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El Cerrahisi Yayınları

Zone II fleksör tendon yaralanmalarında tendon protezi ile fleksör tendoplasti uygulamalarımız

Amaç: Fleksör tendon yaralanmalarında, konvansiyonel tendon greftlemesinin kabul edilebilir başarı sağlayamayacağı düşünülen olgularda, tendon protezi kullanılarak iki seanslı fleksör …

Yüzük parmağı metakarpofalangeal ekleminde sinovyal kondromatozis: Olgu sunumu

Primary synovial chondromatosis is a benign metaplasia in which synovial tissue transforms into cartilagenous tissue. Primary synovial chondromatosis develops from joint or tendon synovium. Seconda…

Why is Nerve Ultrasound Scan Necessary for Peripheral Nerve Lesions?

Informed Consent: Written informed consents were obtained from the subjects. Authorship Contributions: Design- D.P.; Data Collection or Processing- D.P., B.Ö.; Literature Search- T.Ö.M., R.T….

Volar V-Y advancement flap without suturing of proximal part for reconstruction of fingertip amputations

Purpose: This study aimed to assess the results of volar V-Y advancement flap surgery without suturing the proximal part to reconstruct fingertip amputations. Methods: Between 2018 and 2020, 18 pat…

Volar bilek ganglionlarının cerrahi tedavisi

Amaç: Volar ganglionların eksizyonlarında dikkat edilmesi gereken noktalar, ameliyat edilen hastaların verileri ışığında değerlendirildi. Çalışma planı: Çalışmaya volar ganglion nedeniyle ameliyat …

Two suture fish mouth end to side microvascular anastomosis with fibrin glue

The most decisive step during free tissue transfers and replantation surgery may be respected as microvascular anastomosis. The conventional end-to-side anastomosis technique with simple interrupte…

Triangüler Fibrokartilaj Kompleks Sorunlarında Tanı ve Tedavi

ÖZET El bilek artroskopisindeki gelişmeler ışığında; bileğin ulnar bölümünde yer alan TFCC yapısının anatomi ve işlevi daha anlaşılır hale gelmiştir. Bilek biyomekaniğinde stabililite ve yük akt…

Triangular fibrokartilaj kompleks periferik (Palmer tip 1B) yırtıklarında artroskopik tamir sonuçları

AMAÇ: Triangular fibrokartilaj kompleks (TFKK) hasarlanması el bileğinin ulnar taraf ağrılarının başlıca nedenidir. Bu çalışmada, artroskopik olarak onarılan TFKK periferik (Palmer tip 1B) yır…

Triangular fibrokartilaj kompleks hasarlanmaları tanı ve tedavisi;ön klinik çalışma türk plastik, rekonstrüktif ve estetik cerrahi dergisi

Amaç: Triangular fibrokartilaj kompleks (TFK) hasarlanması el bileği ulnar taraf ağrılarının başlıca nedenlerindendir. Bu çalışmada, TFK hasarlanması nedeni ile tedavi edilen hastaların&n…

Trephine biopsy versus conventional open surgical technique for bone graft harvesting from the olecranon A retrospective comparison of perioperative outcomes

ABSTRACT Objective: This study aimed to compare the perioperative clinical outcomes of trephine biopsy (TB) with the conventional open surgical method (COSM) in bone graft harvesting from t…

Treatment of persistent large cystic lesions of the humerus with vascularized fibular grafts

Objectives: In this study, we aimed to evaluate the short-to-midterm results of the resection and reconstruction of large cystic lesions of the humerus. Patients and methods: Eight male patients…

Treatment of nonunions of the distal phalanx with olecranon bone graft

Distal phalangeal fractures are the most common fractures of the hand but nonunions are unusual in the distal phalanx. Eleven patients were operated on for nonunions of the distal phalanx. The d…

Treatment of nonunion of the distal phalanx with olecranon

We read this paper with interest and thank the authors for reporting their experience in the surgical treatment of nonunion of fractures of the distal phalanx. O¨zc¸elik et al. recommend surgical t…

Treatment of bony mallet finger using threaded kirschner wire

Amaç: Kırık komponenti olan çekiç parmakların tedavisi tartışılmalıdır. Bu makale, eklem yüzünün üçte birinden daha büyük kırık içeren çekiç parmak olgularında yivli Kirschner teli kullanımının tek…

The plate fixation in the treatment of complex forearm open fractures

Objectives: We aimed to evaluate the safety and outcomes of plate-screw fixation used for the immediate treatment of type-IIIC open fractures of forearm bones with complex soft tissue injuries. …

