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Ucpunar H, Sevencan A, Erbas A, Ozyalvac ON, Akpinar E, Bayhan AI. Effect of the Pavlik harness used in the treatment of developmental dysplasia of the hip on unaided sitting and independent walking age. J Child Orthop 2024; 18:79-84. [PMID: 38348432 PMCID: PMC10859113 DOI: 10.1177/18632521231217330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 11/11/2023] [Indexed: 02/15/2024] Open
Abstract
Background Pavlik harness is the most widely used orthosis in the treatment of developmental dysplasia of the hip. The aim of this study was to evaluate the effect of the Pavlik harness on the development of "unaided sitting" and "independent walking" in infants with developmental dysplasia of the hip. Methods This prospective study, conducted from 2017 to 2020, included infants undergoing Pavlik harness therapy. Inclusion criteria comprised gestational age > 37 weeks, treatment initiation before 6 months of age, and no prior treatment for developmental dysplasia of the hip. We assessed treatment initiation age, treatment duration, and the age of achieving unaided sitting and independent walking. Results In the patient group, unaided sitting commenced at a mean age of 6.8 ± 1.6 (range: 4-11) months, while independent walking began at a mean age of 12.7 ± 1.8 (range: 9-18) months. By 15 months, 92% of the patients achieved independent walking. In the control group, unaided sitting occurred at a mean age of 6.1 ± 1.1 (range: 4-8) months, and independent walking at 11.8 ± 1.6 (range: 9-18) months. A significant positive correlation was observed between the duration of Pavlik harness usage and the age of unaided sitting (p < 0.001) and independent walking (p < 0.001). Conclusion Our study indicates that Pavlik harness treatment for developmental dysplasia of the hip is generally safe and does not lead to clinically significant delays in unaided sitting and independent walking. However, some minor delays may occur due to extended orthosis use. Level of evidence level III-prospective cohort study.
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Affiliation(s)
- Hanifi Ucpunar
- Department of Orthopaedics Surgery and Traumatology, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Ahmet Sevencan
- Department of Orthopedics, Medicana Ataköy Hospital, Istanbul, Turkey
| | - Anil Erbas
- Department of Orthopaedics Surgery and Traumatology, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Osman Nuri Ozyalvac
- Department of Orthopaedics Surgery and Traumatology, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Evren Akpinar
- Department of Orthopaedics Surgery and Traumatology, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Avni Ilhan Bayhan
- Department of Orthopaedics Surgery and Traumatology, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
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Sevencan A, Akpinar E, Ucpunar H, Akbulut D, Ozyalvac ON, Bayhan AI. Salter osteotomy has lower fluoroscopy exposure time compared to Tonnis lateral acetabuloplasty. J Pediatr Orthop B 2023; 32:329-335. [PMID: 36652300 DOI: 10.1097/bpb.0000000000001012] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Salter osteotomy and Tonnis lateral acetabuloplasty (TLA) are pelvic osteotomies with similar indications and clinical results used in the treatment of developmental dysplasia of the hip (DDH). The aim of our study was to compare the intraoperative fluoroscopy exposure time (FET) in patients with DDH treated with the Salter osteotomy and TLA. In this study, data were collected prospectively and compared after the study was completed. The patients were evaluated in three groups: pelvic osteotomy (group 1), open reduction with pelvic osteotomy (group 2) and open reduction + pelvic osteotomy + femoral shortening (group 3). Pelvic osteotomy techniques in each group were further analyzed in two subgroups as Salter osteotomy and TLA. Age, sex, surgery side, degree of dysplasia according to the Tönnis classification, duration of anesthesia and intraoperative FET (seconds) were recorded. A total of 109 patients (93 girls and 16 boys) were included in the study; 29 patients in group 1, 50 in group 2 and 30 in group 3. Although the patients who underwent Salter osteotomy and TLA were similar in all three groups in terms of age, sex, surgery side, Tönnis classification and duration of anesthesia, FET was longer in the patients who underwent TLA (group 1, P < 0.001; group 2, P < 0.001; group 3, P = 0.005). The use of the Salter osteotomy technique in the treatment of acetabular dysplasia in patients with DDH seems to be more advantageous in terms of FET than TLA osteotomy. It would be beneficial to consider this result in terms of radiation safety. Level of Evidence: II.
