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Tahir Oğüt

Publications and source records attributed to Tahir Oğüt.

13 recordsLinked to original sources
PubMed2005

[Radiologic evaluation of shoulder instability: conventional radiography, computed tomography and magnetic resonance imaging].

Glenohumeral instability remains a very complex and sometimes challenging diagnostic problem. In most patients, the diagnosis relies mainly on history and physical examination. Radiologic studies provide further information about associated lesions. Although the initial imaging modality for any shoulder condition should be routine radiographs, additional imaging modalities are utilized to evaluate treatment options and prognosis. Computed tomography arthrography and magnetic resonance imaging provide valuable information. However, magnetic resonance arthrography may be required in cases in which it is uniquely appropriate for its multiplanar capability and excellent soft tissue contrast.

Arthrography↗
PubMed2005

[Open surgical treatment of posterior instability of the shoulder].

Posterior instability of the shoulder remains a diagnostic and therapeutic challenge, with a growing incidence especially in athletes. Evaluation of the type of the instability, whether unidirectional or multidirectional, is very important with regard to treatment. Although many patients benefit from strengthening and balancing rotator cuff muscles and scapular stabilizers, surgical procedures may be required in those unresponsive to conservative treatment. Posterior capsular shift is the method of choice to eliminate redundancy of the posterior and inferior capsules; moreover, in the presence of bone defects relating to the head of the glenoid or humerus, bony procedures should be added to the treatment.

Humans↗
PubMed2005

[Treatment of intertrochanteric femur fractures in elderly patients: internal fixation or hemiarthroplasty].

OBJECTIVES: There is no consensus as to whether internal fixation or hemiarthroplasty is more appropriate for the treatment of intertrochanteric femur fractures in elderly patients. While the latter offers early mobilization, internal fixation preserves the hip joint and avoids long-term complications associated with the prosthesis. This retrospective study aimed to compare the early results of these treatment modalities. METHODS: The study included 81 patients who were available for follow-up after surgery for intertrochanteric femur fractures. Of 38 patients (mean age 77.7 years; range 65 to 99 years) treated with internal fixation, 25 were alive; of 43 patients (mean age 80 years; range 67 to 97 years) treated with hemiarthroplasty, 22 were alive at the last follow-ups. The two groups were compared with regard to perioperative characteristics, mobilization time, complications, mortality, and daily activities according to the Barthel Activities of Daily Living Index. The mean follow-up was 22.7 months (range 6 to 39 months) in internal fixation, and 22.3 months (range 7 to 39 months) in hemiarthroplasty groups. RESULTS: Subsequent to the operation, mortality occurred in 34.2% after a mean of 13 months (range 1 to 36 months) and in 48.8% after a mean of six months (range 1 to 24 months) in patients treated with internal fixation and endoprosthesis, respectively. There were no significant differences with respect to mobilization in bed, standing, weight bearing without support, complications, and daily activity scores. The only significant difference in favor of hemiarthroplasty was that full weight bearing with two crutches took a shorter time (p<0.05). CONCLUSION: Short-term results suggest that hemiarthroplasty is not an advantageous alternative to internal fixation; moreover, its postoperative survival is shorter and mortality rate is higher. Osteosynthesis seems to be the first choice in the treatment of elderly patients with intertrochanteric femur fractures.

Activities of Daily Living↗
PubMed2004

Medial meniscus anterior horn cyst: arthroscopic decompression.

Meniscus cysts are mostly seen with meniscus tears, and arthroscopic decompression of cysts is gaining great importance in their treatment. In this study, we present a medial meniscus anterior horn cyst without an accompanying tear in the meniscus. A 33-year-old male patient was seen with pain and a palpable mass in his right knee. He complained that the severity of the pain had increased over the previous year. After the clinical and radiologic examinations, a painless, fixed soft tissue mass averaging 4 x 5 cm was located just medial to tuberositas tibia. The cyst was decompressed arthroscopically. In the 18th month of follow up, the mass had totally disappeared and the patient had no pain. Medial meniscus cysts are seen nine times fewer than lateral meniscus cysts. They are mostly accompanied with meniscal tears. Total meniscectomy with arthrotomy, isolated cyst excision, cyst excision, and partial meniscectomy with arthrotomy and arthroscopic partial meniscectomy with cyst decompression are treatment modalities. Arthroscopic meniscal cyst decompression is an important treatment choice and should always be taken into consideration with low morbidity, short recovery period, low recurrence rate, preservation of range of motion, and permission for early mobilization and rehabilitation of the joint.

Adult↗
PubMed2003

Intra-articular hemangioma of the knee.

Intra-articular hemangioma of the knee is a rare cause of pain and spontaneous hemarthrosis, often seen as an internal derangement of the joint in children and young adults. The tumor is observed in two different forms: the synovial hemangioma or the arteriovenous malformation named also as hemangiohamartomas. They may cause hemorrhagic synovitis and arthropathy, probably as a result of recurrent episodes of intra-articular bleeding and mechanical irritation. Four cases of intra-articular hemangioma of the knee are presented in this study. Two of our cases were diagnosed as synovial hemangioma with the lesions localized inside the knee and the other 2 were intermediate type with the tumor extending to the muscle group and the skin. After magnetic resonance imaging and angiographic assessment, arthroscopic excision was performed in the localized type of the tumor. The other 2 cases received only diagnostic arthroscopy and biopsy followed by conservative treatment due to the extensive localization of the tumors and the serious chondral lesions. The decision of the treatment modality is very difficult in intra-articular hemangioma of the knee because, when combined with chondral degeneration, the incidence of local recurrence is high.