The function and the strength of the thumb is not affected when the extensor pollicis longus tendon is left out of the extensor retinaculum

Purpose: Leaving extensor pollicis longus (EPL) tendon out of the retinaculum in cases performed through a dorsal approach at the level of the extensor retinaculum after opening the 3rd extensor c…

Tenar çekiç sendromu

“Tenar çekiç sendromu”tekrarlayan travmalara sekonder olarak radial arterin tıkanması ile oluşan ve oldukça nadir rastlananbir hastalıktır.Arterte krarlayan şekilde travmatize olduğunda intimal yar…

Technical tips in distal finger replantations

Aim: Distal finger replantation is a challenge in microsurgery.Replantations distal to the flexor digitorum superficialis were initially termed as distal finger replantations but today what is…

Suture-button Fixation and Arthroscopic Dorsal Ligamento-capsulodesis in Chronic Scapholunate Dissociation

Abstract: The treatment choice in scapholunate (SL) injury depends on the extent of the SL ligament tear, chronicity of injury, quality of the ligament remnants, reducibility of carpal malalignm…

Surgical treatment of subungual glomus tumors: Experience with lateral subperiosteal and transungual approaches

Background: Nail bed deformity and tumor recurrence are the major complications of subungual glomus tumor surgery. Therefore, alternative methods to approach glomus tumors in the hand have been pr…

Successful reconstruction of osteocutaneous defect of calcaneal area with allogeneic bone graft and anterolateral thigh flap

ABSTRACT Calcaneus is a unique-shaped hindbone, therefore the reconstruction of complex osteocutaneous defects of heel-calcaneal area remain challenging. Management of a complex defect in the co…

Sporcularda el bileği yaralanması

Sporcularda yüksek fiziksel aktivitenin sonucu olarak travmatik ve aşırı kullanım yaralanmaları sık görülmektedir.El, el bilek yaralanma sıklığı spor yaralanmaları içerisinde %25’lere kadar yüksele…

Soft Tissue Management and Tibialis Posterior Tendon Transfer in Acute Correction for Neglected Drop Foot Deformity

Acute correction of rigid drop foot deformity can be problematic due to the skin defect that may occur in the medial part of the ankle. The purpose of this study is to present an innovative solutio…

Sinovyal tüberkülozda genel prensipler;tanı ve tedavi yaklaşımları

Akciğer dışı tüberküloz en yaygın olarak kas-iskelet sisteminde görülür.Kronik,yavaş seyirlidir.Genellikle bel ve yük binen eklemlerde daha sık görülür(1,2).Üst ekstremite tutulumu daha azdır(2,3)….

Sensory outcomes of fingertip replantations without nerve repair

The sensory recovery outcomes of ﬁngertip replantations without nerve repair were retrospectively studied. Between 2000 and 2006, 112 ﬁngertip replantations with only arterial repair were carried o…

Reverse sural flap: Our clinical experience with car tire injuries in the anterolateral aspect of the foot

ABSTRACT: BACKGROUND: Defects due to car wheel injury at the anterolateral aspect of the foot are challenging due to the characteristics of the region and the trauma. The aim of this study was…

Results of the 4-5 ECA vascularized pedicle bone grafting in avascular pseudoarthroses of the scaphoid proximal pole

Objective: The scaphoid bone is the most injured carpal bone and is the cause of severe wrist dysfunction seen in nonunion cases. The probability of avascular necrosis is very high especially …

Results of open reduction and plate osteosynthesis in comminuted fracture of the olecranon

Hypothesis: Using radiologic and clinical results, we studied the outcome of patients who underwent open reduction and plate osteosynthesis for comminuted olecranon fractures. Materials and…

Replantation of the total skin-only avulsions of fingers

Abstract Background: Skin-only avulsion is a particular type of avulsion surgery. In this type of injury, tendons, bones, and joints maintain their integrity. In this report, we aimed to report…

Rehabilitation after successful finger replantation

ABSTRACT OBJECTIVE: The aim of the present study was to assess results of rehabilitation of patients after finger replantation. METHODS: The study examined 160 fingers amputated and…

Pott Hastalığı

Tüberküloz enfeksiyonunun görülme sıklığı ülkelerin sosyoekonomik durumları ile ilişkilidir.Günümüzde immun yetmezlik durumları haricinde gelişmiş ülkelerde nadiren görülmekle birlikte,gelişmekte o…

Perforator artery repair in revascularization of extremity degloving injuries

Introduction: This article aims to expand the microsurgical treatment options for extremity degloving injuries with perforator artery repairs of the specific degloved angiosomes in upper and l…

