The Determination of the Effect of Cover Crop Before Sunflower Production on Seed Yield, the Application of Nitrogen Rate and Water Content in the Soil in Trakya Region

DergiPark: 245925trakyafbdTrakya koşullarında, buğday hasadından sonra ayçiçeği ekilinceye kadar olan ara dönemde toprakta yeşil örtü oluşturularak erozyonun önlenmesi ve ot üretilmesi amacıyla, Macar fiği (Vicia pannonica L.) yetiştirilmiştir. Ön bitki fiğ, yeşil ot elde etmek için, ilkbaharda Nisan ayının ikinci yarısı ve Mayıs ayının ilk yarısı olmak üzere iki faklı zamanda biçilmiştir. Baklagil yem bitkisi yetiştirilen bu sistemde ayrıca ayçiçeğine uygulanacak azot miktarını belirlemek amacıyla, alt-alt parsellere 0-5-10-15 kg/da saf azot dozları uygulanmıştır. Yapılan toprak nemi ölçümlerinde, ön bitki toprak nemini azaltmış ve kayıp nem yaz yağışlarıyla karşılanamadığı için, ayçiçeği verimini düşürmüştür. Bu verim düşüklüğü, ön bitkinin hasadı geciktikçe artış göstermiştir. Bu nedenle ön bitki hasat edilmiş parsellerden elde edilen ayçiçeği verimi, sürülü parsellere nazaran daha düşük olmuştur. Yapılan ekonomik analiz sonucuna göre; ön bitkisi olarak yetiştirilen fiğden elde edilen ot geliri; ayçiçeği verim düşüklüğünü karşılamakta ve artı gelir sağlamaktadır. Ayçiçeği parsellerine uygulanan farklı azot dozları neticesinde, azot ile verim arasında önemli bir ilişki bulunmamıştır. Buğday-ayçiçeği münavebe sistemindeki ara dönemde, ayçiçeğinden önce ön bitki yetiştirilmesi durumunda ön bitkilerin erken hasadından sonra ekilen ayçiçeklerinin verimi, geç hasat edilene nazaran daha yüksek olmuştur. Araştırma sonuçlarına göre yapılan kâr-zarar analizi sonucunda, kış dönemi yağış durumu normal olduğunda, Trakya bölgesinde ayçiçeğinden önce ön bitki olarak Macar fiği yetiştirilmesi, kârlı bir yöntem olarak bulunmuşturThe Hungarian vetch (Vicia pannonica L.) planted to prevent erosion with setting the green cover on the soil surface and to produce forages for animal feed. The cover crop was cut twice as early and late cutting in the spring. The nitrogen doses were 0-5-10-15 kg per da before sunflower planting to determine of the optimum nitrogen rate. The sunflower (Helianthus annuus L.) yield was decreased due to cover crop planting and the seed yield decreased when harvest being late. Due to soil water uses, sunflower yield was lower than ploughed plots. However; these yield losses were compensated from forage crops production with getting extra income based on economical analysis. There were no significant difference between nitrogen doses and any positive increase on seed yield in normal rainy winter season. On the other hand, high sunflower yields were obtained from early cover crop harvesting so early sunflower planting in the experiment. Based on economical analysis results of the research; cover crop planting before sunflower production in the wheat-sunflower rotation system were found as profitable method especially in rainy winter seasons in Trakya regio

Kronik plantar fasiit tedavisinde üç farklı tedavi yönteminin kıyaslanması: Kortikosteroid enjeksiyonu, ekstrakorporeal şok dalga tedavisi ve radyofrekans sinir ablasyonu

