Person: EROL, BÜLENT
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EROL
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BÜLENT
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Publication Open Access Surgeons Experience and Consistency to Determine Surgical Procedures for Hallux Valgus(2020) EROL, BÜLENT; Sirin, Evrim; Yılmaz, Barış; Ozdemir, Guzelali; Okay, Erhan; Bildik, Celaleddin; Ak, Dursun; Erol, Bulent; Muratlı, Hasan HilmiPublication Metadata only Malign kitle rezeksiyonu takiben pediküllü latissimus dorsi flebi ile yumuşak doku rekonstrüksiyon uyguladığımız hastalarımızın retrospektif değerlendirilmesi(2021-04-24) EROL, BÜLENT; BAYSAL Ö., EROL B.Publication Metadata only Use of abdominal negative pressure wound therapy in different indications: a case series(MA HEALTHCARE LTD, 2019) EROL, BÜLENT; Kocaaslan, Fatma Nihal Durmus; Ozkan, Melekber Cavus; Akdeniz, Zeynep; Sacak, Bulent; Erol, Bulent; Yuksel, Mustafa; Celebiler, OzhanNegative pressure wound therapy (NPWT) is a widely used wound management system. Several articles have been published on the advantages and complications of this system. Abdominal dressing negative pressure system (abdominal NPWT) is a newer technology, developed and used in open abdomen cases. The adherence of the sponge to the intra-abdominal organs is prevented by a polyurethane foam. This study presents a number of case series where an abdominal NPWT (ABThera, KCl, US) has been used to treat other vital organs, helping to prevent complications such as organ rupture and fatal bleeding.Publication Metadata only Soft tissue sarcoma of the upper extremity: oncological and functional results after surgery(SAGE PUBLICATIONS LTD, 2021) EROL, BÜLENT; Baysal, Ozgur; Toprak, Canan Sanal; Gunar, Berkin; Erol, BulentThis retrospective study evaluates outcomes after treatment of upper-extremity soft tissue sarcoma in 44 patients. We re-resected 19 tumours that had been resected elsewhere without adequate preoperative planning, and we made 25 well-planned primary resections. Four patients in the unplanned group and five in the planned group eventually received amputations. Thirty-three patients were alive at a median follow-up time of 33 months (IQR 18 to 57). Tumour size > 7 cm, tumour Grade 3 and the presence of distant organ metastases were the main factors affecting the oncological outcomes. We found no statistical differences between the planning groups. Functional outcomes and quality of life were significantly worse after amputation or major nerve resections. We conclude with this sized sample that the lack of planning in itself did not influence the final results, but there were differences in tumour size, grade and localization between the groups that may play a role.Publication Metadata only Ekstremite yerleşimli kemik sarkomlarında biyolojik rekonstrüksiyonun orta dönem radyolojik ve fonksiyonel sonuçları(2018-03-18) EROL, BÜLENT; AKGÜLLE, AHMET HAMDİ; EROL B., AKGÜLLE A. H., BAYKAN S. E., ONAY T., BAYSAL Ö.Amaç: Biyolojik rekonstrüksiyon çocuklarda kemik sarkomu rezeksiyonu sonrası kullanılabilir bir seçenektir. Bu çalışmada, çocuklarda kemik rezeksiyonu sonrası biyolojik rekonstrüksiyonun orta-dönem radyolojik ve fonksiyonel sonuçları sunulmuştur. Yöntem: Uzun kemik ve pelviste primer sarkomu olan kırk sekiz hastaya [ortalama yaş 12,5 (4-22 yaş)] geniş cerrahi rezeksiyon ve biyolojik rekonstrüksiyon uygulandı. Kemik defektleri; damarlı fibula grefti (DFG) ile interkalar (32), osteoartiküler (12) rekonstrüksiyonlar ve artrodez(4) şeklinde tedavi edildi. DFG, 19 alt ekstremite rekonstrüksiyonunda yapısal allogreft veya geri kazanılmış kemik ile kombine edildi. Hastalar ortalama 43 ay (25-105 ay) süre ile takip edildiler. Bulgular: 12 ay sonunda hastaların 45’inde (%93,7) greft kaynaması ve greft hipertrofisi gözlendi. 