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Acta Orthopaedica et Traumatologica Turcica

Adrian Todor, Dan Viorel Nistor, Sergiu Caterev
OBJECTIVE: The aim of this retrospective study was to compare the clinical outcomes of anatomic single bundle ACL reconstruction using either a free quadriceps tendon autograft or a quadrupled hamstring autograft with a minimum follow-up of 24 months. METHODS: Consecutive patients undergoing ACL reconstruction using either a free quadriceps tendon autograft or hamstring tendon autograft from January 2013 to December 2014 were included. ACL reconstruction was done in all patients due to isolated ACL tears...
March 21, 2019: Acta Orthopaedica et Traumatologica Turcica
İlkşan Demirbüken, Bahar Özgül, Eren Timurtaş, Saadet Ufuk Yurdalan, Murat Dinçer Çekin, Mine Gülden Polat
OBJECTIVE: The aim of the study was to investigate gender and age effect on dynamic plantar pressure distribution in early adolescence. METHODS: A total of 524 adolescents (211 women and 313 men; mean age: 12.58 ± 1.11 years (range: 11-14 years)) participated in pedobarographic measurements during gait at self-selected speed. Data of peak pressure (PP), maximum force (MaxF-Newton), body weight corrected maximum force (BW_MaxF), contact area (CA-cm2 ) were analyzed for total foot and four plantar regions (hindfoot, midfoot, forefoot and toes)...
March 21, 2019: Acta Orthopaedica et Traumatologica Turcica
Sandeep Kashyap, Shweta Mahajan, Mukand Lal
OBJECTIVE: The aim of this study was to assess the effect of topical tranexamic acid on blood loss and transfusion rates in acetabular fracture surgery. METHODS: The medical records of 61 patients who underwent open reduction and internal fixation for acetabular fracture between 2012 and 2015 were retrospectively reviewed. The patients were divided into two groups: Group I consisted of 31 patients (19 men and 12 women, mean age: 52 ± 19 years) who received intraoperatively a topical tranexamic acid solution of 3 g and Group 2 consisted of 30 control patients (17 men and 13 women, mean age: 48 ± 24 years) who received only 0...
March 21, 2019: Acta Orthopaedica et Traumatologica Turcica
Mirza Biscevic, Aida Sehic, Sejla Biscevic, Ismet Gavrankapetanovic, Barbara Smrke, Damir Vukomanovic, Ferid Krupic
OBJECTIVE: The aim of this study was to evaluate the differences in transcranial electric motor-evoked potentials - TceMEP on upper limbs and the incidences of postoperative brachial plexopathy between patients with kyphotic and scoliotic trunk shapes. METHODS: In the period of January 2011-January 2017, 61 consecutive patients (mean age: 18.4 years ± 4.4 years (range: 10-32)) with pediatric spinal deformity underwent surgery in our Department. Eight of them had a kyphotic trunk deformity (Scheuermann kyphosis, neurofibromatosis, posterior thoracic hemivertebra), and the rest of the 53 patients had a scoliotic trunk deformity (mostly adolescent idiopathic scoliosis - AIS, lateral hemivertebra)...
March 18, 2019: Acta Orthopaedica et Traumatologica Turcica
Barak Haviv, Tal Frenkel Rutenberg, Lee Yaari, Muhammad Khatib, Ehud Rath, Mustafa Yassin
OBJECTIVE: The aim of this study was to evaluate which specific factors influence the improvement in function and to estimate the time to obtain pain relief following arthroscopic rotator cuff repair. METHODS: A total of 97 patients (57 men and 40 women; mean age: 55.5 ± 9.3 years) who had arthroscopic rotator cuff repair between 2013 and 2016 were included into the study. Multivariable stepwise analysis included preoperative variables (age, gender, body mass index, comorbidities, occupation and participation in sports, Oxford shoulder score at baseline, preceding injury and duration of preoperative symptoms) and arthroscopic findings (size of rotator cuff tear, pathology of the long head of the biceps and cartilage lesions)...
March 7, 2019: Acta Orthopaedica et Traumatologica Turcica
Halil Can Gemalmaz, Kerim Sarıyılmaz, Okan Ozkunt, Mustafa Sungur, Ibrahim Kaya, Fatih Dikici
OBJECTIVE: Total knee replacement (TKR) is a surgical treatment for final stage gonarthrosis. The lifespan of the prosthetic implants used in TKR surgery is a major interest for the orthopaedic research community.Previously, proper implant alignment of the implants has been advocated for longevity of the TKR surgery. Recently, patient-specific (PSI) instruments have been proposed to improve the mechanical alignment of the TKR by permitting better implant positioning over conventional TKR surgery...
March 7, 2019: Acta Orthopaedica et Traumatologica Turcica
Nihat Demirhan Demirkıran, Hasan Havıtçıoğlu, Aylin Ziylan, Ülker Cankurt, Buğra Hüsemoğlu
OBJECTIVE: The aim of this study was to evaluate the meniscal regeneration and arthritic changes after partial meniscectomy and application of either polyurethane scaffold or novel multilayer meniscal scaffold in a rabbit model. METHODS: Sixteen NewZealand rabbits were randomly divided into three groups. A reproducible 1.5-mm cylindrical defect was created in the avascular zone of the anterior horn of the medial meniscus bilaterally. Defects were filled with the polyurethane scaffold in Group 1 (n:6) and with novel multilayer scaffold in Group 2 (n:6)...
