Publications by authors named "Nezih Ziroglu"

Article Synopsis
  • Exercise therapy (ET) is the initial treatment for subacromial impingement syndrome (SIS), and there's increasing interest in using platelet-rich plasma (PRP) in conjunction with it for better outcomes.
  • A study aimed to compare the effectiveness of ET alone versus ET combined with PRP on patients' pain, functionality, and quality of life (QoL) over a 6-month period.
  • The research was a randomized controlled trial where patients were split into two groups—one receiving only ET and the other receiving ET plus PRP injections—to assess their recovery through various health measurements.
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Background: Partial thickness rotator cuff tears significantly affect physical and psychosocial well-being. This study aimed to compare the efficacy of physiotherapist-supervised exercise and physiotherapist-prescribed home exercise programs on physical and psychosocial health measures in partial thickness rotator cuff tears.

Methods: Seventy patients with partial thickness rotator cuff tears (44 female; mean age, 50.

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Objective: Chevron osteotomy offers near-excellent clinical results and adequate stability at lower shift percentages, among the techniques used to correct hallux valgus deformity. This cadaveric study aimed to compare the Chevron osteotomy with the reverse offset-L osteotomy, which may provide a greater surface area and a more stable geometry to withstand higher cantilever forces at higher shift percentages.

Methods: Metatarsal bones obtained from 20 human cadavers with similar bone quality were divided into two groups: Chevron osteotomy was applied to the 1st group and reverse offset-L osteotomy was applied to the 2nd group.

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Background: As a two-stage surgical procedure, Masquelet's technique has been used to care for critical-size bone defects (CSD). We aimed to determine the effects of modified and altered bone cement with biological or chemical enriching agents on the progression of Masquelet's induced membrane (IM) applied to a rat femur CSD model, and to compare the histopathological, biochemical, and immunohistochemical findings of these cements to enhance IM capacity.

Methods: Thirty-five male rats were included in five groups: plain polymethyl methacrylate (PMMA), estrogen-impregnated PMMA (E+PMMA), bone chip added PMMA (BC+PMMA), hydroxyapatite-coated PMMA (HA) and calcium phosphate cement (CPC).

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Background: The American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal-Interphalangeal (AOFAS Hallux MTP-IP) scale is one of the most widely used outcome measures to evaluate hallux pathologies. This study aimed to translate the AOFAS Hallux MTP-IP scale into Turkish and investigate its psychometric properties.

Methods: The psychometric properties of the Turkish version of the AOFAS Hallux MTP-IP (AOFAS Hallux MTP-IP-T) scale were tested in 66 patients with hallux pathologies (52 women; mean age, 47.

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Objectives: Greulich-Pyle (GP) is one of the most used method for bone age determination (BAD) in various orthopedic, pediatric, radiological, and forensic situations. We aimed to investigate the inter- and intra-observer reliability of the GP method between the most relevant disciplines and its applicability to the Turkish population.

Methods: One-hundred and eighty (90 boys, 90 girls) patients with a chronological age younger than 18 (mean 9.

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Background: The decision-making process and predicting the time to return to sport (RTS) and return to performance (RTP) after arthroscopic rotator cuff repair (ARCR) in elite volleyball players are difficult issues to address, even among experienced shoulder surgeons.

Purpose/hypothesis: The purpose of the study was to evaluate the results in Olympic-level volleyball players treated with arthroscopic supraspinatus repair and to report the RTS and the RTP. It was hypothesized that these athletes had higher RTS and faster RTP.

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Article Synopsis
  • The Shanghai Elbow Dysfunction Score (SHEDS) is a self-report tool designed to assess elbow stiffness and related symptoms after an injury, and the study focused on translating it into Turkish and validating this version.
  • The Turkish version (SHEDS-T) was tested on 108 patients to measure its internal consistency, test-retest reliability, and construct validity, which were confirmed with strong statistical results.
  • The SHEDS-T demonstrated adequate reliability and validity for measuring elbow symptoms and motion in Turkish-speaking individuals, making it a suitable tool for assessing post-traumatic elbow stiffness.
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  • This study compares the effectiveness of two surgical methods for treating Stage 3A Kienböck's disease: the capitate forage procedure (CFP) and radial shortening osteotomy (RSO).
  • A total of 35 patients were analyzed, showing significant improvement in wrist function after surgery measured by MAYO wrist scores, with RSO outperforming CFP.
  • The findings suggest that while both procedures are effective, RSO is preferred due to higher success rates, while CFP may be a viable option for patients needing a less invasive approach.
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Background: Masquelet technique is a two-stage surgical procedure used in the treatment of critical-size bone defects (CSD). Adding antibiotics to polymethylmethacrylate (PMMA) is still questionable to create higher quality induced membrane (IM). The aim of the study was to evaluate the effects of three antibiotic-supplemented cement, fusidic acid, teicoplanin, and gentamicin, on osteogenesis and IM progression applied to rat femur CSD model by comparing histopathological, biochemical, and immunohistochemical findings.

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Objective: The aim of the study is to compare the effects of exercise training plus neuromuscular electrical stimulation with exercise training alone on shoulder function, pain, range of motion, and muscle strength in patients with subacromial impingement syndrome.

Design: Patients were randomly divided into groups of exercise training ( n = 24) and exercise training + neuromuscular electrical stimulation ( n = 24). Shoulder function was evaluated with the Disabilities of the Arm, Shoulder and Hand Questionnaire, pain level was assessed with a visual analog scale, range of motion was measured with a goniometer, and muscle strength was assessed with a handheld dynamometer baseline and at the end of treatment (week 8).

