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Öğe Approach differences of orthopedics and emergency medicine physicians in current treatment practices of acute traumatic first time anterior shoulder dislocation(Süleyman Demirel University, 2021) Özmanevra, Ramadan; Demirkıran, Nihat Demirhan; Çapkın, Sercan; Özkula, Uğur; Işın, Yağmur; Kılıç, Ali İhsanObjective Numerous techniques for the reduction of anterior glenohumeral joint dislocations have been described. However, there is no consensus on the best technique for reducing a dislocated glenohumeral joint. This study aimed to evaluate the approach of emergency specialists and orthopedic surgeons in the treatment of acute traumatic first-time anterior shoulder dislocation. Material and Methods Data used in this cross-sectional study were obtained through a web-based survey from the Turkish Orthopedics and Traumatology Association mail group and Emergency Medicine Physicians Association of Turkey mail group. All orthopedic surgeons and emergency medicine physicians who were registered in the database received an information mail regarding the aim of the questionnaire and a link to the online survey form (Google Forms, Alphabet Inc., Mountain View, CA). The survey consisted of 13 questions, which are shown with their corresponding answer options. The current practices regarding the management of acute traumatic first-time anterior shoulder dislocation among orthopedic surgeons and emergency medicine physicians in Turkey were evaluated. Results A total of 152 orthopedic surgeons and 151 emergency physicians participated in this survey. The most common maneuvers used by emergency physicians to reduce shoulder dislocations were the Hippocrates technique (19.2%) and Cunningham technique (19.2%), while orthopedic surgeons preferred the Hippocrates technique (23.7%) and Kocher technique (29.6%). It was found that orthopedic surgeons preferred Kocher and Milch maneuvers more for shoulder joint dislocation reduction compared to emergency physicians (p < 0.001 and p = 0.005, respectively). Both the pre- reduction and postreduction procedures showed variability between orthopedic surgeons and emergency physicians. Conclusion It would be more appropriate for the emergency physician and orthopedic surgeons to treat a patient with shoulder dislocation together as a team and beneficial to establish a national guideline for consensus.Öğe Bir türk kohortunda dejeneratif rotator kaf yırtıklarının radiografik öngörücü faktörleri(2021) Çapkın, Sercan; Güler, Serkan; Özmanevra, RamadanKritik omuz açısı (CSA), lateral akromiyal açı (LAA) ve akromiyon indeksi (AI), rotator manşet yırtığı (RCT) olan hastalar ile sağlam rotator manşeti olan hastalar arasında ayrım yapmak için kullanılan yaygın radyolojik parametrelerdir. Bu çalışma, dejeneratif RCT'de bu parametrelerin tahmin gücünü değerlendirmeyi amaçlamaktadır. YÖNTEM ve GEREÇLER: Bu retrospektif çalışma, iki gruba ayrılan 92 hastadan alınan verileri içeriyordu: 47 dejeneratif tam kat supraspinatus tendon yırtığı olan 47 hastayı içeren RCT grubu ve yırtığı olmayan 45 kişiden oluşan bir kontrol grubu. Standartlaştırılmış gerçek ön-arka radyografilerden CSA, AI ve LAA ölçümleri bağımsız olarak iki ortopedi cerrahı tarafından türetilmiş ve analiz edilmiştir. Kesme değerlerini belirlemek için alıcı çalışma karakteristiği (ROC) analizleri yapılmıştır. BULGULAR: RCT ve kontrol gruplarındaki hastalar arasında yaş (p = 0.079), cinsiyet (p = 0.804) veya yaralanma tarafı (p = 0.552) açısından anlamlı farklılık bulunmadı. CSA, LAA ve AI değerleri için mükemmel gözlemciler arası güvenilirlik görüldü. Ortalama CSA (38.1°) ve AI (0.72) değerleri RCT grubunda kontrol grubuna göre anlamlı olarak daha yüksekti ve LAA için gruplar arasında anlamlı bir fark yoktu. ROC analizi, 37.95 ° kesme değeriyle CSA için 0.815'lik eğri altında bir alan (AUC) verdi ve CSA'nın RCT varlığının en güçlü öngörücüsü olduğu bulundu TARTIŞMA ve SONUÇ: CSA ve AI, Türk popülasyonunda dejeneratif RCT için yararlı prediktif faktörler olabilir.