February 27, 2019: Acta Orthopaedica et Traumatologica Turcica
Hatice İlhan Odabaş, Çiğdem Bulgan, Bergün Meriç Bingül, Kut Sarpyener
OBJECTIVE: The aim of this study was to perform the static and dynamic biomechanical assessment of postural structure and analyze variations of foot pressure in elite golfers. METHODS: A total of 8 golfers (3 female, mean age 15.33 ± 0.57 years; mean height 167 ± 3.61 cm and mean weight 59.3 ± 11.71 kg; 5 male, mean age 17 ± 0.83 years; mean height 177.2 ± 8.61 cm; mean weight 72.8 ± 15.61 kg) from Turkish National Team were participated to this study...
February 16, 2019: Acta Orthopaedica et Traumatologica Turcica
Koray Başdelioğlu, Gökhan Meriç, Zekine Pündük, Devrim Akseki, Aziz Atik, Serdar Sargın
OBJECTIVE: The aim of the study was to compare the outcomes of the transtibial and anatomical femoral single tunnel surgical techniques in ACL reconstruction. METHODS: A total of 30 patients, with 16 patients (15 males and 1 female; mean age: 27.2 ± 7.04) with anatomical femoral single-tunnel technique (AFT) and 14 (12 males and 2 females; mean age: 29.4 ± 8.82) with transtibial technique (TT) were included into the study. All patients were evaluated with isokinetic tests at an angular velocity of 60°/s and 180°/s and the IKDC and Lysholm tests were performed preoperatively and in third, sixth, and 12th months postoperatively...
February 8, 2019: Acta Orthopaedica et Traumatologica Turcica
Engin Çetin, İsmail Daldal, Ali Eren, Saadet Özen Akarca Dizakar, Suna Ömeroğlu, Bora Uzuner, Hakan Hamdi Çelik, Hasan Hüseyin Saygılı, Benat Koçkar, Alpaslan Şenköylü
OBJECTIVE: The aim of this study was to investigate the effects of human recombinant epidermal growth factor (EGF) on posterolateral lumbar fusion in a rat model. METHODS: 36 male Sprague Dawley rats underwent posterolateral fusion at L4-5 level. They were randomly assigned to 3 groups: 1- Sham control group where no local augmentation was made, 2- Local Hydoxyapatite β-tricalcium phosphate (HA/β-TCP) augmentation group and 3- Local HA/β-TCP + EGF augmentation group...
February 6, 2019: Acta Orthopaedica et Traumatologica Turcica
Alpaslan Senkoylu, Mehmet Cetinkaya, Erdem Aktas, Engin Cetin
We report the surgical treatment course of a 4-year-old girl with congenital scoliosis, diastematomyelia and double adjacent hemivertebrae. She had a lumbar curve with an apparent pelvic obliquity. Simultaneous excision of double segmented sequential hemivertebra at the L3-L4 level and fusion with short-segment instrumentation was performed via a posterior approach. Intraoperative radiographs revealed satisfactory curve correction and 0° pelvic obliquity. Following the excision of double adjacent hemivertebrae, three adjacent nerve roots were placed in one intervertebral foramen bilaterally...
February 1, 2019: Acta Orthopaedica et Traumatologica Turcica
Murat Korkmaz, Turgut Akgul, Kerim Sariyilmaz, Okan Ozkunt, Fatih Dikici, Onder Yazicioglu
INTRODUCTION: Proximal junctional kyphosis - PJK has been defined by a 10 or greater increase in kyphosis at the proximal junction as measured by the Cobb angle from the caudal endplate of the uppermost instrumented vertebrae (UIV) to the cephalad endplate of the vertebrae 1 segments cranial to the UIV. In this biomechanical study, it is aimed to evaluate effects of interspinosus ligament complex distruption and facet joint degeneration on PJK development. MATERIALS AND METHODS: Posterior instrumentation applied between T2 - T7 vertebrae using pedicle screws to randomly selected 21 sheeps, divided into 3 groups...
January 30, 2019: Acta Orthopaedica et Traumatologica Turcica
Önder Kalenderer, Serkan Erkuş, Ali Turgut, İrem Hazal İnan
The deformed and enlarged femoral head secondary to hip diseases such as Legg Calve Perthes and Developmental Dysplasia usually causes impingement between the aspherical head and the acetabulum. To restore and reduce the size of enlarged femoral head, a femoral head reduction technique has been described previously. The goal is to obtain a spherical femoral head and to cover the gliding surface with best available cartilage. Planning of osteotomy to achieve spherical head is the crucial point of surgery. It is usually done intra-operatively and dependent on experience of surgeon...
