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    Assessment of the quality and reliability of the information on lateral epicondylitis surgery on YouTube
    (2022) Şahin, Abdullah Alper; boz, mehmet
    Aim: To investigate the quality and reliability of videos related to lateral epicondylitis (LE) surgery on \rYouTube® and to define a new scoring system that can be used to assess online information about LE.\rMethod: To conduct the study, a search on YouTube® using the words \"lateral epicondylitis surgery\" and \r\"tennis elbow surgery\" was conducted on February 15, 2022. The first 100 videos that appeared upon the \rsearch were included in the study. The videos were classified based on the type of publishing source as a \rmedical doctor, medical center, and Commercial/Medical media agency. Two authors independently analyzed \rthe videos. The quality and reliability of the videos were examined using DISCERN score, Journal of the \rAmerican Medical Association (JAMA) score, Health on the Net (HON) score, and a novel YouTube® LEscore (LES). Video Power Index (VPI) and View Ratio (VR) were used to assess the popularity of videos.\rResults: A total of 29 videos were included in the study. There was no significant difference between the \rgroups in terms of DISCERN, JAMA, HON, and LES scores. Although the group of medical doctors had much \rhigher VRs and VPIs, there was no significant difference between the groups. LES score was found to be \rpositively correlated with DISCERN, JAMA and HON (rho 0.879, p< 0.001; rho 0.709, p < 0.001; rho, 0.838, \rp < 0.001, respectively).\rConclusion: The quality and reliability of the online information made available by YouTube® concerning \rLE surgery had an average level of quality and reliability. In addition, the LES scoring system created by us \rwas highly compatible with the DISCERN and JAMA scoring systems accepted in the literature. It can be used \ras evaluation scoring in searches about lateral epicondylitis
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    Epidemiological characteristics of orthopedic trauma patients admitted to emergency department in Coronavirus disease 2019 pandemic: A retrospective and comparative study
    (2022) güzel, ismail; boz, mehmet
    Aim: The aim of the present study was to compare the data and epidemiological char- acteristics of orthopedic trauma patients who presented to the emergency room in the period of pandemic year with the year before the pandemic. Materials and Methods: In the present study, epidemiological characteristics of pa- tients with orthopedic trauma who applied to the emergency department during the COVID-19 year (March 24-July 1, 2020) and the same period of the previous year (March 24-July 1, 2019) were compared. The patients were divided into two groups as pandemic period patients and pre-pandemic group patients (control group). Demographic char- acteristics, injury mechanisms, fracture types, fracture areas, simultaneous fractures, the locations where the fracture occurred, open fracture types, trauma scores and osteoporosis characteristics were evaluated. Results: 15.245 patients were evaluated, and 36.5% of these patients were the ones who were admitted to our hospital in the pandemic period while 63.5% of the patients were the ones who were admitted to our hospital in the pre-pandemic period. During the pandemic period, 67.2% of the patients visited due to the low-energy traumas, 14.3% high- energy traumas. In the pre-pandemic group, on the other hand, the cause was low-energy traumas in 58.4% of the patients, high-energy traumas in 17.8%. 44% of the patients in the pre-pandemic group and 61% in the pandemic group were evaluated to have osteoporotic fractures. In the pre-pandemic group, on the other hand, 36.2% of the patients had minor, 46.4% serious and 17.4% critical injuries. Conclusion: During the COVID-19 pandemic, because of the effects of long-term in- activity and stress factors, changes were observed in the distribution of the traumatized patients. It should be concluded that people at high risk of osteoporotic fractures should be allowed to practice their physical activities such as walking and exercising at certain time intervals during curfew times such as pandemics.
