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    No evidence of infection after retrograde nailing of supracondylar femur fracture in gunshot wounds
    (Lippincott Williams & Wilkins, 2010) Poyanlı, Oğuz; Ünay, Koray; Akan, Kaya; Güven, Melih; Özkan, Korhan
    Background: The aim of the study was to determine whether osteomyelitis of the femur or septic arthritis of the knee develops after retrograde intramedullary nailing of the femur performed within 7 days of supracondylar femur fracture, secondary to gunshot wounds, without skin defects. Methods: Fifteen patients with a mean age of 27.8 years (range, 18-52 years), with supracondylar fractures of the femur due to gunshot wounds and without skin defects. Retrograde intramedullary nails were inserted through the intercondylar notch of the femur. We evaluated whether osteomyelitis of the femur or ipsilateral septic arthritis of the knee joint developed postoperatively. Results: None of the patients who were followed up for a mean period of 11.7 months (range, 9-16 months) showed evidence of ipsilateral septic arthritis of the knee or osteomyelitis of the femur. Conclusion: Retrograde intramedullary nailing of the femur can be performed in patients with supracondylar fractures of the femur due to gunshot wounds, and without skin defects, in the first 7 days after the trauma. Neither osteomyelitis of the femur nor septic arthritis of the knee develops in these patients. Key Words: Osteomyelitis, Septic arthritis, Gunshot, Nailing, Femur, Retrograde.
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    The relationship between bone marrow edema size and knee pain
    (Springer, 2009) Ünay, Koray; Poyanlı, Oğuz; Akan, Kaya; Güven, Melih; Demirçay, Can
    The purpose of our study was to determine the changes in the size of the edema observed on MRI scans and its relation to the activity pain of the patient and the rest pain in bone marrow edema (BME). A total of 51 patients were followed up at 3-month intervals for a period of 1 year. During the follow-ups, MRI scans of the patients' knees were obtained; the scores obtained on the Stanmore functional rating scale and visual analog scale were determined. The changes in these parameters and the correlation between them were examined. The following are the observations recorded during the bone marrow edema follow-ups: the size of the edema as observed on MRI scans decreased, and the activity pain and the rest pain decreased. While there is a correlation between the decrease in the edema size observed on MRI scans and decrease in the activity pain, there is no correlation between the decrease in the edema size observed on MRI scans and the decrease in rest pain. No changes were observed after a particular period of time with regard to decrease in the edema size observed on MRI scans, decrease in activity pain, and decrease in rest pain in follow-ups of BME patients.
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    Suction drainage influence on knee effusion following partial meniscectomy with partial fat pad or synovium resection
    (Turkish Assoc Orthopaedics Traumatology, 2011) Akan, Kaya; Ünay, Koray; Berkem, Levent; Güven, Melih; Poyanlı, Oğuz
    Objective: The aim of our study was to examine the effect of suction drains on knee after arthroscopic partial meniscectomy with partial fat pad removal or synovectomy. Methods: We performed arthroscopic partial meniscectomy for posterior tears of the medial meniscus and partial fat pad or synovium shaving in 72 patients. Following surgery, a suction drain was not used in 40 patients (Group A) and used in 32 (Group B). Both groups were similar in terms of age, gender, and total operation time. The patients were evaluated at 1, 2, and 4 weeks postoperatively for the presence of a knee effusion. Results: No significant difference was observed in the grade of effusion and the average percent change in the effusion grade between Groups A and B at 1, 2, and 4 weeks postoperatively. Conclusion: Use of a suction drain did not influence the postoperative effusion or the clinical course of the effusion after arthroscopic partial meniscectomy with partial fat pad removal or synovectomy.