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Abstract
OBJECTIVE The effects of perioperative blood transfusion on renal functions have been studied in various studies. In this study, we investigated the effects of blood transfusion on postoperative kidney functions in patients who underwent orthopaedic surgeries. METHOD Total 136 patients who were operated for several orthopedic pathologies between June 2013 and December 2014 were evaluated. The patients were divided into two groups according to the amounts of blood transfusion. Ninety five patients (69.8%) who were transfused less than 3 units were included in Group 1 and 41 patients (30.2%) who received 3 and more units of blood were included in Group 2. RESULTS There were no statistical difference between the two groups in terms of preoperative gender, hypertension, diabetes mellitus, chronical renal failure and smoking habbits (P > 0.05). No statistical differences between the groups were seen in terms of postoperative hospital stay, pulmonary and other complications as well as mortality (P > 0.05). When the two groups were compared for blood parameters showing postoperative renal and other system functions, no statistical differences were detected (P > 0.05). CONCLUSION Blood transfusion does not have negative effects on postoperative BUN and creatinine levels in patients operated for orthopaedic pathologies.
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Affiliation(s)
- Ismail Safa Satoglu
- Ismail Safa Satoglu, Department of Orthopaedics & Traumatology, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey
| | - Serkan Akcay
- Serkan Akcay, Department of Orthopaedics & Traumatology, Kurtköy Ersoy Hospital, Istanbul, Turkey
| | - Levent Horoz
- Levent Horoz, Department of Orthopaedics & Traumatology, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey
| | - Erol Kaya
- Erol Kaya, Department of Orthopaedics & Traumatology, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey
| | - Ahmet Karakasli
- Ahmet Karakasli, Department of Orthopaedics & Traumatology, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey
| | - Eyad Skiak
- Eyad Skiak, Karatas Hospital, Izmir, Turkey
| | - Onur Basci
- Onur Basci, Department of Orthopaedics & Traumatology, Dokuz Eylul University, Faculty of Medicine, Izmir, Turkey
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Skiak E, Karakasli A, Harb A, Satoglu IS, Basci O, Havitcioglu H. The effect of laminae lesion on thoraco-lumbar fracture reduction. Orthop Traumatol Surg Res 2015; 101:489-94. [PMID: 25933705 DOI: 10.1016/j.otsr.2015.02.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [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: 01/17/2014] [Revised: 12/03/2014] [Accepted: 02/27/2015] [Indexed: 02/02/2023]
Abstract
INTRODUCTION The treatment of fractures involving the lumbar spine has been controversial. Laminae lesion may be complete or of the greenstick type (incomplete). Dural tears and nerve root entrapment may accompany these laminae fractures. The aim of this study is twofold, to assess the effect of different types of laminae fractures on the anteriorvertebral height restoration in upper lumbar burst fractures and to determine the incidences of the intraoperatively detected dural tear and neural entrapment in complete and incomplete laminae fractures to choose the optimal treatment. MATERIALS AND METHODS A retrospective review was conducted on 112 patients with 114 lumbar burst fractures treated operatively, age ranged from 17 to 55 years (mean age 32). Male to female ratio was (93%/7%), 8 females. Patients were divided into three groups, group 1 patients without lamina fracture, group 2 patients with complete type lamina fracture and group 3 patients with (percutaneous) incomplete type lamina fractures. All clinical charts and radiologic data of these groups were analyzed for their association with dural tears, neural entrapment and the impact of lamina fracture (complete and incomplete types) on the efficacy of anterior vertebral height restoration. The severity of injury was determined using the ASIA (Modified Frankel scale). RESULTS Out of 114 upper lumbar burst fractures, lamina fracture occurred in 34 patients (29.8%), complete lamina fracture occurred in 21 patients (61.7%), whereas incomplete lamina fracture occurred in 13 patients (38.3%). Dural tear was detected in 16 patients (47%) and was predominantly higher in complete type lamina fracture 12 patients (57%) when compared to 4 dural tears (30%) in incomplete lamina fractures. Analysis of the data revealed no significant difference in the preoperative anterior vertebral height loss and local kyphotic angle between the three groups. However the anterior vertebral height and local kyhpotic angle restoration were found to be affected by the presence of complete lamina fracture when compared to other groups with incomplete lamina fracture and without lamina fracture (P=0.001). CONCLUSION In upper lumbar burst fractures, complete lamina fracture is an indicator of injury severity. When detected preoperatively on CT or MRI scanning, it should be operated by open book laminectomy even if the patient is neurologically intact since it carries a high risk of neural entrapment, and its presence affects the intraoperative postural and instrumental trials for anterior vertebral height restoration.
