<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="research-article"        dtd-version="1.4">
            <front>

                <journal-meta>
                                    <journal-id></journal-id>
            <journal-title-group>
                                                                                    <journal-title>Ankara Üniversitesi Tıp Fakültesi Mecmuası</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">0365-8104</issn>
                                        <issn pub-type="epub">1307-5608</issn>
                                                                                            <publisher>
                    <publisher-name>Ankara University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id/>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Orthopaedics</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Ortopedi</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Menisektomi Ameliyatı Neticelerimiz</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="en">
                                    <trans-title>Late Results Of Menisectomy</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                <name>
                                    <surname>Çakırgil</surname>
                                    <given-names>Güngör Sami</given-names>
                                </name>
                                                                    <aff>ANKARA ÜNİVERSİTESİ, ANKARA TIP FAKÜLTESİ</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="19760930">
                    <day>09</day>
                    <month>30</month>
                    <year>1976</year>
                </pub-date>
                                        <volume>29</volume>
                                        <issue>3</issue>
                                        <fpage>715</fpage>
                                        <lpage>728</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="19760727">
                        <day>07</day>
                        <month>27</month>
                        <year>1976</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="19760908">
                        <day>09</day>
                        <month>08</month>
                        <year>1976</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1947, Ankara Üniversitesi Tıp Fakültesi Mecmuası</copyright-statement>
                    <copyright-year>1947</copyright-year>
                    <copyright-holder>Ankara Üniversitesi Tıp Fakültesi Mecmuası</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Menisektomi ameliyatınm geç etkilerini tayin için, komplike olmayan 355 meniskus lezyonlarının on yıllık taakipleri yapıldı. Yaralanmadan sonra müdahalenin geç yapılması netice üzerine etkili olmadığı görüldü. Ameliyat yaşının 20 altında olduğu vakalarda mükemmel ve iyi sonuçlarm sayısı az bulundu. Kadınlarda erkeklere oranla teşhis güçlüğü ve ameliyattan istifade imkanları daha azdı. Menisektomi ameliyatından sonra fizik aktivite ve sporlara iştirakte değişiklik kaydedilmedi. Bu seride % 87 oranında başarılı klinik sonuç elde edildi. ancak erkeklerde % 45, kadınlarda % 10 semptomsuz bir diz elde edildi.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="en">
                            <p>Three hundred fifty five patients with uncomplicated me-niscus injury were studied ten years after their menisectomy in order to determine the late effects of surgery. Delay of operation after injury did not effeck the ultimate result. Patients less than twenty years old at the time of operation had fewer excellent and good results. The diagnosis is more difficult andSekil 8 — Ameliyatta sonra hasta, kendisine verilen talimata harfiyen riayet ettiži takdirde, Quadriseps izimetrik kontraksiyonlånm ve dizin ažlrllkla aktif egzersizlerini muntazaman yapmasl halinde, ameliyattan 4 hafta sonra resimde görüldüžü gibi dizin normal fonksiyonlar.lm kazanmamasl için hiçbir sebep yoktur.the benefit of menisectomy less certain in women than man. Persistence in a physical occupation or participation in non contact sports seems not to alter the course after menisectomy. Sixty - eight percent of patients in oure series had satisfactory clinical results, but only 45 per cent mena and 10 per cent women had symptom - freeknees.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>menisektomi</kwd>
                                                    <kwd>  ortopedi</kwd>
                                                    <kwd>  menisküs</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="en">
                                                    <kwd>menicectomy</kwd>
                                                    <kwd>  orthopaedics</kwd>
                                                    <kwd>  meniscus</kwd>
                                            </kwd-group>
                                                                                                        <funding-group specific-use="FundRef">
                    <award-group>
                                                    <funding-source>
                                <named-content content-type="funder_name">Ankara Üniversitesi Tıp Fakültesi</named-content>
                            </funding-source>
                                                                    </award-group>
                </funding-group>
                                </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1	— Pope C. E. The med. Clin. of North Amer. 58, 6, 1974.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2	— Meiss JH, Grindlay JH, Ellis PH: The gastroesphageal sphincter mechanişm J. Thorac Sung. 36: 156-165, 1958.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3	— Lind JF, Cotton DJ, Blanchard R, et al: Effect of thoracic displacement and vagetomyonthe canine gastroesophagel junctional zone. Gastroenterology 56: 1078-1085, 1969. 