Aim: In this study, it was aimed to compare the clinical and functional outcomes of three popular conservative treatment options in the treatment of chronic plantar fasciitis (PF): corticosteroid injection (CSI), extracorporeal shock wave therapy (ESWT) and radiofrequency nerve ablation (RFNA). Material and Methods: Patients with chronic PF refractory to other conservative treatment methods were included in this retrospective study. From January 2017 to February 2019, all the patients with the diagnosis of chronic PF who were treated with conservative treatment modalities were evaluated. Forty eight patients who met our eligibility criteria and treated either with CSI, ESWT or RFNA methods were included in the study. Clinical and functional assessments of the patients were done by American Orthopaedic Foot and Ankle Society (AOFAS) scoring system and Visual Analogue Scale (VAS) just before the treatment, at 6th and at 12th weeks of the last session. Results: There was a statistically significant difference in terms of VAS scores between the groups both for before treatment and for 6th week (both p<0.001), but there was not a statistically significant difference between the groups in terms of VAS scores at 12th week (p=0.436). Also, there was not a statistically significant difference between the three groups in terms of AOFAS scores before treatment, 6th and 12th week assessments (p=0.076, p=0.081, p=0.478 respectively). Conclusion: Although the three treatment modalities showed significant improvements in the chronic PF treatment, no differences were found among effectiveness of them at the final follow-up period. © 2019, Duzce University Medical School. All rights reserved

Comparison of Clinical and Functional Results after Arthroscopic Bankart Repair with the All-Soft Suture Anchor and the Conventional Metal Anchor

Aim: To compare the clinical results after arthroscopic bankart repair with all-soft suture anchor and conventionalmetal anchor in physically active patients with traumatic anterior shoulder instability.Material and Methods: A total of 32 patients who met eligibility criteria were included between 2016 and 2017 years,for arthroscopic bankart repair in a single orthopedic department. The patients were examined into 2 groups as 17underwent repair with 1.8 mm all-suture anchor with 2 (5 metric) Hi-Fi® sutures (Y-knot® flex, Conmed, USA) (group1), and 15 underwent repair with conventional titanium 3.5 mm Suture Anchors with two preloaded ultrabraid sutures(TWINFIX, Smith & Nephew) (group 2). Clinical and functional outcomes were assessed pretreatment, and finalfollow-up using the American shoulder and Elbow surgeons (ASES) score and the ROWE score.Results: The mean ASES score increased significantly in group 1 from 35.62±8.46 to 88.86±6.23 (p=0.0001) and hadincreased significantly in group 2 from 41.15±14.51 to 91.15±7.54 (p=0.0001). The mean ROWE score had increasedsignificantly in group 1 from 48.82±11.25 to 85.00±10.00 (p=0.0001) and had significantly increased in group 2 from45.67±9.61 to 87.67±10.15 (p=0.0001). There was no significant difference between the mean ASES scores of group 1and group 2 (p=0.192, p=0.353), and also no significant difference between the mean ROWE scores of group 1 andgroup 2 (p=0.404, p=0.461) at pretreatment and final follow-up respectively.Conclusion: Arthroscopic bankart repair with an all-soft suture anchor demonstrated comparable clinical and functionalresults as the conventional metal suture anchor at short term follow-up.Amaç: Travmatik anterior omuz instabilitesi olan fiziksel olarak aktif hastalarda tüm yumuşak sütür ankor ve konvansiyonel metal ankor ile artroskopik bankart tamirinin klinik ve fonksiyonel sonuçlarının kıyaslanması amaçlanmıştır. Gereç ve Yöntemler: 2016-2017 yılları arasında, tek merkezde artroskopik bankart tamiri yapılan ve dahil edilme kriterlerimize uyan 32 hasta değerlendirildi. 17 hastaya 1.8 mm (Y-knot® flex, Conmed, USA) tüm yumuşak sütür ankor (grup 1) ve 15 hastaya ise 3.5 mm (TWINFIX, Smith & Nephew) konvansiyonel metal ankor (grup 2) uygulandı. Klinik ve fonksiyonel sonuçlar tedaviden hemen önce ve son takipte Amerikan omuz ve Dirsek cerrahları (ASES) skoru ve ROWE skoru ile değerlendirildi. Bulgular: Ortalama ASES skoru grup 1’de 35.62±8.46'dan 88.86±6.23'e (p=0.0001) ve grup 2’de ise 41.15±14.51’den 91.15±7.54’e (p=0.0001) artmıştır. Ortalama ROWE skoru da grup 1’de 48.82±11.25'ten 85.00±10.00'a (p=0.0001) ve grup 2’de ise 45.67±9.61’den 87.67±10.15’e (p=0.0001) yükseldi. Grup 1 ve grup 2’nin tedavi öncesi ve son takibinde ortalama ASES ve ROWE skorlarında fark yoktur (p=0.192, p=0.353 ve p=0.404, p=0.461). Sonuç: Tüm yumuşak sütür ankor ile artroskopik bankart tamiri, kısa süreli takipte konvansiyonel metal sütür ankor ile karşılaştırılabilir klinik ve fonksiyonel sonuçlar göstermiştir

