Management of posterior wall acetabular fractures using the anterior intrapelvic approach with lag screw fixation: A retrospective clinical and radiological study Cagatay Gemci, Emre Gultac, Fatih Ilker Can, Ismail Gokhan Sahin, Cem Yalin Kilinc, Nevres Hurriyet Aydogan Medicine United States, 2025 The management of combined anterior column and posterior wall acetabular fractures requires dual surgical approaches, which may increase operative morbidity. This study evaluated the efficacy and safety of posterior wall lag screw fixation using the anterior intrapelvic (AIP) approach, eliminating the need for a secondary posterior incision. Patients with concomitant anterior column and posterior wall fractures were included in the study by collecting acetabular fractures surgically treated via AIP approach between 2014 and 2019. Posterior wall fractures were subsequently stabilized with lag screws inserted using the same anterior approach, without additional posterior exposure. Patients who had <12 months follow-up data were excluded. The reduction quality was assessed using the Matta radiographic criteria. Functional outcomes were evaluated using the Harris Hip Score and the modified Merle d’Aubigné and Postel scoring system. Postoperative short- and long-term complications were also evaluated. At the 12-month postoperative follow-up, radiographic evaluations confirmed complete fracture union in all patients, without any loss of reduction or signs of posterior instability. According to Matta radiographic criteria, anatomic reduction was achieved in 4 patients (33.3%), good reduction in 6 patients (50%), and poor reduction in 2 patients (16.6%). Functional outcomes showed a mean Harris Hip Score of 87.0 ± 9.3, with 7 patients (58.3%) rated as “excellent,” 2 (16.6%) as “good,” and 3 (25%) as “fair.” The mean modified Merle d’Aubigné and Postel scoring system was 16.41 ± 1.5, with 4 patients (33.3%) graded as “excellent,” 6 (50%) as “good,” and 2 (16.6%) as “fair.” The mean hospital stay was 8.4 ± 4.3 days (range: 5–18), with a mean operative time of 115.8 ± 36 minutes (range: 90–225) and mean intraoperative blood loss of 580 ± 555 mL (range: 250–2300). The AIP approach with posterior wall lag screw fixation provides a viable solution for complex acetabular fractures, delivering favorable clinical and radiological results while avoiding posterior incisions. Preoperative planning and precise screw placement are critical for success. Further studies are recommended to refine patient selection and improve surgical protocols.
In total knee arthroplasty surgeries, what is the effective dose of intra-articular tranexamic acid? Ismail G. Óahin, HuÓsamettin Ózdemir Cirugia Y Cirujanos English Edition, 2024 Objective The aim of our study was to evaluate the effect of different doses of intra-articular (IA) tranexamic acid (TXA) on blood loss in total knee arthroplasty surgeries and compare it to the control group. Materials and Methods A total of 160 patients who underwent unilateral total knee arthroplasty surgery at Edirne State Hospital between 2016 and 2020 were divided into four groups. The estimated blood loss and amount of blood loss from drainage, as well as transfusion rates, were compared between the groups based on surgical pre- and post-operative blood parameters to evaluate the dose effectiveness. Results In our study, all TXA groups significantly reduced the estimated blood loss and amount of blood loss from drainage compared to the control group. No statistically significant difference was found between the control group and the group receiving 1 g of TXA in terms of transfusion rates (p = 0.062), and no statistically significant difference was found between the groups receiving 2 g and 3 g of TXA. Conclusion The use of 2 g of IA TXA is an effective dose for controlling blood loss in total knee arthroplasty surgeries. Lower doses do not have a significant effect on transfusion rates, whereas higher doses do not significantly increase effectiveness.
