bluuebunny/crossref_metadata_2025_split huggingface dataset:
Injury of the Infrapatellar Branch of the Saphenous Nerve During Hamstring Graft Harvest
Authors: Sipahioglu Serkan , Zehir Sinan , Baykara İslam , Bilge Ali 
Published: December 2014

Objectives: Sensory disturbance around the surgical incision due to injury of the infrapatellar branch of the saphenous nerve (IPBSN) can be seen in the anterior cruciate ligament (ACL) reconstruction after the operation. In this research, we aimed to compare the incidence, extent of sensory loss, its clinical effect and natural course caused by two different skin incisions used for autogenous hamstring graft harvest during ACL reconstruction. Methods: Seventy eight patients who underwent hamstring graft harvest during ACL reconstruction participated in the study. Among the 78 patients, vertical incision for 36 patients and oblique incision for 42 patients were used for graft harvest. The area of the sensory loss was documented at 6 weeks, 3 months and 6 months follow-ups. A blunt pin was used for pin prick examination starting from proximal end of the incision and the patient was asked to note the point of change in sensation from normal to abnormal. The abnormal points were joined and digital photographs of hypesthesia were taken and analysed by computer for area detection. The length of incision and subjective complain of sensory loss were also noted. Results Results: The patients’ age and incision length between the two groups had no significant difference. At 6 weeks, vertical incision was associated with persistent sensory loss in 77% (28/36) cases which was significantly higher when compared to the oblique incision (19/42). The measured area of hypesthesia was significantly higher in vertical incision (42.4±22.3 cm2) than that in oblique incision (9.3±15.3 cm2) at 6 weeks. On further follow-ups at 3 and 6 months, the area of hypesthesia gradually shrunk in size. The recovery pattern was from distal to proximal in direction. Also, subjective cutaneous anaesthesia was higher in vertical incision (15/36, 41%) than oblique incision (6/42, 14%) at 6 months. Conclusion: Injury to the IPBSN can be seen during hamstring graft harvest. Vertical incision has maximum incidence of IPBSN injury. Oblique incision with less risk of nerve damage may be better for graft harvesting in ACL reconstruction. Area of hypesthesia gradually reduces with time and even recovers totally. Sensory loss does not impair normal daily activities in most of these patients. As a possible complication, nerve injury and its benign prognosis should be explained to the patient before surgery.
Anterior Cruciate Ligament Quality of Life Questionnaire
Authors: Kinikli Gizem Irem , Celik Derya , Atay Ozgur Ahmet , Yuksel Inci 
Published: December 2014

Objectives: Despite a number of questionnaires in the area of ACL injuries there is a need for cross-cultural adaptation for patients with ACL reconstruction (ACL-R). To test the measurement properties of the Turkish version of the Anterior Cruciate Ligament Quality of Life Questionnaire (ACL-QOL). Methods: One-hundred nineteen patients with ACL-R completed internal consistency, agreement, construct validity, floor and ceiling effect analyses. Eighty out of 119 patients with ACL-R completed the Turkish adapted version of the ACL-QOL questionnaire twice for the test-retest reliability. A subgroup of thirty-nine patients undergoing physiotherapy were also asked to answer the ACL-QOL questionnaire, the Lysholm knee scale (LKS), Knee Outcome Survey – Activities of Daily Living Scale (KOS-ADLS) and the Short Form-36 (SF-36) at preoperative, 16th week and 2 years post-operatively to assess responsiveness. Results: The questionnaire had high internal consistency (Cronbach α=.95). The paired t-test showed no significant difference between the test-retest means. The intraclass correlation was excellent for reliability and agreement in five domains and overall score (ICC: 0.95, 0.95, 0.97, 0.95, 0.96, and 0.95; p<0.001). The standard error of measurement (SEM) and the minumum detectable change (MDC95) were found to be 3.14 points and 8.70 points, respectively. The questionnaire showed a fair correlation (r=0.23) with (LKS) and a poor correlation (r=0.14) with (KOS-ADLS); good and very good construct validity (r=0.51, r=0.62) with SF-36 physical component score and mental component score, respectively. We observed no ceiling and floor effects overall on the ACL-QOL questionnaire except the subdomain of “work-related concerns” (22.9%). The responsiveness demonstrated a dramatic effect size of 2.12 at the 16th week and large effect size of 0.97 at 2 years follow-up. Conclusion: The Turkish version of the ACL-QOL questionnaire is a reproducible and responsive instrument that can be used in clinical studies.
Do Body Mass, Body Mass Index and Body Fat Ratio have an Effect on Proprioception?
Authors: Numanoğlu Esra Ateş , Can Filiz , Erden Zafer 
Published: December 2014

