bluuebunny/crossref_metadata_2025_split huggingface dataset:
Correlation Between Asymmetric Resection of Posterior Femoral Condyles and Femoral Component Rotation in Total Knee Arthroplasty
Authors: Güngör Harun Reşit , Ök Nusret , Ağladıoğlu Kadir , Akkaya Semih , Kıter Esat 
Published: December 2014

Objectives: Pertaining to peculiar designs of current knee prostheses, more bone is removed from posteromedial femoral condyle than posterolateral condyle to obtain desired femoral component rotation. The aim of our study was to evaluate whether there is a correlation between the asymmetry of the cuts and the femoral component rotation in total knee arthroplasty. Methods: We built a model to simulate anterior chamfer cut (ACC) performed during total knee arthroplasty for measuring posterior condylar offset (PCO). Right knee axial MRI slices of a total 290 consecutive patients (142 male, 138 female, and mean age 31.39 ± 6.6) were examined. A parallel line to surgical transepiphyseal axis was drawn, and placed at the deepest part of trochlear groove. Posteromedial and posterolateral condylar offsets were measured by drawing perpendicular lines to ACC beginning from the intersection points of both anteromedial and anterolateral cortices to posterior joint line (PJL), respectively. Differences between posteromedial and posterolateral PCO were calculated, and femoral rotation angles (FRA) relative to PJL were measured. Results: The mean surgical FRA was 4.76 ± 1.16 degrees and the mean PCO differencesss- was 4.35 ± 1.04 mm for the whole group and there was no statistically significant difference between genders. There was a strong correlation between surgical FRA and PCO difference (p<0.0001, r=0.803). Linear regression analyses revealed that 0.8 mm of difference between the anteroposterior dimensions of medial and lateral PCO corresponds to 1 degree of surgical FRA (p<0.0001, R2=0.645). Conclusion: Correlation between the asymmetry of posterior chamfer cuts and achieved femoral component rotation can verify the accuracy of desired rotation, intraoperatively. However, further clinical investigations should be planned to test the results of our morphometric study.
Effects of Extracorporeal Shock Wave Therapy on Subacromial Impingement Syndrome
Authors: Öztürk Nur Selin , Gelecek Nihal , Savcı Sema 
Published: December 2014

Objectives: The purpose of this study was to investigate the effects of extracorporeal shock wave therapy (ESWT) on pain, functional level of the upper extremity, and quality of life (QOL) in patients with subacromial impingement syndrome (SIS). Methods: This study involved 60 patients with SIS (40 females, 20 males) with a mean age of 52.58 ± 8.05 years. Before the first measurements, all patients were separated into an ESWT group (Group I, n = 30) and a control group (Group II, n = 30) according to a simple random table. Standard physiotherapy and medium-energy ESWT were applied to Group I, and standard physiotherapy and sham ESWT were applied to Group II for 4 weeks. Pain, functional level of the upper extremity and QOL were evaluated before and after treatment. Results: After treatment, the visual analogue scale (VAS) score decreased , and Constant Shoulder Score, Shoulder Pain and Disablity Index (SPADI) and SF-36 score increased statistically in both groups (p < 0.05). Similarly, there were no statistically significant differences in the VAS score, Constant Shoulder Score, and SPADI between Groups I and II after treatment (p > 0.05). Conclusion: The results of our study show that applications of medium-energy ESWT at one session a week for 4 weeks had effects similar to those of standard physiotherapy and sham ESWT on shoulder pain, functional level of the upper extremity, and QOL in patients with SIS.
Effects of Proprioceptive Neuromuscular Facilitation and Mulligan Concepts on the Pain, Functional Level and Quality of Life on Subacromial Impingement Syndrome
Authors: Karakuş Sinem , Gelecek Nihal , Yeşilyaprak Sevgi Sevi 
Published: December 2014

