Biomedical subjects

Abdullah Yalçin Tabak

Publications and source records attributed to Abdullah Yalçin Tabak.

4 recordsLinked to original sources

PubMed2004

Magnetic resonance arthrographic evaluation of syndesmotic diastasis in ankle fractures.

INTRODUCTION: We examined whether magnetic resonance arthrography (MRA) contributes to the diagnosis of syndesmotic complex disruption in ankle fractures. Patients suffering syndesmotic diastasis according to conventional radiographic criteria were evaluated by MRI and MRA. MATERIAL AND METHODS: Fifteen patients (15 ankles) with Denis-Weber type B and C fractures and were suspected of having syndesmotic diastasis considering tibiofibular clear space and tibiofibular overlap measurements in conventional radiographs were prospectively evaluated by MRI and MRA methods. Syndesmotic diastasis was diagnosed by radiographic, MRI, and MRA findings and by intraoperative observation and assessment criteria. Differences between MRI and MRA findings were tested statistically. Conventional radiography, MRI, and MRA results were analyzed by two independent observers, and interobserver concordance was also assessed. RESULTS: In 15 patients regarded to have syndesmotic diastasis on conventional radiography the diagnosis was confirmed in 8 (53.3%) with MRI and 12 (80%) with MRA. Following overall assessment 13 of 15 patients (86.6%) were determined to have diastasis. There were statistically significant differences in diagnosis after MRI and after MRA. There was interobserver concordance in conventional radiographic, MRA assessments, and in assessments for anterior and posterior tibiofibular ligaments separately in MRI. CONCLUSIONS: These results suggest that conventional radiography and MRI is not sufficient in assessing syndesmotic disruption, and that MRA can make an important contribution to diagnosis in ankle fractures.

Adult↗

PubMed2004

[Recurrent traumatic hip dislocation in a child].

Recurrent traumatic hip dislocation is rarely seen in childhood. We presented a case of traumatic hip dislocation which was treated by conservative methods. A two-year-old girl was treated with closed reduction and a hip spica cast for posterior traumatic dislocation in the right hip. Two years later, a recurrent dislocation occurred following a minor trauma on the same side. She was again treated with closed reduction and immobilization with a hip spica cast for three weeks followed by a three-week load bearing restriction. Early follow-up examinations showed an increased internal rotation of the hip compared to the left side, suggesting increased posterior capsular laxity. It then disappeared on her final follow-up at age six and magnetic resonance imaging showed no evidence for avascular necrosis or capsular laxity. She was asymptomatic and her physical examination was within normal limits. Of note, several members in her family had developmental dysplasia of the hip.

Casts, Surgical↗

PubMed2003

[The results of acetabular shelf procedures in Legg-Calve-Perthes disease].

OBJECTIVES: We evaluated the results of acetabular shelf procedures performed for the treatment of Legg-Calve-Perthes (LCP) disease. METHODS: The study included 14 patients (17 hips) with LCP disease, who were treated with acetabular shelf operation. The mean ages at the time of diagnosis, operations, and final examinations were 7 years (range 5 to 9 years), 8 years (range 6 to 10 years), and 12 years (range 10 to 16 years), respectively. The mean follow-up was five years (range 3 to 9 years). Before surgery, all patients had Catterall 3-4 hips, and at least two risk factors were identified. On pre- and postoperative anteroposterior and lateral radiograms, the Mose sphericity indices and CE angles were measured. In addition, the presence of hinge abduction was evaluated by dynamic arthrography preoperatively, and on direct radiograms and clinically during final examinations. The hips were graded according to a modified Stulberg classification on final direct radiograms. Clinical evaluation was made with the use of the Iowa hip scores. RESULTS: The Mose measurements did not yield significant improvement on anteroposterior radiograms (p>0.05), whereas postoperative improvement was significant on lateral views (p<0.05). Improvement in CE angles was also statistically significant (p<0.001). According to the Stulberg classification, 10 hips (58.8%) (Stulberg 1-2) were successful, three hips (17.6%) (Stulberg 3) were discussible, and four hips (23.5%) (Stulberg 4-5) were failures. Of four failures, three patients were at the age of 9 years or above. The final Iowa hip scores ranged from 65 to 99 (mean 88.2). Hinge abduction disappeared postoperatively in seven hips (7/13, 53.8%). CONCLUSION: Acetabular shelf operation following dynamic arthrography may be an alternative treatment option for hips with hinge abduction in LCP disease; however, it does not alter the natural course of the disease as the age increases.

Acetabulum↗

PubMed2002

[The results of plate fixation with the use of biological fixation principles and minimally invasive technique in femur fractures].

OBJECTIVES: We evaluated the clinical and radiologic results of patients treated by the minimally invasive technique and plate fixation in accordance with biological fixation principles for femoral fractures. METHODS: Biological fixation principles were used in the treatment of 24 patients (18 males, 6 females; mean age 32 years; range 18 to 56 years) with femoral fractures. Fractures were reduced by indirect reduction and the plate was forwarded through distal and proximal incisions over the periosteum without the need for incisions on the fracture line. Fixation of the plates was performed with the use of screws from distal and proximal incisions. The patients were allowed partial and full weight-bearing in a mean of 3.6 and 5 months, respectively. By means of monthly clinical and radiologic examinations, union was assessed by callus formation in the fracture line and painless weight-bearing. In addition, leg length discrepancy, rotation, angulation deformities, and knee and hip range of motions were determined. The mean follow-up was 2 years and 7 months (range 16 months to 4 years and 5 months). RESULTS: The mean union time was 4.6 months (range 4 to 11 months). Except for one patient (4%) with delayed union, all patients achieved union. No infections occurred related to the fracture site. CONCLUSION: Successful clinical and radiologic results can be obtained by biological methods of fixation in diaphyseal femur fractures with multiple fragments, segment formation, in multi-trauma patients with high Injury Severity Score and compromised pulmonary function, and in those having subtrochanteric or supracondylar fractures associated with high complication rates.

Adolescent↗