Sajad Fakoor, MD; Afshin Farhadi, MD; Mohammad Fakoor, MD
Abstract
Background: Knee osteoarthritis is a common joint disorder in the older age patients. This study was performed to compare the efficacy of injection of methyl-prednisolone versus sodium-hyaluronate in symptomatic mild to moderate knee osteoarthritis.Methods: In a randomized clinical trial, 53 patients ...
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Background: Knee osteoarthritis is a common joint disorder in the older age patients. This study was performed to compare the efficacy of injection of methyl-prednisolone versus sodium-hyaluronate in symptomatic mild to moderate knee osteoarthritis.Methods: In a randomized clinical trial, 53 patients with knee osteoarthritis were assigned to receive either methyl-prednisolone (26 patients) or sodium-hyaluronate (27 patients) in a hospital in Tehran, Iran. Sodium-hyaluronate three injections within 2-weeks interval and a single injection of 40 mg of methyl-prednisolone were given. The improvement rate was compared after one and six months.Results: The total score significantly improved in both groups (p < /em>=.001). There was no significant difference between the two groups after the first month (p < /em>≥.05) but the results were better after six months in sodium-hyaluronate injection group (p < /em>=.001).Conclusions: Intra-articular injection of sodium-hyaluronate in comparison with methyl-prednisolone has longer efficacy in treatment of symptoms of mild to moderate knee osteoarthritis.
Mohammad Fakoor, MD; Seyed Shahnam Moosavi, MD; Payam Mohammad Hosseini, MD
Abstract
The distal radius is frequently affected by primary bone tumors, and is a
common site for occurrence of giant cell tumor. Giant cell tumor at the
distal end of the radius can be treated by various methods. Small lesion can be
treated by curettage and filling bone defect by autogenous bone graft ...
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The distal radius is frequently affected by primary bone tumors, and is a
common site for occurrence of giant cell tumor. Giant cell tumor at the
distal end of the radius can be treated by various methods. Small lesion can be
treated by curettage and filling bone defect by autogenous bone graft or
allograft, or bone cement. Large lesion that involved articular surface can be
treated by wide resection and reconstruction with osteoarticular graft from
proximal fibular. This report presents a 42 year-old lady that was treated with
osteoarticular fibular graft for her recurrent distal radius giant cell tumor.
Mohammad Fakoor, MD; Shahnam Moosavi, MD
Abstract
Background: Treatment of femoral shaft fracture in children depends on age and condition of patient, and may consist of spica casting, traction followed by casting, external fixator, plate fixation and intramedullary nailing. Leg length discrepancy is a common complication after this fracture. Growth ...
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Background: Treatment of femoral shaft fracture in children depends on age and condition of patient, and may consist of spica casting, traction followed by casting, external fixator, plate fixation and intramedullary nailing. Leg length discrepancy is a common complication after this fracture. Growth stimulation following this fracture has been known for years but precise cause remains unknown. This is a report on leg length discrepancy obsereved in a group of younger children who had been treated with casing, and an older group who received plate fixation for their femoral shaft fractures.Methods: In a cross sectional study, 233 children under 12 years with femoral shaft fracture who had been treated between years 1993 and 1997 in two hospitals in Ahvaz-Iran, were studied. Patients were studied in two groups of surgery or plate fixation (125 patients) and non-surgery or casting (108 patients). With a mean follow of 49 months (22-82 months) clinical and radiographic evaluation of leg lengths was performed, and possible factors responsible for discrepancy were assessed.Results: The mean leg length discrepancy in plate fixation was 6.6 mm, and with casting was 1.93 mm. Gender or side of fracture had no significant relationship with post treatment leg length discrepancyConclusion: Leg length discrepancy is more likely to be observed in childrens' femoral fractures treated with plate fixation. The discrepancy, however, is not a significant amount.
Mohammad Fakoor, MD; Zahed Safikhani, MD; Shiva Razi, MSc
Abstract
Background: The alignment of lower limbs change with growth and accurate knowledge of such a change in any particular geography is necessary to differentiate the pathologic conditions from normal variations. We are reporting the normal variations in tibiofemoral alignment in young people in a region ...
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Background: The alignment of lower limbs change with growth and accurate knowledge of such a change in any particular geography is necessary to differentiate the pathologic conditions from normal variations. We are reporting the normal variations in tibiofemoral alignment in young people in a region of Iran.Methods: A cross-sectional study on 853 children (455 girls, 398 boys) of 3 to 16 years age was performed. Tibiofemoral angles and intermalleolar distances were measured in standing position. Normal limits of tibiofemoral angles and intermalleolar distances were separately determined based on age and sex.Results: A valgus alignment was observed in all. The tibiofemoral angles in boys between ages 3 to 7 years were 7.1±0.35 and 4.97±0.36 between 8 to 16 years of age. The tibiofemoral angle in girls aged 3 to 7 years were 7.1± 0.38 and in girls of 8 to 16 years were 4.95±0.37 degrees. There was no significant difference between the tibiofemoral angle in girls and boys. The internalleolar distance in boys of 3 to 7 years old was 2.7±0.9 and in boys of 8 to 16 years were 1.4±0.86 centimeters. The intermalleolar distance was 2.6±0.88 centimeters in 3 to 7 year old girls and 2.29±0.93 centimeters in 8 to 16 year old girls. Pierson correlation coefficient showed a reverse relationship between tibiofemoral angle and intermalleolar distance.Conclusion: The tibiofemoral alignment in Iranian children is similar to that of Europe, North America and Turkey but different from Chinese children.
Mohammad Fakoor, MD; Mohammad Jaafar Shaterzadeh, MD; Sara Pazira, MD
Abstract
Background: Femur shaft fracture can occur with different mechanisms in all age groups. Patients often develop instability problems when fracture is close to knee which functions as intermediate joint. This has been attributed to dysfunction of proprioception receptors. In this research we tried to analyze ...
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Background: Femur shaft fracture can occur with different mechanisms in all age groups. Patients often develop instability problems when fracture is close to knee which functions as intermediate joint. This has been attributed to dysfunction of proprioception receptors. In this research we tried to analyze the frequency and type of instability in patients following femur shaft fracture.Methods: This study was carried out on 15 patients with isolated femoral shaft fracture within the range of 20-45 years of age treated by plate fixation and 15 healthy individuals as the control group that were matched with the previous group by age, height, weight and sex. Both groups were asked to stand on a round plate called “Biodex” (which is able to tilt in different direction) randomly. The “stability index” and “stability range” were measured.Results: Our results showed that postural “stability index” in control group was statistically better in nearly all erect body positions. In contrast the difference in stability range in the two groups was not statistically significant.Conclusion: The presence of statistically significant difference between the two groups in “stability index” and its absence in “stability range” among the two groups indicate that the major stability problem in patients with femoral shaft fracture is asymmetric weight bearing and consequently impairment in static stability. Also a healthy neuromuscular system is a convincing evidence for absence of statistically significant difference in “stability range index”.