Parmak ucu amputasyonlarda replantasyon tekniği

Parmak ucu elin en sık görülen yaralanma bölgesidir. Distal interfalangeal eklem distalinde oluşan amputasyonların replantasyonu,arter çapının darlığı ve venöz dolaşım sağlanma güçlükleri nedeni il…

Parmak replantasyonlarında rehabilitasyon uygulamalarımız ve fonksiyonel sonuçlarımız

Özet Amaç: Bu çalışmada metakarpofalangeal eklem ve distalindeki seviyelerdeki replantasyon yapılmış ve düzenli rehabilitasyon almış hastaların rehabilitasyon süreçleri retrospektif olara…

Olecranon bone grafting for the treatment of nonunion after distal finger replantation

Abstract Aim: Although not very popular, the olecranon bone graft is a useful option for this type of operation due to the minimal donor morbidity and its ease of use in small bone defect r…

Olecranon bone graft: Revisited

Autogenous bone grafts are frequently in use in the ﬁeld of reconstructive upper extremity surgery. Cancellous bone grafts are applied to traumatic osseous defects, nonunions, defects after the res…

Management of upper extremity war injuries in the subacute period: A review of 62 cases

Abstract Objective:In this study, we aimed to describe the relationship between the localization of rarely seen upper extremity war injuries and their complications in the subacute period, and d…

Lunotrikuetral eklem problemleri

Lunotrikuetral (LT) eklem sorunları ulnar tarafın önemli ağrı sebeplerindendir. Muayenede LT eklem üzeri hassasiyet ve eklemde instabilite saptanabilir. Provokatif muayene testlerinde lunatum ile t…

Isolated intraneural schwannoma of the median nerve

Isolated intraneural schwannoma of the median nerve Dear Sir, A 40-year-old woman presented with synchronous masses over the volar aspect of her left wrist and the radial side of her…

Intramedullary venous drainage system for distal fingertip replantations

Abstract: The number of venous anastomoses performed during fingertip replantation is one of the most important factors affecting the success of replantation. However, because vessel diameters decr…

Increasing the accuracy of sterile marker pens

Skin preparation with disinfectant solution for hand surgery patients is difficult to perform single-handedly. It requires the help of either an assistant or the scrub nurse or surgeon…

Implementation of locking compression plate together with intramedullary fibular graft in atrophic type humeral nonunions

Abstract Objective: This study aims to report the results of locking compression plate along with intramedullary fibular graft that was implemented in patients with the diagnosis of nonun…

How to prevent the avulsed soft tissues from wrapping around the K-wire

Bony fixation methods for amputated digits must be simple, easy to use, create minimal additional bone and soft tissue damage and must be applicable with speed and consistency (Gordon and Monsanto,…

How to prevent the avulsed soft tissues from wrapping around the K-wire

We read with interest this short report letter about the use of a plastic aspiration tube to prevent soft tissue entrapment during K-wire fixation. We have been using a similar technique in our pra…

How to prevent the avulsed soft tissues from wrapping around the K-wire

We protect soft tissues from Kirschner (K) wires by passing the wire through a drill guide, which can also help steer the K-wire. Other methods of isolating the K-wire from the soft tissues may dec…

Heterotopic replantations in mutilating hand injuries, presentation of three cases

Introduction In cases where a mutilated hand with multiple digital amputations is concerned, an ideal replantation may not be possible depending on the type and severity of …

Heterotopic replantations in mutilating hand injuries, presantation of three cases

In cases where a mutilated hand with multiple digital amputations is concerned, an ideal replantation may not be possible depending on the type and severity of the trauma. In these cases, heterotop…

Harvesting olecranon bone graft in adults by using bone biopsy trephine

ABSTRACT Objectives: Bone grafts have been used for more than one hundred years in orthopedic surgery. Autografts are still the gold standard with respect to their osteoconductive, osteoind…

Gözden Kaçan Perilunat Karpal Dislokasyonda Dorsal Yaklaşım ve Geçici Tespit Prosedürünün Orta-Uzun Dönem Sonuçları

ÖZET Amaç: Çalışmadaki amacımız, perilunat çıkıklı olgularda dorsal yaklaşımla açık redüksiyon, K-teli uygulaması ve skafolunat ligaman tamiri sonrası orta-uzun dönem fonksiyonel ve radyolo…

Geissler 2. ve 3. derece skafolunat interossöz bağ hasarlanmalarında artroskopik dorsal kapsüloligamentöz onarım sonuçları

Amaç: Bu çalışmada Geissler 2. ve 3. derece skafolunat bağ hasarlanmalarında artroskopik dorsal kapsüloligamentöz sonuçları retrospektif olarak değerlendirildi. Hastalar ve yöntemler…