 
4	— Bremmer CG, Schlegel JF. Ellis FH: Studies of the «gastro-esophogeal sphincter mechanism» the role of phrenoesophageal membrane. Surgery 67: 735-740 1960.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">5	— Vandertoll DJ, Ellis FJ, et al: An experimental stüdy of the role of gastricand Esophageal muscle in gastroesophageal competence, Surg Gynecol obstet 122: 579 - 586, 1966.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">6	—Thomas PA, Earlam RJ: The effect of the gastrointestinal polypeptide hormones on the electrical activity and pressure of the isolated and perfused canine gastro-oesophageal sphincter, in proceeding of the   Fourth International Symposium on Gastrointestinal Motility, edited by Daniel EE. Vancouver, •Mitchell Pres, 1974, pp. 243-250.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">7	— Atkinson M, Edwards DA, Honaour AJ, et al: The cesophagogastric sphincter in hiatus hemia. Lancet 2: 1138-1142, 1957.  
  Wankling WJ, Warrian WG, Lind JF: The gastroesophageal sphincter in hiatus hernia. Can J Surg 8:61-67, 1965
	ASAGI 	SIFÍNKTERI
 
  9 — Cohen S, Harris ID: Does hiatus hernia effect competence of the gastro esophageal sphincter N Engl J Med. 284: 10534056, 1971.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">10 — Haddad JK: Relation of gastroesophageal reflux to yield sphincter pressures. Gastroenterology 58: 175-184, 1970.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">11, — Hiebert CA: Primary imcompetence of the gastric cardia. Am J Surg
119: 365 - 371, 1970,</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">12	— Olsen AM, Schlegel JF, Payne WS: The hypotensive gastroesofageal  sphincter Mayo Clinc Proc 48: 165 - 172, 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">13	— Fyke FE, Code CF, Schlegel JF•. The gastroesophageal sphincter in healthy human beings. Gastroenterologia 86: 135-150, 1956.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">14	— Pope CE: A dynamic test of sphincter stregth: Its application to the lower esophohogeal sphincter. Gastroenterology 52: 779 - 786, 1967,</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">15	— Clinical Gastroenterology Howard M. Spiro M.D. 1970.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">16	— Cohen S, Harris LD: Lower esophageal sphincter strength. Gastroenterology 58: 157-162, 1970.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">17	—Crispin JS, Melver DK, Lind&#039; JF: Manometric study of the effect of vago  tomy on the gastroesophogeal sphincter. Can J Surg 10:299-303, 1967.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">18. — Lind JF, Crspln JS, McIver DK: The effect of atropine on the gastro esophogeal sphineter. Can J physiol Pharmacal 46: 233 - 238, 1968.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">19	— Behar J, Kastendieck J: Studies on sphincter competence (abstract) gastroenterology 66: 834, 1974.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">20	— Castell, C.D.O.: The lower esophageal sphincter, physiologie and clinical   Aspects. Ann. of Inter - Med. 83, 3 z 390 401, 1975.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">21	— Christensen J: Pharmacologic identification of the lower esophageal spincter. J Clin Invest 49: 681 - 691, 1970.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">22	— Lipshutz W. Cohen S: Physiological determinants of lower esophageal   spincter function. Gastroenterology 61: 16 - 24, 1971.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">23	— Christenses J, Freeman Bw, Miller JK: Some physiological characteristics of esophagogastric junction in the opossum. Gastroenterology. 