Skip to main content

El Cerrahisi Yayınları

Omurga Tüberkülozu (Pott hastalığı) ve klinik önemi Tüberküloz enfeksiyonunun görülme sıklığı ülkelerin sosyoekonomik durumları ile ilişkilidir. Günümüzde immun yetmezlik durumları haricinde gelişmiş ülkelerde nadiren görülmekle birlikte, gelişmekte olan…
Akciğer dışı Tüberkülozda sinovyal tutulum: tanı zorlukları ve tedavi 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…
Amaç: Distal uç amputasyonlarında uygulanan replantasyonlar geriye dönük olarak değerlendirildi. Çalışma planı: Distal interfalangeal eklem distal seviyesinde total amputasyon geliflen 82 hastanın (75 erkek, 7 kadın; ort. yaş 29; dağılım 10-52) 98…
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 kararı pozitif histolojik…
Parmak ucu elin en sık görülen yaralanma bölgesidir. Distal interfalangeal eklem distalinde oluşan amputasyonların replantasyonu, arter çapının darlığı ve venöz dolaşım sağlanma güçlükleri nedeni ile teknik olarak zordur. Mikrocerrahi tekniklerin…
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 yapıldığı serisi sunulmuştur. Tüm vakalarda el bileği…
Amaç: Triangular fibrokartilaj kompleks (TFK) hasarlanması el bileği ulnar taraf ağrılarının başlıca nedenlerindendir. Bu çalışmada, TFK hasarlanması nedeni ile tedavi edilen hastaların erken dönem sonuçları değerlendirildi. Hastlar ve Metod:…
Amaç: Triangular fibrokartilaj kompleks (TFKK) hasarlanması el bileğinin ulnar taraf ağrıları ve distal radioulnar eklem instabilitesinin başlıca nedenidir. Bu çalışmada, artroskopik olarak onarılan TFKK periferik (Palmer tip 1B) yırtıklarının…
Amaç: Bu çalışmada metakarpofalangeal eklem ve distalindeki seviyelerdeki replantasyon yapılmış ve düzenli rehabilitasyon almış hastaların rehabilitasyon süreçleri retrospektif olarak incelenmiştir. Yöntem: 2000-20005 tarihleri arasında kliniğimize…
“Tenar çekiç sendromu” tekrarlayan travmalara sekonder olarak radial arterin tıkanması ile oluşan ve oldukça nadir rastlananbir hastalıktır. Arterte krarlayan şekilde travmatize olduğunda intimal yaralanma,tromboz ve damar dilatasyonu…
Amaç: Başparmak Tamai tip 1 amputasyonlarda uygulanan replantasyonlar geriye dönük olarak değerlendirildi. Çalışma planı: Çalışmaya, başparmak tırnak yatağı distalinde meydana gelen Tamai tip 1 amputasyonlar nedeniyle replantasyon uygulanan ve tedavi…
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 out in 98 patients. About 76 of the replants survived…
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 diagnosis of nonunion was made by the presence of the…
Amaç: Bu çalışmada, ağır hasarlı el yaralanmalı hastalarda yapılan işlemler ve bu işlemlerin tedavi sonuçlarının değerlendirilmesi amaçlandı. Gereç ve yöntem: 2000-2005 yılları arasında başvuran, 130 ağır hasarlı el yaralanması olan hasta geriye dönük…
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 resection of benign bone tumors, arthrodesis, and osteotomy…
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 cases (Lakhanpal et al., 1987). The diagnosis of TB…
Primary synovial chondromatosis is a benign metaplasia in which synovial tissue transforms into cartilagenous tissue. Primary synovial chondromatosis develops from joint or tendon synovium. Secondary synovial chondromatosis occurs with the implantation…
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 to examine the tunnel for anomalies during the…
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 treatment with bone graft harvested from the olecranon…
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, and late injury as a result of migration. Between 2005 and…
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 methods: We retrospectively studied 18 patients (5 women…
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, 1987; Whitney et al., 1990). Various methods such…
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 practice for some time (Sabapathy et al., 2003). Instead of…
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 patient who applied to ourcenter with bilateral transhumeral…
AbstractObjective: 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 nonunion of humerus diaphysis. Materials and methods: Five patients,…
Amaç: Bu çalışmanın amacı, etyolojik mekanizmalarına bağlı olarak iş kazalarına bağlı el yaralanmaları için alternatif bir sınıflama sistemi ortaya koymaktır. Gereç ve Yöntem: İki el cerrahisi ünitesi cerrahlarınca, Ocak 2005 ile Aralık 2007 yılları…
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 decrease control of the thin, flexible wire. The guide is…
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 interrupted sutures is well established and proven to be…
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, heterotopic digital replantations (HDR) may be considered in order…
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 thetendon sheath.
