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| 1 | Viral and host causes of fatty liver in chronic hepatitis B显示文摘AIM: To investigate the viral and host causes of fatty liver in chronic hepatitis B patients and the role of fat deposits in liver damage.METHODS: A total of 164 patients (113 males and 51 females, average age 35±11.3 years, and range 10-62 years) with previously untreated chronic hepatitis B were included in the study. The patients were divided into two groups depending on the result of liver biopsy: group without steatosis (100 patients with <5% hepatosteatosis) and group with steatosis (64 patients with >5% hepatosteatosis). The groups were compared in terms of gender, body mass index (BMI), liver enzymes (ALT, AST, ALP, GGT), cholesterol, triglyceride, HBeAg, viral load, and histological findings. In the group with steatosis, the patients were subdivided depending on the degree of steatosis into mild group (45 patients with 5-24% steatosis), and severe group (19 patients with >25% steatosis). RESULTS: In the group of chronic hepatitis B with steatosis, the mean age, BMI, cholesterol, and triglyceride levels were significantly higher than those in the group without steatosis (P<0.05). Steatosis was found in 53 (46.9%) of male patients and 11 (22%) of female patients (P<0.05). No significant difference was found in the positivity of ALT, AST, ALP, GGT, HBeAg, viral load, histological activity index (HAI) and stage between the two groups (P>0.05). In the group with severe steatosis, the BMI was significantly higher than that in the group with mild steatosis (P<0.05). No significant difference was found in the other parameters between the groups (P>0.05). CONCLUSION: Steatosis in chronic hepatitis B appears to be a result of metabolic factors of the host rather than the effect of viruses. Steatosis is unrelated to the HAI and degree of fibrosis, which are considered as the histological indicators of liver damage. | Emin Altiparmak Seyfettin K(o|¨)klü Mesut Yalinkilic Osman Yüksel Bahattin Cicek Ertugrul Kayacetin Tülin Sahin | 2005 | World Journal of Gastroenterology2005，11，20： | 52 |
| 2 | Predictive value of C-reactive protein/albumin ratio in acute pancreatitis显示文摘BACKGROUND:Serum C-reactive protein(CRP) increases and albumin decreases in patients with inflammation and infection.However,their role in patients with acute pancreatitis is not clear.The present study was to investigate the predictive significance of the CRP/albumin ratio for the prognosis and mortality in acute pancreatitis patients.METHODS:This study was performed retrospectively with 192 acute pancreatitis patients between January 2002 and June 2015.Ranson scores,Atlanta classification and CRP/albumin ratios of the patients were calculated.RESULTS:The CRP/albumin ratio was higher in deceased patients compared to survivors.The CRP/albumin ratio was positively correlated with Ranson score and Atlanta classification in particular and with important prognostic markers such as hospitalization time,CRP and erythrocyte sedimentation rate.In addition to the CRP/albumin ratio,necrotizing pancreatitis type,moderately severe and severe Atlanta classification,and total Ranson score were independent risk factors of mortality.It was found that an increase of 1 unit in the CRP/albumin ratio resulted in an increase of 1.52 times in mortality risk.A prediction value about CRP/albumin ratio >16.28 was found to be a significant marker in predicting mortality with 92.1% sensitivity and 58.0% specificity.It was seen that Ranson and Atlanta classification were higher in patients with CRP/albumin ratio >16.28 compared with those with CRP/albumin ratio ≤16.28.Patients with CRP/albumin ratio >16.28 had a 19.3 times higher chance of death.CONCLUSION:The CRP/albumin ratio is a novel but promising,easy-to-measure,repeatable,non-invasive inflammationbased prognostic score in acute pancreatitis. | Mustafa Kaplan Ihsan Ates Muhammed Yener Akpinar Mahmut Yuksel Ufuk Baris Kuzu Sabite Kacar Orhan Coskun Ertugrul Kayacetin | 2017 | Hepatobiliary & Pancreatic Diseases International2017，16，4： | 53 |