Comparison of the clinical outcomes of chronic rupture, arthroscopic tenotomy and tenodesis of proximal biceps tendon Fatih İlker CAN, Emre GÜLTAÇ, Cem Yalın KILINÇ, İsmail Gökhan ŞAHIN, Nevres Hurriyet AYDOGAN Journal of Experimental and Clinical Medicine Turkey, 2022 Biceps tendon disorders are substantial cause of intense shoulder pain, and thus they require a careful medical attention. We compared the clinical outcomes of chronic rupture, tenotomy and tenodesis of proximal biceps tendon of patients underwent arthroscopic shoulder surgery. We included 98 patients over 50 years-old who underwent arthroscopic surgery for rotator cuff tears and grouped as tenotomy, tenodesis and chronic rupture of biceps tendon. Preoperative and postoperative 24-months follow-up Visual Analog Scale (VAS) score and the University of California–Los Angeles (UCLA) Shoulder Scale scores were compared. Chronic biceps rupture was the most common pathology in massive rotator cuff rupture group (75.9%). As tenotomy, tenodesis and chronic rupture groups were compared in terms of VAS and UCLA score improvements (preoperative and postoperative change); tenotomy showed better outcomes and there was a statistically significant difference between tenotomy and tenodesis groups in terms of improvements in VAS and UCLA scores (p = 0.036, p = 0.010, respectively). No statistically significant difference between chronic rupture and tenodesis in terms of VAS and UCLA scores improvements were observed (p = 1.000, p = 0.250, respectively). Also, tenotomy showed superior VAS score improvement than chronic tendon rupture (p=0.024) however no statistically significant difference was observed in UCLA score improvement between tenotomy and chronic rupture (p = 0.527). According to our study, tenotomy seems to be a more appropriate surgical method than tenodesis in massive and full-thickness rotator cuff tears with severe biceps tendon degeneration, and also it is not necessary to perform tenodesis in cases with chronic biceps rupture.
Fixation of bilateral acetabular fractures using the modified Stoppa approach: Two-year clinical outcomes Fatih İlker Can, Rabia Mihriban Kılınç, Emre Gültaç, Cem Yalın Kılınç, İsmail Gökhan Şahin Joint Diseases and Related Surgery, 2022 Objectives This study aims to evaluate the two-year clinical results of bilateral acetabular fractures operated via a single incision with the modified Stoppa approach. Patients and methods Between January 2013 and January 2020, a total of 22 acetabular fractures of 11 patients (7 males, 4 females; mean age: was 42.9±13.7 years; range, 19 to 62 years) who were operated via the modified Stoppa approach were retrospectively analyzed. The medical records were analyzed in terms of time to surgery, fracture patterns, Injury Severity Score (ISS), operation duration, blood loss, reduction quality, perioperative complications and concomitant injuries. Reduction quality was assessed according to Matta’s criteria. The Harris Hip Score (HHS) and modified Merle d’Aubigne score (MDS) were utilized for functional assessment. Results The mean follow-up was 49±15 (range, 30 to 79) months. The mean ISS was 28.2±7.2. The mean modified MDS was 15.90±1.57. The mean HHS was 84.27±8.85. For both sides, reduction was anatomical-anatomical (63.6%) in seven patients, anatomical-imperfect in three (27.3%) patients, and imperfectpoor in one (9.1%) patient. According to the Kellgren-Lawrence radiological evaluation at 24 months of follow-up bilaterally, Grade 0-1 osteoarthritis was observed in six (54.5%) patients, Grade 1-1 in four (36.4%) patients, and Grade 1-2 osteoarthritis in one (9.1%) patient. Conclusion The modified Stoppa approach in bilateral acetabular fractures seems to be more preferable than other approaches, as it can be performed with a single incision and provides less bleeding, shorter operation duration, and satisfactory results.
