Firooz Madadi; Mahdi Bahari Mehrabani; Mohammad Ali Jalili; Farshad Safdari, MSc
Abstract
Background: The knowledge about acetabular version and angle changes in different conditions is important. The normal acetabular version may be different in various populations. We would like to report measurement of this value in a small sample of Iranains with non-orthopaedic conditions. Methods: One ...
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Background: The knowledge about acetabular version and angle changes in different conditions is important. The normal acetabular version may be different in various populations. We would like to report measurement of this value in a small sample of Iranains with non-orthopaedic conditions. Methods: One coronal pelvic CT film of 81 patients (54 male, 27 female) who had undergone CT scanning for non-orthopaedic reasons was examined in a retrospective cross-sectional study. The acetabular versions were measured and compared for different genders and different age decades. The patients were aged 41.5±14.1 years. Results: The acetabular version was 17.7±3.4 degrees (range: 8 to 32 degrees). There was no significant relationship between acetabular version and age or gender in this sample. Conclusions: The acetabular version in this Iranian group ranged from 17.4 to 19.4 degrees with 95% confidential intervals.
Seyyed Morteza Kazemi; Siyavosh Hemmati Eslamlou; Arash Maleki; Reza Zandi; Mohammad Ali Jalili; Keyghobad Ashoori; Farshad Safdari
Abstract
Background: The role of increased posterior tibial slope in rupture of the anterior cruciate ligament (ACL) is controversial. The purpose of current study was to determine the effect of posterior slope on the ACL injury. Methods: In a case control study, 61 consecutive cases with ACL injury, who were ...
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Background: The role of increased posterior tibial slope in rupture of the anterior cruciate ligament (ACL) is controversial. The purpose of current study was to determine the effect of posterior slope on the ACL injury. Methods: In a case control study, 61 consecutive cases with ACL injury, who were candidates for reconstruction, were compared with 61 persons with normal knees who were matched for age and sex, over a 2-year period at a teaching hospital in Tehran, Iran. The posterior tibial slope angles were measured on true lateral radiographs on all the cases. The measurement variations were analyzed between the two groups. Results: The mean posterior tibial slope was 9.4±1.8 degrees in controls and 12.3±4.4 in patients with ruptured ACL (p < .001). The incidence of tibial slope greater than 10 degrees in patients with ruptured ACL was 3.1 times greater than that of the controls. Conclusion: This study suggests that increased tibial slope angle may contribute to increased risk for ACL rupture.
Hamid Reza Seyyed Hosseinzadeh, MD; Ali Akbar Esmaieliejah, MD; Seyyed Morteza Kazemi, MD; Mohammad Reza Bigdeli, MD; Mohammad Ali Jalili, MD; Farivar Baghery, MD; Reza Zandi, MD; Seyyed Reza Aghapoor, MD;; Ali Akbar Esmaieliejah, MD; Alireza Eajazi, MD; Farshad Safdari, MSc
Abstract
Background: Unstable pelvic fractures are major orthopaedic injuries with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for a great number of them. Percutaneous surgical fixation has become an accepted treatment method in last several years. We would like ...
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Background: Unstable pelvic fractures are major orthopaedic injuries with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for a great number of them. Percutaneous surgical fixation has become an accepted treatment method in last several years. We would like to report our experience with this relatively, newer technique in a small mixed group of unstable pelvic ring fractures.Methods: This is a report of 16 cases (13 males, 3 females) with mean age of 31±8 years of pelvic and acetabular fractures who received percutaneous iliosacral or iliopubic screw fixation, under C-arm imaging control, and had a 6 months period of clinical and radiographic follow-up.Results: All 16 cases had healed their fractures at follow-up and had full weight-bearing status. 12 cases returned to their pre-fracture activities. One screw break and one wound infection were the complications list. There was no neurological deficit, and average blood loss was 10 milliliters.Conclusion: Percutaneous iliosacral or iliopubic screw fixation for, respectively, posterior pelvic ring or anterior column acetabular injuries are useful surgical treatment options with low complication rates.
