Esat Uygur

Istanbul Medeniyet Universitesi · Orthopaedics and Traumatology

Frozen shoulder (FS) is an elusive condition that affects patients’ mental and emotional quality of their lives. Corticosteroid injection technique is one of the first-line treatment methods in the treatment of FS. Ultrasound (USG) guidance allows visualization of the shoulder anatomy and improves the accuracy of the injection site. This study desc...

Unduly tight plaster hand casts may narrow the metacarpal joint space, hindering rehabilitation. This study investigated how metacarpal narrowing affects grip strength. Forty-two adult volunteers with no other pathology were included. Dominant and non-dominant hand grip strength was measured with a digital hand dynamometer (Jamar plus, China). Meta...

The few reports available on the vacuum phenomenon in the ankle joint refer to osteoarthritic and traumatic lesions. We present the first case concomitant with an osteochondral lesion of the talus. This case report presents computed tomographic images of the ankle. We speculate that the osteochondral lesion of the talus was the most likely cause of...

Distal procedures are mostly used techniques in whole wold in correcting hallux valgus deformity. Osteotomies, soft tissue procedures and arthrodesis are ranked among distal procedures

Introduction: To evaluate the effectiveness and safety of viscosupplementation with intra-articular hyaluronic acid injection (IA-HA) in patients with knee osteoarthritis (OA). Materials and methods: This prospective study was carried out among the patients with grade II and III (Kellgren Lawrence classification) osteoarthritis of the knee attendin...

Application of prophylactic procedures in orthopedic cases can reduce the patient’s morbidity and even mortality. Patients with developmental hip dysplasia can be treated simply in early ages, otherwise hip arthroplasty would be necessary in adulthood. In metastatic and/or primary bone tumors, prophylactic fixation of an upcoming fracture can signi...

Purpose The purpose of this study was to investigate the possible effects of multisite injection therapy around the shoulder and prospectively compare the pain relief, range of motion and functional scores of randomly selected patients with primary frozen shoulder using the American Shoulder and Elbow Surgeons (ASES) score and The University of Cal...

Buluş; tıbbın ortopedi ve travmatoloji alanında özellikle ayak bileği ekleminden uzak yerleşimli (Weber C) lateral malleol kırıklarının cerrahi tedavisinde tercih edilen hekim açısından tıbbi yazında kabul görmüş, etkin, az girişimsel, hızlı tedavi imkânı sunan; hasta açısından ise daha az ağrılı, hızlı iyileşme süreci ve hızlı işe dönme imkânı sun...

ÖZET Kalıcı (Reziduel) asetabuler displazi (KAD); gelişimini tamamlamış asetabulumda kalıcı hale gelmiş asetabuler yetmezliktir. Femur başında örtüm yetersizliği söz konusudur. Zamanla asetabuler displaziye femur başı bozuklukları da eşlik eder. Asetabulumun dış kenarına binen biyomekanik kuvvetler nedeniyle bu bölgede artan stres, asetabuler kıkır...

PURPOSE OF THE STUDY We hypothesized that preoperative planning with 3D modeling of complex foot deformities would be useful for the education of orthopedics and traumatology residents. MATERIAL AND METHODS This study is prospectively designed study with a control group. Twenty eight residents (study group) who assisted the surgeons during the inte...

Stability based decision making are getting popular in the treatment of ankle fractures

Cerclage and tension band wiring are being used in most bone surgeries in different disciplines. The regularity of the twist on the node of a cerclage and tension band is thought to determine cerclage stability. For this purpose, a novel twisting and tightening tool was designed. This tool maintains extremely regular twists on the node, which we co...

Cerclage and tension band wiring are being used in most bone surgeries in different disciplines. The regularity of the twist on the node of a cerclage and tension band is thought to determine cerclage stability. For this purpose, a novel twisting and tightening tool was designed. This tool maintains extremely regular twists on the node, which we co...

Objectives: This study aims to investigate whether complications related to distal locking can be prevented with InSafeLOCK® nail in the treatment of humeral shaft fractures. Patients and methods: Hospital records of 31 patients (15 males, 16 females; mean age 54.4±10.1 years; range, 20 to 86 years) treated with InSafeLOCK® nail for humeral shaf...