Objectives: Proprioceptive sense plays important role of the protective reflex response against the harmful forces on the joint takes part in protection against the injuries. The load on the musculoskeletal system increases with higher body weights and joints become prone to injuries due to this increased load. The goal of this study was to investigate the relationship between the proprioceptive sense of the knee joint, mostly affected by loading, and the body weight, body mass index, and body fat ratio. Methods: 25 healthy people aged between 21 and 36 years included in the study. Body weights, body mass indexes (BMI), and body fat ratios of the individuals were measured. Proprioceptive sense in the knee joint is evaluated through the active joint position sense (A-JPS) assessments. The A-JPS of 50 knees of 25 individuals are evaluated at supine and load bea squat with 30° and 90° of knee flexion. To measure A-JPS, targeted angle were shown using goniometer and digital photography has been taken. Then they return to the initial position and repeat the angle and the second image was captured. After three times repetitions, deviations from 30° and 90° were called mean angle errors. The angle error measurements were performed with specifically written programme MATLAB (Computer Aided Design software). Pearson and Spearman Correlation Analyses were used for statistics. Results: There was no correlation between the body weight and the proprioceptive error at supine and squat for 30° and 90° flexion angles (p>0.05). When the individuals has been grouped according to their BMI values thinnesses for (BMI = 15-20 kg/m²), normals for (BMI = 20-25 kg/m²), and overweights for (BMI = 25-30 kg/m²) and the correlation between the BMI and proprioceptive error has been evaluated, there was no correlation for thinnesses and normals, for overweights at 90° squat position a medium strength positive correlation is observed (r=0.644, p=0.01). For thinnesses and normals there is no correlation between the body fat ratio and the proprioceptive error. For the overweights for 30° and 90° flexions at squat there is medium strength, strong positive correlations (r1=0.540, p=0.04; r2=0.709, p=0.005). Conclusion: Consequently, especially for individuals with high BMI, at load bearing squat position for 90° flexion, the proprioceptive sense decreases. Increased body fat ratio negatively affects the proprioception at load bearing squat position for 30° and 90° flexion angles. According to these results being overweight can be considered as an disadvantage in terms of proprioceptive sense.
Effects of ’’Throwers Ten’’ Exercise Program on Pain and Function in Shoulder Impingement Syndrome
Authors: Hazar Zeynep , Baltacı Gul 
Published: December 2014

Objectives: The purpose of this study was to examine the effects of Throwers Ten (T10) exercise program on pain and function in patients with shoulder impingement syndrome. Methods: Twenty subjects who were assigned by random sampling to an experimental group (n=10) to which Throwers Ten (T10) exercise and a control group (n=10) to which ordinary physical treatment were applied. A 100 mm visual analogue scale (VAS) was used to evaluate the degree of pain. The Disability of Arm, Hand, and Shoulder (DASH) score was used to assess the functions of the upper extremity. To determine the range of motion, a universal goniometer was used to measure range of shoulder motion. Wilcoxon test was employed to examine differences in pain and function of the experimental group and the control group before and after the treatment. Results: There were significant differences in function and pain of the experimental group (p<0.05). The therapeutic effect in the experimental and control groups revealed significant differences in flexion, abduction, VAS and the DASH (p< 0.05); respectively. Conclusion: The results of this study suggest that Throwers Ten (T10) exercise would be positively affected pain alleviation and functional recovery in shoulder impingement patients.
Comparison of Ankle Proprioception Between Blind and Healthy Athletes
Authors: Özer Muhammet , Kaynak Haydar , Atik Aziz , Şilil Mehtap Kaçmaz , Altun Muammer , Akseki Devrim 
Published: December 2014