Subacromial impingement as a predictor of proximal biceps tendon disorders Fatih İlker Can, Emre Gültaç, İsmail Gökhan Şahin, Cem Yalın Kılınç, Nevres Hürriyet Aydoğan Joint Diseases and Related Surgery, 2022 Objectives This study aims to investigate the relationship between proximal biceps tendon disorders and the degree of subacromial impingement in patients who underwent arthroscopic subacromial debridement. Patients and methods Between January 2015 and June 2021, a total of 110 patients (44 males, 66 females; mean age: 52.5±11.43 years; range, 15 to 78 years) who underwent arthroscopic subacromial decompression were retrospectively analyzed. The degree of the subacromial impingement observed during arthroscopy was classified into four stages according to the Neer classification. We classified proximal biceps tendon disorders as five grades according to the Nirschl classification. The proportional relationship between subacromial impingement and biceps tendinopathy severity was analyzed. Results While biceps tendon degeneration was found to be significantly lower in patients with mild or no subacromial impingement, high rates of severe biceps tendon degeneration were observed in patients with high degree of subacromial impingement. A total of 75% of the patients who had no subacromial impingement had no biceps tendon disorder. Approximately 50% of the patients with Stage 1 subacromial impingement did not have biceps disorder, 31.3% had inflammation, and 12.5% had minor degeneration. In Stage 2 subacromial impingement group, the ratio of inflammation (42.9%) and minor degeneration (42.9%) of biceps tendon greatly increased, and the highest rate of biceps tendon degeneration was observed in the most advanced stage (Stage 3) subacromial impingement group (39.3%) (p=0.001). Conclusion The stage of subacromial impingement is correlated with the degree of biceps degeneration. Therefore, one should keep in mind that the presence of advanced subacromial impingement may indicate advanced biceps tendon pathologies.
A device that facilitates screwing at an appropriate angle in quadrilateral surface fractures: 105-degree drill attachment EMRE GÜLTAÇ, CEM YALIN KILINÇ, FATİH İLKER CAN, İSMAİL GÖKHAN ŞAHİN, AHMET EMRAH AÇAN, ÇAĞATAY GEMCİ, NEVRES HÜRRİYET AYDOĞAN Turkish Journal of Medical Sciences, 2022 Background/aim Within this study, we aimed to investigate the radiological and functional outcomes of acetabular fractures involving quadrilateral surface using 105° drill attachment in the anterior intrapelvic approach. Materials and methods The 35 patients who underwent surgical treatment from January 2016 and January 2020 for acetabular fractures involving quadrilateral surface with anterior intrapelvic approach using 105° drill attachment and a minimum of 12 months of postoperative follow-up were included. Perioperative complications, operation duration, and the quality of reduction were evaluated. Reduction quality was classified as poor, imperfect, and anatomic. Functional evaluation was performed according to the Harris Hip Score (HHS) and Merle d’Aubigne Score. Results Among 35 patients (median age 36 (21–80)), radiological results of the acetabular fixations were anatomic, imperfect, and poor in 28 (80%), 5 (14.3%), and 2 (5.7%) patients, respectively. Postoperative 1-year functional outcomes with Merle d’Aubigne scores and HHS were median 18 (10–18) and 90 (60–96), respectively. The clinical outcomes of the patients showed concordance with reduction quality. The median operation duration was 180 minutes (range 125–270). Iatrogenic neurovascular damage was not noted in any patients. Conclusion Reduction and fixation of deep intrapelvic fractures are risky and difficult due to the narrow anatomy and adjacent crucial neurovascular structures. As the 105-degree drill application is safe and easy to intervene in, short surgery duration and satisfactory results with minimum complications can be obtained with a 105 angulated drill in the deep pelvic region.
Comparison of Cases with Anterior Cruciate Ligament Reconstruction Accompanied by Simultaneous Medial Meniscus Bucket Handle Tear Repair and Isolated Medial Meniscus Bucket Handle Tear Repair Yavuz Akalın, Özgür Avcı, Savaş İ. İnce, Nazan Çevik, İsmail G. Şahin, Alpaslan Öztürk Journal of Knee Surgery, 2021 The aim of this study was to evaluate the success of the all-inside repair technique for medial bucket-handle meniscus tear (BHMT) and the factors affecting healing. A total of 36 patients with BHMT who were operated between 2012 and 2018 and completed final follow-up examinations were included in the study. Functional evaluation was made with the International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner score. Healing was evaluated on magnetic resonance imaging (MRI) slices. The patients were evaluated with respect to the effect on healing of factors such as demographic data, body mass index (BMI), smoking status, anterior cruciate ligament tear reconstruction (ACLTR) applied at the same time as BHMT repair, and the tear being chronic or acute. The mean age of the patients was 28.6 ± 8.6 years (range,18–46 years), the mean follow-up period was 25.8 ± 13.9 months (range, 13–59 months), and BMI was mean 25.6 ± 3.5 kg/m2 (range, 20.1–30.5 kg/m2). The meniscus tears were acute in 16 (44.4%) patients and chronic in 20 (55.6%). ACLTR was applied together with BHMT repair in 25 patients. The hybrid technique, as the outside-in technique in addition to the all-inside technique, was applied to 12 (33.3%) patients, where there was seen to be extension to the anterior horn. The failure rate was determined as 27.8% according to the postoperative MRI evaluation and the Barrett criteria. No positive or negative statistically significant effect on healing was determined of chronic BHMT or of simultaneous application of ACLTR (p = 1.00 and 0.457, respectively). Cigarette smoking and high BMI were determined to have a statistically significant negative effect on healing (p = 0.026 and 0.007, respectively). In conclusion, it can be seen that the success of the all-inside technique for BHMT remains controversial. Due to the features of the application, it can be used in meniscus tears of the posterior horn only. In the current study, with the success rate of 72.2% of the all-inside technique in meniscus body tears, it was seen that a high success rate could not be achieved.
