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Başdelioğlu K, Meriç G, Sargın S, Atik A, Ulusal AE, Akseki D. Response to Letter to Editor "Comments on the study "The effect of platelet‑rich plasma on fracture healing in long‑bone pseudoarthrosis". Eur J Orthop Surg Traumatol 2021; 31:1535-1536. [PMID: 33496868 DOI: 10.1007/s00590-021-02882-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 01/15/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Koray Başdelioğlu
- Istanbul Oncology Hospital Department of Orthopaedic and Traumatology, Cevizli Mah. Toros Cad. No :86 Maltepe, Istanbul, Turkey.
| | - Gökhan Meriç
- Medical Faculty Department of Orthopaedic and Traumatology, Yeditepe University, Istanbul, Turkey
| | - Serdar Sargın
- Medical Faculty Department of Orthopaedic and Traumatology, Balıkesir University, Istanbul, Turkey
| | - Aziz Atik
- Medical Faculty Department of Orthopaedic and Traumatology, Balıkesir University, Istanbul, Turkey
| | - Ali Engin Ulusal
- Medical Faculty Department of Orthopaedic and Traumatology, Balıkesir University, Istanbul, Turkey
| | - Devrim Akseki
- Department of Orthopaedic and Traumatology, Medicana International Izmir Hospital, Izmir, Turkey
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Özler T, Kocadal O, Zeybek G, Kıray A, Meriç G. Anatomical relationships of the transmuscular portal to its surrounding structures in arthroscopic treatment of superior labrum anterior posterior lesions: A cadaveric study and preliminary report. Acta Orthop Traumatol Turc 2021; 55:38-41. [PMID: 33650509 DOI: 10.5152/j.aott.2021.19197] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
OBJECTIVE This study aims to investigate the anatomical relationships of the transmuscular portal to its surrounding structures in arthroscopic treatment of superior labrum anterior posterior (SLAP) lesions in a human cadaveric model. METHODS In this anatomic study, bilateral shoulder girdles of 12 adult formalin embalmed cadavers were used. All cadavers were male, and the mean age was 63.4±7.3 years. The portal entry point was determined as midway between the anterior and posterior borders of the acromion, approximately 1 cm lateral from the edge of the acromion. After a guidewire was placed in the glenoid cavity at the 12 o'clock position where the SLAP lesion typically occurs, a switching stick was inserted there. Each glenoid was then drilled with a 2.4 mm drill through an arthroscopic cannula. Subsequently, anatomical dissection was executed to assess the relationship of the transmuscular portal with the suprascapular nerve, axillary nerve, supraspinatus tendon, acromion, and biceps tendon. Lastly, the shortest distance between the aforementioned structures with the drill was measured by a sensitive caliper to determine whether there was a penetration of the structures. Differences between the right and left sides were analyzed. RESULTS The mean distance between the portal and the axillary nerve was 55.5 mm±6.0 mm, and the mean length of the suprascapular nerve was 61.2 mm±7.0 mm. The mean distance between the portal and the supraspinatus tendon was 2.8 mm±1.5 mm. No penetration of the axillary nerve, suprascapular nerve, and supraspinatus tendon was observed in any cadaver. No differences were detected for measured anatomical parameters between the right and left sides (p>0.05). CONCLUSION Findings from this cadaveric study revealed that the transmuscular portal may allow for a reliable anchor placement without any nerve or tendon penetration during arthroscopic SLAP repair. LEVEL OF EVIDENCE Level V.