| 3 | Periodontopathogen profile of healthy and oral lichen planus patients with gingivitis or periodontitis显示文摘Oral lichen planus (OLP) is a chronic inflammatory disease that is frequently detected in oral tissues. The aim of our study was to identify the prevalence of the detection of periodontopathogenic microorganisms (Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia and Treponema denticola in OLP patients and to compare with this prevalence of periodontopathogenic microorganisms in healthy non-OLP patients. Our study included 27 (18 chronic periodontitis (OLPP) and 9 gingivitis (OLPG)) patients diagnosed with OLP along with 26 (13 chronic periodontitis (HP) and 13 gingivitis (HG)) healthy non-OLP patients. The multiplex polymerase chain reaction (PCR) with subsequent reverse hybridization method (micro-IDent) was used for identifying periodontopathogenic microorganisms present in subgingival plaque samples. The percentages of detection for A. actinomycetemcomitans, P. gingivalis, P. intermedia, T. forsythia and T. denticola in subgingival plaque samples taken from OLP patients (OLPG and OLPP) were 18.5%, 85.1%, 81.4%, 88.8% and 74%, respectively. Meanwhile, in the non-OLP patients (HG and HP), these values were 7.6%, 50%, 46.1%, 73% and 57.7%, respectively. Thus, comparing the non-OLP groups with the OLP groups, the periodontopathogens' percentages of detection in the OLP groups were higher than those in the non-OLP groups. According to our study results, OLP patients have higher levels of infection with A. actinomycetemcomitans, P. gingivalis, P. intermedia, T. forsythia and T. denticola than non-OLP patients. We argue that the high percentages in patients with OLP may help identify the importance of periodontopathogenic microorganisms in the progress of periodontal diseases of OLP. | Abdullah Seckin Ertugrul Ugur Arslan Recep Dursun Sema Sezgin Hakki | 2013 | International Journal of Oral Science2013，5，2： | 15 |
| 4 | Understanding mechanisms of the pathogenesis of nonalcoholic fatty liver disease显示文摘A central issue in the understanding of the pathogenesis of nonalcoholic fatty liver disease is the problem of the underlying mechanisms which are not fully understood.In the setting of excessive central adiposity,insulin resistance is the major underlying cause of fat accumulation in hepatocytes.Because of the difficulties with human trials,several animal models have been developed for this purpose mainly characterized as follows:genetically disturbed or murine fatty liver,methionine-choline deficient diet fed or murine steatohepatitis,and high-fat or sucrose diet fed models.Although these animal models have provided useful information,none of them accurately reflect genetic,metabolic and biochemical characteristics of the human disease. | Metin Basaranoglu Serra Kayacetin Nevin Yilmaz Ertugrul Kayacetin Orhan Tarcin Abdullah Sonsuz | 2010 | World Journal of Gastroenterology2010，16，18： | 14 |
| 5 | Three-dimensional MR and axial CT colonography versus conventional colonoscopy for detection of colon pathologies显示文摘瞄准:在检测冒号损害评估先生 colonography (MRC ) 和 CT 性能的敏感和特性,并且把他们的敏感和特性与常规结肠镜检查的作比较。方法:怀疑有结肠的损害的 42 个病人因为直肠的流血,积极烘便的潜血测试结果或改变的肠习惯,经历了考试。在一个直肠的试管的插入以后,冒号充满 9 g/L NaCl 答案, 0.5 mmol/L gadopentetate dimeglumine 的 15-20 mL 和 iodinized 对比材料的 100 mL 的混合物的 1000-1500 mL。为先生 colonography 和互补先生图象的从前结肠的扩张被完成的、三维的坡度回响(3D-GRE ) 序列在所有情况中被拿。立即在先生 colonography 以后,腹的 CT 图象被螺线 CT 拿在里面轴并且背卧位。然后,所有病人被常规结肠镜检查(CC ) 检查。结果:为冒号病理的 MRC 的敏感和特性是 96.4% 并且 100% 分别地。由 MRC 的正确诊断的百分比是 97.6% 。百分之百,为冒号病理的 CT 的敏感和特性分别地是 92.8% 。由 CT 的正确诊断的百分比是 95.2% 。结论:在检测冒号损害, MRC 完成了类似于 CC 的诊断精确性。然而, MRC 是最低限度地侵略的,没有对在调查期间的镇静或止痛剂的需要。有穿孔风险的一个更低的百分比,并且所有冒号片断能由于多部分的成像可获得性被评估;结肠的损害,转移和任何另外的损害的内部、额外肠的部件能容易被评估。MRC 和 CT colonography 是答应在颜色的察觉高度敏感的新放射学的技术表面的集体、煽动性的肠损害。 | Rahime Haykir Serdar Karakose Aydin Karabacakoglu Mustafa Sahin Ertugrul Kayacetin | 2006 | World Journal of Gastroenterology2006，12，15： | 12 |