Öğe C-Reactive protein to albumin ratio may predict mortality for elderly population who undergo hemiarthroplasty due to hip fracture(Taylor and Francis Ltd, 2020) Çapkın, Sercan; Güler, Serkan; Özmanevra, RamadanBackground: Although the relationship of preoperative C-reactive protein (CRP) and albumin levels to mortality in elderly patients who have undergone surgery due to hip fracture has been previously investigated, the CRP to albumin ratio (CAR) has not been investigated. This study aimed to investigate the relationship between preoperative CAR and mortality. Methods: A total of 254 patients (mean age, 78.74 years) were retrospectively analyzed using the following data: age, gender, fracture type, American Society of Anesthesiologists (ASA) score, type of anesthesia, time between fracture and surgery, time between fracture and discharge, length of hospital stay, preexisting comorbidities, preoperative CRP and albumin levels, and mortality. The serum CRP level was divided by the serum albumin level to calculate the preoperative CAR. Multivariate logistic regression was used to evaluate the association between risk factors and 1-year mortality. Results: One-year mortality was 22.8% (58 patients). Age >85 years, male gender, ASA score ?3, presence of ?3 comorbidities, and CAR ?2.49 were identified as mortality risk factors in the univariate analysis. The following factors were included in the binary logistic regression analysis to determine the major predictors of 1-year mortality: ASA score ?3, presence of ?3 comorbidities, and CAR ?2.49. Conclusion: Detection of CAR above 2.49 is a strong indicator for 1-year mortality in patients operated due to hip fracture in the elderly population. ASA score ?3 and presence of ?3 comorbid diseases were also related to mortality.Öğe Clubfoot from past to the present: a bibliometric analysis with global productivity and research trends(PMC, 2023) Yolaçan, Hakan; Güler, Serkan; Özmanevra, RamadanClubfoot, a common congenital abnormality, affects the lower extremities; however, the literature search revealed no bibliometric research on this subject. Thus, we aimed to holistically analyze scientific articles and reveal global productivity and trend issues. This study statistically analyzed 1417 published articles on clubfoot (1980-2021) from the Web of Science database. Bibliometric network visualization maps were created to reveal trend topics, citation analysis, and cross-country collaborations. The analysis was conducted using Spearman correlation analysis. An exponential smoothing estimator was used to predict article productivity. The United States of America (433, 30.5%), the United Kingdom (166, 11.7%), and India (107, 7.5%) are the top 3 countries contributing to the literature. The Journal of Pediatric Orthopedics (220 articles), the Journal of Pediatric Orthopedics-Part B (147 articles), and Clinical Orthopedics and Related Research (69 articles) are the top 3 most productive journals. Dobbs MB (34 articles) is the most active author, and Shriners Hospital Children (44 articles) is the most active institution. Bibliometric analysis revealed that recently studied trend topics included Pirani score, Dimeglio score, Ponseti method, Ponseti casting, tenotomy, recurrence, neglected, tendon transfer, bracing, gait, risk factors, pedobarography, complex clubfoot, and polymorphism. The most studied subjects included Ponseti technique, treatment/casting, recurrent/relapsed clubfoot, Pirani score, pediatrics/children, foot deformities, surgery, ultrasound, Achilles tendon/tenotomy, gait analysis, casting, outcomes, neglected clubfoot, and tenotomy. Research leadership was determined in the western and European countries and Canada in studies and scientific collaborations on clubfoot; its impact was remarkable in India, China, and Turkey.