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    A multicenter intertrochanteric fracture study in the elderly: Hemiarthroplasty versus proximal femoral nailing
    (Turkish Joint Diseases Foundation, 2020) Ekinci, Yakup; Gurbuz, Kaan; Batin, Sabri; Kahraman, Murat; Dogar, Fatih; Erten, Zeliha Kaya
    Objectives: This study aims to compare the clinical and functional results of intertrochanteric femoral fractures treated with bipolar hemiarthroplasty (BHA) or proximal femoral nailing (PFN) in elderly patients. Patients and methods: This multicenter, prospectively followed-up, retrospectively compared cohort-type study included 308 patients (81 males, 227 females; mean age 78.4 +/- 7.2 years; range, 65 to 95 years) who were treated with BHA or PFN for intertrochanteric fractures by five orthopedic surgeons in four provinces and seven clinics between January 2014 and May 2018. Clinical follow-up was performed at third week, third and sixth months, and at the end of the first and second years. The American Society of Anesthesiologists for preoperative status, Singh index for bone quality, and Harris Hip Score (HHS) for functional outcomes were evaluated. Results: While 156 patients (38 males, 118 females; mean age 77.7 +/- 5.9) were treated with BHA, 152 patients (43 males, 109 females; mean age 79 +/- 6.1) were treated with PFN. While there was no significant difference between the two groups in terms of total HHS, a significant difference was found in the sub-parameters (p<0.001). Good and excellent results were found in 78.2% of BHA and 86.2% of PFN patients. Mortality rates were similar at the end of two years (14% and 13.6%, respectively). Conclusion: In general, clinical and functional outcomes of BHA and PFN are similar. The rates of pulmonary embolism and deep vein thrombosis are significantly higher in BHA. However, BHA is advantageous in terms of operation time and early weight bearing compared to PFN.
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    Evaluation of cerebellum volume and trunk oscillation velocity in cases with adolescent idiopathic scoliosis: a preliminary report
    (Springer, 2023) Batin, Sabri; Payas, Ahmet; Bal, Emre; Ekinci, Yakup; Kurtoglu, Erdal; Ucar, Ilyas; Arik, Mustafa
    Purpose It has been suggested that the cause of the balance disorder seen in adolescent idiopathic scoliosis (AIS) originates from the central nervous system. However, the extent of the balance problem and the dysfunction of which part of the central nervous system has not been investigated in detail. This study aimed to correlate the values obtained by balance analysis and cerebellum volume measurement in female individuals with AIS with healthy individuals.Methods Cerebellum volume was calculated via the cloud-based software https://volbrain.upv.es using brain magnetic resonance images of 27 healthy and 26 individuals with AIS. The duration of stay in the test positions, the movement strategy used during this time and the amount of postural sway were analyzed by using a computer-assisted force platform and compared statistically.Results Significant differences were found between the AIS and control groups in cerebellum total volume, vermis cerebelli volume (cm3), and trunk oscillation velocity (mm/s) parameters (p < 0.05). Cerebellum and vermis cerebelli volumes were found to be lower and trunk oscillation velocity was found to be greater in patients with AIS.Conclusion Balance problems in patients with AIS are correlated with decreased cerebellum volume and increased trunk oscillation velocity.
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    Is ideal treatment of metacarpal and phalangeal fractures possible? Clinical and radiological outcomes of three surgical choices
    (2020) Gürbüz, Kaan; Ekinci, Yakup; Batin, Sabri; Kaya Erten, Zeliha
    Objectives: We purposed to determine which of the surgical treatment options for metacarpal and phalangeal fractures, a\rsubject that has limited coverage in the literature, is best.\rMethods: Sixty-three patients who were surgically treated for closed and extra-articular metacarpal (41.9%) and phalangeal\r(58.1%) fractures were included in a randomized prospective clinical trial between August 2015 and August 2017. The patients were divided into three groups using block randomization: open reduction and internal fixation (ORIF) with miniplate\rplus screw fixation (MP Group; 6F/15M), ORIF with screw only fixation (SO Group; 5F/16M), and closed reduction and\rpercutaneous K-wire fixation (KW Group; 3F/18M). The patients were followed up at 10 days and 3 weeks for wound care,\rat 3 months, and at the end of the first year and assessed based on dynamometer measurement, Q-DASH, and range of\rmotion (ROM).\rResults: Time to return to work was 77.56 ± 33.85 days, while Q-DASH scores at 3 months and 1 year and dynamometer\rvalues at 3 months were significantly higher in KW Group (p<0.05). Although ROM was higher in KW Group in patients with\rmetacarpal and phalangeal fractures of metacarpophalangeal joint, ROM of PIP joint and total ROM were significantly lower\r(p<0.05). Total ROM of thumb fracture cases was not significantly different from that of the other cases (p>0.05).\rConclusion: Miniplates should be used for metacarpal fractures and screw only for phalangeal fractures in those with occupations requiring fine skills while pinning should be used in those with professions involving heavy work.
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    The Role of Conscious and Unconscious Proprioceptive Sensation in Unstable Postural Balance: A Cross-Sectional Study
    (Erciyes Univ Sch Medicine, 2024) Payas, Ahmet; Kurtoglu, Erdal; Kepenek-Varol, Büşra; Batin, Sabri; Kararti, Caner; Koc, Ali; Ucar, Ilyas
    Objective: Proprioception is the capacity to perceive the position of any body part, either consciously or unconsciously. This sense, in conjunction with the visual and vestibular senses, helps maintain postural balance. This study explores the relationship between postural balance analysis outcomes and proprioceptive sense tractography data. Materials and Methods: Sixty-two healthy individuals were categorized into two groups based on postural balance analysis: the unstable posture group and the stable posture group. Postural sway test measurements, such as sway area, track length, velocity, Romberg quotient, lateral sway, and anteroposterior sway, were recorded for both groups on fixed and moving surfaces over 20 seconds. Using the DSI Studio program, tractography of the proprioceptive sensory pathways was conducted on participants using brain diffusion tensor images (DTI). IBM Statistical Package for the Social Sciences (SPSS) 23.0 software was employed for statistical analysis, with a p -value <0.05 considered statistically significant. Results: Tractography of the unstable posture group revealed increased mean diffusivity (MD) and radial diffusivity (RD) in the brain white matter, superior cerebellar peduncle, and middle cerebellar peduncle, while axial diffusivity (AD) values decreased (p<0.05). There was a notable correlation between the sway area in the unstable and eyes -open positions and the fiber count and fiber percentage in the right inferior cerebellar peduncle. Conclusion: The data suggest impairments in the pathways responsible for carrying unconscious proprioceptive sensations in individuals with unstable posture.