Teoman Atici

Uludag University, Boursa, Bursa, Turkey

Are you Teoman Atici?

Claim your profile

Publications (13)12.82 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: In this study, we investigated the rate of the clinical and radiographic findings of femoroacetabular impingement (FAI) in patients with chronic hip pain and compared the findings with those of a control group. The clinical and radiographic findings of FAI in 38 patients (group 1) having hip pain for more than three months were analyzed and compared with 42 controls (group 2). Internal rotation degrees were measured while the hips were at 90° flexion and impingement test was performed by rotating the hips internally at 90° flexion and adduction. The FAI findings were investigated on anteroposterior pelvis radiographs and cross-table lateral radiographs of the hip joint in both groups. The collum-diaphyseal angle, alpha angle and anterior offset ratio on the femoral side and the center-edge angle, acetabular index, extrusion index and crossover sign on the acetabular side were evaluated. The internal rotation degree of the painful hips were less than 20 degree in 18 (47.4%) patients in group 1 and in one (2.4%) patient in group 2 (p<0.001). The impingement sign was positive in 15 (39.5%) patients in group 1 and in one (2.4%) patient in group 2 (p<0.001). While the rate of radiographic findings that can cause pincer type FAI were same in both groups, the rate of patients with radiographic findings that can cause cam type FAI was 76.3% (n=29) in group 1 and 42.9% (n=18) in group 2 (p=0.002). Femoroacetabular impingement is one of the causes of chronic hip pain and if evaluated with suitable clinical and radiographic parameters, the rates of diagnosis may increase.
    12/2011; 22(3):129-33.
  • Teoman Atici · Elif Atici
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: The indications for the arthroplasty applications which provide high patient satisfaction in early postoperative period are pain and function loss nonresponsive to conservative treatment. Frequent emergence of ethical dilemmas is inevitable in these applications where higher success rates appear due to expanded indications of the surgens and patients have higher expectations. In current study, the ethical problems that may be caused from the changing-expanding indications of arthroplasty which is more frequently employed every day were investigated with the basic principles of medical ethics. Material and Methods: The ethical problems that may be encountered in arthroplasty applications caused by the changing-expanding indications are investigated with a four steps ethical analysis approach which is constituted of medical indication, patient's choices, life quality and other elements in the context of the principles of medical ethics. Results: The changing life style in today's world, decreasing tolerance to activity limitation, material design features which develop with technological improvements resulted in application of arthroplasty operations in young and active individuals. The indetermination in the complaints of pain and functional loss increases the physician's responsibility for decision of the operation. The economical, social and professional pressure that are caused by high technology caused ethical dilemmas to increase. In clinical applications, it is impossible to formulate every ethical dilemma, however ethical criteria may be a model to orthopedist for decision. Conclusion: With ethical analysis, not only ethical criteria of clinical application but also the scientific criteria can be evaluated. The patient's choice is as important as the physician's experience, education and training in clinical decision. The effective communication between patient and physician may remove the barriers in priority rankings. Orthopedist should play an active role for conducting this communication. When the preferences of patients who use the possibilities of communication and have biased, wrong or directed information are in conflict with the physician's recommendations, the patient's satisfaction which is the main goal of every orthopedic intervention might not be reached out.