Objectives: The purpose of the study was to investigate the effects of Proprioceptif Neuromuscular Facilitation (PNF) and Mulligan concepts on the pain, functional level and quality of life in the patients with subacromial impingement syndrome (SIS). Methods: This study was carried out on 40 patients (26 females, 14 males), mean age 50,3±1,13 years, who had been diagnosed as SIS admitted to the physical therapy and rehabilitation clinic. Before the beginning measurements all the patients were separated to 2 groups according to simple random table. Standard physical therapy and PNF were given to the Group I (n=20); and Standard physical therapy and Mulligan Concept were added to the Group II (n=20). In the evaluation process the demographic data of the patients, pain severity (VAS), functional level (Constant shoulder score) and quality of life (SF-36) measurement were done. The measurements were done before treatment, after treatment and 3 month later. Results: Before treatment, VAS score, Constant shoulder score and quality of life scores were similar and there were no statistically differences between two groups (p>0.05). After treatment and 3 month later, VAS score decreased, Constant Shoulder score increased in both groups(p<0.05). For Group I, SF-36 physical component and mental component scores increased after treatment (p<0.05), but mental component score was not change in Group II (p>0.05). However, there were no statistically significant differences in the VAS score, Constant Shoulder Score, and mental health score between Groups I and II after treatment and 3 month (p > 0.05). Conclusion: The results of our study suggested that PNF and Mulligan concept could influence positively on shoulder pain, functional level of upper extremity and quality of life in patients with SIS and these effects were similar.
MRI Evaluation of Patella Alignment Before and After Anatomical Reconstruction of ACL Undergoing Unified Rehabilitation Programme Introduced by CMC Physical Therapy Team
Authors: Straszewski Dariusz , Plenzler Marcin , Szczepaniak Joanna , Śmigielski Robert , Ciszkowska-Łysoń Beata , Popieluch Marcin , Kopko Szymon 
Published: December 2014

Objectives: The aim of the study was to asses the impact of the functional rehabilitation on patella alignment with MRI imaging in patients who underwent the ACL reconstruction. The surgical approach with the use of patellar tendon graft is known to carry the risk of lowering patella height (patella baja), which, in turn, may lead to accelerated cartilage wear in patellofemoral joint. Methods: 30 patients after the anatomical reconstruction of ACL took part in this study (23 male, and 7 female, mean age = 28 ± 10,6 years). During the procedure a patellar tendon graft was used. The Insali-Salvati ratio measured with MRI (images taken pre-procedural, and 9 months after the surgery) was used for the assessment of patellar alignment. The measurements were taken by one radiology specialist on MRI scans in sagittal view in PD sequence. During the examination, patellar joint was in flexion (approx.10 degrees). As the point of reference for patella’s position ISR ratio was in the range of 0.8 - 1.2. All patients were operated on by the same team of surgeons and underwent an unified rehabilitation programme led by a team of selected physiotherapists. The main features of the programme were: an early muscle activation (second day after the procedure); mobilisation of the patella and tissues of the anterior compartment of the knee; weight bearing co-contraction exercises, and the sensomotoric training of the entire kinetic chain of the lower limb. The data recorded was statistically analysed using the Wilcoxon signed-rank test in order to establish parameters’ changes within the study group.. Results: The mean ISR value before the procedure was 0.84 (± 0,1), whereas 9 months after the surgery it was 0.85 (± 0,1). The results’ analysis did not show any statistically significant changes between ISR values. Nine months after the procedure patella baja has not been observed in any of the evaluated patients. Conclusion: The functional rehabilitation programme designed by the CMC team had no negative impact on patella alignment, as no patella baja, which is a common complication after these kinds of surgeries, has been observed. The applied functional rehabilitation programme enabled patients to keep the proper patella alignment, similar to the alignment recorded before the surgery.
Influence of Pectoralis Minor Muscle and Upper Trapez Muscle Tightness in Scapular Dyskinesis
Authors: Yeşilyaprak Sevgi Sevi , Yüksel Ertuğrul , Kalkan Serpil 
Published: December 2014

