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    The epidemiology of adult fractures according to the AO/OTA fracture classification
    (Turkish Assoc Trauma Emergency Surgery, 2022) Bilge, Onur; Dundar, Zerrin Defne; Atilgan, Numan; Yaka, Haluk; Kekec, Ahmet Fevzi; Karaguven, Dogac; Doral, Mahmut Nedim
    BACKGROUND: The epidemiology of adult fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of adult fractures, according to the current AO/OTA fracture classification, in the current decade of action for road safety. METHODS: 5324 adult patients who were diagnosed with at least one fracture related with orthopedics and traumatology in a level-one trauma center were included in this retrospective, epidemiological descriptive study. The patients were grouped according to their ages as; 18-35, 36-55, 56-69, and >= 70. The fractures were examined according to the AO/OTA classification. RESULTS: 5865 fractures were present in 5324 patients. The mean age of the patients was 48.6 +/- 21.5. The number of patients according to the age groups was as follows; 1947 (36.6%), 1636 (30.7%), 881 (16.5%), and 860 (16.2%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 7 (hand 19.6%), 23 (distal forearm, 12.1%), and 8 (foot, 11.8%). About 54.4% and 45.4% of the patients were treated non-surgically and surgically, respectively. About 0.2% of the patients preferred an alternative treatment. Overall mortality rate was 0.4%. CONCLUSION: To the best of our knowledge, this study represents the first analysis of adult fractures according to the AO/OTA classification, over a 5-year period. As a future prospect, further multi-centric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.
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    The epidemiology of adult fractures according to the AO/OTA fracture classification
    (Turkish Assoc Trauma Emergency Surgery, 2022) Bilge, Onur; Dundar, Zerrin Defne; Atilgan, Numan; Yaka, Haluk; Kekec, Ahmet Fevzi; Karaguven, Dogac; Doral, Mahmut Nedim
    BACKGROUND: The epidemiology of adult fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of adult fractures, according to the current AO/OTA fracture classification, in the current decade of action for road safety. METHODS: 5324 adult patients who were diagnosed with at least one fracture related with orthopedics and traumatology in a level-one trauma center were included in this retrospective, epidemiological descriptive study. The patients were grouped according to their ages as; 18-35, 36-55, 56-69, and >= 70. The fractures were examined according to the AO/OTA classification. RESULTS: 5865 fractures were present in 5324 patients. The mean age of the patients was 48.6 +/- 21.5. The number of patients according to the age groups was as follows; 1947 (36.6%), 1636 (30.7%), 881 (16.5%), and 860 (16.2%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 7 (hand 19.6%), 23 (distal forearm, 12.1%), and 8 (foot, 11.8%). About 54.4% and 45.4% of the patients were treated non-surgically and surgically, respectively. About 0.2% of the patients preferred an alternative treatment. Overall mortality rate was 0.4%. CONCLUSION: To the best of our knowledge, this study represents the first analysis of adult fractures according to the AO/OTA classification, over a 5-year period. As a future prospect, further multi-centric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.
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    The initial analysis of pediatric fractures according to the AO/OTA fracture classification and mechanisms of injuries
    (Turkish Assoc Trauma Emergency Surgery, 2022) Bilge, Onur; Kekec, Ahmet Fevzi; Atilgan, Numan; Yaka, Haluk; Dundar, Zerrin Defne; Karaguven, Dogac; Doral, Mahmut Nedim
    BACKGROUND: The epidemiology of pediatric fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of pediatric fractures, according to the current AO/OTA fracture classifi-cation, in the current decade of action for road safety.METHODS: A total of 3261 pediatric patients who were diagnosed with at least one fracture related with orthopedics and trau-matology in a level-one trauma center were included in this retrospective and epidemiological descriptive study. The patients were grouped according to their ages as follows; <2, 2-5.9, 6-9.9, and 10-17.9. The fractures were examined according to the AO/OTA classification. RESULTS: A total of 3396 fractures were present in 3261 patients. The mean age of the patients was 9.8 +/- 4.6 (1-17). The number of patients according to the age groups was as follows; 28 (0.008%), 735 (22.53%), 863 (26.47%), and 1635 (50.99%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 23 (radius/ulna distal 22.9%), 13 (humerus distal, 13.3%), and 7 (hand/carpal, 12%). About 68.8% and 31.2% of the patients were treated non-surgically and surgically, respectively. Overall mortality rate was 0.1%.CONCLUSION: To the best of our knowledge, this study represents the first analysis of pediatric fractures according to the AO/ OTA classification, over a 5-year period. As a future prospect, further multicentric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.