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Affiliation(s)
- Turhan Özler
- Department of Orthopaedics and Traumatology, Yeditepe University, School of Medicine, İstanbul, Turkey
| | - Onur Kocadal
- Department of Orthopaedics and Traumatology, Yeditepe University, School of Medicine, İstanbul, Turkey
| | - Gülşah Zeybek
- Department of Anatomy, Dokuz Eylül University, School of Medicine, İzmir, Turkey
| | - Amaç Kıray
- Department of Anatomy, Dokuz Eylül University, School of Medicine, İzmir, Turkey
| | - Gökhan Meriç
- Department of Orthopaedics and Traumatology, Yeditepe University, School of Medicine, İstanbul, Turkey
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Başdelioğlu K, Meriç G, Pündük Z, Akseki D, Atik A, Sargın S. Outcomes of isokinetic tests and functional assessment of anterior cruciate ligament reconstruction: Transtibial versus single anatomic femoral tunnel technique. Acta Orthop Traumatol Turc 2019; 53:86-91. [PMID: 30745028 PMCID: PMC6510667 DOI: 10.1016/j.aott.2019.01.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 01/14/2019] [Accepted: 01/17/2019] [Indexed: 01/15/2023]
Abstract
Objective The aim of the study was to compare the outcomes of the transtibial and anatomical femoral single tunnel surgical techniques in ACL reconstruction. Methods A total of 30 patients, with 16 patients (15 males and 1 female; mean age: 27.2 ± 7.04) with anatomical femoral single-tunnel technique (AFT) and 14 (12 males and 2 females; mean age: 29.4 ± 8.82) with transtibial technique (TT) were included into the study. All patients were evaluated with isokinetic tests at an angular velocity of 60°/s and 180°/s and the IKDC and Lysholm tests were performed preoperatively and in third, sixth, and 12th months postoperatively. The results were compared between the groups. The mean follow-up time was 17.1 ± 6.48 months. Results Postoperative third month changes in extension parameters of peak torque (AFT: −93.286, TT: −61.500), peak work (AFT: −77.071, TT: −47.500), peak torque ext/kg (AFT: −1.182, TT: −0.773), peak work ext/kg (AFT: −0.982, TT: −0.604), peak work (AFT: −55.143 TT: −33.063) at an angular velocity of 60°/s and postoperative third month change in extension parameter of peak power (AFT: −86.786 TT: −54.875) at an angular velocity of 180°/s were found to be better in the transtibial group (p < 0.05) and postoperative sixth month peak torque (AFT: 1.429, TT: −5.688) value at an angular velocity of 60°/s was found to be less in the anatomical femoral single-tunnel group (p < 0.05). The IKDC (AFT: 94.671, TT: 90.025) (p < 0.05) and Lysholm (AFT: 96.714, TT: 92.375) (p < 0.05) scores of the anatomical femoral single-tunnel group were better than the transtibial group regarding to the postoperative final follow-up. There are positive intermediate correlations between preoperative IKDC and Lysholm scores with preoperative and postoperative some isokinetic test ratio (r = 0.539; p = 0.031), and preoperative peak power extension (r = 0.541; p = 0.030) at the both angular velocity of 60°/s and 180°/s in the transtibial group. There was no significant difference between the two groups with regards to the Lachman, anterior drawer and pivot shift tests (p < 0.05). Conclusion There were differences in terms of isokinetic parameters in early outcomes but there was no statistical difference between isokinetic parameters at the end of 1st year between two groups. There were some correlations between IKDC and Lysholm scores with some isokinetic parameters. Level of Evidence Level III, Therapeutic Study.
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Meriç G, Zeybek G, Kıray A, Atik A, Budeyri A, Koşay C. Utilization of the bicipital groove axis for confirming alignment of the humerus with transepicondylar and ulnar shaft axes during intramedullary nailing. Acta Orthop Traumatol Turc 2015; 49:184-9. [PMID: 26012940 DOI: 10.3944/aott.2015.14.0188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE Intramedullary nailing is the preferred surgical treatment of humerus shaft fractures. The purpose of this study was to investigate the relationship between the bicipital groove and specific anatomical landmarks in achieving correct alignment of the humerus during intramedullary nailing, and to describe these anatomical landmarks. METHODS Thirty (15 right; 15 left) total upper cadaver extremities were used in this study. After the anatomical landmarks were identified and marked, humeral head axis, transepicondylar axis, ulnar shaft axis, bicipital groove axis, and angular measurements of these were obtained. RESULTS The mean angle between the bicipital groove axis and transepicondylar axis was 48.17°±12.35º (range: 20.10º to 74.6º). The mean angle between the bicipital groove axis and ulna diaphysis axis was 41.82º±11.56 º (range: 17.91º to 68.27º). The mean angle between the humeral head axis and bicipital groove axis was 20.53°±3.90º (range: 11.85º to 31.81º). The mean retroversion angle between the humeral head axis and transepicondylar axis was 27.52±11.37º (range: 4.26º to 49.36º). The mean angle between the humeral head axis and ulna diaphysis axis was 61.73º±12.08º (range: 33.97º to 86.37º). The mean torsion angle was 62.58º±11.28 º (range: 40.74º to 85.74º). CONCLUSION Measurement and utilization of the relationship between the bicipital groove, ulna diaphysis and transepicondylar axes may be used for restoring humeral rotation.