Objectives: Alterations in scapular kinematics were found in individuals with shoulder problems compared with healthy individuals. These alterations in scapular kinematics such as changes in the normal position or any abnormal motion of the scapula during active motions are defined as “’Scapular Dyskinesis (SD)”. Relationship between tight muscles and scapular kinematics has been investigated. Pectoralis Minor Muscle Tightness (PMMT) effects scapular motion and make changes in scapular kinematics. Although there are some studies indicating a possible relationship between PMM or Upper Trapezius Muscle Tightness (UTMT) and SD, this relationship hasn’t been investigated yet. The aim of this study was to evaluate the influence of PMMT and UTMT on SD in an asymptomatic population. Methods: One-hundred-eleven participants (mean age: 22.73±3.45 years old, 222 arms, 42 Female-69 Male) were recruited. Subjects were eligible if they were ≥18 years of age, having active full shoulder motion and who has no health problem to hinder them from participate. Individuals with symptoms produced by cervical spine motion, impingement syndrome, frozen shoulder, shoulder instability and a history of shoulder fracture/surgery were excluded. Scapular Dyskinesis Test (SDT) was used to identify SD. PMMT was determined by Pectoralis Minor Index (PMI), UTMT by UTMT Test. Logistic regression analysis performed to ascertain the effects of PMMT and UTMT on the likelihood that participants have SD. Results: SD was identified in 62 arms (27.9%), PMMT in 32 arms (14.4%), and UTMT in 75 arms (33.8%) in total number of participants. PMMT was determined in 23 arms (37.1%) and UTMT in 39 arms (62.9%) in participants with SD. The logistic regression model was statistically significant, X2=65.472, p<.000, df= 2. The model explained 36.8% (Nagelkerke R2) of the variance in SD and correctly classified 78.4% of cases. The Wald criterion demonstrated that both PMMT and UTMT made a significant contribution to prediction (p<0.000 for PMMT, p<0.000 for PMMT). People who have PMMT were 13.76 times more likely to exhibit SD than people who haven’t. People who have UTMT were 7.59 times more likely to exhibit SD than people who haven’t. Conclusion: It was determined that people with PMMT and UTMT are more likely to exhibit SD than people who have normal muscle length in this asymptomatic population. Assessment of PMMT and UTMT could be included as a routine part of the scapula and scapular dyskinesia examination. This investigation should be repeated in symptomatic population who has shoulder problems. The effects of various interventions for lengthening these muscles in scapular dyskinesia, needs further research.
Core Stabilization Training After Anterior Cruciate Ligament Reconstruction
Authors: Medeni Özge Çınar , Bayramlar Kezban , Baltacı Gül , Yanmış İbrahim 
Published: December 2014

Objectives: The aim of this study was to compare the effects of core stabilization exercises and conventional rehabilitation exercises after anterior cruciate ligament reconstruction in terms of knee joint laxity, knee muscle strength, postural stability and functional tests. Methods: Twenty eight patients reconstructed with hamstring tendon were included. Thirteen patients evaluated after a conventional rehabilitation and fifteen after a core stabilization programme. Single-limb postural stability assessment, isokinetic knee muscle strength test, instrumented ligament laxity test, functional hop tests were done to both groups after 16th week. Single-limb postural stability was assessed with stabilometer in both eyes open and eyes-closed conditions. Healthy legs were evaluated as internal controls. Results: Knee flexor and extensor strength indices were not different between groups (p>.05). H/Q strength ratio was different at 180 °/s (p<.05). Knee laxity was not different between groups (p<.05). There was no significant difference in hop distance and hop index between groups (p>.05). Conventional training group had deficit in overall stability score in eyes closed condition (p>.05), but core stabilization group did not have any postural stability deficit (p>.05). Conclusion: Better H/Q strength ratio was seen in core stabilization group. Core stabilization exercises improved postural stability more than classic rehabilitation.
Effects of Body Mass Index, Infrapatellar Fat Pad Volume and Age on Patellar Cartilage Defect
Authors: Duran Semra , Akşahin Ertugrul , Kocadal Onur , Aktekin Cem Nuri , Hapa Onur , Genctürk Zeynep Bıyıklı 
Published: December 2014