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Affiliation(s)
- Ahmet Sevencan
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul
| | - Evren Akpinar
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul
| | - Hanifi Ucpunar
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul
| | - Deniz Akbulut
- Department of Orthopedics, Health Science University Van Education and Research Hospital, Van, Turkey
| | - Osman Nuri Ozyalvac
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul
| | - Avni Ilhan Bayhan
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul
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Akpinar E, Sevencan A, Nuri Ozyalvac O, Onder M, Bilal Kurk M, Alpay Y, Bayhan IA. Which factor is more reliable considering prophylactic pinning of contralateral hip of unilateral SCFE patients? ULUS TRAVMA ACIL CER 2023; 29:818-823. [PMID: 37409921 PMCID: PMC10405030 DOI: 10.14744/tjtes.2023.91038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2023] [Accepted: 02/27/2023] [Indexed: 07/07/2023]
Abstract
BACKGROUND This study evaluates the radiological parameters of developing subsequent contralateral slips in unilateral slipped capital femoral epiphysis (SCFE) patients at the time of initial presentation. METHODS The study group included the review of unilateral SCFE patients treated between June 2007 and August 2018. Age, gen-der, side, stability, posterior slope angle, grade of slip, modified Oxford bone age score (mOBAS), the Risser classification, and the ap-pearance of the triradiate cartilage were evaluated retrospectively. Data were analyzed between two groups: subsequent contralateral SCFE (SCFESC) patients that developed contralateral slip during follow-up and unilateral SCFE (SCFEU) patients that did not develop contralateral slip up to skeletal maturity. Descriptive statistics were used to compare risk factors between groups. RESULTS This study included 48 patients and 6 patients (12.5%) developed a SCFESC. Only mOBAS was significantly different be-tween groups. The mOBAS scores in SCFESC were 18 in 2 patients (33.3%), 19 in 4 patients (66.7%). The mOBAS scores in SCFEU were 18 in 1 patient (2.4%), 19 in 24 patients (57.1%), and >20 in 17 patients (40.5%). In the SCFESC group, all patients had a Risser score of 0 and all had open triradiate cartilage. CONCLUSION Patients with unilateral SCFE are at risk for SCFESC, and the mOBAS is the best predictor of risk assessment. We agree that mOBAS score of 16,17 or 18 patients' contralateral hips can be prophylactically pinned. We also suggest pinning or close screening of mOBAS 19 patients that some carry relatively high risk of subsequent contralateral slip.
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Affiliation(s)
- Evren Akpinar
- University of Health Sciences, Hamidiye School of Medicine, Orthopedics and Traumatology Department, Baltalimani Bone Diseases Education and Research Hospital, Istanbul-Türkiye
| | - Ahmet Sevencan
- University of Health Sciences, Hamidiye School of Medicine, Orthopedics and Traumatology Department, Baltalimani Bone Diseases Education and Research Hospital, Istanbul-Türkiye
| | - Osman Nuri Ozyalvac
- University of Health Sciences, Hamidiye School of Medicine, Orthopedics and Traumatology Department, Baltalimani Bone Diseases Education and Research Hospital, Istanbul-Türkiye
| | - Murat Onder
- Midyat State Hospital, Orthopedics and Traumatology Department, Mardin-Türkiye
| | - Muhammed Bilal Kurk
- Istinye State Hospital, Orthopedics and Traumatology Department, Istanbul-Türkiye
| | - Yakup Alpay
- V.M. Medical Park Maltepe Hospital, Orthopedics and Traumatology Department, Istanbul-Türkiye
| | - Ilhan Avni Bayhan
- University of Health Sciences, Hamidiye School of Medicine, Orthopedics and Traumatology Department, Baltalimani Bone Diseases Education and Research Hospital, Istanbul-Türkiye
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Ozyalvac ON, Aydin CG, Akpinar E, Bayhan AI, Yildirim T. Isokinetic Analysis of Flexible Flatfoot: Is It a Weakness of Proprioception and Muscle Strength? J Am Podiatr Med Assoc 2022; 112:20-045. [PMID: 36525326 DOI: 10.7547/20-045] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND Although flexible flatfoot (FF) in children is a foot deformity that is frequently encountered in daily orthopedics practice, its etiology is still controversial. The aim of this study was to determine whether there is a weakness in muscle strength and proprioception in patients with FF. METHODS The study group consisted of 16 cases with FF, and the control group consisted of 25 volunteers with normal feet. An isokinetic dynamometer was used to assess muscle strength and proprioception of movement directions of plantarflexion, dorsiflexion, eversion (EV), and inversion (INV) in both groups. RESULTS There was no statistically significant difference between the groups in strength of plantarflexion and dorsiflexion muscles, whereas in the control group, proprioception of all four movement directions and strengths of the EV and INV muscles were found to be statistically significantly higher (P < .05). CONCLUSIONS There is weakness in EV and INV muscle strength and proprioception disorder in patients with FF. We recommend conducting further studies that validate muscle weakness and proprioception disorders with different study designs and evaluate the effectiveness of improving muscle strength and proprioception weakness in FF.