Joint line reestablishment in revision total knee arthroplasty Mustafa Çınar Akça, Yavuz Akalın, Nazan Çevik, İsmail Gökhan Şahin, Özgür Avcı, Alpaslan Öztürk Arthroplasty, 2020 Background In this study, the traditional “Anatomical Landmark-Distance Method (AL-DM)” in the formation of joint line (JL) was compared with “Adductor Tubercle-Ratios method” (AT-RM), and the effect of reestablishment of JL on clinical and functional outcomes were evaluated. Materials and methods 16 revision total knee arthroplasties (rTKAs) were performed by using “AT-RM” (group 1) and 16 rTKA by using “AL-DM” (group 2) in our clinic between 2015 and 2018. The data were prospectively collected and a total of 32 knees of 31 patients were analyzed. At the final follow-up, knee functions were evaluated by using Knee Society Score (KSS) knee and function, Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores, Short Form-36 (SF-36) questionnaires and physical examinations. Results Postoperative flexion arc was higher in Group 1. KSS knee and function scores were better in group 1. In group1, JL was reestablished successfully in all revision rTKAs in terms of ATJL and the tibial tubercle TT-JL ratios. The improvement in KSS knee and function scores and WOMAC scores were also better in group 1. Measurements showed that the improvement in KSS scores increased as AT-JL and TT-JL distances approached the calculated values. Conclusion “AT-RM” was shown to be superior to the traditional distance method in terms of JL reestablishment. Functional results and patient satisfaction increased when JL was reestablished.
In total knee arthroplasty surgeries, what is the effective dose of intra-articular tranexamic acid? IG Şahin, H Özdemir Cirugía y cirujanos 92 (5), 647-654 , 2024 2024 Citations: 2
Treatment of acetabulum anterior wall fractures using the modified stoppa approach İG Şahin, Fİ Can, E Gültaç, RM Kilinc, NH Aydoğan, CY Kilinc, İG ŞAHİN, ... Cureus 15 (10) , 2023 2023 Citations: 4
Dikkat Eksikliği ve Hiperaktivite Bozukluğu Tanısı Alan Çocuk ve Ergenlerde Uzun Süreli Metilfenidat Kullanımının Büyüme ve Kemik Yoğunluğu Üzerine Etkilerinin Araştırılması ZA Şahin, İG Şahin, L Bozatlı, I Görker Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9 (3), 208-214 , 2022 2022 Citations: 1
Fixation of bilateral acetabular fractures using the modified Stoppa approach: Two-year clinical outcomes Fİ Can, RM Kılınç, E Gültaç, CY Kılınç, İG Şahin Joint Diseases and Related Surgery 33 (3), 624 , 2022 2022 Citations: 3
Comparison of cases with anterior cruciate ligament reconstruction accompanied by simultaneous medial meniscus bucket handle tear repair and isolated medial meniscus bucket … Y Akalın, Ö Avcı, Sİ İnce, N Çevik, İG Şahin, A Öztürk The Journal of Knee Surgery 35 (11), 1242-1248 , 2022 2022 Citations: 4
Comparison of the clinical outcomes of chronic rupture, arthroscopic tenotomy and tenodesis of proximal biceps tendon Fİ Can, E Gultac, CY Kılınç, İG Şahin, N Aydoğan Deneysel ve Klinik Tıp Dergisi 39 (3), 728-732 , 2022 2022 Citations: 2
The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries E Gultac, F Can, CY Kılınç, İG Şahin, RM Kılınç, N Aydoğan Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9 (1), 59-62 , 2022 2022
