Browsing by Author "Okkaoglu, Mustafa Caner"

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Dynamic and Stabilometric Analysis After Syndesmosis Injuries A Comparative Study
(2020) Taskesen, Anil; Okkaoglu, Mustafa Caner; Demirkale, Ismail; Haberal, Bahtiyar; Yaradilmis, Ugur; Altay, Murat; 0000-0002-1668-6997; W-9080-2019
Background: Distal tibiofibular syndesmosis contributes to dynamic stability of the ankle joint and thereby affects gait cycle. The purpose of this study was to evaluate the grade of syndesmosis injury on plantar pressure distribution and dynamic parameters of the foot. Methods: Grade of syndesmosis injury was determined by preoperative plain radiographic evaluation, intraoperative hook test, or external rotation stress test under fluoroscopic examination, and two groups were created: group 1, patients with grade III syndesmosis injury (n = 17); and group 2, patients with grade II syndesmosis injury (n = 10). At the last visit, radiologic and clinical assessment using the Foot and Ankle Outcome Score was performed. Dynamic and stabilometric analysis was carried out at least 1 year after surgery. Results: The mean age of the patients was 48.9 years (range, 17-80 years), and the mean follow-up was 16 months (range, 12-24 months). No statistically significant difference was noted between two groups regarding Foot and Ankle Outcome Score. The comparison of stabilometric and dynamic analysis revealed no significant difference between grade II and grade III injuries (P>.05). However, comparison of the data of patients with grade III syndesmosis injury between injured and healthy feet showed a significant difference for dynamic maximum and mean pressures (P = .035 and P = .49, respectively). Conclusions: Syndesmosis injury does not affect stance phase but affects the gait cycle by generating increased pressures on the uninjured foot and decreased pressures on the injured foot. With the help of pedobarography, processing suitable orthopedic insoles for the injured foot and interceptive measures for overloading of the normal foot may prevent later consequences of ankle trauma.
Evaluation of quality and reliability of YouTube videos on spondylolisthesis
(2020) Yaradilmis, Yuksel Ugur; Evren, Ali Teoman; Okkaoglu, Mustafa Caner; Ozturk, Ozkan; Haberal, Bahtiyar; Ozdemir, Mahmut; 0000-0002-1668-6997; W-9080-2019
Background: YouTube is the most popular and the largest video portal and is a source of information in all areas. In our study, we aim to investigate the quality of videos on spondylolisthesis in the YouTube video portal and to detail the parameters for low-quality videos. Material and methods: A search was made by using keyword "spondylolisthesis" on the YouTube search portal. 50 most watched videos were included in the study. The duration of the videos, view counts, like counts, dislike counts, number of comments, the date the video was published, and the video's release time were noted. Popularity of the video is determined by Video Power Index (VPI) and video quality is evaluated with DISCERN (Quality Criteria for Consumer Health Information), JAMA (Journal of the American Medical Association), and Global Quality Score (GQS) scoring systems. Video content was categorized as physician and non-physician, video length, release date, view count, daily view count, VPI, comments/year. The relationship between the groups and video quality was evaluated. Results: Video uploaders consist of 27 physicians (54%), 7 health channels, 6 physiotherapists, 4 patients, 4 hospital channels, 1 chiropractic, 1 fitness coach. The mean JAMA score was 2.7 +/- 0.6 (1-4), the mean DISCERN score was 35 +/- 11.1 (16-64) and the mean GQS score was 2.84 +/- 1.05. DISCERN, JAMA, and GQS scores correlate among themselves. In linear regression analysis, there was a significant difference between the duration of the videos, the view counts and the video quality scores (DISCERN and JAMA) (p < 0.05), no significant difference was observed between the daily view counts, like counts, dislike counts, VPI and comment count (p > 0.05). Conclusion: The video quality of videos on Spondylolisthesis on YouTube was found to be low. Especially videos by non-physician uploaders, short videos, most viewed videos were found to have low quality.
The mid-term effects on quality of life and foot functions following pilon fracture
(2020) Yaradilmis, Yuksel Ugur; Okkaoglu, Mustafa Caner; Kilic, Alparslan; Haberal, Bahtiyar; Demirkale, Ismail; Altay, Murat; 0000-0002-1668-6997; 32946104; W-9080-2019
BACKGROUND: Although pilon fractures are uncommon, they are of importance to orthopaedic surgeons because of the difficulty of treatment. Poor outcomes and high complication rates are seen despite various surgical methods. This study aims to examine the changes affecting the quality of life and foot functions in patients applied with open reduction and internal fixation (ORIF) for a pilon fracture. METHODS: In this study, a total of 45 patients treated with ORIF for a pilon fracture in our clinic between January 2010 and December 2016 were evaluated with AOFAS and SF-12 in a total of 10 categories according to demographic data, fracture classification and surgical technique. In addition to functional values, patient records were examined regarding complications, including infection, soft-tissue defect, malalignment, non-union, arthrosis and Sudeck atrophy. In patients with AOFAS <85 and low SF-12 scores, variables were examined and the relationship with complications was evaluated. RESULTS: The mean follow-up period was 3.7 years (range 2 to 7). The AOFAS value was determined to fall to <85 when the Ruedi Allgower classification increased (p=0.010), when AO classification increased (p=0.020), when there was a concomitant lateral malleolar fracture (p=0.028), and when the status was non-anatomic according to the Ovadia Bell criteria (p=0.031). The SF-12 PCS value was observed to decrease when the Ruedi Allgower classification increased ( p=0.018) and when the status was non-anatomic according to the Ovadia Bell criteria (p=0.012). A correlation was determined between the SF-12 PCS and the AOFAS values (p=0.000). CONCLUSION: The reasons for the failure of ORIF in tibia pilon fractures were found to be Ruedi 3 classification, concomitant lateral malleolar fracture, and non-anatomic surgical reduction. Failure in foot functions has a direct effect on quality of life in both the short and mid term.