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Affiliation(s)
| | - Canan Gonen Aydin
- *Baltalimani Bone Diseases Training and Research Center, İstanbul, Turkey
| | - Evren Akpinar
- *Baltalimani Bone Diseases Training and Research Center, İstanbul, Turkey
| | - Avni Ilhan Bayhan
- *Baltalimani Bone Diseases Training and Research Center, İstanbul, Turkey
| | - Timur Yildirim
- *Baltalimani Bone Diseases Training and Research Center, İstanbul, Turkey
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Sevencan A, Ucpunar H, Akgun H, Ozyalvac ON, Akpinar E, Bayhan AI, Yildirim T. Evolution of the angular deformity and limb length discrepancy of congenital posteromedial bowing of the tibia over time. Jt Dis Relat Surg 2022; 33:567-573. [PMID: 36345184 PMCID: PMC9647689 DOI: 10.52312/jdrs.2022.718] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 08/08/2022] [Indexed: 11/06/2022] Open
Abstract
Objectives
This study aims to assess the natural history of congenital posteromedial bowing of the tibia (CPMBT) deformity during growth and to evaluate the outcomes of lengthening by an Ilizarov frame in CPMBT patients with limb length discrepancy (LLD). Patients and methods
Between January 2000 and December 2019, a total of 22 patients (12 males, 10 females; mean age: 10.5±4.4 years; range, 6 to 19 years) with the diagnosis of CPMBT and followed closely from birth until skeletal maturity were retrospectively analyzed. The radiographic evaluation included the anteroposterior and lateral interphyseal angle and full leg standing radiographs. Limb lengthening by an Ilizarov frame was performed for an estimated LLD over 40 mm. Results
The age of the patients ranged from six days to 10 months at the time of presentation, while the mean age at the final followup was 10.5±4.4 years. Posterior medial bowing was satisfactorily remodeled in 13 (59%) patients those were not operated either for deformity or LLD. The mean LLD was 21±4.1 mm in 13 nonoperated CPMBT patients. Nine of 22 (41%) patients underwent lengthening for LLD. Five of the nine CPMBT patients were operated under the age of 10 years, while four were operated over the age of 10 years. Conclusion
According to the results of the current study, CPMBT was satisfactorily remodeled in more than half of the patients, and the majority of patients did not undergo surgery for angular deformity and LLD within 10 years of their lives. Based on these findings, although most of the patientsʼ deformities remodeled, it should be kept in mind that some may require lengthening surgery.
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Affiliation(s)
- Ahmet Sevencan
- Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 34470 Sarıyer, İstanbul, Türkiye.
