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    Efect of Ankaferd Blood Stopper on muscle healing
    (The Canadian Society for Clinical Investigation, 2016) Uygun, Murat; Yavuz, Osman Yüksel; Uraş, Ismail; Duman, İbrahim Gökhan; Haltaş, Hacer; Kömürcü, Mahmut
    Purpose: Ankaferd Blood Stopper (ABS), which is a standardized mixture of herbal extracts obtained from fve plants, has been proven as an efcient hemostatic agent and is still used in emergency situations. It is not known exactly if decreased bleeding has positive or negative efects on muscle healing and fbrosis, so the purpose of this study was to test the efect of ABS on muscle healing and morphology.Methods: A total of 66 outbred Wistar rats were divided into three control and three experimental subgroups. In the experimental groups, ABS was sprayed on the cut surface of the soleus. In the control groups, a saline solution was sprayed on the cut surface of the soleus. Subgroups were euthanized afer 2 weeks, 3 weeks and 4 weeks, respectively. In each subgroup, eight rats were used for the biomechanical study to determine muscle healing and three rats were used for the histopathological investigation.Results: Although muscle strength in the control groups was lower than that of the experimental groups in early weeks, no diferences were found between the control and the experimental groups at 4 weeks.Conclusions: ABS has no negative efect on muscle healing. We also observed that ABS accelerated muscle healing compared to the control group. ABS could be used in hemostasis of open fractures and elective orthopedic surgeries. © 2021 Elsevier B.V., All rights reserved.
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    Index finger pollicization for treating a congenitally nonfunctioning thumb in patients with radial longitudinal deficiency
    (Yuzuncu Yil Universitesi Tip Fakultesi Eastern Journal of Medicine Van 65100, 2014) Kömürcü, Mahmut; Yüce, Serdar; Yavuz, Osman Yüksel; Uraş, Ismail; Uygun, Murat; Kürklü, Mustafa
    Radial longitudinal deficiency (radial club hand) is a congenital deformity in the upper extremity that can present with a range of thumb deficiencies. A variety of surgical procedures to correct for absence of a thumb have been described, such as pollicization, osteoplastic reconstruction, toe to hand transfer, and extension with distraction. We have reviewed 8 index finger pollicizations in 6 patients after correction of the radial club hand deformity through wrist centralization. Four hands used were the dominant hand. Buck-Gramcko’s technique was used with a mean age of 4.6 (range from 2 to 14) years. The mean follow-up time was 6 (range from 2 to 10) years. The mean active range of motion at the pollicized digit was 121.4 (range from 83 to 150) degrees. The result was considered excellent in 5 cases (62.5%), good in 2 cases (25%), and fair in 1 case (12.5%) in accordance with Percival’s scoring system; none of the outcomes were poor. The younger patients adapted easier. Index finger pollicization is a method that provides dramatic improvement to hand function in thumb aplasia or severe hypoplasia, which may be preferred in treatment. The operations improved hand cosmetic appearance and functional ability. © 2017 Elsevier B.V., All rights reserved.