1. SEARCHING FOR PEMATERNAL HIP DISPLACEMENT IN THE NEWBORN
(EXAMINATION) AND RESULTS (Ankara Hospital Magazine, 1983)
OP. DR. ÜNAL BOZ
In this study, 1914 newborns were examined in the first week for hip dislocation
. The importance of early diagnosis is indisputable in almost every disease. Early diagnosis of congenital hip dislocation
makes the treatment much easier and ensures the acquisition of a fully functional hip.
The newborn's During the routine examination, the Ortolani sign, which is an important test in the diagnosis of hip dislocation, should be looked for. In recent years, ultrasound hip examination has been widely used for this purpose.
In our country, there are not many cases of hip dislocation that come for treatment after the child starts walking. It is a fact that such late diagnosed hip dislocations cannot be achieved with conservative methods and surgical methods will be used.3
2. LEGG-CALVE-PERTHES DISEASE (Ankara Hospital Journal, 1985)
OP. DR. ÜNAL BOZ
In recent years, Catteral (1971, i 98 i) has stated that the classification of epiphyseal destruction based on the radiological degree
is proportional to the prognosis in the long-term follow-up of the disease
proven.
Finally, Salter and Thompson (1984) determined from the radiological evaluation of the fracture line under the cartilage visible in the early stage of Legg-Calve-Perthes disease
from the radiological evaluation of the femoral head
revealed that much of the degree of destruction could be predicted. Same
Researchers have shown through experiments that the disease is not avascular necrosis of the femoral press, rather, it is a complication of avascular
necrosis, and the complicating factor is pathological subchondral fracture
p>
3. EARLY RESULTS IN THE TREATMENT OF LEGG-CALVE-PERTHES DISEASE (1985) (Presented at the Alanya Congress)
National Turkish Orthopedics and Traumatology Oral Presentation
OP. DR. ÜNAL BOZ
In this study, Perthes-Calve-Legg disease was investigated by taking serial x-rays of 22 children (26 patient hips). - S.S.YE. These patients were followed up regularly over a period of 40 months, starting from 1980, when Ankara Hospital Orthopedics and Traumatology Clinic was established.
In our study, hip x-rays of the patients were taken front-back and Taken in the frog position
In these radiographs, the radiological grading of epiphyseal destruction and the subchondral fracture line were carefully investigated. We also used arthrographic examination in some of our patients to evaluate the compatibility of the acetabulum with the femoral head.
4. THE VALUE OF THE DOUBLE CONTRAST ARTHROGRAPHY IN THE DIAGNOSIS OF MENISCUS LESIONS
METHOD (Presented at the 1985 Alanya Congress, Oral Presentation)
OP. DR. ÜNAL BOZ
S.S.Y.B. Knee arthrography was performed on 42 patients who were thought to have meniscus lesions as a result of clinical examination at Ankara Hospital Orthopedics and Traumatology Clinic between 1983 and 1985
. Among the patients who underwent arthrography, arthrotomy was performed in 24 cases, surgery was planned in 4 cases, and conservative treatment was applied in 3 patients. Arthrograms were found normal in 11 patients
and the patients were perhaps spared from an unnecessary intervention.
5. FEMUR HEAD EPIPHYSIS DYSPLASIA (MEYER DYSPLASIA) (S.S.K.Tepecik Hospital Magazine, 1992)
OP. DR. ÜNAL BOZ
In this study, we noticed coincidentally changes in the femoral head in patients who had colon radiographs taken by the pediatric surgeon due to abdominal complaints, and these children were diagnosed clinically. All four of our patients did not have clinical findings such as hip pain or limping that we usually see in Perthes disease. During the examination, hip
movements were found to be within normal limits.
Pedersen (1960) first distinguished femoral epiphyseal dysplasia from Perthes disease.
Atypical findings were detected in 6% of children diagnosed with Pedersen and Perthes. Meyer
(1964) showed that 10% of the cases with Perthes had dysplasic type rather than true necrotic type
. In 8 of Meyer's 30 cases (20%), necrotic coxa
plana developed later than the dysplastic type.
6. SURGICAL TREATMENT OF PES E EQUINO VARUS (Izmir Children's Hospital 1992)
OP. DR. ÜNAL BOZ
226 patients with P.E.V were admitted to Izmir Children's Hospital Orthopedics and Traumatology Clinic in 4 years. Of these, 111 feet of 81 patients were operated on. The results of surgery performed on 66 feet of 42 patients who came to the last follow-up among our patients who were treated with surgery
formed the material of our study.
The type of intervention applied. 90.7% consisted of soft tissue surgeries. Among them, post-romedial loosening
(modified and Turco type together) constituted the majority (49.9%). Posterior release took the second place.
