Ferhat Guler

Antalya Training and Research Hospital · Orthopedics and Traumatology

Os paracuneiforme is an extremely rare accessory ossicle located at the medial aspect of the medial cuneiform bone. Although foot pain secondary to accessory ossicles is well known, symptomatic os paracuneiforme that requires surgical excision is rarely reported in the current literature. Herein, a 12-year-old boy with symptomatic os paracuneiforme...

Objectives: This study aims to compare the single versus double screw fixation of scaphoid waist fractures using finite element analysis, and to present the preliminary clinical results of double screw fixation in a consecutive series of patients with scaphoid nonunion. Patients and methods: A transverse scaphoid waist fracture (Herbert type B2)...

Purpose This retrospective study aimed to compare the clinical and radiological outcomes of patients who underwent biplane chevron medial malleolar osteotomy (MMO) for osteochondral lesions of the talus (OLT), fixed with either magnesium (Mg) or titanium (Ti) screws. Methods A total of 22 patients (12 male and 10 female) with a mean age of 40.6 ±...

Background and objectives: The purpose of this retrospective study was to compare the clinical and radiological outcomes of patients who underwent biplane chevron medial malleolar osteotomy (MMO) for osteochondral lesions of the talus (OLT), fixed with either magnesium (Mg) or titanium (Ti) screws. Materials and Methods: A total of 22 patients (12...

Several different pathologies may play a role in the etiology of posterior interosseous nerve (PIN) palsy such as trauma, radial tunnel syndrome, tumors, vasculitis, septic arthritis, and rheumatoid synovitis. The most common atraumatic factor is the compression of the nerve through its anatomic path. Parosteal lipoma around the proximal radius is...

Objective: The purpose of this retrospective study was to compare the clinical and radiological results of magnesium versus titanium screw fixation for modified distal chevron osteotomy in hallux valgus (HV). Materials and methods: A total of 31 patients who underwent modified distal chevron osteotomy for HV deformity between 2014 and 2017 were...

Objective: The purpose of this retrospective study was to evaluate the outcome of medial malleolar fractures treated with magnesium (MgYREZr) bioabsorbable compression screw fixation. Materials and methods: Eleven patients with a medial malleolar fracture (either isolated or accompanied by bimalleolar or trimalleolar ankle fractures) who were tr...

Objective: The purpose of this study is twofold; first we aimed to provide age and gender specific normative hand grip strength (HGS) data in Anatolian adult population and secondly we aimed to determine the effects of gender and hand dominance on HGS. Patients and Methods: The study included 1359 adult healthy subjects, aged 18-90 years. A calibra...

Accessory ossicles of the foot and ankle are normal variants of bone development that usually remain asymptomatic. However, they may be involved in various disorders and become a source of pain such as in fractures, dislocations, degenerative changes, osteonecrosis, osteoarthritis, osteochondral lesions, avascular necrosis, and irritation or imping...

The purpose of this study was to investigate the interobserver and intraobserver reliabilities of four different radiographic grading scale of osteoarthritis (OA) of the knee joint, namely, Kellgren–Lawrence (KL), Ahlback, Brandt, and OA Research Society International (OARSI). One consultant orthopaedic surgeon and one rheumatologist who were famil...

Objective The purpose of this retrospective study is to report the clinical and radiological outcome of total hip arthroplasty in patients with previous hip arthrodesis. Patients and methodsWe retrospectively reviewed 28 (40 hips) prospectively followed patients in whom ankylosed hips were converted to total hip arthroplasty (THA) between 2010 and...

Biphalangeal toe is a normal anatomic variant where distal and middle phalanges fuse to each other. In the context of trauma, biphalangeal toes may pose a diagnostic challenge and fractures may be interpreted as normal which can lead to misdiagnosis and under treatment. Here, we present a rare case of fracture through a biphalangeal fifth toe with...

Reverse Segond fracture is originally described as an indirect radiographic clue for a specific injury complex of the knee joint that includes posterior cruciate ligament (PCL) rupture and medial meniscal tear. Herein, we describe a case with reverse Segond fracture associated with PCL avulsion fracture instead of PCL rupture. According to current...

Irritant contact dermatitis due to synthetic undercast padding is rare complication of plaster cast treatment which is underreported in orthopedic literature. Pruritis was the main symptom a few days following the application of the cast in our patient. However, the symptoms were underestimated by the treating physician. Severe irritant contact der...

Removal of a bent intramedullary nail (IMN) is a rare but challenging orthopedic problem. Several removal techniques have been described up to date; however, there is no extensive review and no algorithm to manage these cases in current literature. The purpose of this paper is to present two cases that presented with bent IMN and provide an algorit...

Avulsion fractures of the anterior inferior tibiofibular ligament from its tibial attachment, Tillaux fractures, are usually seen in adolescents during the interval of the distal tibial epiphyseal closure. However, this pattern of fracture is rare in adult patients, because the ligaments will usually fail before the bone fails. Avulsion fracture of...

