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Öğe Treatment of intraarticular joint fractures of the lower extremity with external fixators(Springer International Publishing, 2018) Erdem, Mehmet Nuri; Gülabi, Deniz; Tuncay, İbrahim Cengiz; Uzer, Gökçer; Erdil, Mehmet Emin; Kuyucu, Ersin; Karademir, GökhanDistal femoral fractures constitute 3–7% of all femoral fractures. The degree of intra-articular fractures varies from simple split fractures to wide intra-articular and fragmented fractures extending to the metaphysis. These fractures may be the result of high-energy trauma or a simple fall from a standing height. The amount of fragmentation is determined by the energy causing the fracture and by the individual’s bone quality. The age groups which have peak frequency of these injuries are elderly females and young males. In elderly patients, fractures more commonly occur as a result of indirect forces and result in a multi-fragmentary metaphyseal fracture and possible intra-articular extension. High-energy mechanisms may have quite complex articular involvement. These high-energy fractures may be seen together with fractures in other areas.Öğe Vertebral hydatid disease and its treatment by anterior-posterior radical excision, fusion and chemotherapy with albendazole: Case report - eleven years follow - up result(2013) Erdem, Mehmet Nuri; Sever, Cem; Korkmaz, Mehmet Fatih; Oltulu, İsmail; Gürgen, Erkan; Tezer, MehmetHydatid cyst is a zoonosis caused by the larval form of parasitic tapeworm Echinococcus granulosus. We present a case of vertebral hydatid cyst with paravertebral abscesses operated 11 years ago. A 32 year old woman presented multiple giant paravertebral abscesses at the level of T11-12 and L1 vertebrae and pathological fracture of L1 vertebra because of vertebral hydatid cyst. Posterior instrumentation and fusion followed by anterior L1 corpectomy and fusion were done. Patient was pain-free at eleven-year follow-up. There was no radiological evidence of relapse. Hydatid disease of the spine is rare, misdiagnosis and therefore inadequate treatment and recurrence is frequent. Maintaining the stability of the spine and achieving a fusion mass is important in the decision of surgical technique in vertebral type of hydatidosis.