Adolescent↗
PubMed2003

Arthroscopic meniscectomy for discoid lateral meniscus in children and adolescents: 4.5 year follow-up.

We retrospectively reviewed the 4.5 year (range, 21-88 months) follow-up results of arthroscopic partial meniscectomies performed in 11 knees between 1994 and 2000 to treat a symptomatic discoid lateral meniscus. The average age at surgery was 11.5 years (range, 5-17 years). All except one of the discoid menisci were of a complete type, and all except three were torn menisci. At the latest follow-up examination, the result was excellent for nine knees, and good for two; no degenerative changes were evident on the roentgenograms. Arthroscopic partial meniscectomy should be the treatment of choice for the complete type symptomatic lateral discoid meniscus, even if it is intact. Preoperative lack of the knee extension requires a gentle rehabilitation program postoperatively.

Adolescent↗
PubMed2003

[The use of a modified Weber technique for high tibial osteotomy].

OBJECTIVES: We evaluated fixation in high tibial osteotomy with the use of a modified Weber technique (MWT), together with its advantages. METHODS: Thirty-nine patients (40 knees) underwent high tibial osteotomy for varus deformities of the knee joint and medial compartment degeneration. Fixation was performed by a modified Weber technique in which a semi-tubular plate and a long leg screw were used in place of the original Weber instrumentation. Thirty-five patients were women and four were men, with a mean age of 52.5 years (range 25 to 67 years). The patients were evaluated before surgery both clinically and by HSS scores and the advantages and disadvantages of the technique were assessed. The mean follow-up was 22 months (range 8 to 45 months). RESULTS: All patients were allowed to give weight on the affected leg to the extent of utmost tolerability on the forth postoperative day. At the end of two weeks, 60% of the patients could bear half of the body weight. Screw breakage occurred in one patient due to faulty application of the technique. Pseudoarthrosis was seen in none of the patients, nor were there any early or late complications. Radiologic evidence of union was observed in all osteotomy sites. All patients achieved full extension except two who had a flexion deformity of 5 degrees. The mean knee flexion was 130.2 degrees. CONCLUSION: High tibial osteotomy may provide a rigid fixation, postoperative early motion and low complication rates in varus deformities and medial gonarthrosis of the knee. Our data suggest that MWT results in good stability both statically and dynamically in the fixation of high tibial osteotomy.

Adult↗
PubMed2003

[Suprascapular nerve entrapment by a ganglion cyst: a case report].

A twenty-two-year-old male patient presented with complaints of muscle atrophy and shoulder pain. Clinical and radiological studies showed a ganglion cyst near the spinoglenoid notch and a diagnosis of compression of the inferior branch of the suprascapular nerve was made. Following open excision of the cyst by a posterior approach, the patient's complaints subsided. A year after the operation recurrence of the lesion was detected. Arthroscopic control showed no intrarticular lesion. The patient still experiences minimal pain from time to time.

Adult↗
PubMed2003

[Defective forearm pseudoarthrosis with a neglected elbow dislocation].

Neglected elbow dislocations, rarely seen in the developed countries, are very attractive due to the difficulties of treatment and diversity of prognosis. A 32 year-old woman was admitted with chronic elbow dislocation and defective forearm pseudoarthrosis due to an accident four months prior to admission. Open reduction and distraction arthroplasty using hinged external fixator for the elbow, open reduction and internal fixation with plate-screws with fibula allograft for the forearm was performed. The elbow was stable and had 110 degrees and -15 degrees of active flexion and extension respectively on the ninth month of follow-up. Both radius and ulna were united.

Accidents↗
PubMed2003

[The value of acromioplasty in the treatment of subacromial impingement syndrome].

Although acromioplasty is widely used in the treatment of subacromial impingement syndrome, there is some controversy about the role of acromion morphology in the etiology. The acromion and the coracoacromial ligament provide passive stabilization against upward migration of the humeral head and play an important role in shoulder biomechanics. This article discusses relevant issues on subacromial impingement syndrome pertaining to the acromion and the value of acromioplasty in the treatment.

Acromion↗
PubMed2002

[Total knee arthroplasty: a 4.5-year follow-up].

OBJECTIVES: To present the short- and mid-term follow-up results of primary total knee arthroplasty. METHODS: We performed a total of 97 cemented total knee replacements (47 right, 50 left) with posterior cruciate ligament retention in 66 patients (60 women, 6 men). The mean age at the time of surgery was 65.2 years (range 29 to 82 years). Preoperative diagnoses were primary osteoarthrosis (n=60), rheumatoid arthritis (n=3), systemic lupus erythematosus (n=2), and post-traumatic osteoarthritis (n=1). Thirty-one patients had bilateral knee replacements, of which 29 were performed at the same session. Pre- and postoperative clinical evaluations were made according to the clinical rating system of the Knee Society. Radiographic evaluations were made according to the Fairbank's criteria preoperatively, and to the total knee arthroplasty radiographic evaluation and scoring system of the Knee Society postoperatively. The mean follow-up was 4.5 years (range 24 to 98 months). RESULTS: Clinical results were good or excellent in 94.8 percent of patients. Complications encountered were deep infection in two patients, patellar dislocation in two patients, deep venous thrombosis in two patients, and patellar tendon rupture in one patient. The mean increases in knee and functional scores were 42.94 and 39.87, respectively. Improvement in the mean postoperative knee flexion was 35.72 degrees. The mean leg alignment was 6.3 degrees valgus. No components required revision because of aseptic loosening. CONCLUSION: Posterior cruciate ligament retaining implants were found to yield successful clinical and radiologic results during short- and mid-term follow-up period.

Adult↗