| 6 | Choice of drugs in the treatment of chronic hepatitis B in pregnancy显示文摘The selection of antiviral drugs for chronic hepatitis B(CHB) treatment in pregnancy is very difficult since none of the drugs have been approved for use in pregnancy.Transmission from mother to newborn remains the most frequent route of infection in mothers with high viral load and positive hepatitis B e antigen status,even with the use of appropriate prophylaxis with hepatitis B virus(HBV) immunoglobulin and HBV vaccination.We read from the article written by Yi et al that lamivudine treatment in early pregnancy was safe and effective.However,we could not understand why adefovir dipivoxil(ADV) was used in three pregnancy cases,since ADV has been classified as pregnancy category C.In pregnancy,telbivudine or tenofovir should be selected when the treatment of CHB is necessary,since these drugs have been classified as Food and Drug Administration pregnancy risk category B. | Ertugrul Guclu Oguz Karabay | 2013 | World Journal of Gastroenterology2013，19，10： | 9 |
| 7 | Reconfigurable intelligent surfaces for wireless communications:Overview of hardware designs,channel models,and estimation techniques显示文摘The demanding objectives for the future sixth generation(6G)of wireless communication networks have spurred recent research efforts on novel materials and radio-frequency front-end architectures for wireless connectivity,as well as revolutionary communication and computing paradigms.Among the pioneering candidate technologies for 6G belong the reconfigurable intelligent surfaces(RISs),which are artificial planar structures with integrated electronic circuits that can be programmed to manipulate the incoming electromagnetic field in a wide variety of functionalities.Incorporating RISs in wireless networks have been recently advocated as a revolutionary means to transform any wireless signal propagation environment to a dynamically programmable one,intended for various networking objectives,such as coverage extension and capacity boosting,spatiotemporal focusing with benefits in energy efficiency and secrecy,and low electromagnetic field exposure.Motivated by the recent increasing interests in the field of RISs and the consequent pioneering concept of the RIS-enabled smart wireless environments,in this paper,we overview and taxonomize the latest advances in RIS hardware architectures as well as the most recent developments in the modeling of RIS unit elements and RIS-empowered wireless signal propagation.We also present a thorough overview of the channel estimation approaches for RIS-empowered communications systems,which constitute a prerequisite step for the optimized incorporation of RISs in future wireless networks.Finally,we discuss the relevance of the RIS technology in the latest wireless communication standards,and highlight the current and future standardization activities for the RIS technology and the consequent RIS-empowered wireless networking approaches. | Mengnan Jian George C.Alexandropoulos Ertugrul Basar Chongwen Huang Ruiqi Liu Yuanwei Liu Chau Yuen | 2022 | Intelligent and Converged Networks2022，3，1： | 9 |
| 8 | Does physical therapy and rehabilitation improve outcomes for diabetic foot ulcers?显示文摘One of the most common and serious complications of diabetes mellitus is ulceration of the foot. Among persons with diabetes, 12%-25% will present to a healthcare institution for a foot disorder during their lifespan. Despite currently available medical and surgical treatments, these are still the most common diabetes-related cause of hospitalization and of lower extremity amputations. Thus, many adjunctive and complementary treatments have been developed in an attempt to improve outcomes. We herein review the available literature on the effectiveness of several treatments, including superficial and deep heaters, electro-therapy procedures, prophylactic methods, exercise and shoe modifications, on diabetic foot wounds. Overall, although physical therapy modalities seem to be useful in the treatment of diabetic foot wounds, further randomized clinical studies are required. | Yasemin Turan Bulent M Ertugrul Benjamin A Lipsky Kevser Bayraktar | 2015 | World Journal of Experimental Medicine2015，5，2： | 7 |