Turco surgery was preferred because it reconstructed the anomaly in the Talo-ca1caneo-navicular joint in a single session and the results were successful.
7. EXTENSION FOR ALT EXTREMITY Inequalities
SURGERY HORSES (İzmir Children's Hospital Journal, 1992)
OP. DR. ÜNAL BOZ
I compared the methods used in our clinic to eliminate lower extremity inequality with the literature. In this study, 25 lengthening surgeries performed on 22 patients were evaluated. , 18 poliomyelitis, 2 osteomyelitis
sequelae due to shortness in our patients. 2 congenital anomalies and 1 fracture were detected.
9 of the extensions were made from the epiphyseal region, 15 from the diaphyseal region, and 1 from the metaphyseal region.
Wagner technique was used in 3 cases, Illizarov technique was used in 5 cases, and the modified Anderson method and Girgin lengthening device were used in 17 cases. has been made. The planned amount of elongation was achieved in all our cases. We encountered expected complications in some of our cases. 1
We saw rare complications such as pseudoarthrosis and knee dislocation in 1.
8. TREATMENT OF SOLITERARY BONE CYSTS WITH INTRALESIONAL STEROID
INJECTION (Izmir Children's Hospital Journal, 1992)
OP. DR. ÜNAL BOZ
7 patients with solitary bone cysts who received intralesional steroid injection were included in this study. A suitable method for the treatment of solitary bone cyst has not been determined yet. The most common grafting results are not very satisfactory.
Scaglietti and his colleagues investigated alternative methods and reported the results of intralesional steroid injection in 1979. Thus, steroid
injection has become popular in the treatment of bone cysts.
Treatment of solitary bone cysts with steroids has advantages over other methods
. These; It is a simple method, the results are much
better than surgical methods, there is no scar tissue, the morbidity rate is low, and it can be returned to normal activity
immediately.
9. A CASE OF ANEURYSMAL BONE CYST WITH FIBROUS DYSPLASIA
Journal of Izmir Children's Hospital, 1992)
OP. DR. ÜNAL BOZ
An 11-month-old boy with fibrous dysplasia was included in this study. The lesion in the upper metaphysis of the left tibia enlarged in a short period of 6 months and the pain turned into a swelling
. A biopsy was performed considering malignant degeneration. In the biopsy, it was seen that the change was not malignant, and that it was due to an aneurysmal bone cyst with fibrous dysplasia.
Malignant changes in fibrous dysplasia can be seen in 4% of cases. Some theories have been put forward to explain the hemodynamic changes before aneurysmal
bone cyst formation
. Fibrous dysplasia can cause such hemodynamic changes. However
our case is the first When the preparations were reviewed again, lesion areas similar to an aneurysmal bone
cyst were seen.
1O.CENTRALIZATION OF THE FIBULA IN THE CONgenital Absence of TiBIA
INSUFFICIENCY OF SURGERY (Izmir Children's Hospital Journal, 1992)
OP.DR. ÜNAL BOZ
(Translation J. Bone Joint Surg. Vol 73-A, No 6, July 1991)
In this study, centralization of the fibula Of the 14 patients who underwent reconstruction of the knee joint with , no satisfactory results were achieved. Unsuccessful centralization
additional corrective surgeries delayed early functional rehabilitation with prosthesis
. For patients who do not have a functional quadriceps and have congenital absence of the tibia, the knee joint should be adjusted by centralizing the fibula! There was no justifiable reason to try
Desarticulation of the knee joint and rehabilitation with prosthesis
provides satisfactory function in the long term.
11. TREATMENT METHODS WE APPLY FOR CHILDHOOD BONE CYSTS
(XIII. National Turkish Orthopedics and Traumatology Congress, Nevsehir, 1519
May 1993 , Oral Statement)
OP. DR. ÜNAL BOZ
Bone cysts are among the benign bone tumors that are very common in childhood
. In this study, we compared the treatment methods we applied to children who applied to Izmir Children's Hospital Orthopedics and Traumatology Clinic between 1981 and 1992 and were diagnosed with bone cysts.
Solitary bone. A suitable method for the treatment of the cyst has not been determined yet. The results of the most commonly applied curettage and grafting procedures are not satisfactory
. Scaghetti and his colleagues investigated alternative methods and reported the results of intralesional steroid injection in 1979.
In 11 cases of solitary bone cysts other than steroid injection, curettage,
We performed grafting, osteosynthesis with fixation material, and free fibula grafting in one of our patients.
12. A CASE OF ANEURYSMAL BONE CYST WITH FIBRUS DYSPLASIA
(XIII. National Turkish
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