Uğur Bezirgan

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• Professor (Associate) at Ankara University

This chapter discusses the use of vascularized bone grafts for oncologic reconstruction of the upper extremity. Vascularized bone grafts provide increased initial graft strength and resistance to radiation therapy, and are particularly beneficial for large bone defects and epiphyseal loss. The fibula flap is often used, as it meets all the requirem...

Purpose This study aimed to compare the outcomes of conservative treatment and locking plate osteosynthesis in displaced proximal humerus fractures in elderly patients. Methods The study included patients over the age of 60 who were admitted to a tertiary trauma centre between 2020 and 2023, all diagnosed with 2-, 3-, or 4-part proximal humerus fr...

Introduction: Soft tissue defects of the upper extremity pose significant challenges in hand surgery. While microsurgical advancements have expanded reconstructive options, pedicled groin and random-pattern abdominal flaps remain valuable alternatives, particularly in resource-limited settings or when microsurgical techniques are contraindicated du...

Objectives This study aimed to compare the outcomes and conduct a cost analysis between plate screw fixation and conservative treatment. Patients and methods The retrospective study was conducted with 36 patients (32 males, 4 females; mean age: 30.3±13.4 years; range, 16 to 65 years) between May 2019 and July 2023. The patients were divided into t...

Objectives: This study aims to investigate the frequency of recurrence and prolonged postoperative symptoms in patients undergoing open A1 pulley release for trigger finger and to identify potential associated factors. Patients and methods: Between October 2021 and December 2023, a total of 72 patients (30 males, 42 females; mean age: 58.0±11.6...

Negative-pressure wound therapy (NPWT) and gradual wound approximation (GWA) are effective and reliable methods of treating fasciotomy wounds. However, the effectiveness of these 2 methods in treating infected wounds remains unclear. The aim of our study was to compare these 2 delayed primary closure methods of treating infected fasciotomy wounds o...

Pediatric hand traumas are common injuries in childhood. The incidence and type of injury vary with age. In our country, there are only two publications in which only crush is examined in etiology. In this study, we aimed to develop a strategy to prevent hand injuries by examining pediatric hand injuries according to the child’s developmental stage...

Purpose: Scaphoid nonunion and malunion can be observed after scaphoid fracture. While the diagnosis of nonunion is well-defined in the literature, there is no consensus on the diagnostic criteria and clinical outcomes of scaphoid malunion. The aim of the study is to define the direct radiography parameters of scaphoid malunion and determine the cl...

Nursemaid elbow is subluxation of the radius head seen in early childhood. The aim of this study was to examine the epidemiology of recurrent dislocations and the effect of hyperlaxity and bone anatomy on recurrent dislocations in these injuries, for which the pathogenesis has not been fully clarified. The study included a total of 329 paediatric p...

Introduction: Median nerve injuries occur in approximately 3% of pediatric elbow fracture dislocations. These rare injuries can be difficult to diagnose, and the results are poor in delay cases. Surgical timing is one of the most important prognostic factors. We aimed to present three patients with median nerve palsy who were referred to our clinic...

Shoulder function is important in patients who underwent reverse shoulder prosthesis surgery for cuff tear arthropathy in the postoperative period to implement their daily routines. Therefore, we aimed to predict the repairability of the subscapularis tendon in reverse shoulder arthroplasty by looking at the radiological findings. A total of 107 sh...

Objectives: The most common amputations to the hand are fingertip injuries. It may be difficult to restore fingertip both functionally and cosmetically in these injuries. In our study, we aimed to evaluate the functional outcomes of patients who underwent antegrade homodigital neurovascular island flap (AHNIF). Methods: Between January 2020 and Sep...

Purpose Management of ulnar-sided wrist pain is difficult due to the complexity of the anatomy and the similarity of the signs and symptoms of possible diagnoses. The study's main purpose is to examine the effect of arthroscopic triangular fibrocartilage (TFC) repair on untreated extensor carpi ulnaris (ECU) tendinitis and synovitis. Methods Thirte...

Objectives: Lateral epicondylitis is an overuse syndrome that is one of the most common causes of elbow pain. The aim of this study is to determine the factors associated with bad outcome in conservative treatment of lateral epicondylitis inour population. Methods: Patients who applied to our outpatient clinic with the diagnosis of lateral epicondy...

Chondrosarcoma is the most frequently seen primary malignant tumour of the hand. It is seen most often in the proximal phalanges and metacarpals, and middle phalanx involvement is rarely seen. An 80-year-old female presented at our clinic with the complaints of pain and a massive mass in the middle phalanx. On the direct radiograph, there was seen...