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    The initial analysis of pediatric fractures according to the AO/OTA fracture classification and mechanisms of injuries
    (Turkish Assoc Trauma Emergency Surgery, 2022) Bilge, Onur; Kekec, Ahmet Fevzi; Atilgan, Numan; Yaka, Haluk; Dundar, Zerrin Defne; Karaguven, Dogac; Doral, Mahmut Nedim
    BACKGROUND: The epidemiology of pediatric fractures has been changing timely, in a multifactorial fashion. The aim of this study was to put forward a recent 5-year epidemiological analysis of pediatric fractures, according to the current AO/OTA fracture classifi-cation, in the current decade of action for road safety.METHODS: A total of 3261 pediatric patients who were diagnosed with at least one fracture related with orthopedics and trau-matology in a level-one trauma center were included in this retrospective and epidemiological descriptive study. The patients were grouped according to their ages as follows; <2, 2-5.9, 6-9.9, and 10-17.9. The fractures were examined according to the AO/OTA classification. RESULTS: A total of 3396 fractures were present in 3261 patients. The mean age of the patients was 9.8 +/- 4.6 (1-17). The number of patients according to the age groups was as follows; 28 (0.008%), 735 (22.53%), 863 (26.47%), and 1635 (50.99%), respectively. The most frequent three fractures according to the AO/OTA fracture classification were; 23 (radius/ulna distal 22.9%), 13 (humerus distal, 13.3%), and 7 (hand/carpal, 12%). About 68.8% and 31.2% of the patients were treated non-surgically and surgically, respectively. Overall mortality rate was 0.1%.CONCLUSION: To the best of our knowledge, this study represents the first analysis of pediatric fractures according to the AO/ OTA classification, over a 5-year period. As a future prospect, further multicentric epidemiological studies are warranted to constitute a sustainable action plan for the prevention of major traumas.
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    Results of treatment for acute and chronic extensor pollicis longus tendon ruptures
    (Bayrakol Medical Publisher, 2022) Atilgan, Numan; Duman, Numan; Colak, Tahsin Sami; Demiryurek, Mehmet
    Aim: In this study, we aimed to observe the results of primary tendon repair in acute EPL tendon ruptures and the results of EIP tendon transfer for chronic EPL tendon ruptures. Material and Methods: The study included patients diagnosed and operated for EPL tendon rupture and followed-up in our clinic between January 2012 and December 2020. Patients were separated into two groups according to the surgical procedure. Group A consisted of 13 patients who had EIP tendon transfer, and group B consisted of 18 patients who underwent primary EPL tendon repair. Preoperative and postoperative functional results of the groups were compared. Results: Group A had EIP tendon transfer surgery; ten patients were male (76.9%), and three were female (23.1%). The injury was on the right side in 69.2% of the patients and on the left side in 30.8% of the patients. All patients in group B had primary tendon repair. In group B, 14 patients (77.8%) were males, and four were female (22.2%). The mean q DASH score was 66.53110.99 for group A and 55.66:7.78 for group B. Postoperative q DASH score was 22.76 for group A, and 11.10 for group B. The joint range of motion was similar in both groups. Discussion: In acute EPL tendon ruptures, primary tendon repair is the first treatment to be chosen, while in chronic EPL tendon ruptures, EIP tendon transfer may be the first treatment option given our clinical results.
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    Treatment of ganglion cysts on the wrist: Why and how? Why is surgical treatment chosen for ganglion cysts?
    (Bayrakol Medical Publisher, 2022) Duman, Numan; Atilgan, Numan; Sami, Tahsin Colak; Demiryurek, Mehmet
    Aim: Our study aimed at comparing the results of surgical treatment and additional cortisone application to ganglion cysts aspiration formed on the wrist, and to evaluate the reasons that lead patients to treatment. Material and Methods: Patients who applied to our clinic between 2012 and 2019 were diagnosed with ganglion cysts were divided into two groups. Group A consisted of 91 patients who underwent surgical excision, and Group B consisted of 33 patients who underwent cyst aspiration with 1 ml of betamethasone administration. A total of 124 patients were evaluated regarding the cyst side, age, gender, complications after treatment modalities, preoperative and postoperative pain, and function scores. Discussion: Pain was the leading complaint in 63 (50.8%) patients in our study. Considering the current literature, the most common complaint among symptomatic patients is pain. Also, the cyst size of the group that chose surgical treatment was larger than in the group that underwent aspiration with injection. Results: In our study, it was observed that wrist ganglion cysts were more common in women than in men, they were more common on the dorsal side than on the volar side, and the first reason for choosing surgical treatment was cosmetic concerns and suspicion of the tumoral lesion after pain occurrence. The incidence of recurrence was 11.5 times higher in the patient group treated with aspiration and betamethasone injection compared to the patient group treated with surgical treatment.