Mehran Soleymanha, MD; Ahmadreza Mirbolook, MD; Hossein Ettehad, MD; Zahra Haghparast-Ghadim-Limudahi
Abstract
Background: Tibial shaft fracture is the most common fractures of long bones. The aim of this study was to report the short-term results of intramedullary (IM) nailing in tibial shaft fractures in emergency setting. Methods: In a prospective study, 226 cases (193 men, 33 women) treated with IM nailing ...
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Background: Tibial shaft fracture is the most common fractures of long bones. The aim of this study was to report the short-term results of intramedullary (IM) nailing in tibial shaft fractures in emergency setting. Methods: In a prospective study, 226 cases (193 men, 33 women) treated with IM nailing during 2 years (2009-2011) in a training hospital in Rasht-Iran, and followed for two years. The mean age was 34±3 years old. We investigated for open or closed fractures, accompanied with fibular fractures, proneal nerve or anterior tibialis artery injury, degenerative changes in knee joint, knee pain, atrophy of quadericeps muscle, mal:::union:::, chronic osteomyelitis, delayed :::union:::, and non:::union:::. Short musculoskeletal function assessment questionnaire (SMFA) was also completed and the data were analysed by statistical software. Results: There were 151 Open fractures and 75 closed fractures. Open procedure was used in 155 cases and closed one in 71 cases. Knee pain was the most frequenct and non :::union::: the least common complication. Musculoskeletal limitation appeared more in open fractures and in association with fibular fracture and was more in female than male patients (p < /i>
Mehran Soleimanha; Kamran Asadi; Hossein Etehaad; Mohsen Vahid; Ali Karimi; Roya Moghaddam; Zahra Haghparast Ghadim Limudahi
Abstract
Traumatic hip dislocation represents an orthopaedic emergency. Given the severity of associated complications, every effort should be made to ensure prompt diagnosis and treatment. Bilateral traumatic dislocation of the hip is rare and simultaneous asymmetric traumatic dislocation even more unusual. ...
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Traumatic hip dislocation represents an orthopaedic emergency. Given the severity of associated complications, every effort should be made to ensure prompt diagnosis and treatment. Bilateral traumatic dislocation of the hip is rare and simultaneous asymmetric traumatic dislocation even more unusual. This is a report on 17-year-old male patient with asymmetric bilateral dislocation of the hip joint with no bony fracture, following a motor-cycle accident. The right hip was reduced by closed manipulation, but the left hip required open reduction through a posterior approach. After 3 months there was a local osteoporosis in left hip which had an anterior dislocation initially.