Kalça Kırığı Nedeniyle Cerrahi Tedavi Uygulanan 65 Yaş Üstü Hastaların Bir Yıllık Mortalite Oranları

Amaç: Yaşlı hastalarda sık gözlenen kalça kırıkları ciddi morbidite, maluliyet ve hatta artmış mortalite ile yakındanilişkilidir. Bu çalışmada kalça kırığı sebebiyle cerrahi tedavi uygulanan hastaların, cerrahiden sonraki ilk bir yıldagözlenen mortalite oranı ve buna etki eden faktörlerin incelenmesi amaçlanmıştır.Gereç ve Yöntemler: Kliniğimizde Ekim 2014-Şubat 2018 tarihleri arasında izole intertrokanterik femur ya da femurboyun kırıkları nedeniyle cerrahi tedavi uygulanan 65 yaş üzeri 164 hasta geriye dönük olarak incelendi. Arşiv kayıtlarıüzerinden hastalara ait yaş, cinsiyet, kırık tipi, yatış-cerrahi arası zaman, cerrahi-taburculuk arası zaman ve kırık içinuygulanan implant tipi gibi gerekli bilgilere ulaşıldı. Ayrıca hastalara telefon ile ulaşılarak vefat tarihleri (vefat ettiiseler) öğrenildi. Hastalar; cerrahi sonrasındaki ilk bir yıl içinde vefat edenler ve yaşayanlar olarak iki gruba ayrıldı vemortaliteye etki eden faktörler açısından karşılaştırmalı analizler yapıldı.Bulgular: Çalışmaya kriterlere uygun 138 hasta dahil edildi. Cerrahi sonrası ilk 1 yıldaki ölüm oranı %21,73 olarakbulundu. Vefat edenler grubunun yaş ortalaması (85,97±7,49) yaşayanlar grubundan (79,02±8,92) istatistiksel olarakanlamlı derecede yüksek bulundu (p=0,0001). Vefat edenler grubundaki kadın hasta oranı yaşayanlar grubundanistatistiksel olarak anlamlı derecede yüksek bulundu (p=0,037). Vefat edenler ve yaşayanlar grupları arasında kırık tipive uygulanan implant türü açısından anlamlı derecede farklılık gözlenmedi (p=0,881 ve p=0,101). Vefat edenlergrubunun yatış-cerrahi arası süre ile cerrahi-taburculuk arası süre ortalamaları yaşayanlar grubundan istatistiksel olarakanlamlı derecede yüksek bulundu (p=0,034 ve p=0,0001).Sonuç: Bu çalışmada cerrahi sonrası ilk bir yıldaki mortalite oranı %21,73 olarak bulundu ve mortaliteye etki eden enönemli faktörlerin ileri yaş ile artmış yatış-cerrahi ve cerrahi-taburculuk arası süre olduğu tespit edildi.Aim: Fractures of the hip are frequently seen in the elderly patients and closely related to severe morbidity, disability, and even increased mortality. The aim of this study was to evaluate the first year mortality rate and the factors affecting this in the patients with surgically treated hip fractures. Material and Methods: In this retrospective study, 164 patients aged over 65 years who had undergone surgery in our clinics for isolated intertrochanteric femur or femoral neck fractures between October 2014 and February 2018 were evaluated. The necessary information such as age, gender, type of fracture and applied implant, the times between hospitalization/surgery and surgery/discharge were obtained from the archive records. In addition, the patients were contacted by phone and the death times (if they died) were learned. Patients were divided into two groups as who died in the first year after surgery and survived; and then factors affecting the mortality were analyzed comparatively. Results: This study included 138 patients who meet eligibility criteria. One year mortality rate after surgery was 21.73%. The mean age of the death group (85.97±7.49) was statistically significantly higher than the survival group (79.02±8.92) (p=0.0001). The ratio of the female patients in the death group was found to be statistically significantly higher than the survival group (p=0.037). There were not any statistically significant difference between the death and survival groups in terms of fracture and applied implant types (p=0.881 and p=0.101). The mean times between hospitalization/surgery and surgery/discharge were statistically significantly higher in the death group (p=0.034 and p=0.0001). Conclusion: In this study, the mortality rate in the first year after surgery was found to be 21.73% and the most important factors affecting this rate were determined as advanced age and increased times between hospitalization/surgery and surgery/discharge