Öğe Complete removal of the infrapatellar fat pad in total knee arthroplasty does not affect the patellar height(AVES, 2020) Güler, Serkan; Çapkın, Sercan; Özmanevra, RamadanBACKGROUND/AIMS Most orthopedic surgeons tend to remove the infrapatellar fat pad (IPFP) in total knee arthroplasty (TKA). The present study was designed with the aim of determining whether complete removal of the IPFP during TKA affects the patella height. MATERIAL and METHODS Knee radiographs of 85 patients who underwent primary TKA that involved complete IPFP removal were reviewed retrospectively. We measured the patella height using the Insall-Salvati (IS) ratio, modified IS (mIS) ratio, Cathon-Deschamp (CD) index, and Blackburne-Peel (BP) index on preoperative radiographs and at the 1-year follow-up. Two orthopedic surgeons independently analyzed all 85 radiographs and were blinded to the measurement taken by the other surgeon. The average values of the data recorded by the two observers was used in the final analyses. RESULTS The average preoperative patella height was higher than the mean patella height at 1 year after TKA using all the measurement methods. Although this may reflect patellar tendon shortening or elevation of the joint line, this decrease was not significant using all methods (p>0.05). CONCLUSION Complete removal of the IPFP during TKA for patients with primary osteoarthritis did not affect the patellar height at the 1-year follow-up.Öğe Current practices regarding the management of infrapatellar fat pad during total knee arthroplasty: A survey of orthopedic surgeons(DNT Ortadoğu Yayıncılık AŞ, 2021) Çapkın, Sercan; Özmanevra, Ramadan; Demirkiran, Nihat Demirhan; Güler, SerkanBu çalışmanın amacı Türkiye'deki ortopedi cerrahları arasında primer total diz artroplastisi (TDA) sırasında infrapatellar yağ yastığının (IPFP) yönetimine ilişkin güncel uygulamaları değerlendirmektir. Gereç ve Yöntemler: Türkiye Ortopedi ve Travmatoloji Derneği veri tabanına kayıtlı ortopedi cerrahlarına yönelik web tabanlı bir anket Haziran 2020 ile Temmuz 2020 arasında gerçekleştirilmiştir. Anket, IPFP'nin yönetimine ilişkin mevcut uygulamalara ilişkin yedi sorudan oluşmaktadır (IPFP'nin korunması, birincil TDA sırasında kısmi rezeksiyon veya tam rezeksiyon). Bulgular: 1553 kayıtlı ortopedi uzmanından 266'sı (% 17) anketi tamamladı. Ortopedi cerrahlarının büyük çoğunluğu (% 75,2) TDA sırasında IPFP'nin yönetimi ile ilgili karar vermelerinin kanıta dayalı olmadığını iddia etti.Öğe Global scientific outputs of microsurgery publications: A bibliometric approach about yesterday, today, and tomorrow(Cureus, 2020) Güler, Serkan; Özmanevra, Ramadan; Çapkın, SercanIntroduction Although there have been important developments in microsurgery in recent years, there is no current and comprehensive bibliometric study in the literature. In this study, we aimed to present a summary of the articles published on microsurgery between 1980 and 2019 with bibliometric analysis. Methods Articles published on microsurgery between 1980 and 2019 were withdrawn from the Web of Science database and analyzed by bibliometric methods. Citation analysis was performed to identify effective journals and articles. Keyword cluster and trends analyses were performed for a detailed analysis of the researched topics. Relationships between the article numbers of the countries and gross domestic product (GDP) and human development index (HDI) values were investigated using Spearman's correlation coefficient. A linear regression analysis was used to estimate the number of articles to he published in the future. Results A total of 3,537 publications related to microsurgery were found. Bibliometric analyses were performed in 2,063 articles (58.3%) of these publications. The most active countries in publishing were the United States (504), Germany (286), and Italy (154), respectively. A statistically significant correlation was found between the article numbers and the GDP and HDI sizes of the countries (r = 0.758, p <0.001, r = 0.659, p <0.001). Conclusion The economic size and development levels of the countries were an important factor in academic productivity in microsurgery. Undeveloped countries should be encouraged by performing multidisciplinary studies in this regard.