    Turkiye Klinikleri Journal of Medical Sciences 02/2011; 31(1):176-185. DOI:10.5336/medsci.2010-19423 · 0.10 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: We evaluated the efficacy of simultaneous interscalene block and catheter analgesia applied as an aid to conservative treatment in improving shoulder functions in patients with frozen shoulder. Three patients (2 women, 1 man; mean age 47 years) with frozen shoulder underwent conservative treatment including manipulation under interscalene brachial plexus block and subsequent rehabilitation under catheter analgesia to improve shoulder range of motion and function. Following manipulation under interscalene block, the patients were hospitalized for 15 to 28 days (mean 21 days) for an exercise program performed by a physiotherapist and orthopedist at least twice a day under interscalene catheter analgesia. Thirty minutes before each rehabilitation session, patient-controlled analgesia was administered via a pain relief pump. Active and passive range of motion (ROM) were measured and the severity of pain was rated using a visual analog scale (VAS) prior to and following interscalene block, during the exercise program, and at the end of the treatment. Functional assessments were made before and after treatment using the University of California in Los Angeles (UCLA) Shoulder Scale. The exercise program under interscalene analgesia was performed until pain-free and sufficient active movements were obtained, with at least 80% improvement in active and passive motion, a VAS score of 0-2, and an UCLA score of >27. Compared to pretreatment values, the ROM values showed remarkable increases at the end of the treatment. Active ROM reached at least 30 degrees external rotation, 40 degrees internal rotation, 150 degrees flexion, 45 degrees extension, and 100 degrees abduction in all cases. On presentation, the VAS scores of all cases were 10 for both active and passive movements, whereas they ranged from 0 to 2 on discharge. The mean UCLA score increased from 12.3 to 30.3 after treatment. Immediately after the interscalene block, two patients exhibited signs of Horner's syndrome which resolved spontaneously within an hour without the need for treatment. No complications or catheter-related problems such as infection, break-off, or displacement developed throughout the treatment period. There was no requirement for additional analgesia. In patients with frozen shoulder, interscalene block and continuous patient-controlled analgesia via an interscalene catheter provided sufficient analgesia and contributed to the recovery of shoulder functions through an effective and safe exercise program, with no side effects or complications. However, further studies are needed to assess the feasibility of home applications of interscalene patient-controlled analgesia to increase cost-effectiveness and patient satisfaction.
    acta orthopaedica et traumatologica turcica 03/2010; 44(2):105-10. DOI:10.3944/AOTT.2010.2144 · 0.55 Impact Factor
  • Teoman Atici · Elif Atici · Namik Sahin
    Turkish Journal of Surgery 01/2010; 26(4):233. DOI:10.5097/1300-0705.UCD.648-10.02
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Tobacco smoke contains more than 4,000 constituents, but not all of them are reported to have adverse effects on bone healing after distraction osteogenesis. No research on the systemic administration of nicotine has been done on distraction osteogenesis of the weight-bearing long bones of the lower extremity. Fourteen New Zealand white male rabbits underwent distraction osteogenesis on the right tibia and lengthening by 1 cm. Transdermal nicotine bands were applied onto the dorsal skin of the rabbits in the study group. Mineral density of the distraction zone was measured at weekly intervals using quantitative computerized tomography. Mechanical properties were assessed by torsional loading, and the regenerated bone tissue was subjected to histopathological examination. Comparisons of weekly measurements in both groups showed that while the increase in bone density in the nicotine group was higher, relative to the initial values, it was still far behind the average density obtained in the control group at the end of the experiment. Statistical analysis of mechanical data showed significant differences in the gradient of the regression lines and maximum torsional angles between the two groups. The histopathological assessments showed noticeable neovascularization in the study group, which was concluded to be a compensatory mechanism for the negative delaying effect of nicotine on bone healing. Systemic administration of nicotine can cause delays in the process of healing in distraction osteogenesis by its negative effect on the mineralization of the regenerate. Patients should be made aware of this negative impact of nicotine before the limb-lengthening surgery.
    The Journal of trauma 12/2009; 67(6):1376-83. DOI:10.1097/TA.0b013e3181b063f8 · 2.96 Impact Factor
  • Teoman Atici
    acta orthopaedica et traumatologica turcica 02/2009; 43(3):287-8; author reply 288-90. DOI:10.3944/AOTT.2009.287 · 0.55 Impact Factor
  • Regional Anesthesia and Pain Medicine 09/2008; 33(5). DOI:10.1016/j.rapm.2008.07.074 · 2.12 Impact Factor
  • Source
    M S Bilgen · T Atici · O F Bilgen
    [Show abstract] [Hide abstract]
    ABSTRACT: This study aimed to evaluate the clinical and radiological results of closed wedge osteotomy (11 knees) and focal dome osteotomy (14 knees) in cases of high tibial osteotomy undertaken for varus knee with medial compartment osteoarthritis. Clinical evaluation was performed using the Knee Society Score and no significant difference was seen between the two groups at final follow-up. Radiological evaluation was made on the basis of the pre- and postoperative mechanical axis, postoperative movement of the tibial axis, loss of correction at final follow-up and patellar height measured using the Insall-Salvati index. Statistically significant differences were seen with focal dome osteotomy compared with closed wedge osteotomy in the InsallSalvati index at final follow-up, the amount of correction loss and the change in tibial axis location. It is concluded that, in the treatment of medial compartment osteoarthritis by high tibial osteotomy, focal dome osteotomy is more beneficial than closed wedge osteotomy in not creating any additional deformity.
