Ahmadreza Afshar; Afshin Aminzadeh Gohari; Zahra Yekta
Abstract
Background: This study presents the distribution of ulnar variance among Iranian patients with Kienbock’s disease and a control group of normal adults of Iranian population. We evaluated the relationship between ulnar negative variance and Kienbock’s disease in our patients. Methods: This study included ...
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Background: This study presents the distribution of ulnar variance among Iranian patients with Kienbock’s disease and a control group of normal adults of Iranian population. We evaluated the relationship between ulnar negative variance and Kienbock’s disease in our patients. Methods: This study included two groups. In the first group, we, retrospectively, reviewed our orthopaedic department clinic charts in two hospitals in Urmia-Iran, and collected the distribution of ulnar variances in 60 patients with Kienbock’s disease. The second group comprised the distribution of ulnar variances in 400 standard wrist radiographies of normal adult population. Comparisons were made between the findings of the two groups. Results: The mean ulnar variance of the Kienbock’s group was negative 1.1±1.7 and the mean ulnar variance of the general population was positive 0.7±1.5. The difference of the ulnar variance means was statistically significant (p < /i>=.027). There were 56 (14%) ulnar negative, 160 (40%) neutral and 184 (46%) ulnar positive variance in the control group and there was no correlation with age or sex. There was an association between ulnar negative variance and development of Kienbock’s disease in this study (p < /i>
Ahmad Shahla; Saeid Charehsaz; Afshin Aminzadeh Gohari
Abstract
Background: The tibial plate with tibial pro-fibular screws is adapted to treat distal tibial fractures, in elderly osteoporotic patients in the presence of insufficient bone stock for screw grip, and in young individuals when separate fixation of tibia and fibula with two incisions carries the risk ...
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Background: The tibial plate with tibial pro-fibular screws is adapted to treat distal tibial fractures, in elderly osteoporotic patients in the presence of insufficient bone stock for screw grip, and in young individuals when separate fixation of tibia and fibula with two incisions carries the risk of soft tissue damage.
Methods: In a retrospective study, 15 distal tibia and fibula fractures in 14 patients were treated with tibial pro-fibular screw/plate fixation in a period of 6 year in two hospitals in Urmia-Iran. The cases were evaluated using the AOFAS scoring system. The mean time of follow-up was 28 months.
Results: All the fractured had uneventful :::union:::. Tibio-fibular synostosis occurred in 2 patients. The AOFAS scores were good (80-90 in points) in 7, and acceptable (70-80 points) in remaining 7 patients. No patient had gait or any walking problem.
Conclusion: Fixation of comminuted distal tibia and fibular fractures with tibial pro fibular fixation in selective cases with osteoporosis or poor skin cordition is a useful technique