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Affiliation(s)
- E Skiak
- Karatas Hospital, Department of Orthopedics and Traumatology, 35260 Konak, Izmir, Turkey.
| | - A Karakasli
- Dokuz Eylul University, Department of Orthopedics and Traumatology, 35340 Inciraltı, Izmir, Turkey
| | - A Harb
- Shifa Hospital, P.O. Box 5191, Al remal Gaza, Palestine
| | - I S Satoglu
- Dokuz Eylul University, Department of Orthopedics and Traumatology, 35340 Inciraltı, Izmir, Turkey
| | - O Basci
- Dokuz Eylul University, Department of Orthopedics and Traumatology, 35340 Inciraltı, Izmir, Turkey
| | - H Havitcioglu
- Dokuz Eylul University, Department of Orthopedics and Traumatology, 35340 Inciraltı, Izmir, Turkey; Dokuz Eylul University, Department of Biomechanics, 35340 Inciraltı, Izmir, Turkey
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Gökalp G, Bal A, Satoglu IS, Gökalp O. Re: 'Protective Effect of Focal Adhesion Kinase against Skeletal Muscle Reperfusion Injury after Acute Limb Ischemia': Exciting Questions about Ischemia Reperfusion Injury. Eur J Vasc Endovasc Surg 2015; 49:614-5. [PMID: 25778772 DOI: 10.1016/j.ejvs.2015.01.026] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2015] [Accepted: 01/26/2015] [Indexed: 11/26/2022]
Affiliation(s)
- G Gökalp
- Izmir Tepecik Education and Research Hospital, Department of Pediatric Emergency, Izmir, Turkey
| | - A Bal
- Izmir Tepecik Education and Research Hospital, Department of Pediatric Emergency, Izmir, Turkey
| | - I S Satoglu
- Izmir Dokuz Eylul University, Faculty of Medicine, Department of Orthopedics and Traumatology, Izmir, Turkey
| | - O Gökalp
- Izmir Katip Celebi University, Faculty of Medicine, Department of Cardiovascular Surgery, Izmir, Turkey.
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Gokalp O, Besir Y, Eygi B, Gokalp G, Satoglu IS, Gurbuz A. Which model yields more ischemia-reperfusion organ injury? Ann Vasc Surg 2014; 28:1961. [PMID: 25011089 DOI: 10.1016/j.avsg.2014.06.063] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2014] [Revised: 05/22/2014] [Accepted: 06/30/2014] [Indexed: 10/25/2022]
Affiliation(s)
- Orhan Gokalp
- Department of Cardiovascular Surgery, Faculty of Medicine, Katip Celebi University, Izmir, Turkey.
| | - Yuksel Besir
- Department of Cardiovascular Surgery, Ataturk Education and Research Hospital, Katip Celebi University, Izmir, Turkey
| | - Bortecin Eygi
- Department of Cardiovascular Surgery, Ataturk Education and Research Hospital, Katip Celebi University, Izmir, Turkey
| | - Gamze Gokalp
- Department of Pediatric Emergency, Tepecik Education and Research Hospital, Izmir, Turkey
| | - Ismail Safa Satoglu
- Department of Orthopedics and Traumatology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Ali Gurbuz
- Department of Cardiovascular Surgery, Faculty of Medicine, Katip Celebi University, Izmir, Turkey
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Barış Bayram K, Bal S, Safa Satoglu I, Kocyigit H, Gürgan A, Akcay S, Kazimoglu C. Does Suprascapular Nerve Block Improve Shoulder Disability in Impingement Syndrome? A Randomized Placebo-Contolled Study. ACTA ACUST UNITED AC 2014. [DOI: 10.3109/10582452.2014.883026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Akcay S, Satoglu IS, Cabuk H, Turan K. Pelvic Migration of Lag Screw Following Fixation of an Intertrochanteric Femur Fracture with Proximal Femoral Nail. JAREM 2013. [DOI: 10.5152/jarem.2013.13] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Akcay S, Satoglu IS, Kurtulmuş A. Letter to the editor: Intramedullary nails result in more reoperations than sliding hip screws in two-part intertrochanteric fractures. Clin Orthop Relat Res 2013; 471:1733-4. [PMID: 23463286 PMCID: PMC3613554 DOI: 10.1007/s11999-013-2891-0] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2013] [Accepted: 02/21/2013] [Indexed: 01/31/2023]
Affiliation(s)
- Serkan Akcay
- />Department of Orthopaedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, 35360 Turkey
| | - Ismail Safa Satoglu
- />Department of Orthopaedics and Traumatology, School of Medicine, Izmir Katip Celebi University, Izmir, Turkey
| | - Ahmet Kurtulmuş
- />Department of Orthopaedics and Traumatology, Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, 35360 Turkey
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Affiliation(s)
- Serkan Akcay
- Department of Orthopaedics and Traumatology, Izmir Katip Çelebi University Ataturk Research and Training Hospital, Basinsitesi, Karabaglar/Izmir, 35360, Turkey
| | - Ismail Safa Satoglu
- Department of Orthopaedics and Traumatology, Izmir Katip Çelebi University, School of Medicine, Turkey
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Gokalp O, Satoglu IS, Besir Y, Cakir H, Kara H, Gurbuz A. Is it right ASA scoring to be used in identification of nonoperated patients? Eur J Vasc Endovasc Surg 2013; 45:403. [PMID: 23395265 DOI: 10.1016/j.ejvs.2013.01.014] [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] [Received: 12/26/2012] [Accepted: 01/02/2013] [Indexed: 10/27/2022]
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Gokalp O, Yurekli I, Kiray M, Bagriyanik A, Yetkin U, Yurekli BS, Gur S, Aksun M, Satoglu IS, Gokalp G, Gurbuz A. Assessment of Protective Effects of Pheniramine Maleate on Reperfusion Injury in Lung After Distant Organ Ischemia. Vasc Endovascular Surg 2013; 47:219-24. [PMID: 23377174 DOI: 10.1177/1538574413475885] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: The aim of this study is to investigate the protective effects of methylprednisolone (MP) and pheniramine maleate (PM) on reperfusion injury of lungs developing after ischemia of the left lower extremity of rats. Materials and methods: A total of 28 randomly selected male rats were divided into 4 groups, each consisting of 7 rats. Group 1 was the control group. Group 2 was the sham group (ischemia/reperfusion [I/R]). Rats in group 3 were subjected to I/R and given PM (Ph group) and rats in group 4 were subjected to I/R and given MP (Pn group). Results: Malondialdehyde levels were significantly lower in Ph group than in I/R group ( P < .05). Superoxide dismutase and glutathione peroxidase enzyme activities were found to be significantly higher in Ph group than in the I/R group ( P < .05). Histological examination demonstrated that PM had protective effects against I/R injury. Conclusions: The PM has a protective effect against I/R injury in rat lung.
