Yazar "Ari, Bunyamin" seçeneğine göre listele

Listeleniyor 1 - 5 / 5
  • Küçük Resim Yok
    Öğe
    Do Reduction Maneuvers Affect Recurrence in Pediatric Radial Head Subluxation? A Ten-Year Retrospective Analysis
    (Springer Heidelberg, 2026) Boz, Mehmet; Boz, Gulseda; Altunkilic, Tarik; Ari, Bunyamin; Guzel, Ismail; Barbak, Umit Yasin
    Background This study aimed to determine whether the choice of reduction maneuver in patients presenting to the emergency department with nursemaid's elbow influences the likelihood of recurrent dislocation. Additionally, the study sought to describe the epidemiological characteristics of these cases. Methods This retrospective study included 1359 patients diagnosed with nursemaid's elbow who presented to the Emergency Department of Malatya Training and Research Hospital from January 2015 to June 2025. Data on demographics, side affected, radiographic evaluation, reduction maneuver, and recurrence were analyzed. The chi-square test was used for statistical analysis, with p < 0.05 considered significant. Results The median age was 2 years, with 61.2% female. Most cases (88.1%) were in the 0-3-year age group. Left-sided involvement accounted for 63.0%, right-sided involvement 37.0%. Hyperpronation was used in 68.4%, supination-flexion in 31.6%. Recurrence rate was 4.8%, higher with right elbows and supination-flexion (p < 0.05). Conclusion Nursemaid's elbow was more common in children under three, particularly girls, and affected the left arm. Recurrence was lower after hyperpronation than after supination-flexion. Level of Evidence Retrospective analysis study.
  • Küçük Resim Yok
    Öğe
    Does Tourniquet Use Affect the Length of the Hamstring Tendon in Anterior Cruciate Ligament Reconstruction?
    (Mdpi, 2026) Altunkilic, Tarik; Ari, Bunyamin; Guzel, Ismail; Boz, Mehmet; Inceoglu, Feyza
    Background: The aim of the present study was to investigate whether the use of a tourniquet during anterior cruciate ligament reconstruction affects the length of the hamstring tendon used for autograft. Methods: Adult patients who were referred to the Orthopedics and Traumatology Department of The Malatya Turgut & Ouml;zal University hospital and were diagnosed with anterior cruciate ligament injury between 30 July 2025 and 30 December 2025 were included in the study. In total, 31 patients from whom the hamstring tendon was harvested without a tourniquet were placed in Group 1, and 36 patients from whom the hamstring tendon was harvested with a tourniquet were placed in Group 2. This study is a prospective, randomized, comparative study. These two groups were compared with respect to the lengths of the hamstring tendons used as autografts. Results: The semitendinosus and gracilis tendon lengths in Group 1 were 29.61 +/- 1.76 cm and 27.68 +/- 2.02 cm, respectively. In Group 2, the semitendinosus and gracilis tendon lengths were 25.67 +/- 1.45 cm and 23.72 +/- 1.06 cm, respectively. A statistically significant difference was observed between the semitendinosus and gracilis tendon lengths of the participants in Groups 1 and 2 (p < 0.05). Conclusions: These findings suggest that avoiding tourniquet use during hamstring tendon harvest may represent a simple technical modification that can influence harvested tendon length during anterior cruciate ligament reconstruction.
  • Küçük Resim Yok
    Öğe
    Open fractures associated with earthquakes and highenergy trauma: Clinical outcomes and management strategies
    (Turkish Assoc Trauma Emergency Surgery, 2025) Guzel, Ismail; Ari, Bunyamin; Altunkilic, Tarik; Ulusoy, Ibrahim; Boz, Mehmet
    BACKGROUND: This study aimed to evaluate the epidemiological characteristics, infection rates, complication risks, and clinical management strategies of open fractures resulting from high-energy traumas. Special attention was given to the effects of the 2023 major earthquake on the incidence of open fractures and patient management, comparing different trauma mechanisms retrospectively. METHODS: This retrospective study included 512 patients admitted to a tertiary trauma center between 2019 and 2024. Patients were classified according to five different trauma mechanisms: traffic accidents, falls from height, occupational injuries, gunshot wounds, and earthquake-related traumas. Open fractures were assessed and classified using the Gustilo-Anderson classification to determine the severity of the injuries. Treatment protocols included early antibiotic administration, surgical debridement, wound management protocols, and surgical fixation methods. Statistical analyses were performed to compare differences between early surgical intervention (within 24 hours) and delayed surgical intervention (after 24 hours). Statistical tests used included T-test, Mann-Whitney U test, Chi-square test, and logistic regression analysis. A p-value of <0.05 was considered statistically significant. RESULTS: The mean age of the 512 patients was 37.4 +/- 12.6 years, with 68% males and 32% females. The most common trauma mechanism was traffic accidents (54.2%), followed by falls from height (27.8%), occupational injuries (12.5%), gunshot wounds (5.5%), and earthquake-related traumas (11.3%). A significant proportion of earthquake-related injuries were classified as Gustilo-Anderson Type III fractures (42.8%), which was notably higher than that of other trauma mechanisms (p<0.001). In earthquake-related cases, multiple fractures were present in 63.2% of patients, and bilateral extremity fractures were observed in 21.4% of cases. The infection rate was 11.4% in patients who received early antibiotic administration, compared to 27.8% in those with delayed administration (p<0.005). Early surgical intervention resulted in an infection rate of 15.2%, whereas delayed intervention showed an infection rate of 31.4% (p=0.002). Amputation rates were found to be 6.4% for the entire patient group, but 41.2% in the Gustilo-Anderson Type IIIC fracture group. Osteomyelitis rate was 18.6% in patients who underwent delayed wound closure, and 35% of these patients required prolonged intravenous antibiotic therapy. CONCLUSION: This study demonstrates that early antibiotic administration, early surgical intervention, and appropriate wound management strategies significantly reduce infection rates in open fractures resulting from high-energy traumas. Particularly, the high complication rates observed in earthquake-related cases highlight the need for systematic and carefully planned approaches in disaster-related patient management. The findings emphasize the importance of optimal surgical timing and proper antibiotic protocols in reducing infection risks and improving clinical outcomes. Further prospective studies are needed to validate these findings.