Objectives: The aim of this study was to evaluate the associations between patellar cartilage defects and body mass index (BMI), infrapatellar fat pad (IPFP) volume and age. Methods: 100 patients who met the inclusion criteria and were aged 18 to 60, were evaluated retrospectively. The BMI’s of the participants were evaluated according to their weight and height. For detecting and measuring patellar cartilage defects, axial sequences were used and sagittal sequences for were used to evaluate IPFP volumes in MRI. Results: 40 patients were found to have patellar cartilage defects. In this group, age and BMI were higher in both sexes when compared with the controls (P<0.05). The IPFP volume was lower in the group with the patellar cartilage defect when compared with the control group (P<0.05). The IPFP volume was statistically significantly lower in women (P<0.05). Conclusion: Patellar cartilage defects were found to be related to age and BMI. In women, the decrease in IPFP volume seems to be one of the causative factors for patellar cartilage defects. The effect of IPFP volume on articular cartilage in healthy people is unknown. Further studies focusing on patellofemoral cartilage damage are needed to reveal this association.
Medial Opening Wedge High Tibial Osteotomy Fixation with Short Plate without any Graft, Synthetic Material or Spacer
Authors: Türkmen Faik , Sever Cem , Kacıra Burkay Kutluhan , Demirayak Mehmet , Acar Mehmet Ali , Toker Serdar 
Published: December 2014

Objectives: Medial opening-wedge high tibial osteotomy (MOWHTO) is an effective surgical procedure for patients who have medial compartmental osteoarthritis of the knee with varus deformity of the limb. The abnormal load on the medial compartment of the knee relocates to the lateral compartment with this procedure. A gap occurs on the proximal tibia during the correction of varus deformity. Filling this gap with bone grafts or synthetic materials has gained wide acceptance for preventing nonunion or osteotomy site collapse. The aim of this study is to report our results of MOWHTOs performed without any bone graft or any other synthetic materials. Methods: We evaluated 41 MOWHTOs performed between 2009 and 2012 with no use of bone grafts, synthetic materials or spacers. Age of the patients ranged from 43 to 67. Thirty five of the patients were female and 3 of them were male. The follow-up time was 6 months. Results: There were no any non-unions or loss of correction. The mean bone union time was 12,8 weeks. No major complications were seen. Conclusion: The results of our study has shown that achieve satisfactory results can be obtained in MOWHTO without using any bone graft, synthetic materials or spacer.
A Comparison of Pre and Post-Season Proprioception, Functional Endurance, and Coordination Changes of Professional Soccer Players
Authors: Günaydın Özge Ece , Tunay Volga Bayrakçı , Baltacı Gül 
Published: December 2014

Objectives: Soccer is amongst the most popular sports in the world, and also it is one of the sports in which physical injury occurs most. The aim of the present study was to investigate soccer players’ pre- and post-season physical injury-related parameters, to analyze the effectiveness of the training program, and to evaluate changes in their physical performance throughout the season. Methods: In the present study, 16 soccer players (mean age: 18.87±0.61 years) and 16 sedentary individuals (mean age: 20.93±4.48 years) were recruited. In both groups, proprioception, functional endurance, and coordination were assessed. Soccer players were assessed twice: pre- and post-season, while the sedentary group was assessed only once. Results: Pre-season concentric and eccentric coordination levels of the soccer players were found to be higher than those of the sedentary group (p<0.05). In addition, post-season concentric coordination levels of the soccer players were higher than those of the sedentary group (p<0.05). In terms of proprioception levels, no statistical difference was observed between pre- and post-season in the soccer group and between groups (p>0.05). When the pre-season values were compared with the post-season values in the soccer group, while there was a significant decrease in concentric coordination values (p<0.05). There was a significant increase in concentric endurance values (p<0.05). Conclusion: Pre- and post-season detailed evaluations of the soccer players would be beneficial in terms of not only identifying their physical needs and the shortcomings in their physical fitness but also they would be beneficial in designing the training programs.
Total Knee Arthroplasty Infected by Brucella Melitensis
Authors: Karaaslan Fatih , Mermerkaya Musa sUğur , Karaoğlu Sinan 
Published: December 2014