Objectives: The positive effect of the visual sensation on the proprioceptive quality is well known. Although other senses of the congenital blind individuals have been proven to be increased more than healthy ones, there has been no data about the proprioceptive quality of congenital blind persons. The aim of this study is to determine the quality of ankle proprioception in congenital blind athletes. Methods: 15 congenital blind athletes (10 males and 5 females) with a mean age of 24 ± 2.9 (ranging from 20 to 29), and 15 healthy athletes (10 males and 5 females) with a mean age of 24.6 ± 3.05 (ranging from 20 to 29), from the same athletic department, were included in the study. Proprioception was evaluated by using the technique of joint position sense, and absolut errors during the reproduction of six target angles (plantar flexion 100, dorsiflexion 50, inversion 100 and 200, eversion 100 and 200) were detected in dominant and nondominant ankles of both groups. Athletes were measured both eyes open and closed. Statistical analysis was done by using Mann-Whitney U and Wilcoxon Signed Ranks tests. Results: When dominant extremities were compared while eyes open, there was only a difference in 50 dorsiflexion measurements statistically in favor of blind ones (p<0.05). When dominant extremities were compared while eyes closed, blind athletes got less wrong in four of the six target angles statistically (p<0.01), when non-dominant extremities were compared while eyes closed, blind athletes got less wrong in all angles statistically (p<0.01). The ankle proprioception of the blind athletes were better then the normal athletes. The ankle propriceptions of the normal athletes further deteriorated when their eyes were closed. Conclusion: We found that the ankle proprioceptions of congenital blind athletes were better than the normal athletes. So additional closed-eyes exercises can help to reach a high proprioceptive level of athletes in a normal season which in terms may decrease accidental traumas.
Functional Outcomes After Arthroscopic Cell-Free Osteochondral Scaffold Surgery
Authors: Başar Selda , Hazar Zeynep , Gem Mehmet , Kanatlı Ulunay 
Published: December 2014

Objectives: Treatment of osteochondral lesions of the talus is still controversial. Arthroscopic cell-free osteochondral scaffold technique used in knee surgery although experience with the use in the treatment of ankle is not enough. The purpose of this study was to investigate the functional outcomes after arthroscopic cell-free osteochondral scaffold technique in talus osteochondral lesion at the end of 1.year. Methods: Total of 15 patients (7 women, 8 men) undergone arthroscopic cell-free osteokondral scaffold surgery due to osteochondral lesion of the talus were included in this study (mean age; 41.6±15.7 years; range 17-67). At the end of the first year range of motion, muscle strength, ankle function and quality of life were assessed. Ankle range of motions were evaluated with universal goniometer and ankle muscle strength were measured with digital dynamometer (Baseline ®). Ankle functions were determined with the American Orthopedic Foot-Ankle society score (AOFAS). Quality of life was assessed with the Nottingham Health Profile. Results: There was no statistical difference between the operated side and the other side in the ankle joint range of motion (p>0.05). Ankle muscle strength was not different between the operated side and the other side except ankle dorsiflexion muscle strength (p>0.05). The American Orthopedic Foot-Ankle society score (AOFAS) revealed a significant improvement from 54±6.4 2 to 81±9.8 at the 12 months' evaluation. Total score of Nottingham Health Profile improved from 47.6 ± 20.3 to 29.9 ± 26.7. Conclusion: Arthroscopic cell-free osteokondral scaffold procedure appears to be a effective treatment with increasing the functional and quality of life, particularly in localized disease of the ankle joint such as talus osteochondral lesion.
Proximal Tibia Medial Biplanar Retrotubercle Open Wedge Osteotomy for Varus Knees with Medial Gonarthrosis
Authors: Türkmen İsmail , Esenkaya İrfan , Ünay Koray , Türkmensoy Fatih , Özkut Afşar Timuçin 
Published: December 2014

Objectives: The purpose of this study is to evaluate the early results of proximal tibia medial biplanar retrotubercle open wedge osteotomy for varus gonarthrosis and compare the results with the literatüre. Methods: The results of proximal tibia medial biplanar retrotubercle open wedge osteotomy for 23 knees of 22 patients with medial gonarthrosis were evaluated clinically and radiologically. Results: Twenty of the patients were female and two were male. Mean age of the patients was 56.24; mean boy mass index was 31.95 and preoperative HSS (Hospital for Special Surgery) score was 68.7. Mean tibiofemoral axis was 186.39° and mean Insall-Salvatti index value was 1.04 preoperatively. Mean follow up period was 30.19 months. Mean HSS score was 86.48, femorotibial anatomic axis angle was 175° and Insall-Salvati index value 1.06 during the last follow-up. The improvement of the HSS score and the femorotibial anatomic axis angle was statistically significant. However, the change in Insall Salvati index values was statistically insignificant. Nonfatal pulmonary embolus in 1 patient, and deep vein thrombosis that occured one year after the procedure in 1 patient, rhabdomyolysis in 1 patient and loss of correction (relapse) in 1 patient were encountered as complications. Conclusion: Our results show that proximal tibia medial biplanar retrotubercle open wedge osteotomy improves the frontal and sagittal plane deformities without changing the patellar tendon length. Hence, possible patellofemoral problems are prevented and the clinical results are improved.
Epicondylitis Band or Corticosteroid Injection for Lateral Epicondylitis Treatment?
Authors: Allahverdi Ertuğrul , Allahverdi Tülay Diken , Türktaş Uğur 
Published: December 2014