  • Küçük Resim Yok
    Öğe
    Retrograde Intramedullary Nailing vs. Lateral Locking Plate Fixation for Distal Femur Fractures: Which Technique is Superior?
    (Open Medical Publ Llc, 2025) Guzel, Ismail; Altunkilic, Tarik; Ari, Bunyamin; Boz, Mehmet
    Objective Distal femur fractures are challenging to treat, especially in elderly osteoporotic patients. Retrograde intramedullary nailing (RIMN) and lateral locking plate (LP) fixation are commonly used surgical methods for these fractures. This study aimed to compare the clinical and radiological outcomes of these two techniques. Methods In this retrospective study, a total of 72 patients with distal femur fractures classified according to the AO/OTA system and treated surgically were included. Patients were divided into two groups: RIMN (n=36) and LP (n=36). Demographic data, fracture classification, surgical method, operative time, intraoperative blood loss, early weight-bearing status, knee range of motion, union time, and complication rates were evaluated. Additionally, union rate, infection, implant failure, and reoperation requirement were compared. A power analysis was conducted assuming 70% power to detect a clinically significant difference. Statistical analyses included T-test, Mann-Whitney U test, Chi-square test, and Fisher's exact test. Kaplan-Meier analysis was used to assess union time. A p-value <0.05 was considered statistically significant. Results The union rate was 86.1% in the RIMN group and 75.0% in the LP group. The average union time was 15.4 weeks for RIMN and 17.2 weeks for LP. Knee range of motion was significantly better in the RIMN group (115.2 degrees vs. 110.4 degrees, p=0.03). Early weight-bearing was achieved in 61.1% of RIMN patients and 44.4% of LP patients (p=0.11). The overall complication rate was 16.7% in the RIMN group and 25.0% in the LP group. Infection rates were 5.6% and 8.3%, respectively. Implant failure was observed in 5.6% of patients in both groups. Reoperation was required in 8.3% of RIMN and 13.9% of LP patients. Conclusion Our findings suggest that RIMN may offer advantages over LP in terms of higher union rates, shorter union time, and better functional outcomes, particularly in osteoporotic patients. However, both techniques demonstrated acceptable complication rates, and treatment choice should be tailored to the fracture pattern and patient characteristics. Further prospective, randomized studies are needed to support these findings.
  • Küçük Resim Yok
    Öğe
    Transtrochanteric vs. posterolateral approaches in hemiarthroplasty after proximal femoral nail complications: A comparative study
    (Turkish Assoc Trauma Emergency Surgery, 2025) Gokalp, Oguzhan; Ari, Bunyamin
    BACKGROUND: Proximal femoral nailing is a widely used technique for treating intertrochanteric femur fractures but may result in complications requiring revision surgery. Hemiarthroplasty is a common solution, with the transtrochanteric and posterolateral approaches being two surgical options. This study aimed to compare these approaches in terms of surgical outcomes and complication rates. METHODS: A retrospective analysis was conducted on 79 patients who underwent revision hemiarthroplasty for complications related to proximal femoral nailing between 2019 and 2022. Patients were divided into two groups based on the surgical approach: transtrochanteric (Group 1, n=36) and posterolateral (Group 2, n=43). Key variables included surgical time, intraoperative blood loss, transfusion requirements, functional outcomes (Harris Hip Score), and complication rates. Statistical significance was set at p<0.05. RESULTS: Group 1 had a shorter surgical time (49.6 +/- 5.69 vs. 64.8 +/- 10.29 minutes; p<0.001) and lower intraoperative blood loss (395.8 +/- 142.89 vs. 474.2 +/- 130.94 mL; p=0.004) compared to Group 2. Transfusion requirements were also lower in Group 1 (0.4 +/- 0.71 vs. 1.2 +/- 1.014 units; p=0.002). Harris Hip Scores were similar between groups (74.7 +/- 7.17 vs. 72.4 +/- 7.8; p=0.276). Although overall complication rates did not differ significantly (p=0.744), dislocations occurred only in Group 2 (6.5%, n=2). CONCLUSION: The findings suggest that the transtrochanteric approach may offer advantages in surgical efficiency and reduced intraoperative challenges. However, both techniques yielded similar functional outcomes and overall complication rates. Further studies are necessary to validate these findings and assess their applicability in varied clinical contexts.