| 9 | Modeling surface fuels moisture content in Pinus brutia stands显示文摘Fuel moisture content is an important variable for forest fires because it affects fuel ignition and fire behavior. In order to accurately predict fuel ignition potential, fuel moisture content must be assessed by evaluating fire spread, fireline intensity and fuel consumption.Our objective here is to model moisture content of surface fuels in normally stocked Calabrian pine(Pinus brutia Ten.) stands in relation to weather conditions, namely temperature, relative humidity, and wind speed in the Mugla province of Turkey. All surface fuels were categorized according to diameter classes and fuel types. Six fuel categories were defined: these were 0–0.3, 0.3–0.6, and0.6–1 cm diameter classes, and cone, surface litter, and duff. Plastic containers 15 9 20 cm in size with 1 9 1 mm mesh size were used. Samples were taken from 09:00 to19:00 h and weighed every 2 h with 0.01 g precision for10 days in August. At the end of the study, samples were taken to the laboratory, oven-dried at 105 °C for 24 h and weighed to obtain fuel-moisture contents. Weather measurements were taken from a fully automated weather station set up at the study site prior to the study. Correlation and regression analyses were carried out and models were developed to predict fuel moisture contents for desorption and adsorption phase for each fuel type categories. Practical fuel moisture prediction models were developed for dry period. Models were developed that performed well with reasonable accuracy, explaining up to 92 and 95.6%of the variability in fuel-moisture contents for desorption and adsorption phases, respectively. Validation of the models were conducted using an independent data set and known fuel moisture prediction models. The predictive power of the models was satisfactory with mean absolute error values being 1.48 and 1.02 for desorption and adsorption as compared to the 2.05 and 1.60 values for the Van Wagner's hourly litter moisture content prediction model. Results obtained in this study will be invaluable for fire management planning and modeling. | Ertugrul Bilgili Kadir Alperen Coskuner Yetkin Usta Merih Goltas | 2019 | Journal of Forestry Research2019，30，2： | 6 |
| 10 | Interesting rendezvous location in a liver transplantation patient with anastomosis stricture显示文摘An endoscopic or radiologic percutaneous approach may be an initial minimally invasive method for treating biliary strictures after living donor liver transplantation; however, cannulation of biliary strictures is sometimes difficult due to the presence of a sharp or twisted angle within the stricture or a complete stricture. When an angulated or twisted biliary stricture interrupts passage of a guidewire over the stricture, it is difficult to replace the percutaneous biliary drainage catheter with inside stents by endoscopic retrograde cholangiopancreatography. The rendezvous technique can be used to overcome this difficulty. In addition to the classical rendezvous method, in cases with complete transection of the common bile duct a modified technique involving the insertion of a snare into the subhepatic space has been successfully performed. Herein, we report a modified rendezvous technique in the duodenal bulb as an extraordinary location for a patient with duct-to-duct anastomotic complete stricture after liver transplantation. | Bulent Odemis Erkin Oztas Mehmet Yurdakul Serkan Torun Nuredtin Suna Ertugrul Kayacetin | 2014 | World Journal of Gastroenterology2014，20，42： | 5 |