Objectives: This study aims to compare the clinical, radiological, and functional outcomes of the late-presenting ulnar carpometacarpal (CMC) joint injuries treated conservatively with plaster cast versus treated surgically with open reduction internal fixation (ORIF). Patients and methods: Between May 2019 - October 2021, a total of 28 patients...

Background: Patients with hand tendon injuries may present to the hand surgery clinic in the late stage after being examined in emergency departments. Even if an approximate idea has been obtained in physical examination of these patients, diagnostic imaging is usually requested for reconstructive approach, correct planning of surgical incisions a...

PurposeMalunion of the distal radius is a common complication. Using bone grafts is common to restore the bone to an acceptable level. This study aimed to verify if it is necessary to use bone grafts in nascent malunion of distal radius fractures treated with fixed angled volar plates and which radiographic parameters are essential to obtain satisf...

Objectives: Reconstruction of the wrist after resection of distal forearm tumours involving the joint may often be difficult for surgeons. The aim of this study was to examine the clinical results of 5 patients on whom total wrist arthrodesis was performed with vascularised fibula graft (VFG) after tumour resection in the distal radius. Methods: A...

Introduction In patients with arthroscopic rotator cuff repair, tenotomy and tenodesis are the most performed surgical procedures for the biceps long head (BLH) pathologies. Controversy continues as to which surgical procedure provides better results. This study aimed to compare the clinical outcomes of tenotomy and tenodesis applied to the biceps...

PurposeThis study highlights the advantages and disadvantages of Anterolateral Thigh (ALT) free flap using the brachial artery as the recipient vessel in large posterior defects of the elbow with early mobilization.Methods Eight patients with a soft tissue defect on the posterior elbow underwent reconstruction with an ALT free flap. Average age and...

Objectives: The aim of this study was to evaluate the functional outcomes of patients with free gracilis muscle transfer (FGMT) for the restoration of elbow flexion. Patients and methods: Between January 2012 and January 2019, a total of 16 patients (13 males, 3 females; mean age: 27.3±11.7 years; range: 18 to 53 years) who underwent FGMF to ach...

Aim:This study aimed to evaluate the short-term clinical and radiographic results of combined open reduction and internal fixation in the treatment of trans-scaphoid perilunate fracture-dislocation (TSPLFD).Materials and Methods:Data of eight patients diagnosed with TSPLFD who underwent combined open reduction and internal fixation and followed for...

Osteomyelitis of the phalanx caused by Candida species are rare. A 49-year-old female patient was admitted to an external center with a splinter injury of the third phalanx of the middle finger of her left hand about 45 days ago. She was referred to our clinic with persistent pain and discharge, despite four-week antibiotherapy. Debridement and cur...

Radioulnar synostosis is a rare disease which causes supination and pronation restriction as a result of osseous or fibrous connections between the radius and ulna. Radioulnar synostosis includes both congenital and post-traumatic types. Post-traumatic radioulnar synostosis can be seen in the proximal, middle, and distal part of the forearm, depend...

The post-traumatic impairment of blood supply of the scaphoid bones’ proximal pole is the subject of controversy in the surgical techniques which would heal this fracture. In a surgery performed with a dorsal approach, the main goal is to make a strong fixation with a small incision and a good implant without disturbing the blood supply of the bone...

Background Steroid injection is a common method in the treatment of unicameral bone cysts (UBC). In this study, the relationship between the clinical results and inflammatory molecules’ levels in the cyst fluid was evaluated after three repeated steroid injections in UBC subjects.Methods Twenty-one patients diagnosed with UBC were treated with meth...

Objectives: In this study, we aimed to compare functional and radiological outcomes of single versus double cortical procedure using a Kirschner wire (K-wire) through extension block method (EBM) in the surgical treatment of bony mallet finger. Methods: Between January 2019 and April 2020, a total of 21 patients (13 males, 8 females) who underwent...

The purpose of this study is to define the function of the pronator quadratus muscle after plating of a distal radius fracture using anterior (volar) approach. Fourteen cases with volar plating after for a distal radius fracture were included in the study. Sixteen healthy volunteers were selected to determine the effect of dominant arm on pronation...

Faktör 13 eksikliği olan 15 yaşında erkek çocuk, iki gündür devam eden karın, sol omuz ağrısı ve kusma şikayetleri ile başvurdu.Herhangi bir travma öyküsü yoktu. Kan basıncı 65/25 mmHg, kalp tepe atımı:140/dk idi. Karında belirgin distansiyon ve hassasiyet vardı. Hemoglobin:6.3 g/dL, hematokrit:%21.8 idi. Hastanın Ultrasonografisinde dalakta 4x2 cm...