Yazar "Kilic, Ali Ihsan" seçeneğine göre listele
Listeleniyor 1 - 14 / 14
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Clinical and functional outcomes of hand surgery for recessive dystrophic epidermolysis bullosa(Sage Publications Ltd, 2025) Calavul, Abdulkadir; Cici, Hakan; Zeybek, Hakan; Kilic, Ali IhsanRecessive 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: IVÖğe Clinical and radiological significance of posteromedial fragment in tibial plateau fractures(Elsevier, 2022) Akdemir, Mehmet; Turken, Mehmet Aykut; Turan, Ahmet Cemil; Bicen, Ahmet Cagdas; Kilic, Ali IhsanIntroduction: The effect of joint fragmentation, especially the posteromedial fragment, on treatment outcomes in tibial plateau fractures has been better understood in recent years. In this study, we wanted to examine whether the accompanying posteromedial fragment has an effect on clinical and radiological results. Patients and methods: Patients who underwent open reduction and internal fixation with plate and screw due to tibial plateau fracture were retrospectively screened. The patients were divided into two groups as with and without posteromedial fragment. Clinical, radiological and complications were compared statistically. Results: 38 out of 52 patients were included in the study. The mean age of the patients was 46.08, 26 (68.42%) were female and 12 (31.58%) were male. Mean follow-up was 18.55 months. Posteromedial fragment was present in 21 (55.6%) patients, but not in 17 (44.4%) patients. When the two groups were compared according to the Rasmussen clinical and radiological criteria, no statistically significant difference was found. There was no statistically significant difference between the two groups in the rates of infection, non-union, malunion, joint separation, early arthrosis and arthrofibrosis (p > 0.05). A statistically significant difference was found between the two groups in terms of reduction loss rates (p < 0.05). Conclusions: The accompanying tibial plateau fractures of the posteromedial fragment are characteristic fractures. Care should be taken to maintain the stability of the fracture fixation.Öğe 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, SercanBACKGROUND/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.Öğe Determining minimal clinically important difference and patient-acceptable symptom state after arthroscopic isolated subscapularis repair(Elsevier B.V., 2024) Kilic, Ali Ihsan; Zuk, Nicholas A.; Ardebol, Javier; Pak, Theresa; Menendez, Mariano E.; Denard, Patrick J.Background: Minimal Clinically Important Difference (MCID) and Patient-Acceptable Symptomatic State (PASS) have emerged as patient-based treatment assessments. However, these have not been investigated in patients undergoing arthroscopic isolated subscapularis repair (AISR). The primary purpose of this study was to determine the MCID and PASS for commonly used patient-reported outcomes in individuals who underwent AISR. The secondary purpose was to assess potential associations between preoperative and intraoperative patient characteristics and the MCID and PASS. Methods: A retrospective analysis was conducted on prospectively collected data for patients who underwent primary AISR between 2011 and 2021 at a single institution, with minimum 2-year postoperative follow-up. Functional outcomes were assessed using the American Shoulder and Elbow Surgeons (ASES) score, Subjective Shoulder Value (SSV), and Visual Analog Scale (VAS) pain scale. The MCID was determined using the distribution-based method, while PASS was evaluated using area under the curve analysis. To investigate the relationship between preoperative variables and the achievement of MCID and PASS thresholds, Pearson and Spearman coefficient analyses were employed for continuous and noncontinuous variables, respectively. Results: A total of 77 patients with a mean follow-up of 58.1 months were included in the study. The calculated MCID values for VAS pain, ASES, and SSV were 1.2, 10.2, and 13.2, respectively. The PASS values for VAS pain, ASES, and SSV were 2.1, 68.8, and 68, respectively. There was no significant correlation between tear characteristics and the likelihood of achieving a MCID or PASS. Female sex, worker's compensation status, baseline VAS pain score, and baseline ASES score, exhibited weak negative correlations for achieving PASS for VAS pain and ASES. Conclusion: This study defined the MCID and PASS values for commonly used outcome measures at short-term follow-up in patients undergoing AISR. Tear characteristics do not appear to impact the ability to achieve a MCID or PASS after AISR. Female sex, worker's compensation claim, and low baseline functional scores have weak negative correlations with the achievement of PASS for VAS