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Affiliation(s)
- Gökhan Meriç
- Balıkesir University Faculty of Medicine, Department of Orthopedics and Traumatology, Balıkesir, Turkey.
| | - Gülşah Zeybek
- Dokuz Eylul University Faculty of Medicine, Department of Anatomy, İzmir, Turkey
| | - Amaç Kıray
- Dokuz Eylul University Faculty of Medicine, Department of Anatomy, İzmir, Turkey
| | - Aziz Atik
- Balıkesir University Faculty of Medicine, Department of Orthopedics and Traumatology, Balıkesir, Turkey
| | - Aydın Budeyri
- SANKO University, Sani Konukoğlu Hospital, Department of Orthopaedics and Traumatology, Gaziantep, Turkey
| | - Can Koşay
- Balıkesir University Faculty of Medicine, Department of Orthopedics and Traumatology, Balıkesir, Turkey
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Erduran M, Meriç G, Ulusal AE, Akseki D. The complete type of suprapatellar plica and lipoma arborescens: a case report. Acta Orthop Traumatol Turc 2015; 48:703-6. [PMID: 25637739 DOI: 10.3944/aott.2014.13.0139] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Lipoma arborescens is a rare intra-articular benign lesion. It is characterized by villous lipomatous proliferation of the synovial tissue and its etiology is not certain. Clinical presentation is usually long-standing, painless and slowly progressive swelling of the related joint. Magnetic resonance imaging plays an important role in diagnosis. Diagnosis can be determined by hypertrophied synovial tissue with synovial lining cells containing adipose tissue on examination using a light microscope. The synovial plica of the knee is formed during the embryogenic phase of development. This development is incomplete in many individuals. When the synovial plica of the knee persists, it is transformed into an embryonic relic that is located in either the suprapatellar or midpatellar region of the knee. We present a rare case with both a complete type of suprapatellar plica and a symptomatic lipoma arborescens in the suprapatellar recess.
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Affiliation(s)
- Mehmet Erduran
- Department of Orthopedics and Traumatology, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey.
| | - Gökhan Meriç
- Department of Orthopedics and Traumatology, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey
| | - Ali Engin Ulusal
- Department of Orthopedics and Traumatology, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey
| | - Devrim Akseki
- Department of Orthopedics and Traumatology, Faculty of Medicine, Balıkesir University, Balıkesir, Turkey
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Meriç G, Erduran M, Atik A, Köse Ö, Ulusal AE, Akseki D. Short-term clinical outcomes after first metatarsal head resurfacing hemiarthroplasty for late stage hallux rigidus. J Foot Ankle Surg 2014; 54:173-8. [PMID: 25491484 DOI: 10.1053/j.jfas.2014.10.016] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2014] [Indexed: 02/03/2023]
Abstract
The purpose of the present study was to evaluate the short-term results of metatarsal head resurfacing hemiarthroplasty in the treatment of advanced hallux rigidus. We reviewed 14 consecutive patients (5 males [35.71%], 9 females [64.29%]; mean age, 58.7 ± 7.4 years). These patients underwent first metatarsal head resurfacing hemiarthroplasty (HemiCAP(®)) for hallux rigidus from March 2010 to September 2012 at our institution. According to the Coughlin and Shurnas clinical and radiographic classification, 10 feet (71.43%) were classified as grade III and 4 (28.57%) as grade IV. We clinically rated all patients before surgery and at the final follow-up visit using the American Orthopaedic Foot and Ankle Society hallux metatarsophalangeal-interphalangeal scale, the visual analog scale for pain, and first metatarsophalangeal joint (MTPJ) range