| 11 | Novel role for gabapentin in neuroprotection of central nervous system in streptozotocine-induced diabetic rats显示文摘Aim: To investigate the effect of gabapentin on neural [neuron-specific enolase (NSE)] and glial markers [glial fibrillary acidic protein (GFAP) and S 100B] in different brain regions of diabetic rats. Methods: Diabetes was induced by a single intraperitoneal injection of streptozotocine (50mg/kg body weight). Rats in one diabetic group received gabapentin (50mg·kg^-1·d^-1) and rats in the other diabetic group received vehicle only for 6 weeks. The levels of GFAP, S100B, and NSE were determined by immunoblotting in the hippocampus, cortex, and cerebellum. Lipid peroxidation (LPO as malondialdehyde+4-hydroxyalkenals) and glutathione (GSH) levels were also determined in the same brain parts. Results: Total and degraded GFAP content and S100B protein expression in different areas of brain tissues significantly increased in diabetic rats compared to control rats. Similarly, NSE levels were also significantly elevated in hyperglycemic rats. In addition, there was a significant increase in LPO levels in the diabetic rat brain compared to control rat brains. Pretreatment with gabapentin prevented the upregulation of GFAP, S 100B, and NSE in all brain regions of diabetic rats. The level of LPO was reduced, but not completely halted, by treatment with gabapentin. Conclusion:These results suggest that diabetes causes glial and neuronal injury, possibly as a result of elevated oxidative stress, and that gabapentin protects neurons and glial cells. Thus, we predict that gabapentin treatment will attenuate the hippocampal and cortical neurodegeneration observed during diabetes mellitus in rats. | Giyasettin BAYDAS Ertugrul SONKAYA Mehmet TUZCU Abdullah YASAR Emir DONDER | 2005 | Acta Pharmacologica Sinica2005，26，4： | 5 |
| 12 | Role of pre-transplant 18F-FDG PET/CT in predicting hepatocellular carcinoma recurrence after liver transplantation显示文摘The last two decades have seen a paradigm shift in the selection of patients with hepatocellular carcinoma(HCC)for liver transplantation.Microvascular invasion and differentiation have been the most significant factors affecting post-transplant recurrence;however,because of inherent disadvantages of pre-transplant biopsy,histological criteria never gained popularity.Recently,the selection criteria evolved from morphological to biological criteria,such as biomarkers and response to loco-regional therapy.With the introduction of multimodality imaging,combination of computed tomography with nuclear medicine imaging,particularly,18F-fluorodeoxyglucose positron emission tomography fulfilled an unmet need and rapidly became a critical component of HCC management.This review article will focus on the use of 18F-fluorodeoxyglucose positron emission tomography combined with computed tomography in the pre-transplant evaluation of HCC patients with special discussion on its ability to predict HCC recurrence after liver transplantation. | Onur Yaprak Sencan Acar Gokhan Ertugrul Murat Dayangac | 2018 | World Journal of Gastrointestinal Oncology2018，10，10： | 4 |
| 13 | Energy use, CO2 emission and foreign direct investment: Is there any inconsistence between causal relations?显示文摘 | Ertugrul YILDIRIM | 2014 | Frontiers in Energy2014，8，3： | 4 |
| 14 | Acute intoxication cases admitted to the emergency department of a university hospital显示文摘BACKGROUND: This study aimed to describe the clinical and socio-demographic aspects of acute poisoning in 2010 in Duzce City, Northwest Anatolian Region of Turkey.METHODS: Acute poisoning was due to the intentional ingestion of drugs in young and adult people(≥16), who were treated at the Emergency Service of Duzce University Medical Hospital, Turkey from January 1, 2010 to December 31, 2010. In this retrospective and descriptive study, 95 patients were diagnosed with intoxications and 30 of them intentionally ingested drugs to commit suicide. Records of the patients diagnosed with intoxication were obtained from the Clinical Archive of the