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Sevencan A, Akdogan A, Ucpunar H, Ozyalvac ON, Akpinar E, Bayhan AI. Disability and Quality of Life After Talectomy for Arthrogryposis Multiplex Congenita. Foot Ankle Int 2022; 43:1346-1353. [PMID: 35699522 DOI: 10.1177/10711007221104076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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] [Indexed: 02/01/2023]
Abstract
BACKGROUND Arthrogryposis multiplex congenita (AMC) is one of the causes of rigid and resistant clubfoot. Talectomy is considered as a primary or salvage procedure for recurrent equinovarus deformity in these patients. We conducted this study to assess patients with AMC who underwent talectomy for the correction of foot and ankle deformities in terms of health-related quality of life and disability. METHODS Patients under 10 years of age with a primary diagnosis of AMC who underwent talectomy and attended follow-up for at least 5 years were included in this study. We also formed an age- and gender-matched control group consisting of 20 individuals without any foot-ankle problem in order to compare the measurements between the AMC and healthy groups. Oxford Ankle Foot Questionnaire (OxAFQ) was administered as a health-related quality of life instrument to objectively measure the disability of the pediatric patients. RESULTS Twenty patients (10 girls, 10 boys) who underwent a total of 35 talectomy operations with an average follow-up of 7.2 years and a control group of 20 similarly aged unaffected children were included in the study. The mean OxAFQ scores were significantly lower in the AMC group than in the controls for all domains (physical, emotional, and school and play), especially for the one concerning satisfaction with footwear The presence of plantigrade foot and absence of forefoot supination were significantly associated with the physical and footwear domains of the OxAFQ scores. The presence of hindfoot varus, midfoot adductus, dorsal bunion, and having less than 10 degrees of dorsiflexion had no effect on the OxAFQ scores. CONCLUSION In this study, we found that the major driving factors for satisfaction after talectomy for AMC were plantigrade foot and absence of forefoot supination. The mean OxAFQ scores were universally lower in the AMC group than controls. Finding comfortable footwear is a major concern for the AMC patients. LEVEL OF EVIDENCE Level III, retrospective cohort study.
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Affiliation(s)
- Ahmet Sevencan
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Ahmet Akdogan
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Hanifi Ucpunar
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Osman Nuri Ozyalvac
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Evren Akpinar
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
| | - Avni Ilhan Bayhan
- Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey
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Ozyalvac ON, Akpinar E. Foot abduction increases after achilles tenotomy in clubfoot patients. J Orthop Sci 2021; 26:1081-1084. [PMID: 33610428 DOI: 10.1016/j.jos.2020.10.027] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 10/02/2020] [Accepted: 10/29/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND Although Achilles tenotomy is performed to increase the ankle dorsiflexion in clubfoot patients, it may also increase the amount of the foot abduction due to the unique oval field of motion property of the ankle and subtalar joint complex. This study investigated the effect of Achilles tenotomy on foot abduction in patients with clubfoot. METHODS Equinus deformity before tenotomy (EBT), equinus deformity after tenotomy (EAT), abduction before tenotomy (ABT), and abduction after tenotomy (AAT) were measured. The decrease in the amount of equinus after tenotomy (Δ equinus) and the increase in the amount of abduction (Δ abduction) after tenotomy were then calculated. RESULTS The Achilles tenotomy was performed on 22 feet of 16 patients. The results (Mean ± standard deviation) were as follows: EBT: 28° ± 19 (range, 8-76), EAT: -27° ± 7 (-36- -11), ABT: 54° ± 16 (21-72), AAT: 77° ± 5 (66-85), Δ equinus: 55° ± 15 (38-87), Δ abduction: 23° ± 15 (5-51). The change between EBT-EAT and ABT-AAT was statistically significant (both p < 0.001). EBT was correlated negatively with ABT (r = -0.648; p = 0.001) and Δ equinus was correlated positively with Δ abduction (r = 0.522; p = 0.013). CONCLUSION The Achilles tenotomy in clubfoot patients not only increases ankle dorsiflexion but also increases the foot abduction due to oval field of motion of the ankle and subtalar joint complex. It should be considered that an increase of the foot abduction may be achieved after the Achilles tenotomy. Therefore, the maximum foot abduction may be achieved after the Achilles tenotomy, not before the Achilles tenotomy.