Extracorporeal Free Flap Perfusion Using Extracorporeal Membrane Oxygenation Device An Experimental Model

Abstract: Extracorporeal perfusion of organs has a wide range of clinical applications like prolonged vital storage of organs, isolated applications of drugs, bridging time to transplant, and free …

Evaluation of patients undergoing removal of glass fragments from hand injuries: A retrospective study

The hand is the body part most frequently injured by broken glass. Glass fragments lodged in soft tissues may result in numerous complications,such as infection, delayed healing, persistent pain, a…

Epidemiological and histopathological analysis of soft tissue tumors of the hand

Objectives: The spectrum of soft tissue tumors of the hand is wide. The type of tumor can vary based on demographic factors, such as a patient’s gender and age. Furthermore, certain tumors ari…

Elin duyu restorasyonu

Amaç: Elde duyu ve yumuşak doku restorasyonu için pediküllü fleplerle onarım yapılan hastaların geç dönem sonuçları değerlendirildi. Çalışma planı: Çalışmaya 30 hasta (26 erkek, 4 kadın; ort. yaş 3…

El ve el bileği yerleşimli sinovyal tüberküloz olgularında tedavi planı:Üç olgu sunumu planı

Bu yazıda biri el,ikisi el bileğinde sinovyal tüberküloz saptanan üç olgu sunuldu.Olguların hiçbirinde pulmoner tüberküloz ve ailede tüberküloz öyküsü yoktu.Hastalara tüberküloz tedavisine başlama …

El bileği bölgesel anestezisi altında minimal insizyon ile karpal tünel sendromu gevşetme operasyonu sonuçları

Bu yayında üç farklı merkezde 2000-2004 yılları arasında açık karpal tünel dekompresyon operasyonu modifiye edilerek klasik el bileği çizgisini geçmeden mini insizyon kullanılarak yapıldığı çalışma…

El Bileği Artroskopisi

ÖZET Birinci karpometakarpal (KMK) eklemin dejeneratif artriti hastaların günlük aktivitelerini etkiliyen ve sık görülen bir patalojidir. Konservatif tedavi yöntemleri ile şikayetleri gerilemeye…

Dorsal approach for vascular repairs in distal finger replantations

Introduction: Distal finger replantations are technically difficult operations due to small vessel sizes and narrow field of vision. The results of 25 distal finger replantations performed by dorsa…

Distal interfalangeal eklem distal falanks seviyesinde replantasyon sonuçları

Amaç: Distal uç amputasyonlarında uygulanan replantasyonlar geriye dönük olarak değerlendirildi. Çalışma planı: Distal interfalangeal eklem distal seviyesinde total amputasyon geliflen…

Crossover replantation as a salvage procedure following bilateral transhumeral upper limb amputation: a case report

Cross-over replantation is a salvage option for cases with bilateral extremity amputations where the wound conditions do not enable an orthotopic replantation. Here, we present a 24-year-old patien…

Comparison of Clinical Outcomes in Open and Arthroscopically-assisted Mini Open Proximal Row Carpectomy for Lichtman Stage IIIB and IIIC Kienböck Disease

Purpose Proximal row carpectomy (PRC) can be performed in the late stages of Kienböck disease using the traditional open technique or arthroscopically. In this study, we describe the arthroscopical…

Comparative Study, Walant vs Axillary Block in Carpal Tunnel Surgery

ABSTRACT Objective: Wide awake local anesthesia no tourniquet (WALANT) is a local anesthetic technique that, in theory, reduces costs and surgical waiting periods. The purpose of this study…

Clinical Results of A Novel Arthroscopic Microfracture Technique For Chondral Lesions of The Lunate

Purpose Chondral lesions of the lunate are one of the causes of ulnar-sided pain, but there has been little interest to date in treating them. In this paper, we describe a modification of the subch…

Cilt ve cilt altı örtüsüne ait komplikasyonlar

Cilt vücudun en büyük organıdır. En önemli görevleri arasında dış ortama karşı bir bariyer oluşturmak, ısı regülasyonu ve duyu bulunmaktadır. Duyu fonksiyonu elde, özellikle de palmar bölgede ayrı …

Başparmak distal uç amputasyonlarında replantasyon uygulamalarının uzun dönem sonuçları

Amaç: Başparmak Tamai tip 1 amputasyonlarda uygulanan replantasyonlar geriye dönük olarak değerlendirildi. Çalışma planı: Çalışmaya, başparmak tırnak yatağı distalinde meydana gelen Tamai tip 1 …

Atypically localized glomus tumors

Aim: Glomus tumors are typically located in the subungual region in 75%-90% of patients. However, these tumors can be seen in atypical localizations which are extra-digital parts of the human body….

