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    Alveolar rhabdomyosarcoma of the hand: a very rare case of soft tissue sarcoma
    (Duzce University Medical School, 2014) Sarman, Hakan; Tosun, Bilgehan; Baran, Tuncay
    Soft tissue sarcomas of extremities are very rare and generally have a bad prognosis. Rhabdomyosarcomas are soft tissue sarcomas that, while extremely rare in adults, are one of the most common neoplasms in children and adolescents. Extremities are unusual sites of origin for rhabdomyosarcomas and usually associated with unfavorable outcome. Complete surgical removal of the tumor represents a major factor in terms of survival. Our study presents the case of primary alveolar rhabdomyosarcoma of the left hand in a 22 years old male who was treated by fifth ray amputation after an incomplete tumor excision. The patient is still tumor-free after 4 years following operation.
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    Larsen Syndrome: A Case Report with a Brief Review of the Literature
    (Duzce Univ, 2013) Sarman, Hakan; Memisoglu, Kaya; Baran, Tuncay
    Larsen syndrome is a rare genetic disorder, with an incidence of 1/100,000. Joint hypermobility, congenital joint dislocations, spinal deformity and distinctive facial features are characteristic findings in the newborns. Congenital orthopedics pathology is rare with this syndrome. Herein we present a case with Larsen syndrome and discuss it with a brief review of the literature.
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    A new isometric quadriceps-strengthening exercise using EMG-biofeedback
    (E-Century Publishing Corp, 2014) Kesemenli, Cumhur Cevdet; Sarman, Hakan; Baran, Tuncay; Memişoğlu, Kaya; Binbir, Ismail; Işık, Cengiz; Boyraz, İsmail; Koç, Bünyamin
    A new isometric contraction quadriceps-strengthening exercise was developed to restore the quadriceps strength lost after knee surgery more rapidly. This study evaluated the results of this new method. Patients were taught to perform the isometric quadriceps-strengthening exercise in the unaffected knee in the supine position, and then they performed it in the affected knee. First, patients were taught the classical isometric quadriceps-strengthening exercise, and then they were taught our new alternative method: "pull the patella superiorly tightly and hold the leg in the same position for 10 seconds". Afterward, the quadriceps contraction was evaluated using a non-invasive Myomed 932 EMG-biofeedback device (Enraf-Nonius, The Netherlands) with gel-containing 48 mm electrodes (Turklab, The Turkey) placed on both knees. The isometric quadriceps-strengthening exercise performed using our new method had stronger contraction than the classical method (P < 0.01). The new method involving pulling the patella superiorly appears to be a better choice, which can be applied easily, leading to better patient compliance and greater quadriceps force after arthroscopic and other knee surgeries.
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    Vacuum-assisted closure for skin necrosis after revision total knee arthroplasty
    (Wiley, 2016) Sarman, Hakan; Müezzinoğlu, Ümit Sefa; Memişoğlu, Kaya; Baran, Tuncay
    Although skin necrosis following total knee arthroplasty or revision total knee arthroplasty is rare, it may cause severe complications. Skin changes begin with superficial infections and may result in removal of the prosthesis. Treatment of skin necrosis is an important factor, which determines the prognosis of the prosthesis. Several techniques have been defined for sufficient closure. In this article, we present the case of a patient who was treated for skin necrosis that developed after knee revision arthroplasty, using serial debridement, convergence sutures and an intermittent vacuum-assisted closure device (KCI Inc., San Antonio, TX).