pain and ASES scores. © 2024 The Author(s)Öğe Determining the Patient Acceptable Symptom State (PASS) for Shoulder Strength After Subscapularis Arthroscopic Repair and Evaluating the Preoperative Predictors for PASS Achievement(Sage Publications Inc, 2024) Gonzalez-Morgado, Diego; Ardebol, Javier; Kilic, Ali Ihsan; Noble, Matthew B.; Galasso, Lisa A.; Menendez, Mariano E.; Denard, Patrick J.Background: Restoring shoulder strength after arthroscopic rotator cuff repair (ARCR) is critical, but there is limited understanding as to what patients consider satisfactory postoperative strength.Purpose: To determine the Patient Acceptable Symptom State (PASS) values for the Constant score strength parameter and internal rotation (IR) strength in patients who underwent ARCR for rotator cuff tears involving the subscapularis (SSC) muscle and evaluate for associations between preoperative and intraoperative patient characteristics with PASS achievement.Study Design: Case-control study; Level of evidence, 3.Methods: A retrospective analysis was conducted on prospectively collected data for 278 patients with an SSC tear (isolated or combined) who underwent ARCR and had minimum 2-year follow-up data. Functional outcomes (patient-reported outcomes, range of motion, Constant strength, and IR strength) were assessed preoperatively and at the latest follow-up. The overall, male, and female PASS values for postoperative strength measures were evaluated using receiver operating characteristic analysis. Correlation and logistic regression analyses were used to evaluate the relationship between preoperative variables and PASS achievement for Constant and IR strengths.Results: The mean follow-up time was 72.8 months. The overall, male, and female PASS values were 9.9 lb (4.5 kg), 14.5 lb (6.6 kg), and 8.5 lb (3.9 kg), respectively, for Constant strength and 15.2 lb (6.9 kg), 20.7 lb (9.4 kg), and 12.1 lb (5.5 kg), respectively, for IR strength. Older age, high fatty infiltration of the SSC tendon (Goutallier grades 3 and 4), and failure of SSC healing correlated negatively with PASS attainment for the strength measures. High fatty infiltration of the supraspinatus and infraspinatus muscles correlated negatively with Constant strength. Decreased coracohumeral distance (CHD) and larger SSC tears correlated negatively with achieving PASS for IR strength. Workers' compensation, high supraspinatus and SSC fatty infiltration, and the use of knotted suture anchors were predictors of not achieving the overall Constant strength PASS, while lower SSC fatty infiltration and high CHD were predictors of achieving the overall IR strength PASS.Conclusion: This study established the PASS values for Constant and IR strengths for patients after ARCR involving the SSC tendon. Workers' compensation, high supraspinatus and SSC fatty infiltration, and the use of knotted suture anchors were predictors of not achieving the overall Constant strength PASS, while lower SSC fatty infiltration and high CHD were predictors of achieving the overall IR strength PASS.Öğe 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, ErtugrulBACKGROUND/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.Öğe Enhanced stability of the distal radioulnar joint with double suture button construct: a cadaveric study(BMC, 2024) Çapkın, Sercan; Kilic, Ali Ihsan; Huesemoglu, Resit Bugra; Akdemir, Mehmet; Zeybek, Gulsah; Kiray, AmacBackground Distal radioulnar joint (DRUJ) instability is a common post-traumatic complication, often leading to chronic pain and dysfunction. Current reconstructive techniques, such as the single suture button construct, offer suboptimal stabilization in certain motions. This study aimed to evaluate whether a double suture button construct provides greater stability than the single construct in a cadaver model of DRUJ instability. We hypothesized that the double suture button construct would more effectively minimize dorsal translation of the radius relative to the ulna. Methods We used nine freshly frozen human cadaver upper extremities, destabilized the DRUJ, and then reconstructed the joint using three different suture button constructs: single transverse, double (transverse + oblique), and single oblique. The specimens were secured in a custom-designed testing apparatus to measure dorsal translation of the radius. The study proceeded in five stages: stable DRUJ, unstable DRUJ, and reconstruction using a single transverse, double (transverse + oblique), and single oblique suture button construct. Dorsal translation was measured at neutral, 45 degrees pronation, and 45 degrees supination. Statistical comparisons of mean values were conducted for each stage. Results Reconstruction with the transverse, transverse plus oblique, and oblique suture