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- MakaleAçık Erişim2026Scopus SJRQ2Which implant for Pauwels type 2 femoral neck fractures: a biomechanical study
Aydın, Oğuz; Kazez, Muhammed; Say, Yakup; Belhan, Oktay
Objective: Femoral neck fractures (FNF) in young patients are relatively rare but can lead to severe complications if not treated appro-priately. Pauwels type 2 fractures, characterized by moderate inclination, require surgical stabilization. However, no consensus exists regarding the optimal implant that provides superior biomechanical stability. This study aims to compare the biomechanical properties of 3 different fixation systems for the surgical treatment of Pauwels type 2 FNF. Methods: A total of 21 bovine femurs of similar age and size were selected and divided into 3 fixation groups: dynamic hip screw (DHS), cannulated screws (CS), and major plate (MP). Each specimen underwent axial compression testing to assess the maximum load-bearing capacity, shear force resistance, and deformation characteristics of the fixation methods. Results: The results showed that the CS group exhibited the highest shear stress resistance, followed by the DHS group, while the MP group showed significantly lower mechanical strength and elongation (P <.05). Although DHS provided substantial stability, CS demon-strated superior overall mechanical performance. In contrast, the MP system showed significantly lower resistance compared to the other 2 fixation methods. Conclusion: This biomechanical study highlights the importance of implant selection in the management of Pauwels type 2 FNF. Although previous investigations have questioned the adequacy of CS fixation in highly unstable Pauwels type 3 fractures, the results suggest that CS may be a reliable and effective option for the relatively more stable Pauwels type 2 pattern. Because the tests were performed on bovine femur models, which do not fully reflect the structural characteristics of human bone, these findings should be interpreted with caution. Further biomechanical studies using human cadaveric specimens are required to confirm the applicability of these results to clinical practice.
- MakaleAçık Erişim2025Scopus SJRQ1Evaluation of aerobic and anaerobic capacity in pubertal karate athletes: performance analysis and development strategies
Korkmaz, Kübranur; Aygören, Caner; Düzova, Halil
Background: This study investigated the effects of gender’s foot arch structure (normal arch vs. pes planus) on aerobic and anaerobic performance in pubertal karate athletes. Method: Children with chronic cardiovascular and musculoskeletal diseases were excluded from the study. Participants included boys with normal foot arches (B-nfa, n = 7), boys with pes planus (B-pp, n = 11), girls with normal foot arches (G-nfa, n = 16), and girls with pes planus (G-pp, n = 11). Aerobic capacity was evaluated using the 6-Minute Walk Test, while anaerobic performance was assessed through the Vertical Jump Test and sprint tests (10 m and 30 m). The height of the foot arch was measured using the Navicular Drop test. Nonparametric data were analyzed using the Kruskal–Wallis test and Dunn's post-hoc test to identify significant differences. Parametric data were analyzed using one-way ANOVA and Tukey's post hoc test. Pearson's test was used for parametric correlation, while Spearman's test was used for nonparametric correlation. The significance threshold was set at p < 0.05. Results: Individuals in the G-nfa group exhibited higher anaerobic power than those in the G-pp group (p = 0.0452). There was a strong negative correlation between arch pes planus and Spear equations (r = 0.63, p = 0.0004). B-nfa participants performed faster than both B-pp (p = 0.0015) and G-pp (p = 0.0015). The G-nfa completed the 10 m sprint test faster than both B-pp and G-pp (p = 0.0052). B-nfa outperformed G-pp in the 30 m sprint (p = 0.036) and covered greater distances in the six-minute walk test compared to B-pp (p = 0.034) and G-pp (p = 0.002). Conclusion: In this study, we concluded that flat feet do not negatively affect the development of aerobic capacity in prepubertal children undergoing professional karate training. Still, they may significantly impact the growth of anaerobic power.
- MakaleYayıncıda açık erişim2022Scopus SJRQ2A biomechanical study: Comparison of three different implant options in high Tibial osteotomy
Key, Sefa; Demir, Sukru; Aydın, Oğuz; Say, Yakup; Erten, Mehmet
Background: Many implant options could be preferable for fixation after osteotomy in varus knee medial compartment arthrosis. Due to usage characteristics, it is important to compare the biomechanical properties of them. For this purpose, we aimed to examine three different implant types biomechanically in our study. Methods: Ovine tibiae undergoing medial open-wedge high tibial osteotomy were fixed in vitro with three different implants using an angular wedge plate, a metal block plate and an external fixator system. The fixed ovine tibiae were subjected to axial tensile, axial loading and three-point bending tests in a test machine. All biomechanical tests were repeated five times, the maximum and minimum values were ignored, and the average values of the remaining three test results were taken into account. The test results were interpreted after converted into force-elongation curves in Trapezium-X software. Findings: Biomechanical test results revealed some differences between implant types. While the metal block plate had the highest axial tensile strength value, it was the fixation group showing the lowest strength in axial load tests. The used fixator system was the highest strength in axial load tests and the lowest strength in axial tensile tests. Interpretation: Considering the clinically significant forces related to the biomechanical stability of the three different implants used for high tibial osteotomy, the fixator system would appear to be slightly superior, although it should be noted that torsional forces, as well as parameters that could change in living tissue, might affect the results.
- MakaleAçık Erişim2019Scopus SJRQ2Grape seed extract supplement increases bone callus formation and mechanical strength: an animal study
Gurger, Murat; Yilmaz, Erhan; Yilmaz, Seval; Once, Gokhan; Konuk, Mustafa; Kaya, Emre; Say, Yakup; Artas, Gokhan; Artas, Hakan
BackgroundThe positive effects of grape seed proanthocyanidin extract (GSPE) on bone health, which is a potent antioxidant, are known but its effects on fracture healing are not sufficiently covered in the literature. This study aims to investigate the effects of GSPE on fracture healing and biomechanics of healing bone.Materials and methodsSixty-four adult Wistar-Albino male rats were divided into 8 groups of 8 animals in each group. Osteotomy was performed to the right femurs of all groups except the negative control (G1) and positive control (G2) groups, and intramedullary Kirchner wire was used for fixation. GSPE was given to half of the rats (G2-G4-G6-G8) 100mg/kg/day by oral gavage. The rats were sacrificed on the tenth (G3-G4), twentieth (G5-G6), and thirtieth (G1-G2-G7-G8) days, respectively, and histopathological, radiological, and biomechanical examinations were performed.ResultsHistopathological examination of the specimens from the callus tissues revealed that bone healing was more prominent in the groups supplemented with GSPE (G4, G6, G8). There was a statistically significant improvement in radiological recovery scores and callus volumes in groups with GSPE. When biomechanical strengths were evaluated, it was found that GSPE increased bone strength not only in fracture groups but also in the positive control group (G2).ConclusionsAs a result, this study showed that GSPE, a potent anti-oxidant, had a positive effect on bone healing and improved mechanical strength of the healing bone.
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