Publications by authors named "Muhammed Yusuf Afacan"

Objective: This study aims to evaluate the impact of the pathogen's sensitivity to the loaded antibiotics on infection resolution, the number of revisions, and the associated costs in patients undergoing revision total knee arthroplasty (rTKA) due to PJI.

Material And Methods: We reviewed the treatment and follow-up processes of 61 patients who underwent rTKA for late-stage PJI following primary total knee arthroplasty in our clinic. The study included 11 patients in the resistant group and 50 in the sensitive group in line with the power analysis results.

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  • This case report discusses the treatment of a 26-year-old male with a greater tuberosity fracture-dislocation following a fall, highlighting the symptoms and initial conservative treatment strategies used.
  • After initial treatments, the patient experienced persistent pain related to post-traumatic subacromial impingement syndrome, which was confirmed via imaging and treated with a guided injection, leading to significant improvement.
  • The study concludes that conservative management, including rehabilitation and avoiding overhead activities, can effectively treat isolated shoulder fractures and associated complications, as demonstrated by the patient's full recovery over six months.
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This study addresses the challenges faced by diabetic patients undergoing lower extremity amputation due to diabetic foot, particularly focusing on the implications for wound healing and early mortality. The wounds at the amputation stump may necessitate multiple surgical interventions. The aim is to identify prognostic factors associated with these outcomes, shedding light on the complexities surrounding the postamputation phase.

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Periprosthetic joint infection (PJI) is a rare but most vital complication after joint arthroplasty and requires a revision surgery. Synovial fluid analysis is essential in diagnosis of the PJI, and conventional and molecular microbiologic investigations may help in determining the cause of the infection. With this unusual case, we aimed to present the second instance in the literature of PJI of the knee caused by subspecies (SDSD).

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  • A case study discusses a rare instance of allergic contact dermatitis (ACD) in a 56-year-old woman after she received a plaster splint for a distal radius fracture, presenting with itching and burning one day post-application.
  • The study emphasizes the importance of recognizing ACD, ensuring prompt diagnosis, and implementing treatment options such as topical antihistamines and corticosteroids to manage the skin condition while continuing fracture care.
  • A key takeaway is the need for follow-up appointments and patient education on warning signs of skin irritation versus neurovascular issues, alongside assessing for allergies to preventive measures against ACD.
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  • * A study focused on a 26-year-old male who developed bilateral avascular necrosis in the humeral and femoral heads after a month of corticosteroid treatment; he underwent a comprehensive management strategy that included surgery and rehabilitation.
  • * The patient showed significant recovery over three years, illustrating that avascular necrosis symptoms can appear long after corticosteroid use, highlighting the need for careful monitoring of patients with such a history.
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Posterior dislocation of the sternoclavicular joint is a rare orthopedic injury and may result in complications with high mortality due to the location of the joint, accompanied by neurovascular, tracheal, and esophageal injuries. Therefore, an immediate diagnosis and treatment are necessary to prevent complications. In this case, a 13-year-old male patient received an elbow strike to the left clavicle while playing football.

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Distal humeral metaphyseal-diaphyseal fractures are rare and inherently unstable injuries. Non-operative treatments can make it hard to maintain reduction. Open or closed reduction with percutaneous K-wire fixation may be the preferred treatment option for these fracture types.

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Simultaneous talocalcaneal and talonavicular joint dislocation, in other words, subtalar joint dislocation, and navicular bone lateral process fracture are rare orthopedic injuries. In this case, we aimed to discuss the effectiveness and ergonomics of non-surgical follow-up with a short leg splint after reduction of talonavicular, talocalcaneal joint dislocation, and lateral process fracture of the navicular bone. A 17-year-old male patient was admitted to the emergency department with swelling and pain in his left foot after spraining his left foot while playing football.

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  • This text discusses a rare type of orthopedic injury involving simultaneous dislocation of the carpometacarpal joint and fractures of nearby carpal bones.
  • It presents the case of a 27-year-old male who injured his hand after punching a wall, leading to diagnosed dislocations and fractures without neurovascular damage.
  • The treatment included closed reduction and the use of a functional metacarpal splint, resulting in successful recovery with full motion and strength after eight weeks, all without surgical intervention.
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In this case report, we want to show how a patient who underwent surgery for a distal humerus fracture developed postoperative ulnar neuropathy symptoms, how nonunion persisted even at the ninth month of follow-up, and whether the nonunion was connected to the ulnar neuropathy that developed. Due to this, we used this case to explore ulnar nerve care and whether ulnar nerve transposition, manipulation, or decompression should be carried out during surgery on patients with distal humerus fractures. A 52-year-old man with a bi-columnar distal humerus fracture from a fall on his right elbow underwent open reduction and internal fixation at an external center one year before.

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In this study, a 50-year-old male patient had a painless swelling on his right forearm. The lump on the forearm started one year ago and increased in size in the last two months. The mass was 3x6 cm and had a malignant appearance on radiological imaging.

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Background: Proximal femoral nailing (PFN) and hip arthroplasty (HA) are the two most often utilized surgical procedures for treating hip fractures in older patients. The post-operative postural balance and functional outcomes of patients may be significantly influenced by the technical distinctions between PFN and HA. This will influence the surgeon's preferred course of therapy.

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is a saprophytic fungus encountered as a pathogen in airborne lung infections. Although it commonly causes pulmonary infectious diseases, when disseminated, it may cause a systemic infection termed invasive aspergillosis, which is associated with high mortality and morbidity. Virtually, all organ systems may be involved.

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Metatarsal bone fractures are one of the most frequent foot injuries, especially after motor vehicle accidents in children. This case report briefly demonstrated a rare instance of pediatric all-metatarsal fractures of the left foot in an adolescent patient with polytrauma after a motorcycle accident. This case report illustrated the surgical procedure's potential for healing pediatric foot fractures in teenage patients after polytrauma.

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Myxofibrosarcoma is a malignant mesenchymal tumor and a fibroblastic sarcoma of the elderly. Myxofibrosarcoma can be low-grade or high-grade depending on the cell characteristics. Wide surgical resection with or without radiotherapy and chemotherapy is the basis of its treatment.

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Background: This study focused on the anatomical characteristics and variations of intercostobrachial (ICBN) nerve and median nerve to investigate the possible use of ICBN in restoration of sensory damage of hand after traumatic median nerve injury and to evaluate the feasibility of ICBN neurotization to median nerve.

Methods: Variations of ICBN were noted in 16 axillary region dissections of eight cadavers. Measurements for ICBN's suitability in terms of neurotization to brachial plexus were done with millimetric devices.

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