button constructs resulted in statistically significant reductions in dorsal translation compared to the unstable DRUJ (p < 0.001 for all). The double-suture button construct significantly minimized dorsal translation in all positions, restoring stability comparable to a stable DRUJ: neutral (p = 1.000), pronation (p = 0.963), and supination (p = 1.000). In contrast, single constructs failed to fully restore stability in pronation and supination. Conclusion The double suture button construct provides significantly greater stabilization of the DRUJ compared to the single construct. These findings suggest that the double construct could be a more effective option for treating DRUJ instability, particularly in restoring normal joint function during various motions. Further research is warranted to confirm these results in clinical settings.Öğe Flexible reamer use to overcome entry point errors in proximal femoral nail application in severe obese intertrochanteric fracture patients(BMC, 2024) Horoz, Levent; Kilic, Ali Ihsan; Kircil, Cihan; Cakmak, Mehmet FevziIntroduction Proximal femoral nailing (PFN) offers biomechanical benefits for intertrochanteric fractures but can lead to higher complication rates from poor reduction and technique errors, particularly in obese patients. Incorrect entry points may cause reduction loss, iatrogenic fractures, and misplaced lag screws. The study aims to investigate the effect of using an oriented flexible reamer instead of a rigid reamer on clinical and radiological results to obtain a medial entry point and better positioning of the nail in the intramedullary area in obese intertrochanteric fracture patients. Materials and methods A retrospective analysis was conducted on patients aged 65 years and older who underwent PFN treatment between March 2020 and June 2022 at a single institution, with at least 1-year postoperative follow-up. Patients were divided into two groups: those applied with a flexible reamer and a rigid reamer. Parameters analyzed from postoperative radiographs included tip-apex distance (TAD), calcar-referenced tip-apex distance (CalTAD), reduction quality, femoral neck-shaft angle, and lag screw placement. Complication rates and types were recorded for each group. Result The analysis included 91 patients, with 45 treated using a flexible reamer and 46 treated using a rigid reamer. There was no statistical difference between the two groups regarding age, gender, BMI, and AO class distributions of the patients (p > 0.05). The Femur neck shaft angle was significantly higher in the flexible reamer group (p < 0.001). As a result of the reduction types analysis, medial type reduction was significantly higher in the group where the flexible reamer was applied (p < 0.001). The CalTAD was shorter in the Flexible reamer group (p = 0.005). Complications and the need for reoperation were statistically significantly higher in the rigid reamer group (p < 0.048). Conclusion The oriented flexible reamer reduces application-related errors in patients undergoing proximal femoral nail (PFN) treatment due to intertrochanteric fracture. The oriented flexible reamer technique allows a more medial entry point. Oriented flexible reamer creates enough space on both fracture sides at the level of intertrochanteric fracture to avoid nail pass-related complications. Level of evidenceLevel III, Case-control study.Öğe Histomorphological Investigation of Microfracture Location in a Rabbit Osteochondral Defect Model(Sage Publications Inc, 2023) Kilic, Ali Ihsan; Hapa, Onur; Ozmanevra, Ramadan; Pak, Theresa; Akokay, Pinar; Ergur, Bekir Ugur; Kosay, Mustafa CanBackground: Microfracture is the most common treatment for cartilage defects of the knee. In microfracture surgery, holes are randomly drilled into the subchondral bone. The effect of the hole's location on its interaction with the cartilage defect site and its influence on the healing process is currently uncertain.Purpose: To investigate the effects of different microfracture locations on healing in a rabbit knee osteochondral defect model.Study Design: Controlled laboratory study.Methods: A total of 29 adult New Zealand White rabbits were divided into 5 groups. In the healthy cartilage control group (n = 5), no surgical procedure was performed. Cylindrical full-thickness cartilage defects (5 x 3 mm) were created in the patellar groove of the remaining 24 rabbits. In the defect control group (n = 6), only the defect was created. A microfracture was performed at the 12-o'clock position (group peripheral single; n = 6), centrally (group central; n = 6), and at the 12- and 6-o'clock positions (group peripheral double; n = 6) of the defect. The animals were sacrificed after 8 weeks. Cartilage healing was evaluated by International