Background: Lateral epicondylitis (LE) is a common disease especially at middle age. To address LE different types of treatments have been used. Corticosteroid (CS) injections and dry needling (DN) are utilized options in the treatment. However, the question of which one is better has not been entirely discussed in the literature. We hypothesized...

Background: Although Kirschner wire implantation is popular for treating toe deformities, complications frequently occur. To prevent pin-tract infection and difficult Kirschner wire extraction, several implants have been developed to improve treatment outcomes. Methods: Patients who had undergone an interphalangeal fusion by two-component implant f...

This study evaluated the risk of radioulnar synostosis after fracture of both forearm bones at the same level. We hypothesized that (i) the incidence of synostosis in both-bone forearm fractures at the same level is low with intramedullary nailing (IMN); (ii) the type of fracture (open/closed) and type of reduction (open/closed) affect time to unio...

PURPOSE OF THE STUDY In this study it is aimed to prospectively evaluate the safety and efficacy of 20 mg/2 ml Hyaluronic Acid (HA) injections for non-operative palliation treatment of osteoarthritis (OA) of the knee joint. MATERIAL AND METHODS After institutional review board approval was obtained for the study, 63 patients were enrolled and follo...

Background The Score Committee of the European Foot and Ankle Society (EFAS) developed, validated, and published the EFAS Score in seven European languages (English, German, French, Italian, Polish, Dutch, Swedish). From other languages under validation, the Finnish and Turkish versions finished data acquisition and underwent further validation. M...

BACKGROUND The development of open ankle fractures after pronation-external rotation manoeuvres typically occurs at the medial side, where they are located over the malleolus, and accompanied by a horizontal skin laceration (Fig 1) caused by the sharp edge of the fracture line. The traditional osteosynthesis method includes a longitudinal incision...

Introduction: Intra- and post-operative femoral shaft fractures related with nailing remain of concern. Although manufacturers have sought to solve the problem by providing distally slotted nails, it is not clear that these implants reduce fractures. We compare two distally slotted proximal femoral nails [trochanteric nail (TRON) and proximal femu...

The potential benefits of arthroscopic retrograde femoral nailing versus standard arthrotomy include early recovery as well as advantages related to direct visualization, such as the ability to treat concomitant intra-articular pathologies, remove intra-articular loose bodies and debris, and avoid or reduce the negative effects of ionizing radiatio...

Prior to the introduction of ‘arthroscopy’ for the treatment of articular fractures, they were known as ‘fractures that only require reduction and fixation’. Yet, after the introduction of arthroscopy, we have come to learn that these fractures are not just bony lesions but rather that they accompany a range of injuries that also need to be address...

Plantar fasciopathy (PF) is a common disorder for which there is no consensus regarding an optimal treatment strategy. We hypothesized that dry needling would be as effective as the use of corticosteroid injections for treating PF while avoiding the potential adverse effects of corticosteroids. After approval was received from the institutional rev...

Background This study compared the biomechanical properties of three different fixation methods of tension band wirings, used in the treatment of medial malleolus fractures. The first method used an innovative “handmade bent pin” for cerclage fixation. The second method used a U-shaped K-wire to attach the cerclage to the medial tibial cortex. Thes...

This case report describes a well-documented birth and evolution of an osteoid osteoma at the talus. Although initial radiologic images indicate mild bone marrow edema at first (without nidus), subsequent magnetic resonance imaging and computed tomographic images reveal pathognomonic nidus at the talus. During the evolution of the lesion, typical n...

Introduction: Vacuum-assisted closure (VAC) has been used to manage nearly every type of wound seen in orthopedic field including early prosthetic hip and knee infections. In this study, we aimed to present our treatment results of two patients with total and proximal femoral mega prosthesis respectively. Case Series: With the diagnosis of peripros...

Background: This study compared the biomechanical properties of three different fixation methods of tension band wirings, used in the treatment of medial malleolus fractures. The first method used an innovative "handmade bent pin" for cerclage fixation. The second method used a U-shaped K-wire to attach the cerclage to the medial tibial cortex. Th...

Objective: To evaluate the midterm clinical and radiological outcomes of the medial approach using two intervals for developmental hip dysplasia (DDH). Methods: The study involved 62 hips of 47 patients (41 girls, 6 boys) treated with medial approach for DDH from 1999 to 2010. The age of the patients at surgery was 18.7 ± 2.25 months. Follow up...