hospital. Their diagnoses were established according to the International Statistical Classification of Diseases and Related Health Problems. Codes X60-X84 of this classification were used to classify self-infringed drug injuries and drug poisoning.RESULTS: In this series, 35(36.8%) patients were male and 60 patients(63.2%) female. The male/female ratio was 1.0/1.7. The mean age of the patients was 33.1±14.2 years; 17(17.9%) patients were below 20 years old and 9(9.5%) were older than 50 years. Of these patients, 29(30.5%) were single, 7(7.4%) divorced or separated, and 59(62.1%) married. Their mean time for admission to the emergency service after the incident was 208±180(15–660) minutes. The mean time for admission to the emergency service for patients with food intoxication after the incident was 142±160 minutes, for those with drug intoxication 173±161 minutes, for those with carbon monoxide(CO) intoxication 315±209 minutes, and for those with undefined intoxication 289±166 minutes(P=0.005). Most of the intoxication cases occurred in winter(41.1%, 39 of 95 patients). Admissions to the emergency service were most common in December and April(21 and 16 of 95 patients, respectively). Sixty-five(68.4%) cases were involved in non-deliberate poisoning, whereas 30(31.6%) were involved in deliberate poisoning. Twenty-six of the 95 patients with acute poisonings had mortality risk at admission, however only one died from CO intoxication in the emergency service(1.1%). Suicide attempts were more common in females than in males(21 of 30 patients, 70%, P<0.05). CONCLUSION: In Duzce City of Turkey, most intoxication cases occurred in winter, especially in December. They had non-deliberate poisoning, but deliberate poisoning in suicide attempts was more common in females than in males. | Ertugrul Kaya Aylin Yilmaz Ayhan Saritas Serdar Colakoglu Davut Baltaci Hayati Kandis Ismail Hamdi Kara | 2015 | World Journal of Emergency Medicine2015，6，1： | 3 |
| 15 | The Prognostic Value of Neuron-Specific Enolase in Head Trauma Patients显示文摘 | Emine Meric Abdulkadir Gunduz Suleyman Turedi Ertugrul Cakir Mustafa Yandi | 2010 | Journal of Emergency Medicine2010，，3： | 3 |
| 16 | Comparison of Goldmann applanation tonometry,rebound tonometry and dynamic contour tonometry in normal and glaucomatous eyes显示文摘AIM: To compare the intraocular pressure(IOP)measurements obtained with the rebound tonometry(RT), dynamic contour tonometry(DCT) and Goldmann applanation tonometry(GAT) in normal and glaucomatous eyes and investigate the effects of central corneal thickness(CCT) and corneal curvature(CC) on IOP measurements.METHODS: One hundred and twenty-four eyes of 124 subjects were enrolled in this cross-sectional study.Fifty-six of participants were healthy individuals and 68 of them were glaucomatous patients. IOP was measured on each subject always in the same order, ICare RT-Pascal DCT-GAT, after a minimum interval of 10 min between measurements. CCT and CC were measured using a rotating Scheimpflug camera before the IOP measurements in all subjects. One way repeated measures ANOVA, Pearson correlation coefficient and regression analysis, and Bland-Altman analysis was used for the statistical assessment.RESULTS: Mean IOP for all enrolled eyes was 16.00±3.80 mm Hg for GAT, 16.99 ±4.91 mm Hg for RT, and20.40 ±4.44 mm Hg for DCT. Mean differences between GAT and RT was-1.75±3.41 mm Hg in normal(P <0.001)and-0.37 ±3.00 mm Hg in glaucomatous eyes(P =0.563).Mean differences between GAT and DCT was-4.06 ±3.42 mm Hg in normal(P < 0.001) and-4.67 ±3.12 mm Hg in glaucomatous eyes(P <0.001). GAT and RT were significantly positive correlated with CCT in normal(r2=0.101, P =0.017 and r2=0.331, P <0.001, respectively) and glaucomatous eyes(r2=0.084, P =0.016 and r2=0.123,P =0.003, respectively). DCT was also significantly positive correlated with CCT in normal eyes( r2=0.179,P =0.001) but not in glaucomatous eyes(r2=0.029, P =0.165).All tonometers were unaffected by CC.CONCLUSION: IOP measurements by RT and DCT were significantly higher than GAT. DCT has highest IOP measurements among these tonometers. RT was most influenced tonometer from CCT although all tonometers were significantly positive correlated with CCT except DCT in glaucomatous eyes. CC did not influence IOP measurements. | Fatih Ozcura Nilgün Yildirim Afsun Sahin Ertugrul Colak | 2015 | International Journal of Ophthalmology(English edition)2015，8，2： | 3 |