Subacromial impingement as a predictor of proximal biceps tendon disorders Fİ Can, E Gültaç, İG Şahin, CY Kılınç, NH Aydoğan Joint diseases and related surgery 33 (1), 142 , 2022 2022 Citations: 11
An evaluation of the fear of falling, balance levels, and prognostic blood parameters among the geriatric population with hip fractures İG Şahın, E Gültaç, Fİ Can, CY Kılınç, NH Aydoğan, İG ŞAHİN, CY Kilinc Cureus 14 (1) , 2022 2022 Citations: 2
A device that facilitates screwing at an appropriate angle in quadrilateral surface fractures: 105-degree drill attachment E Gültaç, CY Kilinc, FI Can, İG Şahin, AE Açan, Ç Gemci, NH Aydoğan Turkish Journal of Medical Sciences 52 (3), 816-824 , 2022 2022 Citations: 4
Evaluation of the Relationship Between Orthopedic Injuries and Attention Deficit Hyperactivity Disorder in Childhood and Adolescence İG ŞAHİN, L BOZATLI, ZA ŞAHİN, I GÖRKER Namık Kemal Medical Journal 9 (1), 54-60 , 2021 2021
Frequency of Sacral Dysmorphism Findigs in Mugla Region RK KILINÇ, CY KILINÇ, Fİ CAN, E GÜLTAÇ, İG ŞAHİN, N AYDOĞAN Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 8 (1), 47-51 , 2021 2021 Citations: 3
Locking compression plate fixation versus intramedullary nailing of humeral shaft fractures: which one is better? A single-centre prospective randomized study Y Akalın, İG Şahin, N Çevik, BO Güler, Ö Avci, A Öztürk International Orthopaedics 44 (10), 2113-2121 , 2020 2020 Citations: 46
Joint line reestablishment in revision total knee arthroplasty MÇ Akça, Y Akalın, N Çevik, İG Şahin, Ö Avcı, A Öztürk Arthroplasty 2 (1), 27 , 2020 2020 Citations: 7
The effect of teicoplanin coating on osteointegration of titanium screws: a biomechanical and histomorphometric study in a rabbit model A Çatalbaş, Y Akalın, İG Şahin, N Çevik, Y Özkan, A Öztürk The European Research Journal 6 (5), 401-408 , 2020 2020 Citations: 2
The effect of pentoxifylline and hyperbaric oxygen on Achilles osteotendinous junction injury: an experimental animal model study MT Palabıyık, Y Akalın, Ö Yalçın, İG Şahin, N Çevik, A Öztürk Ortop Traumatol Rehabil 21 (6), 437-446 , 2019 2019 Citations: 6
Tranexamic acid in total knee replacement which protocol? which application form? A prospective randomised study İG Şahin, Y Akalin, N Çevik, A Otuzbir, Y Özkan, A Öztürk Acta Orthop Belg 85 (4), 484-493 , 2019 2019 Citations: 11
MOST CITED SCHOLAR PUBLICATIONS
Locking compression plate fixation versus intramedullary nailing of humeral shaft fractures: which one is better? A single-centre prospective randomized study Y Akalın, İG Şahin, N Çevik, BO Güler, Ö Avci, A Öztürk International Orthopaedics 44 (10), 2113-2121 , 2020 2020 Citations: 46
Subacromial impingement as a predictor of proximal biceps tendon disorders Fİ Can, E Gültaç, İG Şahin, CY Kılınç, NH Aydoğan Joint diseases and related surgery 33 (1), 142 , 2022 2022 Citations: 11
Tranexamic acid in total knee replacement which protocol? which application form? A prospective randomised study İG Şahin, Y Akalin, N Çevik, A Otuzbir, Y Özkan, A Öztürk Acta Orthop Belg 85 (4), 484-493 , 2019 2019 Citations: 11