Introduction Trevor’s disease, also known as dyplasia epiphysealis hemimelica, is characterised by osteochondromas arising from epiphyses. The disease typically affects one side of an epiphysis (usually the medial side). Case presentation We encountered a case in whom both the medial and lateral sides of the epiphysis were involved. Thus, use of t...

Purpose: Lateral epicondylitis (LE), a common disease, especially in middle age, causes decreased productivity and economic losses. The first-line treatment for LE is conservative and consists of topical and oral anti-inflammatory drugs, ice application, and brace use. If the first-line treatment fails, second-line treatment modalities, which are...

Introduction: In the present study, we identified factors affecting the outcomes of patients who underwent incomplete triple pelvic osteotomies due to acetabular dysplasia. Methods: Data on a total of 58 hips in 50 patients for whom adequate data were available and who had undergone appropriate follow-up were retrospectively evaluated. We used Ö...

Abstract: To recognize the deformities, to estimate the possible complaints of patients, and to draw the path of treatment precisely has an important place in the art of medicine. Managing the deformities in the “foot”, where biomechanical forces play an extremely active role in, is difficult and requires experience. Moreover, when these deformiti...

Objective: The aim of this study was to assess clinical and radiological results of incomplete triple pelvic osteotomy in acetabular dysplasia. Patients and methods: Twenty-six hips of 24 patients (5 males, 19 females) treated with incomplete triple pelvic osteotomy by a single surgeon from February 1995 to October 2001 were retrospectively reviewe...

p>Thyroid carcinoma is relatively uncommon, accounting for 2% of all cancers. Although they usually present as a neck lump, occasionally they may be presented with a distant metastasis. In this study, a 65 year-old woman was referred to our clinic with a pain on her left hip at both rest and walking. A lytic area at the inferior femoral neck was fo...

Introduction: In the present study, we investigated the efficacy of a new suturing technique applied after the Winograd procedure has been completed. Methods: This study was prospective, randomized, and controlled. In total, 128 patients were recruited and divided into two groups. The outcomes of those treated with the new suturing technique (gr...

Hair tourniquet syndrome (HTS) is a rare, painful condition that results when hair or pieces of thread become wrapped tightly around toes, fingers, or other appendages, occluding blood flow and causing strangulation or amputation. Although the aetiology of HTS is unclear, we postulate that washing baby socks in a washing machine without turning the...

Objective: The aim of this prospective randomized controlled single-blind study was to compare the results of Chevron and Lindgren-Turan osteotomy techniques for treatment of moderate hallux valgus. Methods: A total of 66 female patients (34 in Chevron group, 32 Lindgren-Turan group) were recruited in this study and followed up for an average of...

Aim: To investigate the long term results of the patients followed till the skeletal maturity and treated with Salter innominate osteotomy. Patients and Methods: 85 hips of 63 patients whom were operated by the same surgeon between the years 1985 and 1991 were evaluated retrospectively. 34 hips of 25 patients who did not have enough follow-up or di...

Although there are major contributing factors causing developmental hip dysplasia, it is a well known fact that septic arthritis may cause hip subluxation, and developmental hip dysplasia. In this case report, a 28-day-old female patient whose ultrasonographic findings were found to be normal during neonatal period after detection of septic arthrit...

Hip fractures are commonly encountered types of fractures especially in advanced age population. In our country, every year nearly ten thousand patients is expected to suffer from hip fractures. Since osteoporotic fractures are mostly seen in elder individuals, comorbidities also adversly effect survival of the patients. Advanced aged patients admi...

We assessed the accuracy of a new guide system that we developed to place lag screws in the proper position with the minimum number of attempts for operative treatment of trochanteric femoral fractures. A total of 55 consecutive trochanteric femoral fractures were treated with a cephalomedullary nail. The first 27 consecutive patients were treated...

Osteoarthritis (OA) is the most prevalent form of arthritis and one of the leading causes of chronic disability which is becoming more pronounced as the population ages. Various genetic, biologic and mechanical factors contribute to disease process in OA. A large cascade of events leads to breakdown and degeneration of cartilage in a progressive ma...