24 ay sonunda DFM ile allogreft/geri kazanılmış otogreft osteointegrasyonu %100 olarak gözlendi. Proksimal humeral osteoartiküler rekonstrüksiyon yapılmış olan 7 çocukta, fibula başı ve gleonid arasındaki morfoloji ve çap uyumsuzluğu devam etti. Proksimal femoral rekonstrüksiyon yapılan 3 hastada fibula başının giderek remodele olduğu gözlendi. Distal radial osteoartiküler rekonstrüksiyon yapılan 2 hastada başlangıçtan itibaren karpal kemiklerle anatomik uyumu olan fibular epifiz eklem yüzünün giderek daha konkavlaştığı görüldü. Boy eşitsizliği osteoartiküler rekonstrüksiyon yapılan hiçbir hastada klinik fonksiyon bozukluğu oluşturmadı. Son takipte ortalama MSTS skorları üst ekstremite rekonstrüksiyonlarında %78 (%66,6-90), alt ekstremite rekonstrüksiyonlarında %82 (%56,6-100) olarak değerlendirildi [Şekil 1B]. Dokuz (%18,75) hastada yeniden cerrahi gerektiren, gecikmiş kaynama (3), implant yetmezliği (2), enfeksiyon (1) ve yara problemi (3) komplikasyonları görüldü. Büyüme plağı/epifiz bölgesinden interkalar rezeksiyon yapılmış olan üç hastada (%6,25) ileride uzatma cerrahisi gerektirebilecek bacak boyu eşitsizliği oluştu. Donör saha komplikasyonları [6 (%12,5); geçici sinir hasarı (3), enfeksiyon (1), yara problemi (2)] konservatif olarak tedavi edildi. 14 (%29) hastada uzak metastaz ve/veya lokal nüks şeklinde hastalığın tekrarladığı görüldü. Defekt büyüklüğü ve DFG uzunluğu ile MSTS skorları ve radyolojik parametreler arasında korelasyon saptanmadı (p>0,05). Çıkarımlar: DFG transferinin başarısı; mikrovasküler tecrübenin yanında, stabil internal fiksasyon, maksimum kemik-kemik birleşimi gibi temel ortopedik prensiplere bağlılık, eklem mobilizasyonu ve ağırlık vermeye ilişkin uygun yaklaşımları gerektirir. Bu seride, büyük kemik defektleri DFG’nin çeşitli şekillerde uygulanması ile tedavi edilmiş ve kalıcı stabilite ile aşamalı olarak iyileşen radyolojik ve fonksiyonel sonuçlar elde edilmiştir. Bu sonuçlar, kemik sarkomlarının tedavisinde biyolojik rekonstrüksiyonun etkinliğini gösteren önceki serileri kuvvetle desteklemektedir.Publication Metadata only Pelvic ewing sarcoma: a single center experience(2022-11-01) EROL, BÜLENT; TOKUÇ, AYŞE GÜLNUR; EKER, NURŞAH; Baysal B., EROL B., TOKUÇ A. G. , EKER N., Senay R.Publication Metadata only Mid-term results of osteoarticular reconstructions of paediatric periarticular bone sarcomas with free fibula head flap(2018-10-13) EROL, BÜLENT; ŞİRİN, EVRİM; AKGÜLLE, AHMET HAMDİ; EROL B., ŞİRİN E., AKGÜLLE A. H., İĞREK S., BAYKAN S. E., TETİK C.Publication Metadata only Comparison of results after surgical repair of acute and chronic ulnar collateral ligament injury of the thumb(ELSEVIER, 2014) EROL, BÜLENT; Basar, H.; Basar, B.; Kaplan, T.; Erol, B.; Tetik, C.This study sought to demonstrate that successful outcomes can be achieved with the new technique presented here for chronic ulnar collateral ligament (UCL) injury of the thumb metacarpophalangeal (MCP) joint, as well as with K-wire pinning for acute UCL injury. We followed 19 patients who suffered an UCL rupture (mean follow-up: 14.26 +/- 4.65 months) and 32 patients who presented with UCL avulsion fracture (mean follow-up: 16.81 +/- 7.54 months). We used a free tendon graft for UCL reconstruction in the UCL rupture group. Both ends of the graft were stabilized with bioabsorbable suture anchors, which were used as biotenodesis interference screws. Closed reduction and K-wire fixation was used in UCL avulsion fracture group. There were no statistically significant differences between operated and contralateral healthy thumb MCP joint in both groups in the grip strength, tip pinch strength, flexion, extension, ulnar deviation, and radial deviation movements at final follow-up. Grip strength, tip pinch strength, ulnar deviation and radial deviation were significantly better in the avulsion group than the rupture group. All patients regained full stability at the MCP joint in avulsion