Nasser Sarrafan, MD; Seyyed Abdolhossein Mehdinassab, MD; Pouyan Alavinejad, MD
Abstract
Background: Acetabular fracture is usually due to severe trauma and it is often accompanied with other comorbidities. Most often the treatment of choice is open reduction and internal fixation. There are early and late complications of surgical treatment. In this study we tried to investigate early ...
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Background: Acetabular fracture is usually due to severe trauma and it is often accompanied with other comorbidities. Most often the treatment of choice is open reduction and internal fixation. There are early and late complications of surgical treatment. In this study we tried to investigate early complications including nerve injury, infection, heterotopic ossification and thromboembolism among our patients.Methods: In this prospective descriptive epidemiologic study, 46 patients (39 men, 7 women) with the mean age of 34.3 years old (range of 17–71 years) who had undergone open reduction and internal fixation of acetabular fracture in a 3 year period in two teaching hospitals in Ahwaz were studied for their early complications. The follow ups had a range of 3 to 35 months (mean: 11 months).Results: From 46 patients, 34 had type A and 12 type B acetabular fractures (based on AO classification). There were 5 cases (10.9%) of iatrogenic peroneal nerve injury, 6 (13%) infection, and 12 (26.1%) heterotopic ossification. There was no case of thromboembolism.Conclusion: Acetabular fracture fixation is generally associated with high complication rate. Our cases had unexpectedly, more complications in comparsion to similar reports.
Nasser Sarrafan, MD; Ahmad Dashtbozorg, MD; Seyed Abdolhossein Mehdinassab, MD; Afshin Azma, MD
Abstract
Background: Intetrochanteric hip fracture commonly affects over 70 years old people. While the best acceptable treatment is early fixation, the complication rate is fairly high because of patients' older age and associated age-related comorbidities. We would like to report our experience with the outcome ...
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Background: Intetrochanteric hip fracture commonly affects over 70 years old people. While the best acceptable treatment is early fixation, the complication rate is fairly high because of patients' older age and associated age-related comorbidities. We would like to report our experience with the outcome of fixation of such fractures in our locality.Methods: In a descriptive study all the intertrochanteric fractures treated with compression screw-plate system during a 2 year period in two hospitals of Ahwaz were studied. 84 patients with mean age of 73.4 (range of 59 to 98 years) were assessed. 34 (40.5%) male and 50 (59.5%) female constituted the study group. Patients with a minimum of one year follow-up were evaluated.Results: The complications consisted of 8 (9.5%) varus, 8 (9.5%) shortening, 4 (4.7%) fixation "cut-out", 1 (1.1%) AVN, 13 (15.4%) wound infection and 2 (2.3%) non-:::union:::, 9 (10.7%) mortality in 24 weeks. 10 (11.9%) underwent re-operation and re-fixation. The average time to returning to pre-fracture activity was 5 months.Conclusion: Complication rate is relatively high in intetrochanteric hip fractures even after screw-plate fixation. Except for high infection rate, in our series, the overall results are similar to the other reports in the literature.
Seyed Ali Marashinejad, MD; Nasser Sarrafan, MD
Abstract
Traumatic dislocation of lisfranc joint is relatively rare. There have been many different subtypes and variations in this injury. We would like to report a variation of this injury in a 40 years old man who had lisfranc dislocation with simultaneous dislocations of first and second metatorsophalangeal ...
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Traumatic dislocation of lisfranc joint is relatively rare. There have been many different subtypes and variations in this injury. We would like to report a variation of this injury in a 40 years old man who had lisfranc dislocation with simultaneous dislocations of first and second metatorsophalangeal joints. A two-year follow-up has been done.