Acromioclavicular dislocation associated with coracoid process fracture is a rare injury. Herein we reported two further cases with such combination of injuries and reviewed all previously published cases in current literature. In this review, we discussed the demographic characteristics, mechanism of injury, diagnosis, and treatment options extens...

The purpose of this study was to present the functional outcomes and complications after primary repair of triceps tendon ruptures (TTR). A retrospective review was performed on eight patients (six males, two females) who underwent transosseous suture repair for TTR. Mayo elbow score, range of motion, muscle strength and patient satisfaction were e...

The objective of this study was to analyze the content of the 'Turk-Orthopod' mailing list between 2000 and 2013. All messages posted to the 'Turk-Orthopod' mailing list were documented and categorized by 4 orthopedic surgeons who were active members of the mailing list into 11 categories based on the content of the messages. A total of 15,699 mess...

Anterior Talofibular Ligament (ATFL) rupture is the most commonly injured anatomic structure in lateral ankle sprain. In some cases, ATFL avulsion fracture from the lateral malleolus may occur instead of purely ligamentous injuries. The ATFL avulsion fracture is detected as a small ossicle at the tip of lateral malleolus on direct radiographs, whic...

The purpose of this retrospective study was to evaluate the results and prognostic factors affecting the outcome of arthroscopic saucerization for discoid lateral meniscus (DLM). Forty-eight patients who underwent arthroscopic saucerization for DLM between January 2009 and January 2012 in two hospitals were included. There were 21 (43.8 %) male and...

The purpose of this randomized clinical trial is to compare intramedullary nailing (IMN) versus minimally invasive plate osteosynthesis (MIPO) for the treatment of extra-articular distal tibial shaft fractures. Twenty-five consecutive patients with distal extra-articular tibial fractures which were located between 4 and 12 cm from the tibial plafon...

The purpose of this study was to compare two different modes of administration (telephone versus face to face) for Lysholm knee score (LKS) to test their multi-mode equivalence and reliability. Two LKSs were obtained in 100 patients who underwent ACL reconstruction surgery. First LKS was completed through telephone interview, and second LKS, which...

Purpose The purpose of this study was to assess the publication rate of the abstracts presented at the 6th Mediterranean Emergency Medicine Congress, 2011 and the 7th European Congress on Emergency Medicine, 2012. Materials and methods All abstracts, both posters and oral presentations, from the international emergency medicine congresses held by t...

Purpose: To compare the efficacy of autologous blood injection versus corticosteroid injection for lateral epicondylitis. Methods: 21 men and 59 women (mean age, 45.2 years) presenting with lateral epicondylitis were randomised to receive either autologous blood injection (2 ml of autologous venous blood mixed with 1 ml of 2% prilocaine hydrochl...

Objective: The purpose of this study was to evaluate the changes in fatty degeneration and atrophy of rotator cuff muscles after arthroscopic repair. We further assessed the factors affecting the functional outcomes and integrity of the rotator cuff. Materials and methods: One hundred and two prospectively followed patients who underwent single-...

The purpose of this prospective study was to examine the prevalence of occult knee injuries in patients with ipsilateral tibial shaft fractures and determine their impact on clinical outcome. Preoperative knee MRI examination was performed in 41 patients (42 knees) with isolated tibial shaft fractures. Menisci, cruciate ligaments, collateral ligame...

Carpometacarpal dislocation (CMC) of the thumb associated with fracture of trapezium is an extremely rare injury, with only 12 cases that sustained similar injuries reported in the literature. In this article, another patient with this rare injury was reported, and all previously published cases were extensively reviewed. The presented case and all...

The purpose of this retrospective study was to compare the outcomes and complications of conventional open surgical release and percutaneous needle release in the treatment of trigger thumb. The study comprised 87 patients with trigger thumb who were treated with either open pulley (n=52) or percutaneous (n=32) release between 2008 and 2011. All pa...

Unlabelled: Ankle fractures patterns in children may vary depending on the maturity of the distal tibial and fibular physis. Bimalleolar ankle fracture is an exceedingly rare fracture pattern in children and has been reported once in the current English literature. Two further adolescents with bimalleolar ankle fracture are reported. Although thes...

Purpose The purpose of this prospective study is to investigate the relationship between Osgood–Schlatter disease (OSD) and attention deficit/hyperactivity disorder (ADHD). Methods Seventy-four children with a diagnosis of OSD were referred to child and adolescent psychiatry department for the evaluation of ADHD. Diagnostic and Statistical Manual o...

Abstract This prospective study was conducted to determine the prevalence of absence of flexor digitorum superficialis (FDS)-V tendon and to investigate the clinical usefulness of symmetry patterns, differences between sex, laterality, and dexterity in a Turkish population. Four hundred randomly-selected adult patients were examined for the absence...