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    Surgical treatment options for AC joint dislocation: Comparison of clinical outcomes of TightRope and hook plate methods
    (2025) güzel, ismail; Altunkılıç, Tarık; Arı, Bünyamin; boz, mehmet; çakır, mehmet
    Acromioclavicular (AC) joint dislocations frequently occur in young and active individuals, resulting in pain, restricted movement, and functional limitations. Among surgical treatments, TightRope and hook plate methods are commonly used. However, their comparative effectiveness remains a topic of debate. To retrospectively compare the clinical outcomes of TightRope and hook plate methods in the surgical treatment of AC joint dislocations, focusing on complication rates, recovery time, and functional outcomes. This retrospective study included 60 patients (30 TightRope, 30 hook plate) treated between 2018 and 2023 for Rockwood Type III-V AC joint dislocations. Complication rates, time to return to daily activities and sports, and Constant-Murley Shoulder Scores were analyzed. Data were statistically evaluated using chi-square and independent t-tests, with significance set at p
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    The effect of platelet-rich plasma on chronic pain in osteoarthritic knees
    (2021) boz, mehmet; Şahin, Abdullah Alper
    Platelet-rich plasma (PRP) is an autologous blood product with widespread use in recent years to increase regeneration in many joints and tissues. Knee osteoarthritis is a degenerative process increasing with age and causing chronic pain. Therefore, the aim of the study was to investigate the short-term effectiveness of intra-articular PRP injection, used to provide cartilage regeneration, on chronic pain in osteoarthritic knees. 60 patients with stage 1-4 knee osteoarthritis according to the Kellgren-Lawrence grading scale (K-L) were included in the study. Three doses of PRP were injected into the knee joint once every three weeks. All three initial measurements were made before injection. Chronic pain of the patients was evaluated using visual analog scale (VAS) and the Knee Injury and Osteoarthritis Outcome Score (KOOS) scales on Day 1, Week 3, Week 6, Week 12, and Month 6. 6 months of follow-ups for all 60 patients were completed. Mean baseline values were measured as follows: VAS 8.63 ± 1.0, and KOOS Pain 22.11 ± 13.7, KOOS Sympt 24.80 ± 18.3, KOOS Function 24.90 ± 15.7, KOOS Sport 13.00 ± 11, 6, KOOS QoL 16.16 ± 10.2. Mean values measured during the last follow-up were as follows: VAS 2.30 ± 1.0, and KOOS Pain 81.20 ± 11.7, KOOS Sympt 81.78 ± 12.5, KOOS Function 78.08 ± 10.9, KOOS Sport 73.58 ± 11.7, KOOS QoL 68.91 ± 10.7 values. Significant improvements were observed in VAS and KOOS values after injection compared to the baseline values (p = 0.001 for all). Treatment of knee osteoarthritis (OA) with PRP injection is safe in terms of adverse reactions. PRP seems to be effective in managing pain and improving quality of life in all osteoarthritis stages, especially in patients with K-Lgrade 1-2 knee OA.
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    The relationship between osteochondral lesion of the talus and the foot arch angles in adults: A retrospective study
    (2023) boz, mehmet; Şahin, Abdullah Alper; Akçiçek, Mehmet
    Aim: The current study aimed to compare the arch angles of the foot, Achilles tendinopa- thy, subcutaneous fat tissue thickness of the heel, and epin calcanei (EC) in patients with osteochondral lesion of the talus (OLT). Materials and Methods: The magnetic resonance images (MRI) of the ankle performed by the radiology clinic between March 2020 and October 2021 were examined. Based on the MRI findings, the patients diagnosed with OLT were included in the study group (n = 55) and those not diagnosed with OLT formed the control group (n = 118). All the patients included in the study were investigated for their demographic characteristics and presence of EC. Weight-bearing lateral X-ray images were used to measure the lateral talus- first metatarsal angle (Meary’s angle), lateral talocalcaneal angle (LTCA), and calcaneal inclination angle (also known as the calcaneal pitch). Results: The study and control groups had no significant difference in terms of gender distribution (P = 0.575). The patients in the study group had a significantly higher mean age than the control group (P < 0.001). Evaluation of the arch angles of the foot showed the patients with OLT to have higher LTCA and calcaneal pitch angles and greater sub- cutaneous fat thicknesses (p < 0.001, p < 0.001, and p = 0.004, respectively). In addition, the study group showed higher rates of patients with EC and Achilles tendinopathy (p = 0.076 and p = 0.019, respectively). According to the binary logistic regression analysis model, each unit of increase in the patients’ age increases the presence of osteochondritis dissecans (OCD) of the talus by 1.063 times (95% confidence interval (CI): 1.012-1.116; P = 0.015). Each unit of increase in LTCA increases the presence of OCD of the talus by 1.360 times (95% CI: 1.219-1.516; P < 0.001). Conclusion: Our study demonstrated that sex had no effect on OLT incidence, whereas changes in the LTCA and pitch angles elevated the risk of OLT. Furthermore, increased age was found to be associated with a higher risk of OLT formation. We also showed that Achilles tendinopathy and EC were significantly higher in patients with OLT. A considerable number of future studies are needed to establish whether this significant relationship is causal.