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    Clinical and functional outcomes of hand surgery for recessive dystrophic epidermolysis bullosa
    (Sage Publications Ltd, 2025) Calavul, Abdulkadir; Cici, Hakan; Zeybek, Hakan; Kilic, Ali Ihsan
    Recessive dystrophic epidermolysis bullosa causes blistering and scarring of the hands, resulting in contractures fused web spaces and altered function. The aim of this study was to present the short- and mid-term clinical and functional results of a large case series of patients who underwent surgery for recessive dystrophic epidermolysis bullosa-related pseudosyndactyly. The study included 75 hands in 39 children (21 boys, 18 girls) with a mean age of 8 years (range, 4-15) and minimum follow-up of 1 year. Children were assessed with the Birmingham Epidermolysis Bullosa Severity Score Sheet and the ABILHAND-Kids questionnaire before operation and at final follow-up. There were varying degrees of recurrent scarring in all the hands by 24 months after operation. The ABILHAND-Kids questionnaire showed a significant improvement in ability to perform 17 of 21 tasks. In conclusion, despite recurrence that may develop in the short and mid term, surgical release can provide significant improvements in hand function.Level of Evidence: IV
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    Early surgical results of suture anchor tendon repair combined with bone drilling technique for recalcitrant lateral epicondylitis
    (2023) Cici, Hakan; Zeybek, Hakan; Kılıç, Ali Ihsan
    Objectives: The aim of this study was to report the early results of patients who underwent surgical treatment with suture anchor tendon repair combined with the bone drilling technique for a diagnosis of recalcitrant lateral epicondylitis. Methods: A retrospective analysis was made of 11 patients (two males, nine females; mean age: 38.3 years) who underwent surgery with suture anchor tendon repair and the bone drilling technique for a diagnosis of recalcitrant lateral epicondylitis between September 2019 and January 2022. The demographic data of the patients, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire score, Visual Analog Scale (VAS) value, Range of Motion (ROM) values (wrist, elbow and forearm) and the wrist extension, pinch and grip muscle strength measurements at the final follow-up examination were recorded. Results: The mean follow-up period was 18 months (range, 12-26 months), and the mean time to return to pre-injury activity was 7.3 months (range, 6-9 months) in ten patients. No significant loss of ROM was observed in any patient. The mean postoperative DASH score was 8.3 (range, 0-43.5). A decrease of 84% was determined in the VAS scores postoperatively. Wrist extension strength was grade 5 in 10 patients and grade 4 in one. The mean pinch strength was +102% of the non-operated extremity, and the mean grip strength was +101% of the non-operated extremity. Conclusion: The suture anchor tendon repair combined with the bone drilling technique can be an effective method in the surgical treatment of recalcitrant lateral epicondylitis, providing an early return to pre-injury activity, pain reduction and maintaining muscle strength.
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    Video-based digital platforms as an educational resource for the surgical preparation of orthopedic surgeons
    (Assoc Medica Brasileira, 2023) Zeybek, Hakan; Cici, Hakan; Kilic, Ali Ihsan
    OBJECTIVE: The aim of the study was to research the video-based digital platforms that orthopedic specialists in Turkey use as an educational resource in their surgical preparations that they have not seen or done before, the frequency of their use of these platforms, and their trust in these platforms, with a survey study.METHODS: The importance of video-based digital platforms in surgical preparations that surgeons have not seen or done before was measured using the data obtained from 181 orthopedic specialists using a survey prepared on an Internet-based server (docs.google.com).RESULTS: Orthopedists used video-based digital platforms with a ratio of 38.7% among the educational resources in their surgical preparations that they have not seen or done before. There was no significant difference between the specialists with a surgical experience of 1-10 years and more than 10 years of experience in terms of using video-based digital platforms in surgical preparation (p>0.05). A total of 81.2% of the participants used only video-based digital platforms in the preparation of a surgical procedure they have never seen before. The most frequently used digital platform was YouTube, and 62% of the participants considered these platforms reliable.CONCLUSION: Orthopedic specialists in Turkey primarily and frequently use video-based digital platforms as a training resource in their preparations for surgery that they have not seen or done before. The establishment or support of platforms with evidence-based content with references from official orthopedic institutions and organizations can increase the trust of orthopedic specialists in these platforms.