Objectives: Brucella infection associated with arthroplasty is a rare event. We present the long-term results of two-stage revision knee arthroplasty due to TKA infection by Brucella melitensis. Methods: A 62-year-old man presented with a 4-month history of night sweats, high body temperature, and right knee pain in 2003. Two years previously, he had undergone a right TKA for treatment of gonarthrosis. Upon examination, the knee appeared swollen, warm, and sore, and a sinus tract formation had developed at the incision area. Bacteriologic cultures taken from the sinus tract discharge revealed B. melitensis. The patient’s erythrocyte sedimentation rate (ESR) was 83 mm/h, C-reactive protein (CRP) level was 12.38 mg/L, and blood leukocyte concentration was 9425/mm3. Plain radiography confirmed septic loosening. A two-stage revision TKA was planned. The first stage involved removal of the infected prosthesis and debridement of the remaining cement and necrotic tissue. Removal of the prosthetic components and cement and application of an antibiotic-loaded spacer (teicoplanin-impregnated) was also performed in the first stage. Oral rifampicin (900 mg) and doxycycline (300 mg) were administered daily for 12 weeks postoperatively. At the end of the antibiotic therapy, the patient was seen as an outpatient, and his ESR, CRP level, and antibody titer had decreased to normal values. Finally, prosthetic revision was performed in the second stage of the TKA. Results: Ten years following surgery, the patient had returned to full activities of daily living, described no knee pain, and was very satisfied with the outcome. No abnormalities associated with the femoral, tibial, or patellar components were observed on plain radiography 10 years following surgery. The results of a Brucella agglutination test at that time were negative. Conclusion: Osteoarticular disease related to Brucella remains a problem in endemic regions. Brucellosis should be kept in mind in the differential diagnosis of prosthetic joint infections, especially in patients with a history of brucellosis and exposure to possible sources of the bacteria. We believe that two-stage revision arthroplasty is the first-line treatment of a loose TKA infected with B. melitensis. In addition, if a systemic Brucella infection is identified, the patient should be managed with two-stage revision surgery.
The Effect of Hamstring Muscle Tightness on Knee Joint Proprioceptive Sense
Authors: Tamer Seval , Yakut Yavuz , Can Filiz , Ülger Özlem 
Published: December 2014

Objectives: Hamstring muscle tightness is a major musculoskeletal problem that predisposes the knee to injury . Proprioception sense is an important factor for injuries and we have not found any studies on the effect of hamstring muscle tightness on knee joint proprioceptive . Therefore, the aim of this study was to determine the effect of hamstring muscle tightness on knee joint proprioceptive sense. Methods: 61 healthy individuals, without any orthopedic or neurological symptoms that affect the knee joint proprioception sense, were included in this study. Individuals' socio-demographic data were recorded. Hamstring muscle tightness was measured with active knee extension (ACE) method by using goniometer. Individuals with hamstring muscle tightness (ACE over of 20 °) was Group 1 and individuals without tightness (ACE 20 ° and under) was Group 2. Proprioceptive component of joint position sense and kinaesthesia was evaluated for the sense of proprioception. Prosport 1000 PMS (Tümer Machine Ankara, Turkey) instrument was used and visual, auditory, tactile, sensory input have been eliminated. Passive placement method and 20 and 40 degrees of knee flexion target angles was used for measurement. For joint position sense target angle predict degree, for kinesthesia perceive movement sense degree was recorded. Instrument moved 10 degrees/sec for joint position sense and 0.4 degrees/sec for kinesthesia. All measurements were repeated three times for dominant and non-dominant side. SPSS version 21 was used for statistical analysis and p values of 0.05 and less were considered evidence of statistically significant findings. Mann-Whitney U rank test was used to compare findings of two groups. Results: Individuals’ socio-demographic data were similar (p> 0.05). No difference was found between the groups’ dominant and non-dominant sides’ AKE values (p> 0.05). Similarly for dominant and non-dominant side kinaesthesia values in 20 °and 40°, joint position sense values in 20 ° and 40 ° did not show statistically significant differences between the groups (p> 0.05). Conclusion: This study showed that hamstring muscle tightness was not effective on knee joint kinesthesia and joint position sense for both dominant and non-dominant side. This result indicates that joint position and kinesthesia were not effective enough to show the effect of hamstring muscle tightness on knee joint proprioception, so other proprioceptive components like muscle strength, range of motion, strength and agility could be considered.