Cartilage Regeneration & Joint Preservation Society (ICRS) score, modified O'Driscoll score, immunohistochemical analysis (type 1 collagen, type 2 collagen, and aggrecan), and scanning electron microscopy analysis.Results: In group peripheral double, better cartilage healing was observed in all parameters compared with the other groups (P < .05). Group peripheral double had the greatest amount of filling, with 79% of the defect area filled with fibrocartilage repair tissue. Group peripheral single demonstrated filling of 73% of the defect area, group central 56%, and the defect control group 45%. The ICRS score was significantly higher in group peripheral single compared with group central and the defect control group. Type 2 collagen and aggrecan immunoreactivity were significantly stronger in group central than group peripheral single and the defect control group (P < .05).Conclusion: Microfracture performed at the peripheral margin of the defect had better filling characteristics in a rabbit model. This study suggests that interaction of pluripotent cells released from the microfracture site with the intact cartilage may enhance the quality of the repair tissue.Clinical Relevance: The location of microfracture holes in relation to the peripheral border of the osteochondral defect (to the intact cartilage) is important in both the quality and the quantity of the newly formed repair tissue.Öğe Missed Diagnosis of a Rare Retropatellar Juxta-Articular Angioleiomyoma: A Case Report(Springernature, 2023) Ghayyad, Kassem; Kilic, Ali IhsanAngioleiomyomas are benign tumors that originate from smooth muscle cells and most commonly affect organs such as the uterus or gastrointestinal tract. This article presents a case of a rarely reported angioleiomyoma located in the retropatellar juxta-articular region of the knee. The patient is a 42-year-old female who experienced chronic anterior knee pain that led to two unsuccessful arthroscopic surgeries. Magnetic resonance imaging (MRI) revealed a well-defined lesion in the retropatellar area, prompting the decision to proceed with open surgery. The histopathological examination confirmed the diagnosis of angioleiomyoma. This case highlights the challenges in diagnosing angioleiomyomas in the knee and emphasizes the importance of comprehensive MRI evaluation for accurate diagnosis and appropriate surgical intervention. Prompt identification and excision of the soft tissue lesion can lead to the complete resolution of symptoms and effective management of this rare condition.Öğe Patients 75 years or older with primary glenohumeral arthritis and an intact rotator cuff show similar clinical improvement after reverse or anatomic total shoulder arthroplasty(Mosby-Elsevier, 2024) Ardebol, Javier; Flores, Adrian; Kilic, Ali Ihsan; Pak, Theresa; Menendez, Mariano E.; Denard, Patrick J.Background: The optimal management of primary glenohumeral arthritis (GHOA) in the elderly is an ongoing topic of debate. The purpose of this study was to compare functional outcomes and complications in patients aged 75 years or older treated with anatomic total shoulder arthroplasty (TSA) or reverse shoulder arthroplasty (RSA) for primary GHOA with an intact rotator cuff. Methods: A retrospective study was performed on a prospectively maintained database which was queried for patients 75 years of age or older who underwent TSA or RSA for primary GHOA with an intact rotator cuff at a single institution between 2012 and 2021 with minimum 2 -year follow-up. Patient -reported outcomes (PROs), including Visual Analog Scale for pain, American Shoulder and Elbow Surgeons, and Subjective Shoulder Value, as well as active range of motion including forward flexion, external rotation, internal rotation, were collected preoperatively and postoperatively. Complications, reoperations, and satisfaction were also recorded. The percentage of patients achieving clinically significant improvement was evaluated with the minimally clinical important difference, substantial clinical benefit, and patient acceptable symptomatic state for each PRO. Results: One -hundred and 4 patients were available for analysis, including 67 TSA patients and 37 RSAs with a mean follow-up of 39.4 months. Preoperative baseline characteristics, PROs, and range of motion were similar between groups. RSA was more commonly performed for eccentric glenoid wear (Walch B2/B3, 62% vs. 22%; P < .001). While clinical outcomes improved comparably in both groups, the TSA cohort showed significantly greater improvement in external rotation (36 degrees vs. 26 degrees ; P = .013). Both cohorts had low revision (3% for TSA vs. 0% for RSA) and complication (7% for TSA vs. 5% for RSA; P = .677) rates. Satisfaction was similar in both groups (93% for TSA vs. 92% for RSA; P = .900). Clinically significant improvement was comparable between groups based on the American Shoulder and Elbow Surgeons score (minimally clinical important difference, 93% for TSA vs. 100% for RSA; substantial clinical benefit, 82% vs. 95%; patient acceptable symptomatic state, 67% vs. 78%; P > .05). Conclusion: In this retrospective small sample size comparison study, TSA and RSA provide similar short-term clinical outcomes for patients 75 years and older with primary GHOA and an intact rotator cuff. Complication and revision rates are comparably low at shortterm follow-up. Our data suggests that advanced age alone should not be used as a decision -making tool for TSA vs. RSA in the setting of primary GHOA with an intact rotator cuff. Level of evidence: Level III; Retrospective Cohort Comparison; Treatment Study (c) 2023 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.Öğe Postoperative Outcomes Are Comparable Between Arthroscopic Subscapularis Repairs Performed With Either All-Suture Anchors or Hard-Body Anchors(Elsevier Inc., 2024) Gonzalez-Morgado, Diego; Ardebol, Javier; Kilic, Ali Ihsan; Noble, Matthew B.; Galasso, Lisa A.; Nugent, Matthew; Phillips, CameronPurpose: To compare clinical outcomes and tendon healing rates of patients undergoing arthroscopic rotator cuff repairs involving the subscapularis (SSC) tendon (isolated or combined) with all-suture anchors (ASAs) versus hard-body anchors (HBAs) and to compare SSC healing rates between these 2 anchors. Methods: A retrospective comparative study was performed on patients who underwent arthroscopic rotator cuff repair of the SSC with either ASAs or HBAs and had a minimum 2-year follow-up. Range of motion and patient-reported outcomes were collected pre- and postoperatively, including a visual analog scale for pain, American Shoulder and Elbow Surgeons score, and Subjective Shoulder Value. Postoperative strength was measured, including Constant strength and belly press test. SSC healing was evaluated on ultrasounds at the final follow-up. Results: Eighty-four patients met the study criteria. Twenty-eight underwent SSC repair with ASAs and 56 with HBAs. The mean follow-up for the ASA group and HBA group was 44 ± 22.7 months and 48.4 ± 28.3, respectively (P = .743). Baseline characteristics were comparable between groups (P > .05). Overall, patient-reported outcomes and range of motion showed significant improvements from baseline to the final follow-up in all groups (P < .001). Postoperatively, patients in the ASA group had greater improvement in forward flexion compared to the HBA group: 31° (95% confidence interval, 20°-42°) versus 14° (95% confidence interval, 5°-8°), respectively (P = .002). Postoperative Constant strength was higher in the ASA group compared to the HBA group: 17.5 ± 7.5 versus 13.5 ± 5.6, respectively (P = .04). No statistically significant difference in SSC retear rates was observed between groups: none in the ASA group and 3 (10.7%) in the HBA group (P = .27). Conclusions: Arthroscopic SSC repair leads to significant functional improvement, with both ASAs and HBAs demonstrating similar low failure rates. Level of Evidence: Level III, retrospective cohort study. © 2024 The AuthorsÖğe RETROSPECTIVE COMPARISON OF TWO DIFFERENT FIXATION METHODS FOR FIRST METATARSOPHALANGEAL JOINT ARTHRODESIS(Dokuz Eylul Univ Inst Health Sciences, 2023) Akdemir, Mehmet; Turan, Ahmet Cemil; Kilic, Ali IhsanPurpose: Arthrosis of the first MTP joint is a common condition. Among the available arthrodesis methods, plate/screw and screw methods are the current treatment methods of choice. In this study, we investigated whether there is a difference between these two methods. Material and Methods: Thirty-four toes of 32 patients with advanced arthrosis were included in the study. Eighteen arthrodesis were fixed with locking plates/screws and 16 with cross-screws. In the radiological evaluations, malunion and nonunion were examined. Clinical evaluation was made according to AOFASResults: The mean age of the patients was 57.74 +/- 10.079 years and the mean follow-up period was 22.21 +/- 9.108 months. There was no statistically significant difference in clinical scores or union times between the two groups. As complications, superficial skin problems developed in 2 (5.9%) cases, deep infection in 3 (8.8%) cases, and nonunion in 3 (8.8%) cases. There was no statistically significant Conclusion: Plate/screw and cross-screw techniques give similar clinical and radiological results in cases of arthrodesis of the first MTP joint. The cross-screw technique, which can be performed more easily andÖğe 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 IhsanOBJECTIVE: 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.