Objectives: Comparison of the short and medium-term results of the epicondylitis brace with corticosteroid and local anesthetic injections for lateral epicondylitis. Methods: This was a retrospective and comparative study for the treatment of acute lateral epicondylitis. The patient groups A and B received two different treatments. There were 151 patients in Group A and 205 patients in Group B. Group A received the epicondylitis brace and Group B corticosteroid and local anesthetic injections. Both groups were also given stretch exercises and nonsteroidal anti-inflammatory drugs. Patients were assessed at weeks 1, 4, 12, and 24 and the Quick DASH scoring was performed on weeks 12 and 24. Results: At the 3rd month of treatment, Group A showed recovery rates of moderate, good and full in 18.5%, 32.5% and 30.5% respectively while these rates were 33.2%, 13.7% and 25.4% in Group B. The same rates at the end of months 6 were 17.2%, 41.1% and 17.2% in Group A and 28.3%, 1% and 17.2% in Group B. Conclusion: Combined treatment (physical therapy, nonsteroidal anti-inflammatory drugs) with an epicondylitis brace was more effective than combined treatment with steroid and local anesthetic injections in acute lateral epicondylitis.
Does Open Wedge Proximal Tibial Osteotomy Really Affect Tibial Slope and Patellar Height?
Authors: Akdeniz Olcay , Dinçer Cemal , Tatari Mehmet Hasan 
Published: December 2014

Objectives: Open wedge proximal tibial osteotomy has gained popularity over recent years. This technique has several advantages over lateral closed wedge osteotomy, like lack of any need for fibular osteotomy and freedom from peroneal nerve complications, easier and more precise correction, no limb shortening and easier access for an eventual total knee arthroplasty. However it was been shown that open wedge osteotomy may reduce patellar height and increase sagittal tibial slope which can cause patellofemoral problems. The aim of the study was to evaluate the alterations in the angle of posterior slope of the tibia and the degree of patellar height following medial opening wedge proximal tibial osteotomy in our patients. Methods: 26 females and 7 males, with a mean age of 48, who underwent medial opening wedge proximal tibial osteotomy were included in the study. In all cases, the preoperative measured varus angle was overcorrected to between 5-8° valgus. The posterior slope of the tibia was determined by the proximal tibial anatomical axis and patellar height was measured retrospectively by the Caton index on the pre- and postoperative radiograms at the end of the second month. Results: Preoperatively, on the standing orthoroentgenograms, the mean mechanical axis deviation was 12,36° (8-20) and the mean posterior tibial slope in the sagittal view was 16,24° (10-23). The mean postoperative tibial slope was 17,85° (6-25). Using paired samples test, this increase was statistically significant (p=0.049). Preoperative mean Caton index was 1,35 (1,01-1,92) and the postoperative average was 1,73 (1,11-2,76). There was also a statistical significant increase between the pre-and postoperative values (p<0.001) with paired samples test. There was a positive correlation between preoperative mechanical axis deviation and postoperative slope angle (p=0,014) but there was no correlation between preoperative mechanical axis deviation and postoperative patellar height. Conclusion: In conclusion, tibial slope and patellar height are strongly affected by open wedge high tibial osteotomy and this might have an adverse effect on an eventual knee arthroplasty.
Quadriceps Muscle Mechanical Simulator for Training of Vastus Medialis Obliquus and Vastus Lateralis Obliquus Mechanical Properties
Authors: Irmak Rafet , Irmak Ahsen , Biçer Gökhan 
Published: December 2014