Aim: The purpose of this study was to report the results of blinded cyst wall rupture of the FTSG in the hand in a consecutive series of patients. Methods: We prospectively followed 28 patients with flexor tendon sheath ganglion who were treated with cyst wall rupture. We performed needle rupture no more than two attempts. Surgical excision was per...

Aim: The purpose of this study was to present the functional and radiological results of eighteen patients with anterior shoulder instability who were treated with modified Bristow-Latarjet procedure, and analyse the relationship between coracoids graft problems with functional results. Methods: The study comprised 18 cases treated with the modifie...

Although, osteochondroma is the most common bone tumor, metacarpal involvement is quite uncommon and usually accompanies multiple hereditary exostoses. Herein, we described a patient with solitary ostechondroma of the fourth metacarpal bone, and discussed the differential diagnosis of bony spurs that can be seen in hand.

The aim of this study was to evaluate the long-term results of shoulder and elbow functions in humeral shaft fractures treated with functional brace, plate and screw osteosynthesis or intramedullary nailing. The study included 128 patients treated for humeral shaft fracture. The patients were divided into three groups according to treatment method:...

The purpose of this study was to examine the plain anteroposterior radiographs of the hands in Turkish subjects in order to determine the prevalence of sesamoid bones and their distribution. A total of 923 hand radiographs from 459 men and 464 women with a mean age of 43.76±14.8 years (range, 18-85 years) were examined. Two sesamoid bones (ulnar an...

The purpose of this study is to investigate the inter- and intraobserver reliability of Crowe and Hartofilakidis classifications in the assessment of developmental dysplasia of the hip in adult patients. Two consultant orthopedic surgeons classified 141 dysplastic hips on 103 standard anterior-posterior pelvis radiographs according to the Crowe and...

The purpose of this study was to review the clinical and radiographic outcomes and report the major complications in a group of hips with Crowe type IV developmental dysplasia that underwent reconstruction with a cementless total hip arthroplasty and a transverse subtrochanteric shortening osteotomy fixed with locking compression plate and screws....

The purpose of this retrospective study is to evaluate the cosmetic results of wedge resection of the nail matrix (Winograd technique) in the treatment of ingrown toenail. This study retrospectively reviewed medical charts of 68 patients with 75 ingrown toenails who underwent surgical correction with the Winograd technique between January, 2008, an...

Background The purpose of this retrospective study was to assess the necessity of routine histopathologic examination of a wrist ganglion and its effect on the provisional clinical diagnosis. Methods We retrospectively reviewed 57 consecutive patients who had surgical excision of a wrist ganglion and routine histopathologic examination of the tissu...

The purpose of this study was to examine the plain anteroposterior radiographs of the hands in Turkish subjects in order to determine the prevalence of sesamoid bones and their distribution. A total of 923 hand radiographs from 459 men and 464 women with a mean age of 43.76±14.8 years (range, 18-85 years) were examined. Two sesamoid bones (ulnar an...

Although musculoskeletal injuries of lower leg due to alpine skiing is well known and widely reported, an acute isolated fibula fracture as a specific ski injury has not been reported in the relevant literature. Herein, we present a case of isolated fibula fracture which is missed at initial admission, and discuss the mechanism of injury and relati...

Although fractures of the midfoot are common, cuneiform fractures are rarely seen. These fractures are frequently associated with other fractures of the midfoot such as Lisfranc fracture-dislocations. However, isolated cuneiform fractures are extremely rare, with few cases reported in the relevant literature. Herein, the authors report 2 cases of i...

Injuries caused by wild boar attacks are rare. A 34-year-old male shepherd sustained injuries caused by a wild boar attack, and was brought to our emergency department. The patient had 2 skin and deep tissue lacerations on the posterior aspect of his thigh. Herein, we discuss the clinical management of a wild boar bite wound with a review of the li...

Objective: This study evaluates the results of the posterior short segment instrumentation per- formed in patients with thoracolumber burst fractures. Material and Methods: Posterior short segment fi- xation and fusion has been performed in 26 patients (18 males, 8 females, mean age 39.9 ± 11.2; range 17-57 years) with thoracolumber burst fractures...

Posterior elbow dislocations complicated with brachial artery rupture are rare, especially in the absence of an accompanying fracture. Severe acute ischaemia is not clearly evident in some cases and the diagnosis of arterial damage may not be realised because the collateral circulation around the elbow might mask signs of acute arterial disruption....

Giriş Osgood-Schlatter hastalığı tuberositas tibianın traksiyon apofizi-tidir. Diz ağrısının en sık sebeplerinden biri olup özellikle 8-15 yaş arası sportif çocuklarda görülmektedir (1, 2). Ancak diz ağrısının daha sık (travma, meniskopati) ve daha önemli (enfeksiyon ve tümör) diğer nedenleri ile ayırıcı tanısı yapılması için bazı belirti ve bulgul...