Sadegh Saberi; Mahmood Farzan; Reza Mostafavi Tabatabaee
Abstract
Background: The use of stem cell is believed to reduce pain and delay the deterioration in the early stages of femoral head osteonecrosis.The aim of this study was to evaluate the effect of autologus concentrated mononuclear bone marrow cell implantation after core decompression in femoral heads that ...
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Background: The use of stem cell is believed to reduce pain and delay the deterioration in the early stages of femoral head osteonecrosis.The aim of this study was to evaluate the effect of autologus concentrated mononuclear bone marrow cell implantation after core decompression in femoral heads that were in the early stages of osteonecrosis. Methods: Twenty eight femoral heads with osteonecrosis that were undergoing core decompression were randomly divided into two groups of 14. One group received additional implantation of autologus bone marrow mononuclear cells. The two groups were, then evaluated within 2 years with WOMAC (Western Ontario and McMaster University osteoarthritis index), visual analogue pain index (VAS) and MRI of the femoral heads. Results: A significant improvement in WOMAC, and VAS scores was observed within the 2 years of follow-up in the implanted group, compared to the control group (p < /i>=.046), with 3 cases showing change to a lower osteonecrosis stage. The control group, on the other hand, showed worsening in the osteonecrotic heads (p < /i>
Amir Salari; Sadegh Saberi; Ramin Spandar; Mahmood Motamedi
Abstract
Background: The objective of this study was to evaluate the results of our experience in open reduction and internal fixation of fractures of calcaneus. Methods: In a quasi experimental study, 20 patients with mean age of 35.5 years (15-69 years) with calcaneus fracture - grade II and III- underwent ...
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Background: The objective of this study was to evaluate the results of our experience in open reduction and internal fixation of fractures of calcaneus. Methods: In a quasi experimental study, 20 patients with mean age of 35.5 years (15-69 years) with calcaneus fracture - grade II and III- underwent surgery with open reduction and fixation in a 5-year period in a training hospital in Tehran-Iran. The patients' profile, Bohler and Gysan angles before and after surgery were measured and statistically analyzed. Results: Post surgery Bohler and Gysan angles showed significant improvement (p=.000). Open surgery with internal fixation contributed to improving the angles. The questionnaire with a 4-6 months follow-up showed that the average American Orthopaedic Foot and Ankle Society (AOFAS) score and Food Function Index (FFI) score was good or excellent in 80% and fair in 20%. Overall, 7 patients had complications after surgery, which were controlled successfully painted patients have had good results after surgery. Conclusion: The results of calcaneus fractures treated with open reduction internal fixation surgery have a positive effect and are in line with previous studies.
