Foot and Ankle
Seyed Alireza Aminjavaheri; Seyed Hossein Shafiei; Mohammad Ali Ghasemi; Alireza Moharrami; Mir Mansour Moazen Jamshidi; Seyed Mohammad Javad Mortazavi
Abstract
Introduction: The risk of femoral neck fracture increases in the End Stage Renal Disease (ESRD) patients who underge hemodialysis. The aim of this study was to describe our experience with the treatment of femoral neck fracture in this particular group of patients. Method: In a retrospective study, between ...
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Introduction: The risk of femoral neck fracture increases in the End Stage Renal Disease (ESRD) patients who underge hemodialysis. The aim of this study was to describe our experience with the treatment of femoral neck fracture in this particular group of patients. Method: In a retrospective study, between January 2010 to December 2015, there were 16 displaced femoral neck fracture in 12 haemodialytic ESRD patient. All patients underwent total hip arthroplasty via direct anterior approach (three cementless and 9 cemented). No closed suction drain was used. Follow up regime was at 3,6 and 12 month and annually thereafter. Result: All patients were satisfied with the results of total hip arthroplasty. At the time of the final follow-up of 22 months (2-47) months, all the hips in the 12 haemodialytic patients functioned well without any loosening, and with a Harris hip score (HHS) of 90(82–100). Of those patients who received cementless components: one patient showed loosening of femoral component on the right and then left hip one year after surgery. He underwent revision of femoral component to a cemented one. The other complications include one greater trochanteric fracture, one intraoperative distal femoral fracture, one postoperative hematoma formation and one superficial surgical site infection. Conclusion: In this small series, relatively high complication rate is observable in cases of ESRD with femoral neck fracture treated by hip Arthroplasty. The use of cemented femoral sterns is preferred and extra caution is advised to avoid fracture in such osteoporotic bones.
SMJavad Mortazavi; Seyyedhossein Shafiei; M A Ghasemi
Abstract
Introduction: Nowadays, there is consensus regarding arthroplasty as the preferred treatment method for displaced femoral neck fracture among the elderly population. Although posterior and lateral surgical approaches are the most commonly used approaches for hip arthroplasty, direct anterior approach ...
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Introduction: Nowadays, there is consensus regarding arthroplasty as the preferred treatment method for displaced femoral neck fracture among the elderly population. Although posterior and lateral surgical approaches are the most commonly used approaches for hip arthroplasty, direct anterior approach (DAA) has become popular in many centres. Considering the many advantages of DAA, this study aimed to study the results of hemiarthroplasty via DAA for femoral hip fracture in the elderly people in our centre.Methods: All the femoral neck fractures that had received hemiarthroplasty via DAA between January 2010 and January 2013 in a teaching hospital were extracted from the database. The pre, intra, and post-operative information and clinical follow-up data were all collected and analysed. The Harris Hip Score and physical exam was used for functional assessment.Results: 45 patients (16 males and 29 females) with a mean age of 73.4 years and a mean follow-up of 76 months entered the study. There was no complication such as dislocation, wound problem or deep infection. The final mean Harris Hip Score was 87 (76-95).Conclusion: given that the patients with femoral neck fractures are often old, hemiarthroplasty treatment via direct anterior approach (DAA), has multiple advantages and is recommended for this population.
Reza Shahriar Kamrani; Seyyed Hossein Shafiei; Lida Shafieian
Abstract
Background: Enchondroma is the most common benign bone tumor in hand, which can be seen in various manifestations such as swelling, pain, deformity and pathologic fracture. Different surgical treatments were reported for enchondroma to prevent the progressive deformity and pathological fractures. The ...
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Background: Enchondroma is the most common benign bone tumor in hand, which can be seen in various manifestations such as swelling, pain, deformity and pathologic fracture. Different surgical treatments were reported for enchondroma to prevent the progressive deformity and pathological fractures. The purpose of this study was to investigate the result of treatment of enchondroma of hand with curettage alone. Methods: In a cross sectional study, 17 patients with average age of 32 years with enchondroma of hand who were operated in a 6-year period in a training hospital in Tehran-Iran were evaluated. The patients received the treatment of tumor removal without filling the resultant defect. The cases were evaluated for range of motion, grip power and radiographic Tordai classification. Results: In a 15.2 month (12-88 months) follow-up no recurrence was observed and all of the patients re-gained their previous finger range of motion. Conclusion: Treatment of enchondroma of hand with curettage alone, without filling the defect would result in satisfactory outcome with low recurrence rate and good restoration of power and function.