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Affiliation(s)
- Osman Nuri Ozyalvac
- Department of Orthopaedic Surgery and Traumatology, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Rumeli Hisari Cad. Baltalimani, Sariyer, Istanbul, Turkey.
| | - Evren Akpinar
- Department of Orthopaedic Surgery and Traumatology, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Rumeli Hisari Cad. Baltalimani, Sariyer, Istanbul, Turkey
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Ozyalvac ON, Akpinar E, Gur V, Beng K, Yagmurlu MF, Bayhan AI. A Formula to Predict the Magnitude of Achilles Tendon Lengthening Required to Correct Equinus Deformity. Med Princ Pract 2020; 29:75-79. [PMID: 31220832 PMCID: PMC7024852 DOI: 10.1159/000501603] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Accepted: 06/20/2019] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES Achilles tendon lengthening (ATL) is one of the most commonly performed procedures in paediatric orthopaedic surgery. An appropriate adjustment of the amount of ATL is crucial to avoid insufficient or excessive lengthening. However, there is currently no effective method to preoperatively calculate the tendon length needed for equinus deformity correction. Thus, in this study we evaluated the accuracy of a calculation using a mathematical model based on the law of cosines. METHODS A total of 16 feet of 14 patients who were scheduled for ATL surgery due to equinus deformity were included in the study. ATL surgery was performed using a standard Z-plasty technique. Calculation of the amount of ATL using the law of cosines, and assessments of intraoperative lengthening of the tendon, were performed in a double-blind manner. The extent of lengthening resulting from the two methods was then compared. RESULTS The mean ATL determined intraoperatively was 23.67 ± 8.7 mm, and that obtained using the cosine-based method was 22.49 ± 8.6 mm. Thus, the new method showed excellent statistical agreement with the actual lengthening performed during surgery. CONCLUSIONS The required dimension of ATL can be calculated preoperatively using the mathematical formula presented here. The advantages of this approach are that it allows accurate tendon lengthening and reduces the size of the surgical incision.
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Affiliation(s)
- Osman Nuri Ozyalvac
- Department of Orthopaedic Surgery and Traumatology, Baltalimani Metin Sabanci Bone and Joint Diseases Education and Research Hospital, Istanbul, Turkey,
| | - Evren Akpinar
- Department of Orthopaedic Surgery and Traumatology, Baltalimani Metin Sabanci Bone and Joint Diseases Education and Research Hospital, Istanbul, Turkey
| | - Volkan Gur
- Sanliurfa Education and Research Hospital, Istanbul, Turkey
| | - Kubilay Beng
- Department of Orthopaedic Surgery and Traumatology, Baltalimani Metin Sabanci Bone and Joint Diseases Education and Research Hospital, Istanbul, Turkey
| | - Mehmet Firat Yagmurlu
- Department of Orthopaedic Surgery and Traumatology, Baltalimani Metin Sabanci Bone and Joint Diseases Education and Research Hospital, Istanbul, Turkey
| | - Avni Ilhan Bayhan
- Department of Orthopaedic Surgery and Traumatology, Baltalimani Metin Sabanci Bone and Joint Diseases Education and Research Hospital, Istanbul, Turkey
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Abstract
BACKGROUND Greater trochanter apophysiodesis (GTA) is relatively minimal invasive technique for the treatment of trochanteric overgrowth. Various types of implants can be used in each procedure. The purpose of this study was to compare outcomes of three different types of implants that were used in treatment of trochanteric overgrowth in Legg-Calve-Perthes disease. MATERIALS AND METHODS We retrospectively studied radiological results of three implants (screw, screw washer, and EP) on inhibiting trochanteric growth in 32 patients. Articulo-trochanteric and trochanter-trochanter distances (TTDs) were measured on radiographs. Embedding of implant evaluated on final radiographs. RESULTS The mean of age at the surgery was 10 ± 2.3 years, and the mean of follow up period was 50.0 ± 16.7 months. In all groups, articulo-trochanteric distance was decreased on final radiographs. In screw and screw washer group, increase of TTD was not statistically significant (P < 0.05). Twelve, one, and two implants were embedded, respectively, in screw, screw washer, and EP groups. Two patients in EP group had revision surgery due to loosening. CONCLUSIONS In this study group, GTA using screw and screw washer methods could slow down but did not restore trochanteric overgrowth. We suggest using washer to reduce embedding of the screw.