Spastik Serebral Palsili Hastalarda Uygulanan Perkütan ve Açık Hamstring Uzatmanın Klinik Kıyaslaması

Objective: Knee flexion contracture due to increased hamstring muscle spasticity is the most commonly seen knee deformity in patients with cerebral palsy (CP) and hamstring lengthening is a useful technique for this problem. The purpose of this study is to evaluate the clinical outcomes of open (OHL) vs. percutaneous hamstring lengthening (PHL) surgery. Method: This retrospective study was performed on medical files of spastic cerebral palsy patients who underwent open or closed hamstring lenghtening surgery because of knee flexion contracture between the years 2014 and 2018. All surgical procedures were carried out under general anesthesia and the patients’ preoperative and postoperative popliteal angles (PA) were recorded. In OHL, one midline incision was used to lengthen the medial and lateral hamstrings. In PHL, both the medial and lateral hamstrings were lengthened percutaneously by a no. 15 blade. Results: Twenty-six knees of 17 patients were included in the study. Mean age of the patients was 10.6 (6-17) years. Nine patients with 14 knees were included in OHL and 8 patients with 12 knees in PHL group. Mean preoperative popliteal angle (PA) was 45° (±6.03) and decreased to 24° (±4.37) after the OHL procedure (p=0.0001). Mean preoperative PA was 49.75° (±6.7) and decreased to 26° (±7.12) after the PHL procedure (p=0.0001). There was no statistically significant difference in terms of the mean differences between the preoperative and postoperative PA in OHL and PHL groups (p=0.215). Conclusion: The findings of this study have shown that the relatively simple and minimal invasive PHL technique can be considered a viable option in selected patient groups for hamstring lengthening. © Istanbul Medeniyet University Faculty of Medicine

Unexpected extremity injury in orthopaedic emergency service

PubMed ID: 30755433[No abstract available

An Unusual Preaxial Polydactyly of the Foot; a Case Report

Polydactyly is a commonly seen disorder. It can be seen as part of a syndrome or isolated deformity. Most commonlyaffects hand, foot or both but the presence of extra digit in only one foot is a very rare condition. We here present a veryrare case of preaxial polydactyly of the foot with incomplete tarsal duplication, an accessory anterior tibialis tendon andwithout any flexor or extensor tendons in a 1-year-old male. The extra digit was removed successfully and the accessoryanterior tibial tendon was repaired to the medial cuneiform. The purpose of this report was to discuss our results and totake attention to this rare presentation of polydactyly.Polidaktili sık rastlanan bir deformitedir. Herhangi bir sendromun parçası olabileceği gibi izole bir deformite şeklinde de karşımıza çıkabilir. En çok el, ayak ya da her ikisini birden etkileyebilen polidaktilinin sadece tek bir ayakta gözlenmesi oldukça nadir bir durumdur. Bu olguda, 1 yaşındaki bir erkek hastada gözlenen preaksiyel polidaktilinin çok nadir bir formu ve tedavisi sunulmaya çalışılmıştır. Hastanın inkomplet tarsal duplikasyonu ve aksesuar anterior tibialis tendonu mevcut olup ekstra parmakta fleksör ya da ekstansör tendon bulunmamakta idi. Ekstra parmak başarılı bir şekilde çıkarıldı ve aksesuar anterior tibial tendon medial küneiforma taşındı. Bu çalışmanın amacı sonuçlarımızı tartışarak nadir gözlenen bu polidaktili formuna dikkati çekmektir