    The Journal of international medical research 11/2007; 35(6):733-41. DOI:10.1177/147323000703500601 · 1.10 Impact Factor
  • Clinical Orthopaedics and Related Research 06/2007; 458:229-34. DOI:10.1097/01.blo.0000229369.80856.99 · 2.88 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: We evaluated the clinical and radiographic results of total knee arthroplasty (TKA) with or without patellar resurfacing. The study included 149 knees of 126 patients who underwent TKA for primary knee osteoarthritis with (59 knees, group 1) or without (90 knees, group 2) patellar resurfacing. Clinical evaluations were made with the knee and function scores of the Knee Society, and patella scoring system; radiographic evaluations included changes in the joint line, Insall-Salvati ratio, lateral patellofemoral angle, and congruency angle. The mean follow-up period was 66.7 months (range 34 to 123 months) in group 1, and 68.1 months (range 30 to 117 months) in group 2. Although postoperative knee and function scores showed significant improvements in both groups (p<0.001), these did not reach significance between the two groups (p>0.05). The mean patella scores did not differ significantly, either (p>0.05). Postoperative radiographic assessments did not show significant differences between the two groups with respect to mechanical axis values, patellar tilt, and lateral subluxation (p>0.05). Symptomatic patellar subluxation, dislocation, fracture or rupture of the extensor mechanism did not occur in any of the treatment groups. None of the patients required revision associated with the patella and patellar prosthesis. Our findings suggest that patellar resurfacing is not necessary other than patients with significant degeneration of the patellar surface.
    acta orthopaedica et traumatologica turcica 02/2006; 40(1):29-37. · 0.55 Impact Factor
  • Source
    Namik Sahin · Teoman Atici · Sadik M Bilgen · Omer F Bilgen
    [Show abstract] [Hide abstract]
    ABSTRACT: Metatarsophalengeal joint injuries of great toe termed as ''turf toe" can occur in many sportive activities. However, it has not been reported before in taekwondoo players. These injuries may result in significant morbidity. Turf toe injuries, which are mainly treated with conservative methods, occasionally require surgery. In this case report, we present a surgically treated turf toe in a taekwondoo player. Key PointsMTP joint injury may occur when the joint is forced into hyperextension repeatedly if the exercise is being performed bare foot on hard and artificial surfaces.Surgery should be taken into consideration as a choice of treatment of Turf Toe.
    Journal of sports science & medicine 06/2004; 3(2):96-100. · 0.90 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: We studied the changes in serum C-reactive protein levels (CRP) and erythrocyte sedimentation rates (ESR) in patients with primary osteoarthritis, who underwent uncomplicated arthroplasty. Of the 28 patients studied, 12 had cementless total hip replacement (THR), and 16 underwent cemented total knee replacement (TKR) with a tourniquet. In both groups serum CRP levels increased rapidly after surgery, peaking on day 2 (THR 23.17 mg/dl, TKR 26.02 mg/dl), and dropping gradually to pre-operative values on day 21 in THR patients and at the end of the second month in TKR patients. ESR peaked on day 5 after operation (THR 100.5 mm/h, TKR 101.3 mm/h), dropping close to pre-operative values at the end of the third month in THR patients and at the end of the ninth month in TKR patients, although, even after a year, ESRs were slightly above their pre-operative values. Serum CRP levels changed more rapidly than ESRs and returned to normal more rapidly. CRP and ESR values tended to be higher in TKR than in THR patients.
    The Journal of international medical research 02/2001; 29(1):7-12. DOI:10.1177/147323000102900102 · 1.10 Impact Factor
  • Source
    Elif Atici · Teoman Atici
    [Show abstract] [Hide abstract]
    ABSTRACT: Orthopaedics, dealing with the treatment of the irregularities in the locomotors system and traumatology, dealing with the treatment of injuries after trauma have been serving as independent treatments in the surgery clinics in Turkey as in the whole world. The independent science field becoming of Orthopaedics and Traumatology in Turkey has been released by the efforts and contribution of many respected physicians. In this presentation the efforts of the physicians Orhan Abdi Kurtaran, Akif Sakir Sakar, Burhaneddin Toker, Dervis Manizade and Rıdvan Ege who have contributed in the development of Orthopaedics and Traumatology in Turkey is going to be mentioned.