Objectives: In classical anatomy quadriceps muscle has four heads. Clinical studies have demostrated 6 heads of this muscle. These heads were demostrated seperately not only by their functional properties,but also by innervation and kinesiological properties. In our previous study we have developed and demostrated electrophysiological properties of vastus medialis obliquus by an electronic patient simulator. The purpose of this study is to develop a mechanical simulator which can be used to demostrate mechanical properties of 6 heads of quadriceps muscle and the screw home mechanism. Methods: Quadriceps femoris muscle has 6 heads: rectus femoris, vastus intermedius, vastus medialis obliquus, vastus medialis longus, vastus lateralis obliquus and vastus lateralis longus. The fundamental mechanical properties of each head is seperated by insersio and angle of pull. Main design principle was to demostrate all heads with insersio and angle of pull properties. Second design principle was to demostrate the screw-home mechanism which is the result of difference in articular surfaces of medial and lateral of condyles of femur. Results: Final design of the simulator consists of three planes for demostration of angle of pull and pulling forces (patellar plane, proximal and distal planes) of each heads. On each plane channels were graved as origo and insersio for demostration of angle of pull. Distal plane was movable for demostration of pulling forces in different angels of knee flexion and extention. Also proximal plane was adjustable to demostrate different sitting and standing positions. Srew home mechanism was demostrated by specially designed hingle mechanism. Left and right side hingle mechanisms have different radii as femoral condyles and this difference can cause rotation in terminal extension as in the screw home mechanism. Conclusion: Vastus medialis obliquus, vastus lateralis obliquus and screw-home mechanism have clinical significance. We were not able to find any study which deals with training of screw home mechanism and vastus medialis obliqus and wastus lateralis obliquus muscles in the literature. The purpose of this study was to develop a simulator which can demostrate mechanical properties of vastus medialis obliquus and vastus lateralis muscles and screw home mechanism. As a result a traning simulator with stated properties was developed. In this simulator force measurement is acheived with analog dynamometers and future studies may focus on improvement of this simulator with digital force measurement.
Original Algorithm of Rehabilitation Protocol with Use of Ultrasound - Study Based on Achilles Tendon Reconstruction Cases
Authors: Rosińska Agnieszka Barbara , Ciszkowska-Łysoń Beata , Śmigielski Robert 
Published: December 2014

Objectives: The study was conducted in order to indicate the usefulness of an ultrasound examination in physiotherapy of patients who underwent Achilles tendon reconstruction. The aim was to eliminate the risk of the procedure’s common complication, i.e.: the formation of adhesions between surrounding tissues and the tendon. Methods: This study analyses 10 cases of anatomical reconstruction of the Achilles tendon. In all cases the surgeon, the physical therapist and the rehabilitation protocol were the same. The algorithm: 1. The weekly protocol included: • the evaluation of: ROM, gliding, tissues swelling, tendon ripple, bursa and fat body movement, possible gaps, and vascularity; • medical examination including: observation, palpation, and ultrasound examination. 2. Every PT session was preluded by an examination including: observation, palpation, and ultrasound evaluation. 3. The US examination was performed to evaluate the functioning of tissues in regard to the tendon’s healing stage. • 2-3 weeks after the surgery: the assessment of gliding during passive plantar flexion, the examination included the use of modified Thompson’s test; • after 3 weeks: the assessment of tendon tension and the isometric plantar flexion strength of the medial gastrocnemius muscle; • 3rd and 6th week: the assessment of swelling, vascularity (before and after the PT session including the cooling of the tendon), Kager’s triangle fat body assessment, and active gliding evaluation, testing the gastrocnemius muscle strength during active movement, • from 6th week until the end of physiotherapy: the evaluation of tendon gliding and gastrocnemius’ strength (body weight bearing); • the final US examination performed by the radiology specialist in the 12th week after the surgery, the assessment of gliding and muscle strength. Results: During the final medical examination performed by the doctor in 12th week after the surgery, there were no tendon adhesions between the tendon and surrounding tissues that would limit the tendon’s gliding within its sheath. The weekly US examination helped while choosing appropriate physical therapy methods that increased the functional recovery of the Achilles tendon. Conclusion: 1. The use of ultrasound device during each PT session enables the therapist to choose appropriate methods in order to optimise the rehabilitation process depending on the current condition of the patient. This approach creates good conditions for the optimal functional recovery. 2. The ultrasound works like a biofeedback.