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        Periprostetic Joint Infection Caused by Salmonella: Case Reports of Two Azathioprine and Prednisolone Induced-immunocompromised Patients

        ( Mehmet Ekinci ),( Serkan Bayram ),( Turgut Akgul ),( Mehmet Ersin ),( Onder Yazicioglu ) 대한고관절학회 2017 Hip and Pelvis Vol.29 No.2

        Periprosthetic joint infection (PJI) due to Salmonella is rare. It frequently occurs patients receiving immunosuppressive medicine. We describe two periprosthetic Salmonella infection of two immunocompromised patients. Both of patients were receiving azathioprine and prednisolone therapy. First patient presented six years after total hip arthroplasty with a huge abscess on her right thigh that was reached to femoral component through the lytic area of lateral femur. Second patient presented with drainage from his hip and he had undergone two-step revision surgery for PJI 3 months ago. There is no consensus in the treatment of periprosthetic salmonella infections. We prefer two-step revision surgery for these infections as previously described in the literature.

      • KCI등재

        C-reactive Protein Level, Admission to Intensive Care Unit, and High American Society of Anesthesiologists Score Affect Early and Late Postoperative Mortality in Geriatric Patients with Hip Fracture

        ( Mehmet Ekinci ),( Serkan Bayram ),( Erol Gunen ),( Kemal Arda Col ),( Ahmet Mucteba Yildirim ),( Murat Yilmaz ) 대한고관절학회 2021 Hip and Pelvis Vol.33 No.4

        Purpose: The main purpose of this study is to evaluate prognostic factors that affected the patients’ early (<30 days) and late (six months, one year, and overall) postoperative mortality following hip fracture surgery. Materials and Methods: This retrospective study included 515 patients older than 75 years old with surgically treated osteoporotic hip fracture. The demographic data, American Society of Anesthesiologists (ASA) classification, type of anesthesia, duration of hospital stay, and history of intensive care unit (ICU) stay were collected. An analysis of laboratory values was also performed to determine their relationship with mortality. The primary outcome was survival, determined as the time from the surgery to death or the end of the study. The patients were divided into four groups according to survival time: at the first month, six months, first year, and overall survival. An analysis of demographic and laboratory values was performed to determine their validity as prognostic factors for each group. Results: Postoperative C-reactive protein (CRP) level showed an independent association with a poor survival at the first month. ASA classification, admission to the ICU, and preoperative CRP levels showed an independent association with a poor survival for the first six months. Preoperative CRP level showed an independent association with a poor survival for the first year. ASA classification, admission to the ICU, and the preoperative CRP levels showed an independent association with a poor overall survival. Conclusion: CRP level, a high ASA classification, and postoperative ICU admission were related to poorer overall survival rate following hip fracture surgery in the elderly.

      • KCI등재후보

        A comparison of the performance characteristics of large 2 MW and 3 MW wind turbines on existing onshore wind farms

        Mehmet Bilgili,Firat Ekinci,Tugce Demirdelen 한국풍공학회 2021 Wind and Structures, An International Journal (WAS Vol.32 No.2

        The aim of the current study is to compare the performance of large 2 MW and 3 MW wind turbines operating on existing onshore wind farms using Blade Element Momentum (BEM) theory and Angular Momentum (AM) theory and illustrate the performance characteristic curves of the turbines as a function of wind speed (U∞). To achieve this, the measurement data obtained from two different Wind Energy Power Plants (WEPPs) located in the Hatay region of Turkey was used. Two different horizontal-axis wind turbines with capacities of 2 MW and 3 MW were selected for evaluation and comparison. The hub-height wind speed (UD), turbine power output (P), atmospheric air temperature (Tatm) and turbine rotational speed (Ω) data were used in the evaluation of the turbine performance characteristics. Curves of turbine power output (P), axial flow induction factor (a), turbine rotational speed (Ω), turbine power coefficient (CP), blade tip speed ratio (λ), thrust force coefficient (CT) and thrust force (T) as a function of U∞ were obtained for the 2 MW and 3 MW wind turbines and these characteristic curves were compared. Results revealed that, for the same wind speed conditions, the higher-capacity wind turbine (3 MW) was operating at higher turbine power coefficient rates, while rotating at lower rotational speed ratios than the lower-capacity wind turbine (2 MW).

      • KCI등재

        An Analysis of the Potential Relationship between Crowe Type and Lower Extremity Morphology in Patients with Developmental Dysplasia of the Hip

        Ömer Naci Ergin,Serkan Bayram,Fikret Berkan Anarat,Mehmet Ekinci,Lezgin Mert,Emre Özmen,I˙rfan Öztürk 대한고관절학회 2020 Hip and Pelvis Vol.32 No.2

        Purpose: To test whether Crowe type is related to femoral alignment and leg length discrepancy by evaluating the preoperative lengths and coronal alignment of femurs, pelvic parameters and hip morphology of patients who underwent primary hip arthroplasty due to coxarthrosis secondary to developmental dysplasia of the hip (DDH). Materials and Methods: Medical records of patients with coxarthrosis secondary to DDH who were treated with total hip arthroplasty at Department of Orthopaedics and Traumatology, Istanbul University Faculty of Medicine between 2008 and 2017 were reviewed. The mechanical axis of lower limbs was analyzed; pelvic height and femoral and tibial lengths were measured. All femurs were classified according to the Dorr classification. Results: A total of 97 patients were eligible for analysis and were diagnosed with unilateral DDH (n=51) or bilateral DDH (n=46). In those diagnosed with unilateral DDH, the affected pelvis, femur, and tibia were often shorter than the unaffected side. In those diagnosed with bilateral DDH, femoral and pelvic lengths were unpredictable. In the femoral coronal alignment test, data varied widely but were within normal limits. The difference in the Dorr types of femurs was significant between dysplastic and normal sides of patients with unilateral DDH (P=0.001) but not those with bilateral DDH. Conclusion: Especially in patients with unilateral DDH, pelvic heights and femoral and tibial lengths on the affected side may be shorter compared with unaffected side regardless of the Crowe type. Femoral coronal alignment is unpredictable for both groups. Careful preoperative analyses of femoral coronal alignment and pelvic length are advised.

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