Sohrab Keyhani, MD; Arash Sherafat Vaziri, MD; Mohammad Hossein Nabian, MD
Abstract
Background: The objective of this study was to evaluate the results of repairing root and para-root radial tears of lateral meniscus during cruciate ligament reconstruction. Methods: In a retrospective study, from the 60 patients who had been treated for root or para-root injury of the lateral meniscus ...
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Background: The objective of this study was to evaluate the results of repairing root and para-root radial tears of lateral meniscus during cruciate ligament reconstruction. Methods: In a retrospective study, from the 60 patients who had been treated for root or para-root injury of the lateral meniscus from 2007 to 2011 in 3 centers in Tehran-Iran. Only 40 patients were studied with an average followe-up of 32.4 months (24-48 months). The patients were evaluated by International Knee Documentation Committee (IKDC), Lysholm and Tegner scoring systems subjectively, and by objective Lachman and McMurray tests. Results: 34 patients were operated for ACL reconstruction and 6 for ACL and PCL reconstruction and lateral meniscus tears were repaired simultaneously. On the final follow-up, all the patients had firm end-points tested by Lachman. None reported popping or clicking. The mean IKDC score was 75.25 (range: 54-92), the mean Lysholm score was 94.4 (excellent) in 22 patients and the mean Tegner score was 7.15. From the 16 patients who were professional soccer players, 14 were still playing competitively at the time of follow-up. Conclusions: The midterm results of lateral meniscus repair - at root or para-root level - in association with ACL or / and PCL reconstruction, are acceptable.
Mohammadreza Guiti, MD; Arash Sherafat Vaziri, MD; Leila Oryadi Zanjani, MD; Amirreza Farhoud, MD
Abstract
Background: The aim of this study was to assess the isokinetic measures of surgically repaired ruptures of the pectoralis major muscle in contrast to non-injured side of the patients and specify the most affected movement of the injured side.Methods: Nine pectoralis major muscle tears in nine patients ...
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Background: The aim of this study was to assess the isokinetic measures of surgically repaired ruptures of the pectoralis major muscle in contrast to non-injured side of the patients and specify the most affected movement of the injured side.Methods: Nine pectoralis major muscle tears in nine patients were studied.They were all operated by the same surgeon and after 2.4 years (1-4 years) of follow up they were clinically examined. They completed a standard questionair and isokinetic dynamometry were carried out bilaterally. There was also a group of six non-injured bodybuilders who were assessed by isokinetic dynamometry to give us normal differences in the values of both limbs.Results: In the patient group, the mean torque of flexion was not different between the injured and uninjured sides (p < /em>≥.05). For the extension movements, the difference was significant (p < /em>
Mohammadreza Guity, MD; Arash Sharafat Vaziri, MD
Abstract
acromioclavicular joint separation such as screw fixation, pin fixation, coracoclavicular ligaments reconstruction, tension band wiring. One of the recent methods is hook plate fixation.Methods: In a retrospective study, 81 patients with unstable distal clavicular fractures or acromioclavicular joint ...
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acromioclavicular joint separation such as screw fixation, pin fixation, coracoclavicular ligaments reconstruction, tension band wiring. One of the recent methods is hook plate fixation.Methods: In a retrospective study, 81 patients with unstable distal clavicular fractures or acromioclavicular joint separation that were treated with hook plate, were assessed. The assessment included the reliability of fixation method and its impression on subacromial space. Clinical results were charted due to constant score system.Results: All the distal clavicular fractures were solidly united. In the last follow-up, the mean of constant score were 93.6 of 100. We had mild pain during range of motion in 16 patients (19.7%) although they had full range of motion, in 2 cases we had recurrent separation of joint that was revised in 3 weeks after primary operation.Conclusions: Hook plate fixation is a good method for unstable distal clavicular fractures and acromioclavicular joint separation, but we must inform the patient for expectable complications and plate removal necessity.
