Reza Zandi; Mohammadreza Minator Sajjadi; Yaser Safaei
Abstract
Intertrochanteric fracture is one of the most common fractures in elderly due to poor bone stock. The treatment of choice in these patients is surgery but choosing the proper method is very important. If this fracture occurs in a femur that has already undergone surgery, the treatment challenges are ...
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Intertrochanteric fracture is one of the most common fractures in elderly due to poor bone stock. The treatment of choice in these patients is surgery but choosing the proper method is very important. If this fracture occurs in a femur that has already undergone surgery, the treatment challenges are more. The patient reported in this study is an 80-yaer old woman who underwent open reduction and internal fixation (ORIF) with plate because of right femoral shaft fracture 20 years ago, and the fracture was completely healed. This patient suffered an intertrochanteric fracture on the same side following the fall and was referred to our center, who treated by remove of the previous plate of the femoral shaft and close reduction and internal fixation of the intertrochanteric fracture with long gamma nail in one stage. According to our information, no similar case with this management has been reported in the literature so far.
Mohammadreza Minator Sajjadi; Adel Ebrahimpour; Mohammad Ali Okhovatpour; Reza Zandi; Hooria Emami
Abstract
AbstractAbstractPurpose: The aim of this study was to assess the incidence and patterns of meniscus tear accompanying the posterior cruciate ligament (PCL) lesion.Method: 81 patients with a diagnosis of chronic PCL tear that underwent PCL reconstruction surgery were included in the study. The patients’ ...
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AbstractAbstractPurpose: The aim of this study was to assess the incidence and patterns of meniscus tear accompanying the posterior cruciate ligament (PCL) lesion.Method: 81 patients with a diagnosis of chronic PCL tear that underwent PCL reconstruction surgery were included in the study. The patients’ files were reviewed. The location and grade of cartilage damage, the location and pattern of meniscus tears, the interval between diagnosis and surgical procedure, and the treatment method were collected.Result: The average interval between the incidence of trauma and surgery was 16.73±33.1 months. The interval between the incidence of trauma and surgery in patients with meniscal tear was 24.6±4.86 months and in patients without meniscal tear was 12.76±2.1 months Meniscal tear was detected in 27 patients (33.3). It was in medial meniscus in 19 (23.5%) and in lateral menisci in eight (9.9%) patients. The most common site of meniscal tear was root tear and mostly avulsion of meniscus root. Of these, 6 patients had posterior root avulsion of medial menisci. Cartilage lesions were detected in 14 patients (17.3%).Conclusion: Based on the present study. The most common pattern of meniscal tear in cases of PCL tear is posterior medial meniscus avulsion tear. Such a tear deteriorates overtime.
