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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 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 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 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.
