, 2008) Ünay, Koray; Özkan, Korhan; Üğütmen, Ender; Özkan, Feyza Ünlü; Eren, Abdullah; Bilsel, KeremIntroduction There is no case of simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of a finger in the literature. Case presentation A 61 years old male patient sustained an ipsilateral dorsal dislocation of the PIP joint of his fifth finger and dorsal dislocation of the metacarpophalangeal joint. Closed reduction of proximal interphalangeal joint was achieved while open reduction of the metacarpophalangeal joint was carried out. Conclusion The single most important element preventing reduction of the metacarpophalangeal joint was an interposition of the volar plate between proximal end of the phalanx and the head of the metacarpal.