A rare localized giant cell tumor of the tendon sheath originating from the ligamentum mucosum: A case report

WOS: 000521139200025PubMed: 32160509Giant cell tumor of the tendon sheath (GCTTS) occurs most often in the hand and rarely in the feet, and as an extremely uncommon presentation in the knee joint. Case reports involving GCTTS in the knee joint generally describe it originating from the nearby anterior cruciate ligament, posterior cruciatc ligament, patellar tendon, and medial plica. To the best of our knowledge, there are no previously reported case reports involving GCTTS originating in the ligamentum mucosum. In this article, we describe a 27-year-old male patient who was admitted to the orthopedic emergency room with a painful locked knee. He had severe pain that was worse with activity and a decreased range of motion. Magnetic resonance imaging (MRI) indicated massive swelling and a wellcircumscribed lobulated intraarticular mass at the distal one third of the ligamentum mucosum. The mass was removed successfully with arthroscopic-assisted mini-open excision, and histological analysis subsequently diagnosed it as a localized type of GCSTT. The patient remained asymptomatic and a follow-up MRI two years after surgery did not show any recurrence of the lesion

A Rare Cause of Heel Pain A Calcaneal Spur Fracture

karaduman, zekeriya okan/0000-0002-6719-3666WOS: 000469209500014PubMed: 30648880Heel pain is a complaint frequently encountered in orthopedic clinics that has peculiar symptoms and may have various etiologic causes. Calcaneal spur fracture is an extremely rare cause of heel pain, and only four cases had previously been reported in the English language literature. We present a 45-year-old woman who had heel pain on her right foot after falling from a height onto the heel. Radiographic examination of her right foot showed a fractured calcaneal spur, which was successfully treated with conservative methods. Calcaneal heel pain is a complaint that may be attributable to many different etiologic causes, which often have specific symptoms, and we frequently encounter them in the orthopedic clinic. Calcaneal spur fracture after trauma should be remembered in the differential diagnosis of heel pain as a rare cause. Our case is the fifth reported case in the English language literature of this extremely rare condition

Clinical and functional outcomes of extracorporeal shock wave therapy in isolated medial epicondylitis

Objective: To evaluate the effectiveness of extracorporeal shock wave therapy (ESWT) for the patients withisolated medial epicondylitis refractory to other conservative methods.Methods: A retrospective analysis of 57 patients with the diagnosis of isolated medial epicondylitis refractoryto conservative measures was done. 36 of them who met our eligibility criteria were included. Patients weresubjected to three sessions of extracorporeal shock wave therapy with 2000 pulses per a session in a dose of0.06-0.12 mJ/mm2. Pain and clinical/functional scores were measured by visual analogue scale (VAS) andQuick-Disabilities of the Arm, Shoulder and Hand (Q-DASH) respectively before the treatment and at 1st weekand 12th week of the last session.Results: Mean age of the patients was 47.3 (25-67) years and there was a higher female presentation (24 femaleand 12 male patients). The VAS scores were improved from a mean of 7.8 before the treatment to 5.3 at 1stweek (p < 0.001) and to 2.9 at 12th week (p < 0.001). Also the results of the Q-DASH showed a meanimprovement from 50.4 before the treatment to 27.1 at 1st week (p < 0.001) and 9.6 at 12th week (p < 0.001).There were no significant differences in the improvements of VAS and Q-DASH scores by the time betweenthe male and female patients.Conclusion: According to the results of this study which will be one of the limited studies about isolated medialepicondylitis; ESWT is a good conservative treatment option for medial epicondylitis in refractory cases likein lateral epicondylitis