64: 1119 - 1125, 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">24	— Tuch A. Cohen S: Lower esophageal sphincter relaxation: Studies on the neurogenic inhibitory mechanism. J. Clin Invest 52: 14-20, 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">25	— Hoyumpa. AM, J.R.M.D, Morrison. J.M.D., Matkomitz, M., M. D. Postvagotomy dysphagia. The Amer. J. of Gastroenterology 57: 133-138, 1972.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">742	U. KANDiT.Ci 
26	— Blackman AH, Nassullah M, Thayer WR: Transabdominal vagectomy and lower esophageal function. Arch Surg 1971.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">27	— Mann CV. Hardcastle JD: The effect of vagotomy on the human gastroesophagial sphincter. Gut 9:688-695, 1968,</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">28	— Raymond L. LCDR, Farrell, MC. USN, Gerald T. CDR. Roling: MC. USN and Castell DO, Stimulation of the incompetent lower esophageal sphicter. Amer, J. of Diges. Disease 18: 646-650, 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">29	— Zfass AM, Prince R, Allen FN,. et a): Inhibitory beta. adrenerjic receptors
 
in the human distal esophagus. Am. Dig Dis. 15k 303-3-10, 1970.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">30	— Goyalž RX,&#039; Rattan S: Mechanim of the lower esophageal spincter relax ation, J. Clin Invest 52:337-341, 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">31 — Goyal RK, Rattam S, Hers T: Comparison of effects of prostaglandins El, E2 and A2, and of hypovolemic hypotension on the lbwer esophageal sphincter Gastroenterology 65:608-612, 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">33	— Castell DO, Harris LD The link betwen control of gastric acid secretion and control of lower esophageal sphineter strengthe (abstr).. Gastroenterology 56: 1249; 1969.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">34	— Castell DO, Harris ID: Hormonal control of gastroesophageal sphincter strength. N Engl Med 282:886-889, 1970.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">35	— Cohen S, Lipshutz Wk Hormonal? regulation of human lower esophageal sphincter competence: The interection of gastrin and secretin. J Clin Invest 50:449-454, 1971.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">36	— Stuart A.F, Clarles O. W, and Jonh S.F: The effect of continuous pen tagastrin (PG) infusion on lower esophageal sphincter pressure (LES) (abst) . Gastroenterology 64: 728, 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">37	— Cohen S, Lipshutz W, Hughes W: Role of gastrin supersensitivty in the pathogenesis of lower esophageal sphincter hypêrtansiyon in achalasia. J. Clin Invest 50: 1241 - 1246, 1971.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">38 — Nebel OT, Castell DO: Lower esophageal sphincter pressure changes,  after food ingastion Gastroenterology 63: 778-783, 1972.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">39 — Nebel OT, Castell DO: Inhibition of lower esophageal sphincter by fatmechanism for fatty food   Gut 14: 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">40 — Lipshutz W, Hughes W, Cohen S: The genesis of lower esophageal  sphincter pressure: its, identification through the use of gastrirp antl serum, J Clin Invast. 51:522-529, 1972.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">ASAÖI 	SÏFtNKTER1
 — Isenberg J, Csenbes A, Walsh JH: Resting and pentagastrin - -stimulated gastmoesophageal sphincter pnesure in patients with Zollinger- Ellison syndrome. 
