Ahmad Dasht Bozorg; Seyed Saeed Tabatabaee; Tahmineh Ghalami
Abstract
Background: Acute Hematogenous Osteomyelitis (AHO) is a potentially dangerous disease of childhood which is often seen in boys and involves the metaphysis of lower extremity, especially tibia. The aim of this study is to review the common bones and common organisms involved in hematogenous osteomyelitis ...
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Background: Acute Hematogenous Osteomyelitis (AHO) is a potentially dangerous disease of childhood which is often seen in boys and involves the metaphysis of lower extremity, especially tibia. The aim of this study is to review the common bones and common organisms involved in hematogenous osteomyelitis in children.Methods: In this retrospective study, the data of 111 children with acute hematogenous osteomyelitis admitted between 1997 and 2006 in two training hospitals in Ahvaz, Iran was studied. The responsible organism and the involved bone are the cases of interest in this study. Results: Acute hematogenous osteomyelitis was 3.27 times more common in boys than girls. The most common site of involvement was distal tibia in boys and proximal femur in girls. In 68.89% of the patients the culture of the involved bone was positive and the most common organism was staphylococcus aureus in both sexes. Conclusions: Acute hematogenous osteomyelitis is more common in boys than girls. The most common site of involvement was different in boys and girls but the most common responsible organism for infection was staphylococcus aureus in both genders.
Saeid Tabatabaei; Ahmad Dashtbozorg; Ahmad Dashtbozorg
Abstract
Background: In patients with late diagnosis of DDH after open reduction of the hip joint, we can use pelvic osteotomy or varus-derotational osteotomy (VDO) of the femur to make the open reduction more stable. The goal of the present study is to report on redirection of the femoral head towards acetabulum ...
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Background: In patients with late diagnosis of DDH after open reduction of the hip joint, we can use pelvic osteotomy or varus-derotational osteotomy (VDO) of the femur to make the open reduction more stable. The goal of the present study is to report on redirection of the femoral head towards acetabulum by femoral osteotomy. Methods : In this prospective study we performed only VDO in 67 hips in 46 patients (36 females, 10 males) after open reduction of the hip in cases of 18 months to 10 years of age whom Salter innominate osteotomy was needed in a hospital in Ahvaz, Iran. The patients were followed up until complete weight bearing and plate removal. Results : Concentric reduction was achieved in 67 hips. Acetabular index showed 6 degrees of reduction after 26 months. No redislocation was seen after plate removal in 61 hips (91%) but pelvic osteotomy was done in 6 hips (9%) due to redislocation or residual displasia. Ninety percent of patients were classified as group 1 or 2 in "severin" classification. Conclusions : VDO is a simple operation with low complication rate. Although more than 90% success rate was observed in these patients, in order to see possible residual dysplasia in these patients longer follow-ups are needed.
Ahmad Dashtbozorg; Ahmad Dashtbozorg; Seyed Abdolhossein Mehdinassab; Fatemeh Badakhshanmehr
Abstract
Background: Femoral neck fracture is uncommon but serious injuries in young adult with high complication rate. This study was designed to evaluate the outcome of surgical treatment of such a fracture fixed by screw in. Methods: In a descriptive prospective study form 2006 to 2009, 42 patients with the ...
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Background: Femoral neck fracture is uncommon but serious injuries in young adult with high complication rate. This study was designed to evaluate the outcome of surgical treatment of such a fracture fixed by screw in. Methods: In a descriptive prospective study form 2006 to 2009, 42 patients with the mean age of 37 years (15–60 yrs) were treated by closed or open reduction and screw fixation for femoral neak fractures in two university hospitals in Ahvaz- Iran. They all received surgery within the first 24 hours after injury. They were followed for 15 months on average. Results: In accordance with Garden classification, 2 patients were type I, 3 type II, 18 type III and 19 type IV Gorden fractures. Thirty two cases were fixed by open reduction and fixation and 10 by closed reduction. :::union::: was achieved in 30 pateints. The 12 (28.6%) cases of non:::union::: were seen in the ones who received open reduction and fixation. Avascular necrosis was observed in 7 patients (16.7%), 4 of whom had obtained :::union:::. Conclusion: Femoral neck fracture is associated with high complication rate, in particular, if open reduction becomes necessary.
