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    Comparison of the Complications of Knee Replacement Using Fixed or Mobile Inserts
    (Galenos Publ House, 2024) Akdemir, Mehmet; Kaya, Erol; Kilic, Ali Ihsan; Kurt, Cengizhan; Capkin, Sercan
    BACKGROUND/AIMS: Knee replacement surgery or total knee arthroplasty is a widely performed procedure to alleviate pain and improve function in patients with severe knee joint degeneration or injury. The choice between fixed and mobile inserts for knee replacement implants remains critical. Fixed-bearing implants provide stability, whereas mobile-bearing implants offer increased conformity and potential for improved range of motion. This study aimed to compare the complications of knee replacement using fixed and mobile inserts. MATERIALS AND METHODS: A retrospective analysis was conducted on 412 knee replacement patients who underwent surgery between 2011 and 2021 using either the Smith & Nephew GENESIS-II fixed insert knee prosthesis or Zimmer-Mobile insert knee prosthesis. Data collection involved rigorous evaluation of patient files, radiographs, and postoperative outcomes. Data on age, gender, side of the knee prosthesis, preoperative and postoperative tibiofemoral angle, proximal tibia angle, osteolysis around the prosthesis, and complications, such as instability, infection, extensor mechanism problems, aseptic loosening, and radiological osteolysis, were recorded. Complications requiring surgical intervention were also noted. RESULTS: The mean age of patients was 65.18 years, and 88.5% were female. The mobile insert group included younger patients with a higher incidence of bilateral knee arthroplasties. Radiological evaluation revealed a higher incidence of patella changes and subsequent patella replacement in the mobile insert group. However, the overall complication rate was not significantly different between the two groups. Although postoperative joint alignment did not significantly differ between the groups, the postoperative proximal tibial angles were higher in the osteolysis, did not significantly differ between the two groups. CONCLUSION: The choice of fixed or mobile insert during knee replacement did not significantly affect the incidence of specific complications. Surgeons should consider individual patient factors, surgeon preference, and technical expertise when selecting the appropriate implant type for knee replacement surgery.
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    Elbow arthroscopy: Where are We Today? A Bibliometric Analysis
    (Galenos Publ House, 2024) Capkin, Sercan; Kilic, Ali Ihsan; Şeker, Fatih; Akdemir, Mehmet; Aydin, Mahmud; Sahin, Ertugrul
    BACKGROUND/AIMS: Elbow arthroscopy is a critical procedure for the treatment of elbow disorders, largely due to advancements in arthroscopic technology. While the field has seen significant growth, no comprehensive bibliometric analysis has been conducted to map research trends, key contributions, and gaps in this area. This study aimed to fill this gap by conducting a bibliometric analysis of articles published on elbow arthroscopy between 1986 and 2023, with the goal of understanding the evolution of the field, identifying influential research, and guiding future studies. MATERIALS AND METHODS: Articles on elbow arthroscopy published between 1986 and 2023 from the Web of Science database were retrieved and subjected to bibliometric scrutiny. After an initial retrieval of 343 articles, we excluded irrelevant categories and focused on the 312 studies that were most relevant to the field. Using VOSviewer software, bibliometric network visualizations and specific result mappings were conducted. Citation analysis was employed to discern prominent journals and articles, while keyword clustering and trend analyses were performed to investigate the thematic landscape of the research. RESULTS: Our analysis of 312 articles on elbow arthroscopy published between 1986 and 2023 revealed a significant increase in the number of publications after 2006. The majority of these publications (82.5%) were original research articles. The average citation count per article was 13.14, with an H-index of 36. The most frequently used keywords were elbow and arthroscopy, with Complications of Elbow Arthroscopy being the most cited study. Prominent journals such as Arthroscopy: The Journal of Arthroscopic & Related Surgery and influential authors like Van Den Bekeron MPJ and O'Driscoll SW were identified. Additionally, the United States was found to be the leading contributor in this field. CONCLUSION: This study offers insights into the evolution and trends of elbow arthroscopy research. The findings serve as a valuable resource for guiding future investigations in this field, while the keyword analysis provides a roadmap for researchers in formulating new studies.