of motion. The mean follow-up duration was 24.2 ± 7.2 (range 12 to 36) months. The mean preoperative hallux metatarsophalangeal-interphalangeal scale score was 33.9 ± 9.8 (range 22 to 59), and it increased to 81.6 ± 10.1 (range 54 to 96; p < .05) postoperatively. The mean preoperative 10-cm visual analog scale for pain score was 8.4 ± 0.9 (range 7 to 10), which decreased to 1.21 ± 1.2 (range 0 to 5; p < .05) postoperatively. The mean preoperative MTPJ range of motion was 22.8° ± 7.7° (range 15° to 45°), which increased to 69.6° ± 11.8° (range 50° to 90°; p < .05) postoperatively. None of the 14 patients experienced component malalignment or loosening, infection, or neurovascular compromise during the follow-up period. One patient (7.14%) experienced postoperative pain and subsequently underwent first MTPJ arthrodesis. From the results of our investigation, first MTPJ arthroplasty is an effective treatment modality that can reduce pain and increase motion in the case of advanced hallux rigidus.
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Affiliation(s)
- Gökhan Meriç
- Surgeon, Department of Orthopaedics and Traumatology, Balikesir University Medical Faculty, Balikesir, Turkey.
| | - Mehmet Erduran
- Assistant Professor, Dokuz Eylul University Medical Faculty Department of Orthopaedics and Traumatology, Izmir, Turkey
| | - Aziz Atik
- Surgeon, Department of Orthopaedics and Traumatology, Balikesir University Medical Faculty, Balikesir, Turkey
| | - Özkan Köse
- Assistant Professor, Antalya Education and Research Hospital, Orthopaedics and Traumatology Clinic, Antalya, Turkey
| | - Ali Engin Ulusal
- Assistant Professor, Department of Orthopaedics and Traumatology, Balikesir University Medical Faculty, Balikesir, Turkey
| | - Devrim Akseki
- Professor, Department of Orthopaedics and Traumatology, Balikesir University Medical Faculty, Balikesir, Turkey
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Sargın S, Aslan A, Konya MN, Atik A, Meriç G. Bonesetter choice of Turkish society in musculoskeletal injuries and the affecting factors. J Clin Exp Invest 2013. [DOI: 10.5799/ahinjs.01.2013.04.0328] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Meriç G. Volar radyokarpal bağ yırtığı ile birlikte olan volar radyokarpal eklem çıkığı: Olgu sunumu. El Mikrocerrahi 2012. [DOI: 10.2399/emd.12.29491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Zer Y, Balci I, Meriç G. Identification and antifungal susceptibility of Candida isolated from intensive care unit patients. New Microbiol 2002; 25:489-94. [PMID: 12437230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/27/2023]
Abstract
Candida was isolated in 205 of 1060 clinical specimens (19.33%) in our laboratary sent from the intensive care unit for mycological investigation between January 98-December 99. All isolated strains were identified to species level using the API Candida system (Bio-Meieux, France) as follows; Candida albicans (n:115, 56.09%), Candida tropicalis (n:23, 11.21%), Candida parapsilosis (n:21, 10.24%), Candida glabrata (n:12, 5.83%). Candida kefyr (n:9, 4.39%), Candida lusitaniae (n:7, 3.41%), Candida famata (n:6, 2.92%), Candida krusei (n:6, 2.92%), Candida guilliermondii (n:6, 2.92%). These stains were identified using congo-red-glucose-brain-heart-infusion agar and slime production was determined in Candida albicans 53.91% and 67.77% in other than Candida species. In the present study, E test (AB Biodisk, Solna, Sweeden) was used to test antifungal susceptibility. The resistance to amphotericin B was 19.51%, to fluconazole 27.31% and to flucytosine 20.00%.
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Affiliation(s)
- Y Zer
- Department of Microbiology and Clinical Microbiology Gaziantep University Hospital, Turkey
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