Mohammad Reza Shakeri, MD; Saeed Reza Mehrpour, MD; Amir Salari, MD; Amir Mahlisha Kazemi, MD; Bahador Aalami Harandi, MD
Abstract
Background: Treatment of intra-articular calcaneal
fracture is a major orthopaedic challenge. The aim of this study was to
evaluate the results of non-operative treatment of intra-articular calcaneal
fractures, its effects and performance. Methods: In a retrospective study, 58 patients (44 males,
14 ...
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Background: Treatment of intra-articular calcaneal
fracture is a major orthopaedic challenge. The aim of this study was to
evaluate the results of non-operative treatment of intra-articular calcaneal
fractures, its effects and performance. Methods: In a retrospective study, 58 patients (44 males,
14 females) with intra-articular calcaneal fracture were evaluated clinically
and radiographically using a general performance and AOFAS, and FFI questionnaires
between 2003 and 2011 in Tehran, Iran. The mean follow-up time was 3.27 years
(2-6 years). Radiographic signs of osteoarthrities were also evaluated. Results: The mean age of patients was 38.4
(18-85 years). Ten cases (17.2%) were "tangue" and 48 (82.8%)
"joint depression" type. Spine injury was abserved in 13.8%, other
limb injuries in 27.6%, and head injury in 3.4% of the cases. The mean AOFAS
score was 79.14 and FFI score 24.7. Osteoarthritis of moderate degree was seen
in 48% and severe in 17% of the cases an radiographs. By the time of follow-up,
5 patients had required surgeries to treat the delayed complications. Conclusions: Treatment of intra-articular calcaneal
fracture is a real challenge. Close treatment, although maybe painless and give
comparable results with open surgery in AOFAS and FFI testing, will show
radiographic signs of osteoarthirits in about 50% of the time-even in short or
mid-term follow-up.
Seyed Amir Mahlisha Kazemi Sheshvan; Mohammad-Reza Shakeri; Behnam Panjavi; Mehrzad Mahdizadeh; Houman Alizadeh; Mohammad-Reza Shakeri; Bahador Aalami Harandi
Abstract
Background: Developmental dysplasia of the hip (DDH) is a common problem and inappropriate treatment may result in serious complications. Several techniques have been used to monitor the status of the hip after reduction. Each has its own problem so that ultrasound found a special place where the assessment ...
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Background: Developmental dysplasia of the hip (DDH) is a common problem and inappropriate treatment may result in serious complications. Several techniques have been used to monitor the status of the hip after reduction. Each has its own problem so that ultrasound found a special place where the assessment is needed. The aim of this study was to determine the diagnostic value of transinguinal and transgluteal ultrasound in comparison to CT scan in the evaluation of femoral head position in acetabulum in DDH treatment in spica cast. Methods : A cross-sectional study was performed on 37 affected hips in 24 infants at the age of 9 to 36 months during one year in a teaching hospital in Tehran, Iran. After close or open reduction and applying spica cast, an opening was made over the anterior edge of the inguinal region and transinguinal and transgluteal ultrasound was performed to confirm the quality of reduction in the acetabulum. The sensitivity, specificity, positive and negative predictive values of the postoperative ultrasonography was compared with CT scan. Data analysis was done by statistical tests. Results: The rate of agreement between ultrasonography and CT scan results was 91% (p < /i>
Bahador Alami Harandi
Bahador Alami Harandi, MD; Saeed Reza Mehrpour, MD
Abstract
The usage of electricity has revolutionized the surgical procedures. Electrical current less than 5 KHz, causes electrolysis and its main usage is in cosmetic procedures. Electrical current more than 20 and less than 350 KHz causes severe stimulation of nerves and muscles and even death and it does not ...
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The usage of electricity has revolutionized the surgical procedures. Electrical current less than 5 KHz, causes electrolysis and its main usage is in cosmetic procedures. Electrical current more than 20 and less than 350 KHz causes severe stimulation of nerves and muscles and even death and it does not have very much usage in medicine. Electrical current more than 350 KHz doesn’t stimulate the nerves and muscles and its heat will have the useful clinical effects like cutting and coagulation. High electrical current with low voltage will cause cutting the tissues and high voltage current will cause more coagulation. In electrocautery the electrical current does not pass from the body and the heat in the metalic loop of electrocautery causes the cutting and coagulation.In electrosurgery the electrical current passes from the body. In monopolar surgery, a return electrode is put underneath the patient and the other pole is in the surgeons’ hand whereas in bipolar surgery the current passes from a small area of body between two electric points. Monopolar surgery is used in big surgeries and the bipolar is used in delicate ones. Attention should be paid in placement of the return electrode to prevent electrical burn.
Bahador Aalami Harandi, MD; Seyed Mehdi Jafari, MD; Armin Aalami Harandi, MD
Abstract
Background: Intertrochanteric fractures continue to be one of the common orthopaedic injuries with heavy economic or/and social burden on the families and society. Internal fixation and early mobilization is the standard of care for these fractures. DHS is widely used, and is highly successful for the ...
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Background: Intertrochanteric fractures continue to be one of the common orthopaedic injuries with heavy economic or/and social burden on the families and society. Internal fixation and early mobilization is the standard of care for these fractures. DHS is widely used, and is highly successful for the fixation of the stable types but performs less well with unstable fracture patterns and has relatively higher failure rates. Proper positioning of the lag screw in central and deep part of the femoral head is crucial. It remains unclear if the presumed theoretical benefits of the intramedullary implant and lateral stabilizing plate warrant the additional expenses.