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Affiliation(s)
- Orhan Gokalp
- Department of Cardiovascular Surgery, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey
| | - Ismail Yurekli
- Department of Cardiovascular Surgery, Izmir Ataturk Education and Research Hospital, Izmir, Turkey
| | - Muge Kiray
- Department of Physiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Alper Bagriyanik
- Department of Histology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Ufuk Yetkin
- Department of Cardiovascular Surgery, Izmir Ataturk Education and Research Hospital, Izmir, Turkey
| | - Banu Sarer Yurekli
- Department of Endocrinology, Izmir Education and Research Hospital, Izmir, Turkey
| | - Serkan Gur
- Department of Radiology, Izmir Sifa Hospital, Izmir, Turkey
| | - Murat Aksun
- Department of Anesthesia and Reanimation, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey
| | - Ismail Safa Satoglu
- Department of Orthopedics and Traumatology, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey
| | - Gamze Gokalp
- Department of Pediatrics, DrHayri Ustundag Kadın Hastaliklari ve Dogum Hospital, Izmir, Turkey
| | - Ali Gurbuz
- Department of Cardiovascular Surgery, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey
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Gunal I, Ozaksoy D, Altay T, Satoglu IS, Kazimoglu C, Sener M. Scapholunate dissociation associated with distal radius fractures. Eur J Orthop Surg Traumatol 2012; 23:877-81. [PMID: 23412224 DOI: 10.1007/s00590-012-1093-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2012] [Accepted: 09/26/2012] [Indexed: 05/27/2023]
Abstract
OBJECTIVE The exact prevalence of scapholunate dissociation (SLD) associated with distal radius fracture (DRF) and the effect of persistent SLD on the function of the wrist are not known. So, we examined the association between SLD and DRF and the effects of treatment on clinical outcomes. METHODS Eight hundred and twenty-nine patients with 839 DRF were included in the study. The radiographs of the patients were examined with special reference to SLD both in pre- and post-reduction period. Persistent SLD cases were evaluated by the scoring system of Green and O'Brien at least 2 years after the fracture. RESULTS Of the 839 fractures, 215 had SLD after the injury. When post-reduction radiographs were examined, SLD persisted in 98, but in 14 SLD was detected in the post-reduction period while not apparent in initial radiographs. So, a total of 112 patients (13.4%) had persistent SLD. Nineteen patients were lost to follow-up and remaining 93 wrists examined clinically. Seventy-nine had pain on the scapholunate joint and 14 had not. When these patients were evaluated by Green and O'Brien system, symptomatic patients had fair or poor results but asymptomatic had good. The association between DRF and SLD is 13.4%. CONCLUSIONS Severity of the distal radius fractures is not associated with SLD. Intra-articular fractures were associated with significant increase in the prevalence of SLD. In some cases, SLD may appear after reduction in distal radius. Most cases with SLD are symptomatic, and this may be the reason of poor cases following distal radius fracture.
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Affiliation(s)
- Izge Gunal
- Department of Orthopedics, Dokuz Eylul University Hospital, 35340, Balcova, Izmir, Turkey
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Kazimoglu C, Satoglu IS, Bozkurt A, Sener M. Delayed radial nerve palsy caused by pin migration in a surgically treated proximal humeral fracture: a case of axonamonosis: a case report. J Bone Joint Surg Am 2012; 94:e7. [PMID: 22258014 DOI: 10.2106/jbjs.j.01973] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- Cemal Kazimoglu
- Izmir Ataturk Research and Training Hospital, 1st Orthopaedics Department, Basinsitesi, Karabaglar/Izmir, 35360, Turkey
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