| 17 | Evaluation of early atherosclerosis markers in patients with nonalcoholic fatty liver disease显示文摘 | Metin Kucukazman Naim Ata Bunyamin Yavuz Kursat Dal Omer Sen Onur S. Deveci Kadir Agladioglu Abdullah O. Yeniova Ya?ar Nazligul Derun T. Ertugrul | 2013 | European Journal of Gastroenterology & Hepatology2013，，2： | 2 |
| 18 | Effects of fluid preload (crystalloid or colloid) compared with crystalloid co-load plus ephedrine infusion on hypotension and neonatal outcome during spinal anaesthesia for caesarean delivery显示文摘 | Gunusen I Karaman S Ertugrul V Firat V | 2010 | Anaesthesia and Intensive Care2010，，4： | 2 |
| 19 | Gastric ulcer penetrating to liver diagnosed by endoscopic biopsy显示文摘Liver Penetration is a rare but serious complication of piptic ulcer diserase. Usually the diahnosis is made by operation or artopsy. Clinical and laboratory data were no specific. A 64-year-old man was admitted with upper gastrointestinal bleeding .Hepatic penetration was diagnosed as the cause of bleeding. Endosciopy showed a large gastric with a pseudotumoral mass protruding from the ulcer bed. Definitive diagnosis was established by endoscopic biopsies of the ulcer base. | Ertugrul Kayacetin Serra Kayacetin | 2004 | World Journal of Gastroenterology2004，10，12： | 2 |
| 20 | Acetabular components with or without screws in total hip arthroplasty显示文摘AIM To compare the operation time, blood loss, and early outcomes of acetabular components with and without the screw.METHODS Thirty patients who underwent cementless acetabular component with or without screw and whose follow-up exceeded one year period in total hip arthroplasty were evaluated. A posterior approach was used in all surgical procedures by one experienced surgeon. Demographic data, operation time, intra-and postoperative blood loss volume, follow-up clinical score, cup migration, and osteolysis were recorded. The Kolmogorov-Smirnov test was performed for testing the normality of study data. Mann-Whitney U test was used to analyze the intergroup differences. A P-value of ≤ 0.05 was considered statistically significant.RESULTS Acetabular components were used in 16(53.3%) patients with screw and 14(46.7%) without screw. After one year of follow-up, an osteolytic lesion of 3 mm was found in only one patient in the screw group. No cup migrationwas encountered. Intra-group mean Harris hip score significantly increased, but there was no significant intergroup difference. While the mean operation time of the screw group was 121.8 min(range; 95-140), it was 102.7 min(range; 80-120) in the no-screw group, and this difference was statistically significant(P = 0.002). The mean intraoperative/postoperative, and total blood loss were 556.6 mL(range: 350-800)/423.3 mL(range: 250-600), and 983.3 mL(range: 600-1350), respectively in the screw group; and 527 mL(range: 400-700)/456 mL(range: 230-600), and 983 mL(range: 630-1250), respectively in the no-screw group. The blood loss difference between the two groups was not significant. In the screw group, the operation time was 19.1 min longer than the no-screw group, and this difference was statistically significant.CONCLUSION Acetabular components with or without screw have similar results, but the use of screw increases the operation time significantly, while not changing the blood loss volume. | Murad Pepe Onur Kocadal Tamer Erener Kubilay Ceritoglu Ertugrul Aksahin Cem Nuri Aktekin | 2017 | World Journal of Orthopedics2017，8，9： | 2 |
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