Atypical presentation of tuberculous tenosynovitis of the hand

Dear Sir, Tuberculosis (TB) may affect almost any body tissue. Musculoskeletal TB, which may affect bones, tendons and bursa, is a rare form of extrapulmonary disease and occurs in about 1.3% of ca…

Artroskopik tamir yapılan triangular fibrokartilaj kompleks periferik (palmer tip1b) yırtıklarında erken dönem değerlendirme sonuçları

Amaç: Triangular fibrokartilaj kompleks (TFKK) hasarlanması el bileğinin ulnar taraf ağrıları ve distal radioulnar eklem instabilitesinin başlıca nedenidir. Bu çalışmada, artroskopik olarak on…

Arthroscopic hemitrapeziectomy and suture button suspensionplasty

Background: Degenerative arthritis of the first carpometacarpal (CMC) joint is a common degenerative condition in the hand. Many different surgical procedures have been applied for years. Howe…

Arthroscopic Dorsal Ligamentocapsulodesis in the Treatment of Isolated Lunotriquetral Interosseous Ligamentous Injury: A Retrospective Case Series of 22 Patients

Background: The literature is scarce regarding isolated tears of lunotriquetral interosseous ligament (LTIL). The purpose of this stuıdy was to present mid-term clinical and functional results…

An easy way of harvesting olecranon bone graft in adults by using bone biopsy trephine

It is an easy and fast technique. Moreover, suturerelated bulging at the tendon ends is avoided, thus enabling the tendon to glide more easily within the tendon sheath.

An anomalous course of the radial artery:Dissect rather than resect

Carpal tunnel syndrome is the most common entrapment neuropathy. Rare aberrant-bifid tendon, muscle, nerve or arterial anomalies may be the cause of this syndrome. Experienced surgeons do not fail …

An alternative classification of occupational hand injuries based on etiologic mechanisms: The ECOHI Classification

AMAÇ: Bu çalışmanın amacı, etyolojik mekanizmalarına bağlı olarak iş kazalarına bağlı el yaralanmaları için alternatif bir sınıflama sistemi ortaya koymaktır. GEREÇ VE YÖNTEM: İki…

Ağır hasarlı el yaralanmalarında tedavi sonuçlarının değerlendirilmesi

AMAÇ: Bu çalışmada, ağır hasarlı el yaralanmalı hastalarda yapılan işlemler ve bu işlemlerin tedavi sonuçlarının değerlendirilmesi amaçlandı. GEREÇ VE YÖNTEM: 2000-2005 yılları arasınd…

Advantages of using volar vein repair in finger replantations

Summary Providing adequate venous outflow is essential in finger replantation surgeries. For a successful result, the quality and quantity of venous repairs should be adequate to drain arterial inf…

A single K‑wire to prevent poor outcomes in closed soft‑tissue mallet finger management due to patient non-compliance

Abstract Introduction: Soft-tissue mallet finger occurs due to loss of terminal extensor tendon secondary to rupture of distal phalanx. Although using noninvasive splints for 6–8 weeks is t…

A novel nerve transfer

Introduction: The recovery of recurrent motor branch of the median nerve might be delayed in high level median nerve injuries due to the long reinnervation distance. The aim of this study is to def…

A new technique in surgical treatment of congenital and spontaneous extensor tendon snapping: Dorsalization-ulnarization of the metacarpal head

ABSTRACT: The present study reports results of a metacarpal transposition technique we have developed for congenital and spontaneous extensor tendon snapping. Six patients with a mean age of 14 …

A new technique in fingertip defects including nail lost reverse dorsal fascial flap with skin graft

Background/Aim: Many different flaps described in the reconstruction of fingertip amputations may not provide optimal esthetic appearance due to hyponychial tissue loss and the lack of volar s…

A neglected closed elbow dislocation with complete brachial artery injury

Dear Sir, While brachial artery injury frequently accompanies penetrating injuries of the elbow, open fractures,and open dislocations of the elbow, the injury is rarely seen with closed elbow dislo…

A descriptive study of 972 consecutive cases of carpal tunnel release: role of ancillary procedures

Amaç: Elde duyu ve yumuşak doku restorasyonu için pediküllü fleplerle onarım yapılan hastaların geç dönem sonuçları değerlendirildi. Çalışma planı: Çalışmaya 30 hasta (26 erkek, 4 kadın; ort. yaş 3…