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Background: The aim of the study is to evaluate the relationship between plate-screw density (PSD), functional results, and complication rates in the treatment of proximal humerus fractures (PHFs) with proximal humerus locking anatomical plate (PHLAP).

Methods: Consecutive 43 patients (22 females and 21 males) who underwent PHLAP for the treatment of PHF between 2010 and 2016 were evaluated. AO classifications were used for the classification of fractures.

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Purpose: The study aims to determine the effect of fibular fixation on alignment and fracture healing of tibia, and ankle functional outcomes in the treatment of distal third tibiofibular diaphyseal fractures.

Methods: Consecutive 111 patients (33 females and 78 males) with distal third tibiofibular diaphyseal fracture who met the inclusion criteria were included in the study. Patients were divided into two groups as those who underwent fibular fixation with tibia intramedullary nailing (study group) and those who did not (control group).

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Article Synopsis
  • Ogilvie's syndrome is characterized by excessive dilation of the colon and obstruction, occurring without a mechanical cause, often linked to factors like metabolic disorders and major traumas, especially after orthopedic surgeries.
  • The syndrome poses significant risks of morbidity and mortality, making early diagnosis and a multidisciplinary approach crucial, particularly following operations like hip and knee replacements.
  • This case report highlights an elderly patient who developed acute colonic pseudo-obstruction after hemiarthroplasty for a hip fracture, aiming to raise awareness among orthopedic surgeons about the importance of including Ogilvie's syndrome in their differential diagnosis.
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Article Synopsis
  • This study compared two surgical methods—posterolateral fusion with transforaminal lumbar interbody fusion (PLF + TLIF) and posterolateral fusion only (PLF)—for patients with lumbar spinal stenosis (LSS).
  • It involved 71 patients and assessed outcomes using pain and disability questionnaires, as well as MRI for radiological evaluation.
  • Results showed that the PLF + TLIF group had significantly better functional scores and fewer complications, suggesting it should be the preferred method for surgical treatment of LSS.
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Article Synopsis
  • The study aims to compare musculoskeletal injury types and treatments among refugee children versus native children and examines demographic factors influencing these injuries.
  • A total of 1,297 patients were analyzed, revealing that refugees experienced more high-energy traumas and had higher rates of invasive treatments and longer hospital stays.
  • The findings highlight distinct injury mechanisms in refugee children and suggest that enhancing their living conditions could decrease these injuries.
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Aim The gradual increase in shoulder implants in active elderly patients has appeared in a parallel increase in periprosthetic humeral fractures. The aim of this study was to investigate the advantages of using strut grafting with plate fixation during periprosthetic humerus fractures. Methods Thirty patients diagnosed with periprosthetic humeral fracture were divided into two groups.

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Background: AC joint injury is a common disorder with a reported incidence of three to four cases per 100.000. A multitude of surgical techniques has been described for the treatment of the AC joint injuries with no clear consensus regarding the optimal treatment.

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Alkaptonuria is an autosomal recessive disease caused by the accumulation of homogentisic acid (HGA) products in the ligament, cartilage, skin and various organs due to the lack of HGA oxidase enzyme. In this article, we present a 61-year-old male patient operated on due to a diagnosis of spontaneous Achilles tendon rupture and diagnosed as alkaptonuria due to the intraoperative color of the tissues and the subsequent examinations. We also reviewed alkaptonuria and its accompanying pathologies in light of the literature.

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The beach chair position (BCP) is commonly used position in upper extremity surgery. Although there are many advantages to surgery in this position, there are also potential drawbacks and described complications including devastating neurologic outcomes. The etiology of these complications is postulated to be due to the gravitational effects of the seated position leading to cerebral hypoperfusion.

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Purpose: The purpose of this prospective study was to evaluate the effects of deformity correction on body image, quality of life, self-esteem, depression and anxiety in patients with adolescent idiopathic scoliosis (AIS) who underwent surgery.

Methods: Between June 2014 and July 2015, 41 consecutive patients who underwent surgery for AIS were compared with the control group of 52 healthy patients regarding the changes in the pre- and postoperative quality of life and psychiatric status of patients with deformity correction. Body Cathexis Scale (BCS), Pediatric Quality of Life Inventory (PedsQL), Children's Depression Inventory (CDI), Piers-Harris self-esteem questionnaire (PH-SEQ) and state-trait Anxiety Inventory for Children were used to evaluate the patients.

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Background: The aim of this study was to compare the functional and radiological outcomes of K-wire-supported bridging external fixation (KW-EF) and volar locking plate (VLP) in the treatment of comminuted intra-articular distal radius fractures.

Methods: Patients treated for complex intra-articular distal radius fractures between February 2010 and April 2013 were retrospectively investigated. A total of 114 patients (42 females and 72 males) with a mean age of 44.

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Purpose: The aim of the study was to investigate the relationship between attention deficit and hyperactivity disorder (ADHD), anxiety, and depression with pediatric extremity fractures.

Methods: Between November 2014 and November 2016, consecutive 138 patients with pediatric extremity fractures were prospectively investigated in terms of the tendency to anxiety, depression, or ADHD in the study group. Consecutive 168 non-trauma patients who were admitted to general pediatrics outpatient clinic were included the control group.

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