Joint line reestablishment in revision total knee arthroplasty MÇ Akça, Y Akalın, N Çevik, İG Şahin, Ö Avcı, A Öztürk Arthroplasty 2 (1), 27 , 2020 2020 Citations: 7
The effect of pentoxifylline and hyperbaric oxygen on Achilles osteotendinous junction injury: an experimental animal model study MT Palabıyık, Y Akalın, Ö Yalçın, İG Şahin, N Çevik, A Öztürk Ortop Traumatol Rehabil 21 (6), 437-446 , 2019 2019 Citations: 6
Treatment of acetabulum anterior wall fractures using the modified stoppa approach İG Şahin, Fİ Can, E Gültaç, RM Kilinc, NH Aydoğan, CY Kilinc, İG ŞAHİN, ... Cureus 15 (10) , 2023 2023 Citations: 4
Comparison of cases with anterior cruciate ligament reconstruction accompanied by simultaneous medial meniscus bucket handle tear repair and isolated medial meniscus bucket … Y Akalın, Ö Avcı, Sİ İnce, N Çevik, İG Şahin, A Öztürk The Journal of Knee Surgery 35 (11), 1242-1248 , 2022 2022 Citations: 4
A device that facilitates screwing at an appropriate angle in quadrilateral surface fractures: 105-degree drill attachment E Gültaç, CY Kilinc, FI Can, İG Şahin, AE Açan, Ç Gemci, NH Aydoğan Turkish Journal of Medical Sciences 52 (3), 816-824 , 2022 2022 Citations: 4
Fixation of bilateral acetabular fractures using the modified Stoppa approach: Two-year clinical outcomes Fİ Can, RM Kılınç, E Gültaç, CY Kılınç, İG Şahin Joint Diseases and Related Surgery 33 (3), 624 , 2022 2022 Citations: 3
Frequency of Sacral Dysmorphism Findigs in Mugla Region RK KILINÇ, CY KILINÇ, Fİ CAN, E GÜLTAÇ, İG ŞAHİN, N AYDOĞAN Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 8 (1), 47-51 , 2021 2021 Citations: 3
In total knee arthroplasty surgeries, what is the effective dose of intra-articular tranexamic acid? IG Şahin, H Özdemir Cirugía y cirujanos 92 (5), 647-654 , 2024 2024 Citations: 2
Comparison of the clinical outcomes of chronic rupture, arthroscopic tenotomy and tenodesis of proximal biceps tendon Fİ Can, E Gultac, CY Kılınç, İG Şahin, N Aydoğan Deneysel ve Klinik Tıp Dergisi 39 (3), 728-732 , 2022 2022 Citations: 2
An evaluation of the fear of falling, balance levels, and prognostic blood parameters among the geriatric population with hip fractures İG Şahın, E Gültaç, Fİ Can, CY Kılınç, NH Aydoğan, İG ŞAHİN, CY Kilinc Cureus 14 (1) , 2022 2022 Citations: 2
The effect of teicoplanin coating on osteointegration of titanium screws: a biomechanical and histomorphometric study in a rabbit model A Çatalbaş, Y Akalın, İG Şahin, N Çevik, Y Özkan, A Öztürk The European Research Journal 6 (5), 401-408 , 2020 2020 Citations: 2
Dikkat Eksikliği ve Hiperaktivite Bozukluğu Tanısı Alan Çocuk ve Ergenlerde Uzun Süreli Metilfenidat Kullanımının Büyüme ve Kemik Yoğunluğu Üzerine Etkilerinin Araştırılması ZA Şahin, İG Şahin, L Bozatlı, I Görker Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9 (3), 208-214 , 2022 2022 Citations: 1
The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries E Gultac, F Can, CY Kılınç, İG Şahin, RM Kılınç, N Aydoğan Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 9 (1), 59-62 , 2022 2022
Evaluation of the Relationship Between Orthopedic Injuries and Attention Deficit Hyperactivity Disorder in Childhood and Adolescence İG ŞAHİN, L BOZATLI, ZA ŞAHİN, I GÖRKER Namık Kemal Medical Journal 9 (1), 54-60 , 2021 2021