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Affiliation(s)
- Evren Akpinar
- Baltalimani Bone Diseases Education and Training Hospital, Department of Pediatric Orthopaedic Surgery, Istanbul, Turkey,Address for correspondence: Dr. Evren Akpinar, Metin Sabanci Baltalimani Bone Diseases Education and Training Hospital, Department of Pediatric Orthopaedic Surgery, Rumeli Hisari St. No: 62 34470 Sariyer, Istanbul, Turkey. E-mail:
| | - Osman Nuri Ozyalvac
- Baltalimani Bone Diseases Education and Training Hospital, Department of Pediatric Orthopaedic Surgery, Istanbul, Turkey
| | - Ilhan Avni Bayhan
- Baltalimani Bone Diseases Education and Training Hospital, Department of Pediatric Orthopaedic Surgery, Istanbul, Turkey
| | - Kubilay Beng
- Baltalimani Bone Diseases Education and Training Hospital, Department of Pediatric Orthopaedic Surgery, Istanbul, Turkey
| | | | - Mehmet Firat Yagmurlu
- Baltalimani Bone Diseases Education and Training Hospital, Department of Pediatric Orthopaedic Surgery, Istanbul, Turkey
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Ozyalvac ON, Kirat A, Akpinar E, Dincel YM, Ozkul B, Bayhan AI. The Effect of Tibialis Anterior Tendon Transfer on Metatarsus Adductus Deformity in Children with Clubfoot. Istanbul Med J 2018. [DOI: 10.5152/imj.2018.15807] [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: 11/22/2022] Open
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Akman YE, Sukur E, Circi E, Ozyalvac ON, Ozyer F, Ozturkmen Y. A comparison of the open reduction-internal fixation and resection arthroplasty techniques in treatment of Mason Type 3 radial head fractures. Acta Orthop Traumatol Turc 2017; 51:118-122. [PMID: 28065478 PMCID: PMC6197420 DOI: 10.1016/j.aott.2016.03.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2016] [Revised: 02/24/2016] [Accepted: 03/21/2016] [Indexed: 12/02/2022]
Abstract
Objective The aim of this study was to retrospectively compare a series of patients surgically treated with ORIF or early resection arthroplasty due to isolated comminuted radial head fractures. Methods Between the years 2009 and 2013, 34 patients with isolated comminuted fractures of the radial head (Mason Type 3) had been operated (ORIF in 19 patients, resection arthroplasty in 15 patients). The mean age of the patients in the ORIF group was 38.5 years and 54 years in the resection group. The carrying angle (CA) and ulnar variance were measured bilaterally, and radiographs were reviewed for degenerative elbow arthritis. The Mayo elbow performance score, Turkish version of the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH-T) and visual analog scale (VAS) were used to evaluate the clinical results. Results The mean follow-up period in the ORIF group was 40.2 months and 44.4 months in the resection group. In the ORIF group, 11 patients were clinically rated excellent, six good, and two fair. In the resection group, seven patients had excellent, five had good, and two had fair scores. We did not find a statistically significant difference between the ORIF and resection groups regarding the clinical and radiological outcomes. Conclusion With these short-term results, resection arthroplasty may be considered an effective method in the treatment of isolated comminuted radial head fractures, as it is less technically demanding and it also allows for early postoperative motion. However, the patients should be evaluated in detail, regarding ligamentous injuries prior to resection arthroplasty. Level of evidence Level III, Therapeutic study.
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Affiliation(s)
- Yunus Emre Akman
- Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey.
| | - Erhan Sukur
- Istanbul Education and Research Hospital, Istanbul, Turkey
| | - Esra Circi
- Istanbul Education and Research Hospital, Istanbul, Turkey
| | - Osman Nuri Ozyalvac
- Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey
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Kovalak E, Ozyalvac ON, Kanay E, Behzatoglu K, Tuzuner T. Lipoma Arborescence as a Rare Cause of Chronic Knee Effusion: Case Report. Istanbul Med J 2013. [DOI: 10.5152/imj.2013.54] [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: 11/22/2022] Open
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Baris A, Mert M, Ozluk AV, Carkci E, Ozyalvac ON, Senel A. Anatomical Plate Fixation in Clavicle Shaft Fractures and Clinical Outcomes. Istanbul Med J 2013. [DOI: 10.5152/imj.2013.25] [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: 11/22/2022] Open
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