Gastroenterology 61: 655-658, 1971,</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">42	Kline, M M, Gurry N, Sturdevant, R. And MC Callum, V.A„: Effect of gastric alkalinization on lower esophageal sphincter pressure and serum gastrin (abstr.) Gastroenterology. 66: 724, 1974</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">43	— Dodds, w.J, Hogan W.N., Miller, w.N. and et al. Relationship between   serum gastrin levels and lower esophageal sphincter pressure in fasting  subjects &#039;(abstr..) Gastroenterology 66: 686, 1974.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">44	— Higgs R.H., Smyth R.D., Castell, DO. Gastric albalinization. Effect on lower esophageal sphincter pressure and serum gastrin. The New Eng J of Med. 5: 486-490, 1974.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">45	— Morris, D W, Schoen, H., Brooks, F,B. and Cohen, S. Relationship of serum gastrin and lower esophageal sphincter pressure in hormals and patients with antrectomy (absract). Gastroenterology 66: 750; 1974.</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">46	— Grossman MI: Hypothesis: Gastrin, cholecystokinin, and secretin act  on one receptor. Lancet I: 1088 - 1089, 1970.</mixed-citation>
                    </ref>
                                    <ref id="ref43">
                        <label>43</label>
                        <mixed-citation publication-type="journal">47	— Hogan, w.J. Dodds, w.J, Hoke, s.E, Read, D.P, Kalkhoff, R.H, Arndorfer, R.C.: Effect of glucagon on Esophageal motor function Gastroenterogy 69: 160 - 165, 1975.</mixed-citation>
                    </ref>
                                    <ref id="ref44">
                        <label>44</label>
                        <mixed-citation publication-type="journal">48	— Saint - Hilaire S, •Lavers MK, Kennedy J. et al: Gastric acid secretory value of different foods: Gastroenterology 39: 1 -11, 1960.</mixed-citation>
                    </ref>
                                    <ref id="ref45">
                        <label>45</label>
                        <mixed-citation publication-type="journal">49	— Rattan, S. Goyal R.K.• Effect of Nicotine on the lower esophageal sphincter. Studies on the mechanism of action. Gastroenterology. 69:  154-159, 1975.</mixed-citation>
                    </ref>
                                    <ref id="ref46">
                        <label>46</label>
                        <mixed-citation publication-type="journal">50	— Callum R.W, Kline, M.M, Curry N, Sturdevant, R,A.L: Comparative   effects of metoclopramide and bethanechol on lower esophageal sphincter pressure in reflux patients Gastroenterology 68: 1114-1118, 1975.</mixed-citation>
                    </ref>
                                    <ref id="ref47">
                        <label>47</label>
                        <mixed-citation publication-type="journal">51	— Clanville. J.N, Walls, W.D. Effect of intravenous metoclopramide on gastroenophageal reflux. Gut 13: 31 - 32, 1972.</mixed-citation>
                    </ref>
                                    <ref id="ref48">
                        <label>48</label>
                        <mixed-citation publication-type="journal">52	— Stanclu. C and Bennet. J.R. Metaclopramide in gastroesophageal reflux. Gut 275 - 279, 1973.</mixed-citation>
                    </ref>
                                    <ref id="ref49">
                        <label>49</label>
                        <mixed-citation publication-type="journal">53	— Guelmd M.M.D. Effect of intravenous metoclopramide on the incompetent lower esophageal sphincter. The Amer. J. of Gastroenterology 61: 119 124, 1974.
 Z. rAYKus,</mixed-citation>
                    </ref>
                                    <ref id="ref50">
                        <label>50</label>
                        <mixed-citation publication-type="journal">54	— Uribe, P. JR, Csendes, A, M. O, Larrain A, M. D, Ayala, M: Motility studies in fifty patients with achalasia of the esophagus. The •Amer. J.
Of gastroenterology 62: 333 - 336, 1974.</mixed-citation>
                    </ref>
                                    <ref id="ref51">
                        <label>51</label>
                        <mixed-citation publication-type="journal">55	— Cohen. S. M. D, and Harris. L. D: The lower esophageal sphincter.
Gastroenterology 63: 1066 - 1073, 1972.</mixed-citation>
                    </ref>
                                    <ref id="ref52">
                        <label>52</label>
                        <mixed-citation publication-type="journal">56	— Goyal RK, Mukhopadyay A, Rattan S: Effect of prostaglandin E2 on the lower esophageal sphincter in normal subjects and patients with achalasia (abstract) Clin Res 22: 358, 1974.</mixed-citation>
                    </ref>
                                    <ref id="ref53">
                        <label>53</label>
                        <mixed-citation publication-type="journal">57	— Farrell RL, Nebel OT, McGuire- AT, et al: The abnormal lower oesophageal sphincter in pernicious anemia. Gut 14:767-727, 1973.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