Ingrown toenails are frequently encountered in clinical orthopedic practice. It mostly occurs in young people; therefore, it may cause a huge workforce or school-day loss. Numerous surgical techniques have been described as the treatment of ingrown toenail, and the Winograd technique is a reliable procedure since first described at 1929. This paper...

Aplasia of the pubic bone associated with congenital hip dislocation is rare. Various dysmorphic conditions featuring absence or hypoplasia of the ischiopubic bone, associated with congenital hip dislocation, have been distinguished in the literature. We report the case of an 18-month-old boy with developmental dysplasia of the hip associated with...

Objectives: In this study we aimed to present our treatment results of intramedullary nailing of femoral shaft fractures with compressive nailing using proximal static hole and only distal dynamic hole with one screw. Methods: Forty-three patients who had a fracture of the femoral shaft were managed between 2005 and 2008 with intramedullary nailing...

Trafik kazaları ve buna bağlı ölümler dünya çapın-da giderek büyüyen bir toplum sağlığı sorunu hâlini almıştır. Bu sorunun önemli bir kısmını motosiklet kazaları oluşturmaktadır (1). Özellikle gelişmekte olan ülkelerde olmak üzere tüm dünyada motosiklet sayısı artmaktadır (1,2). Olasılıkla artmış trafik yo-ğunluğu, park sıkıntısı, motosikletlerin u...

Evaluation of clinical and radiological results of distal radius fractures treated with closed reduction and external fixation was aimed in this study. Seventeen cases of distal radius fractures managed between February 2008 and October 2011 were evaluated. According to AO classification, six of these fractures were type C and eleven of them were t...

The aim of this study is to investigate the clinical results of conservative treatment of distal radius fractures in patients aged sixty years or older. The clinical results of distal radius fractures in sixty age and elder people who was treated with conservative treatment were investigated in this study. Fifty-two patients (34 female, 18 male; me...

A treatment approach to pediatric supracondylar femur fracture Pediatric supracondylar femur fractures are uncommon and only few publications regarding this subject are available in the current literature. Between 1990 and 2009, 279 pediatric femur fractures were retrospectively analyzed and 16 (5.7%) supracondylar femur fractures were detected. Pr...

Introduction. Nontyphoidal salmonellosis causes significant morbidity, is transmitted via fecal-oral route, and is a worldwide cause of gastroenteritis, bacteremia, and local infections. Salmonella is a less common etiologic factor for septic arthritis compared with other gram-negative bacteria. Cases. We present two septic arthritis cases with Sal...

Introduction: Although Brucellosis has a limited geographic distribution; it remains a challenge in certain parts of the world such as in Mediterranean, western Asian, Latin American and African regions. We present a unique case of peri- acetabular Brucella osteomyelitis and increase awareness of possible widespread distrubition of Brucella osteomy...

Total hip and total knee arthroplasties constitute the highest risk of venous thromboembolism (VTE) comparing to other major surgeries. VTE has a great importance in joint replacement surgery due to its mortal complications such as pulmoner embolism. Without any thromboprophylaxis, the incidence of VTE in total hip arthroplasty rises up to 60%. Tak...

We present a case of a patient with juxtaarticular hemangiohamartoma with a synovial extension associated with hemorrhagic synovitis and recurrent spontaneous hemarthrosis. A 21-year-old Caucasian woman was admitted to our hospital complaining of pain and swelling at her knee for 6 months. In the magnetic resonance imaging, T2-weighted and fat-supp...

Besides spontaneous rupture of achilles tendon is a rare condition which is usually associated with corticosteroid or fluoroquinolon usage, spontaneous rupture of Achilles tendon without any risk factors is extremely rare. In this report we aimed to present clinical features of a case of bilateral spontaneous achilles tendon rupture and tried to in...

After high-energy traumas it is common to see multiple bone-joint pathologies but it is uncommon to see these pathologies ipsilaterally and these cases can be overlooked in the emergency departments. We thought that after a fall on the open hand; because of the axial loading and elbow valgus stress, patient suffered from distal radius fracture and...

Benign Giant Cell Tumor is a relatively common benign lesion which usually appears as an enlarging painless mass and has a synovial origin. Although benign giant cell tumors generally involve tendon sheaths, they are infrequently documented in the foot. A 45 years old female presented with a complaint of a lump on the top of her left foot. Under ge...