Amaç: Fleksör tendon yaralanmalarında, konvansiyonel tendon greftlemesinin kabul edilebilir başarı sağlayamayacağı düşüŸnüŸlen olgularda, tendon protezi kullanılarak iki seanslı fleksör tendoplasti uygulamaları değerlendirildi. Çalışma planı: Fleksör…
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.; Supervision- K.A.; Writing- D.P. Conflict of Interest: No…
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 was to compare axillary block (AXB) with WALANT in…
PurposeChondral 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 subchondral drilling technique in which an 18-gauge (G) needle…
Lunotrikuetral (LT) eklem sorunları ulnar tarafın önemli ağrı sebeplerindendir. Muayenede LT eklem üzeri hassasiyet ve eklemde instabilite saptanabilir. Provokatif muayene testlerinde lunatum ile trikuetrum arasında hareketlenmenin varlığı test edilir.…
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 arthroscopically-assisted mini-open PRC technique. The aim of the study…
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 (median age: 22.9±10.4 years; range, 12 to 42 years) with…
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 patients (16 males, 2 females) who underwent volar V-Y…
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 solution for this problem. We hypothesized that acute correction…
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 to present the results of the patients whose skin defects…
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 malalignment, and cartilage status of the radiocarpal and midcarpal…
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 of arthroscopic dorsal ligamentocapsulodesis in the…
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 years (range: 12–19 years) were included and evaluated…
ÖZET Amaç: Çalışmadaki amacımız, perilunat çıkıklı olgularda dorsal yaklaşımla açık redüksiyon, K-teli uygulaması ve skafolunat ligaman tamiri sonrası orta-uzun dönem fonksiyonel ve radyolojik sonuçlarımızı sunmaktır. Gereç ve Yöntem: 2014-2018…
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 aktarımı gibi önemli rolleri bulunan bu yapı; akut travma veya…
ÖZET Birinci karpometakarpal (KMK) eklemin dejeneratif artriti hastaların günlük aktivitelerini etkiliyen ve sık görülen bir patalojidir. Konservatif tedavi yöntemleri ile şikayetleri gerilemeyen hastalar cerrahi olarak tedavi edilebilirler. Cerrahi…
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 the gold standard for conservative treatment of closed…
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 the olecranon. Methods: In this retrospective study, 130…
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 complicated calcaneal area with allogenic tibia and free…
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 the promising results of replantation in seven fingers with…
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 replanted at various levels between 2000 and 2013 at the…
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 reconstruction and non-union therapy. To our best…
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 define our preferences for surgery and antibiotic use.…
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 decrease in the zone 1 level, vessel anastomoses, especially…
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, osteoinductive and osteogenetic peculiarities. Cancelleous grafts…
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 define a novel nerve transfer to restore the opposition and…
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 lower extremity. Methods: Fourteen perforator…
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 in fractures of the proximal pole, due to the retrograde…
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 composite tissue transfer without anastomosis, but there…
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. However, in the studies there is no consensus about the…
Sporcularda yüksek fiziksel aktivitenin sonucu olarak travmatik ve aşırı kullanım yaralanmaları sık görülmektedir.El, el bilek yaralanma sıklığı spor yaralanmaları içerisinde %25’lere kadar yükselebilmektedir. Sporcularda yaralanmaların çoğunluğu…
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 bir öneme sahiptir. Eldeki cildin başka bir önemli işlevi…
Aim: Distal finger replantation is a challenge in microsurgery.Replantations distal to the flexordigitorum superficialis were initially termed as distal finger replantations but today whatis meant by a distal replantation is replantation througt or…
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 arise more commonly in particular locations on the hand.…
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 support of the nail bed. Except for free nail transfer and…
Amaç: Volar ganglionların eksizyonlarında dikkat edilmesi gereken noktalar, ameliyat edilen hastaların verileri ışığında değerlendirildi.Çalışma planı: Çalışmaya volar ganglion nedeniyle ameliyat edilen 40 hasta (10 erkek, 30 kadın; ort. yaş 32.5;…
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 tekniğini ve sonuçlarını anlatmaktadır. Yöntem: Nisan 2004…
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 compartment reduces risk of adhesion and rupture. The aim…
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 proposed in order to avoid further nail bed injury after…
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.   Methods: A total  of 22 patients (mean age: 31.6,…
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 to use an extra set of sterile gloves.  This problem may…
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  the  trauma.  In  these  cases,  heterotopic  digital …
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 dorsal approach are presented. The technical benefits and…
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. Here, we present the management of a series of five…
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 dislocations (0.5 %) [1,2]. The rich collateral circulation at…
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 33; dağılım 16-62) alındı. Yirmi dört hastada baş…
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 33; dağılım 16-62) alındı. Yirmi dört hastada baş…
Amaç: Bu çalışmada Geissler 2. ve 3. derece skafolunat bağ hasarlanmalarında artroskopik dorsal kapsüloligamentöz sonuçları retrospektif olarak değerlendirildi.  Hastalar ve yöntemler: Geissler 2. ve 3. derece skafolunat bağ hasarlanmaları nedeniyle…
Amaç: Triangular fibrokartilaj kompleks (TFKK) hasarlanması el bileğinin ulnar taraf ağrılarının başlıca nedenidir. Bu çalışmada, artroskopik olarak onarılan TFKK periferik (Palmer tip 1B) yırtıklarının tedavi sonuçları geriye dönük olarak…
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 inflow. The digital dorsal venous plexus is a reliable…
Isolated intraneural schwannoma of the median nerveDear Sir,A 40-year-old woman presented with synchronous masses over the volar aspect of her left wrist and the radial side of her middle finger . Both masses were tender to…