group; 16 patients regained full stability and 3 patients presented with mild laxity (less than 10 degrees laxity) in rupture group. Glickel grading scale used as a functional score was excellent for 30 patients and good for 2 patients in avulsion group; it was excellent for 17 patients and good for 2 patients in rupture group. Our study shows that closed reduction and percutaneous K-wire fixation of acute displaced large UCL avulsion fracture is a simple technique and achieves adequate stability of UCL. For UCL rupture, free tendon reconstruction with bioabsorbable suture anchors provides adequate stability and stable fixation within the tunnels. (C) 2014 Elsevier Masson SAS. All rights reserved.Publication Metadata only Heterotopic ossification on the volar surface of the distal radius in a child with fibrodysplasia ossificans progressiva: challenges in surgical excision of a rare condition(ELSEVIER, 2021) EROL, BÜLENT; Sirin, E.; Okay, E.; Khalilov, T.; Turkoz, K.; Erol, B.; Tetik, C.Fibrodysplasia ossificans progressiva (FOP) is one of the genetic and developmental forms of heterotopic ossification. We report a case of FOP on the volar surface of the distal radius, located close to the median nerve and radial artery with neurologic symptoms secondary to median nerve entrapment. The patient underwent surgical excision of the heterotopic lesion followed by radiation therapy. He had no signs of recurrence with more than 1 year of follow-up. Careful microsurgical dissection of the heterotopic mass must be performed to prevent the formation of new painful lesions and iatrogenic neurovascular injury. In this syndrome, the possibility of nerve entrapment due to the heterotopic lesion should be considered as the cause of neuropathic pain. Early genetic testing for confirmation of the suspected diagnosis can avoid having to do an unnecessary biopsy. (C) 2021 SFCM. Published by Elsevier Masson SAS. All rights reserved.Publication Metadata only Reconstruction after periacetabular tumor resection with Lumic (R) endoprosthesis: What are the midterm results?(WILEY, 2021) EROL, BÜLENT; Erol, Bulent; Sofulu, Omer; Sirin, Evrim; Saglam, Fevzi; Buyuktopcu, OmerIntroduction This study aimed to analyze the midterm outcomes of LUMiC (R) endoprosthetic reconstruction following periacetabular resection of primary bone sarcomas and carcinoma metastases. Patients and Methods We retrospectively reviewed the charts of 21 patients (11 male [52.3%], 10 female [47.6%]; mean age 47 +/- 16 years) for whom a LUMiC (R) endoprosthesis (Implantcast) was used to reconstruct a periacetabular defect after internal hemipelvectomy. The tumor was pathologically diagnosed as Ewing's sarcoma in six (28.5%), chondrosarcoma in 10 (47.6%), and bone metastasis from carcinoma in five (23.8%) patients. Results The median follow-up of patients was 57.8 months (95% confidence interval: 51.9-63.7). The implant survival rate at 1, 2, and 5 years were 95.2%, 85.7%, and 80.9%, respectively. The overall complication rate was 33.3% (n = 7). Four (19%) complications resulted in reconstruction failure. Total reoperation rate was 28.5% (n = 6). The causes of failure were soft tissue failure/dislocation in two patients, aseptic loosening in one, infection in two, and local recurrence in two. At the time of study, seven patients were alive with no evidence of disease, seven were alive with disease, and seven died of disease. The 5-year overall survival rate and local recurrence-free survival rates were 67% and 76%, respectively. The median Musculoskeletal Tumor Society score at final follow-up was 70% (range: 50%-86.6%). Conclusion We conclude that LUMiC (R) endoprosthesis provides good functional outcomes and a durable reconstruct. Even though this reconstruction method presents some complications, it provides a stable pelvis in the management of periacetabular malignant tumors.