Teoman Atici

Uludag University, Boursa, Bursa, Turkey

Are you Teoman Atici?

Claim your profile

Publications (16)16.71 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.
    No preview · Article · Dec 2011
  • Source
    N Şahin · T Atici · A Öztürk · G Özkaya · Y Özkan · B Avcu
    [Show abstract] [Hide abstract]
    ABSTRACT: Radiographic findings of femoroace tabular impingement in the contralateral asymptomatic hip of patients who had undergone total hip arthroplasty because of primary osteoarthritis (n = 44) were compared with controls (n = 40). The centre-edge angle and caput-collum-diaphyseal angle were measured and the presence of crossover sign and a prominent ischial spine noted on anteroposterior radiographs of the pelvis. The α-angle and offset ratio were measured on cross-table lateral radiographs of the hip. The centre-edge angle and offset ratio were significantly lower and the α-angle significantly higher in the study group compared with controls. While the number of cases with an abnormal centre-edge angle was similar in both groups, the numbers with an α-angle > 50° and the number with an offset ratio ≤ 15 were significantly higher in the study group. It was concluded that morphological anomalies associated with femoroacetabular impingement are seen more frequently in the asymptomatic contralateral hip of patients who have undergone hip replacement for primary osteoarthritis than in controls.
    Full-text · Article · Jun 2011 · The Journal of international medical research
  • Source
    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.
    Preview · Article · Feb 2011 · Turkiye Klinikleri Journal of Medical Sciences
  • T. Atici · N. Şahin · A. Öztürk

    No preview · Article · Jan 2011 · acta orthopaedica et traumatologica turcica
  • 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.
    Full-text · Article · Mar 2010 · acta orthopaedica et traumatologica turcica
  • Teoman Atici · Elif Atici · Namik Sahin
    [Show abstract] [Hide abstract]
    ABSTRACT: Purpose: To discuss the development stages of suture materials showing progression parallel to the development of surgery from the history of medicine perspective. Materials and Methods: Characteristics of sutures used in the historical process were determined by literature review. Developmental stages of suture classification was planned by designating interaction between modern medicine's development process, industrial sector's contribution to medicine and development stages of the sutures. Results: There has not been a big change in the suture materials used, until the discovery of anesthesia, antisepsis and asepsis in the 19th century. Since antiquity, plantal materials (linen, cotton, silk), animal tissue materials (gut or skin, horsehair or pigs' bristles, tendon, nerve) and ant heads which were admitted as the pioneer of modern clips were used in order as sutures. Implementation of carbonic acid, used as antiseptic, into catgut known suture material for thousands of years has been a cornerstone in the history of sutures. However, by the opportunities produced by textile and chemical industry, today's sutures' characteristics have been developed with synthetic materials. Conclusion: Information related with sutures has progressed in the last 100 years. Anesthesia, antisepsis and asepsis are also important cornerstones in the history of sutures in the development of modern surgery. However, the actual progress of sutures has been seen with the development in the industry. There is a continuous research to develop the ideal suture material. The historical process of change in the suture materials on the basis of ideal material properties and structure of the material used can be analyzed in three phases: the first period from 2000s BC up to 1860 AC the second period from 1860s until 1930-1950, the third period from 1930-50s to the present.
    No preview · Article · Jan 2010 · Turkish Journal of Surgery
  • T. Atici · N. Şahin · A. Öztürk · O. Yaray
    [Show abstract] [Hide abstract]
    ABSTRACT: Background We evaluated the results of intertrochanteric hip fractures treated with closed reduction and external fixation (minimally invasive and biological osteosynthesis) in patients with high surgical risk. Methods Twenty-three patients (14 females, 9 males; mean age 74 [65-88]) with intertrochanteric hip fracture classified as group III and IV according to American Society of Anesthesiologists (ASA) criteria were treated with closed reduction and unilateral external fixation under short-term anesthesia. Fourteen fractures were stable (60.8%) and nine were unstable (39.2%). The mean follow-up was 23.8 months (4-58). We evaluated the operation time, hospitalization time, union time, mobilization capacity, complications, and mortality rates. Results The mean duration of operation was 25 minutes (15-40), mean duration of hospital stay 4 days (2-9) and average union time 13 weeks. Five patients (21.7%) died due to additional health problems in the first six months after surgery. Superficial pin tract infection occurred in 11 cases (47.8%). There was no implant failure. In the last follow up, an average 5° varus (range: 0-8°) and 1 cm shortening (range: 0-3) in stable fractures and an average 15° varus (range: 8-20°) and 3 cm shortening (range: 2-5) in unstable fractures were determined. Conclusion The treatment of intertrochanteric hip fractures with closed reduction and external fixation is an easy, effective and safe biological fixation method with minimal damage to surrounding tissues, especially in patients with high surgical risk.
    No preview · Article · Jan 2010
  • 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.
    Full-text · Article · Dec 2009 · The Journal of trauma
  • Teoman Atici

    No preview · Article · Feb 2009 · acta orthopaedica et traumatologica turcica
  • Source

    Full-text · Article · Sep 2008 · Regional Anesthesia and Pain Medicine
  • 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.
    Full-text · Article · Nov 2007 · The Journal of international medical research

  • No preview · Article · Jun 2007 · Clinical Orthopaedics and Related Research
  • Source
    [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.
    Full-text · Article · Feb 2006 · acta orthopaedica et traumatologica turcica
  • 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.
    Full-text · Article · Jun 2004 · Journal of sports science & medicine
  • 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.
    Full-text · Article · Feb 2001 · The Journal of international medical research
  • 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.
    Preview · Article ·