January 29, 2019: Acta Orthopaedica et Traumatologica Turcica
Kayahan Karaytug, Mehmet Kapıcıoglu, Nuray Can, Onder Murat Hurmeydan
Metaplastic synovial cyst (MSC) is a benign cystic lesion observed after surgical intervention and recurrent skin trauma. Because of its rarity, the etiology is not fully understood. The most emphasized etiologic factors are recurrent surgical procedures and cutaneous pathologies, which cause cutaneous fragility and abnormal wound formation. In the literature, MSC is exemplified as a mass that can be observed by the naked eye and palpated. All patients had a history of previous surgical procedures in the area...
January 28, 2019: Acta Orthopaedica et Traumatologica Turcica
Bo Xu, Run-Lin Xing, Li Zhang, Zheng-Quan Huang, Nong-Shan Zhang, Jun Mao
OBJECTIVE: The aim of this meta-analysis was to clarify the role of Matrix metalloproteinase 1 (MMP-1) -1607 1G/2G (rs1799750) polymorphism on the osteoarthritis (OA) risk. METHODS: Articles were selected by retrieving the Web of science, Embase and Pubmed. The strength of the association between -1607 1G/2G polymorphism and OA risk was assessed by odds ratios (ORs) with the corresponding 95% confidence interval (CI) for each study. RESULTS: No significant association between -1607 1G/2G polymorphism and OA risk was found in all the models overall (2G2G vs 1G1G, OR (95%CI) = 0...
January 25, 2019: Acta Orthopaedica et Traumatologica Turcica
Zhenyue Dong, Yingzhen Niu, Jianchao Qi, Yifan Song, Fei Wang
OBJECTIVE: The double-bundle (DB) techniques are considered to yield better stability of the knee compared with single-bundle (SB) for anterior cruciate ligament (ACL) reconstruction. However, most studies followed up patients in short to middle-term within 5 years, and the longer-term efficacy of SB and DB ACL reconstruction is still beyond consensus. The purpose of this meta-analysis is to compare the longer-term efficacy between double-bundle (DB) and single-bundle (SB) techniques...
January 24, 2019: Acta Orthopaedica et Traumatologica Turcica
Tacettin Ayanoglu, Hakan Atalar, Erdinç Esen, Muhammet Baybars Ataoğlu, Sacit Turanlı, Kadir Demircan
PURPOSE: The aim of this study is to investigate which ADAMTS genes play a major role in the development of primary hip osteoarthritis, by comparing the tissue and blood samples in patients with hip osteoarthritis and a control group. MATERIAL AND METHODS: Human articular cartilage was obtained from femoral heads of 15 patients with end stage osteoarthritis undergoing total hip replacement. As the control group, the cartilages was obtained from femoral heads of 15 patients, who did not have osteoarthritis or degenerative changes in hip joint, undergoing hip replacement following the fracture of the femoral neck...
January 14, 2019: Acta Orthopaedica et Traumatologica Turcica
Seok Won Chung, Kyung-Soo Oh, Se-Young Ki, Jayoun Kim, Jong Pil Yoon, Joon Yub Kim
OBJECTIVE: The aim of this study was to evaluate factors associated with the needle breakage of antegrade suture passer and the effect of intratendinous remnant needle tip on clinical outcomes after rotator cuff repair. METHODS: We retrospectively reviewed 283 patients (138 men and 145 women; mean age: 59.7 ± 9.3 years) who underwent arthroscopic repair for full-thickness rotator cuff tear. We evaluated the characteristics of 16 patients in whose needle tip had been broken and embedded and remained in the rotator cuff (remnant needle group) and compared them with the remaining 267 patients (control group)...
January 14, 2019: Acta Orthopaedica et Traumatologica Turcica
Ata Elvan, Ibrahim Engin Simsek, Mehmet Alphan Cakiroglu, Salih Angin
OBJECTIVE: The aim of study was to analyze the association between Quadriceps Angle (QA) and plantar pressure, navicular height (NH), and calcaneo-tibial angle (CTA). METHODS: A total of 64 volunteers (mean age: 22.25 ± 2.54 (range:19-33)) participated in this cross sectional study. EMED-m (Novel GmbH, Germany) electronic pedobarograph was employed for dynamic plantar pressure measurement using two step protocol. The angle between the vertical axis of calcaneus and the long axis of Achilles tendon for CTA...
January 9, 2019: Acta Orthopaedica et Traumatologica Turcica
Claudia Lamas-Gómez, Laura Velasco-González, Aranzazu González-Osuna, Marta Almenara-Fernández, Luis Trigo-Lahoz, Xavier Aguilera-Roig
OBJECTIVE: The aim of this study was to evaluate the outcomes of open reduction and internal fixation (ORIF) in hamate hook fractures and review the literature on this surgical procedure. METHODS: We report the outcomes of ORIF of hamate hook fractures in 13 consecutive patients (12 men and 1 woman; mean age: 32 years (range, 22-48 years)). In eight patients (61%) the fracture was associated with ulnar nerve neuritis in Guyon's canal. We assessed the following clinical data: age, sex, mechanism of injury, side of the injured hand and associated lesions, fracture classification, average time from injury to correct diagnosis, surgical technique, complications, and length of follow-up...
January 9, 2019: Acta Orthopaedica et Traumatologica Turcica
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