Hamid Reza Seyyed Hosseinzadeh, MD; Ali Akbar Esmaieliejah, MD; Seyyed Morteza Kazemi, MD; Mohammad Reza Bigdeli, MD; Mohammad Ali Jalili, MD; Farivar Baghery, MD; Reza Zandi, MD; Seyyed Reza Aghapoor, MD;; Ali Akbar Esmaieliejah, MD; Alireza Eajazi, MD; Farshad Safdari, MSc
Abstract
Background: Unstable pelvic fractures are major orthopaedic injuries with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for a great number of them. Percutaneous surgical fixation has become an accepted treatment method in last several years. We would like ...
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Background: Unstable pelvic fractures are major orthopaedic injuries with high rates of morbidity and mortality. Open surgical stabilization is the standard treatment for a great number of them. Percutaneous surgical fixation has become an accepted treatment method in last several years. We would like to report our experience with this relatively, newer technique in a small mixed group of unstable pelvic ring fractures.Methods: This is a report of 16 cases (13 males, 3 females) with mean age of 31±8 years of pelvic and acetabular fractures who received percutaneous iliosacral or iliopubic screw fixation, under C-arm imaging control, and had a 6 months period of clinical and radiographic follow-up.Results: All 16 cases had healed their fractures at follow-up and had full weight-bearing status. 12 cases returned to their pre-fracture activities. One screw break and one wound infection were the complications list. There was no neurological deficit, and average blood loss was 10 milliliters.Conclusion: Percutaneous iliosacral or iliopubic screw fixation for, respectively, posterior pelvic ring or anterior column acetabular injuries are useful surgical treatment options with low complication rates.
Seyyed Morteza Kazemi, MD; Reza Minaei, MD; Mohammad Ali Okhovatpoor, MD; Ramin Farhang Zanganeh, MD; Mohammad Reza Bigdeli, MD; Seyed Reza Aghapour, MD
Abstract
Background: The role of a mobile-bearing knee arthroplasty is still not clear. This study was designed to compare the mobile and fixed-bearing prosthesis.Methods: In 30 knees a fixed-bearing and in 38 knees a mobile-bearing prosthesis was used. The results were compared using the "Knee Society Scoring ...
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Background: The role of a mobile-bearing knee arthroplasty is still not clear. This study was designed to compare the mobile and fixed-bearing prosthesis.Methods: In 30 knees a fixed-bearing and in 38 knees a mobile-bearing prosthesis was used. The results were compared using the "Knee Society Scoring System".Results: The mobile-bearing group of patients had an average age of 65 and 34 months average follow-up. The fixed-bearing group had an average age of 69 years and a mean follow-up of 30 months. The average knee score, functional score and overall score in the mobile-bearing group rose from 29, 45, 73 to 64, 67, 128 and in the fixed-bearing group from 31.7, 34, 65.9 to 68, 57, 125 prospectively. The difference between two groups was not significant statistically.Conclusion: Although in both groups the average knee scores increased after the operation, there were, however, no significant difference between knee scores in the two types in short-term, and no preference between two types of prosthesis.
Seyyed Morteza Kazemi, MD; Reza Minaee, MD; Ramin Farhang Zanganeh, MD
Abstract
In recent decades there has been a boom in medical publication all across the world. There are numerous medical journals whose articles tend to form the basis of the art and science of medicine. Along with this widespread upward trend, ethics of conducting and publishing medical research have undergone ...
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In recent decades there has been a boom in medical publication all across the world. There are numerous medical journals whose articles tend to form the basis of the art and science of medicine. Along with this widespread upward trend, ethics of conducting and publishing medical research have undergone natural evolution. This article intends to review some of the existing publication related to the standards of medical and scientific research and publishing articles in medical journals. Paying meticulous attention to these standards guarantees credibility and originality of medical articles and the publishing journals.
Seyyed Morteza Kazemi, MD; Reza Minaei, MD; Ramin Zanganeh, MD; Mohammad Reza Miniator Sajadi, MD; Mohammad Ali Okhovatpoor, MD
Abstract
Background: Change in the position of the patella in relation to the tibiofemoral joint (PB/PPB) is an important but often neglected complication of total knee arthroplasty. Such change may result in pain and decreased knee range of motion after surgery. The aim of this study is to measure the incidence ...
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Background: Change in the position of the patella in relation to the tibiofemoral joint (PB/PPB) is an important but often neglected complication of total knee arthroplasty. Such change may result in pain and decreased knee range of motion after surgery. The aim of this study is to measure the incidence of patella baja and pseudo-patella baja after total knee arthroplasty. Methods: In a retrospective study, 60 patients (49 women, 11 men) who had knee arthroplasty between 1992 and 2002 at Akhtar teaching Hospital in Tehran were studied for patellar problem. At the time of the study, patients were at least one year and at most eleven years from their operation. All measurements were made by a single person. All the patients received posterior cruciate ligament retaining prosthesis knees through a medial parapatellar arthrotomy. The average age at the time of the study was 62.5 years and the average follow-up was 27.5 months. The Knee Society Scoring System was used to score the knees. Patients' radiographs were examined using the Insall Salvati and Blackburne Peel methods. Results: Pseudo-patella baja was found in 15 (25%) patients while simultaneous baja and Pseudo-patella baja in 2 (3%) patients. While patella baja or Pseudo-patella baja were associated with more incidence of knee pain or limitation of motion, no relation was seen with final knee society scores.Conclusion: Patella baja or Pseudo-patella baja after knee arthroplasty may cause pain or limitation in knee range of motion. Attention to proper bone cuts and patellar tracking during surgery is suggested.
