Foot and Ankle
mohamad taghi peivandi; Farshid Bagheri; Ali Birjandi nezhad; Sara Amel Farzad; Lida Jarahi; Milad Esmail zade; Amin Razi; Reza Habibzadeh shojaie
Abstract
Introduction The use of parathyroid hormone in the management of fracture disorders is poorly documented. Aim of study was evaluation of parathyroid hormone efficacy on :union: of tibia/fibula diaphysis fractures. Materials and methods: It was a hospital-based study who conducted on patient with non-:union: ...
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Introduction The use of parathyroid hormone in the management of fracture disorders is poorly documented. Aim of study was evaluation of parathyroid hormone efficacy on :union: of tibia/fibula diaphysis fractures. Materials and methods: It was a hospital-based study who conducted on patient with non-:union: or delayed-:union: fracture of tibia/fibula. At Shahid Kamyab hospital, patients with inclusion criteria, entered the study after completing the conscious consent form in both case and control groups. CBC, ESR, Ca, P, Mg, ALK-P, Cr, BUN tests were performed as baseline, then in the case group prescribe oral D-Calcium and monthly injection of parathyroid hormone for 3 months at a daily dose of 8 units and in the control group, prescribe oral D-Calcium and the expected treatment method, and those who had a specific risk factor such as digoxin tablets or kidney failure were excluded from the study. After entering the study and receiving the hormone once the month, patients evaluate with radiographic parameter. Results: Of evaluated cases, mean and standard deviation of age in the intervention group was 16.9 ± 37.7 years and in the control group was 13.8 ± 39.1 years (P = 0.73). In terms of gender in the two groups, 24 cases were male and 6 cases were female (P = 1.0). In addition in clinical findings, fracture type (P = 1.0), fracture shape (P = 0.18), fixation method (P = 0.26), radiographical result (P = 0.06) did not have a statistically significant difference between the two groups. Conclusion: We not find any positive effect of this hormon on fracture status, as clinical or para clinical evaluation.
Ali Birjandi nejad; Hamid Farzadfard; Shokofeh Farzadfard; Moslem Mokhtari fard
Abstract
Introduction: The Preferential method in Fixation of some long bone fractures consists of using intramedullary nailing. The benefit of this method lies in its better biomechanical stability, as well as preventing additional surgical trauma to the fracture site. Despite these benefits, few surgeons conduct ...
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Introduction: The Preferential method in Fixation of some long bone fractures consists of using intramedullary nailing. The benefit of this method lies in its better biomechanical stability, as well as preventing additional surgical trauma to the fracture site. Despite these benefits, few surgeons conduct this method as it is time-consuming, risky (Performing x- ray fluoroscopy) and also tedious.
Method: Seven male patients with diaphyseal femoral fractures, with an average age of 32.28, underwent closed femoral nailing surgery making use of the innovative set. The duration of operation, fracture type and fracture site were evaluated.
The innovative solution: To align the bone fragments and make the guidance stick cross the fracture site closely, the present close reduction set was designed to make crossing the guidance stick through the fracture site possible on the normal bed of operation room in a short period of time without fluoroscopy, with the least possible extra trauma and the least degree of annoyance in the reduction stage.
Results: All the patients with diaphyseal femoral fracture, without any peripheral fractures, underwent nailing surgery, while total time of the surgery was 116.57 minutes on average; and pure time of the innovative set application and passing guidance stick to the bottom of the distal canal was 21.85 minutes.
Conclusion: The results indicated that closed intramedullary nailing of femoral fractures without performing Fluoroscope, using the aforementioned innovative set is possible for the patients with utter convenience in an appropriate time period.
Seyed Reza Sharifi, MD; Seyed Mehdi Mazloomi, MD; Ali Birjandinejad, MD; Mohammad Taghi Peivandi, MD; Amir Reza Bidkhori, MD
Abstract
Background: Acetabular fracture is a common injury, with unclear treatment outcome. We are reporting the results of treatment of unstable acetabular fractures, comparing operative with non-operative treatment in a small group of patients.Methods: In a retrospective study, in a teaching hospital, 20 cases ...
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Background: Acetabular fracture is a common injury, with unclear treatment outcome. We are reporting the results of treatment of unstable acetabular fractures, comparing operative with non-operative treatment in a small group of patients.Methods: In a retrospective study, in a teaching hospital, 20 cases of unstable acetabular fracture treated with open reduction and internal fixation were compared with 20 cases who had been treated non-surgically. The mean age was 34.5 years old (20-50 yrs old). The early clinical resuts, including complications, and also treatment costs were compared in those two groups.Results: There was no significant difference in the level of function between the two groups.There was a higher rate of heterotopic ossification and nerve injury in the operated cases, but not statistically significant. The time to fracture :::union::: was less in the non-operated cases. The hospital cost was significantly higher in the non-operative group (p < /em>
Ali Birjandinejad, MD; Mohammad Hossein Ebrahimzadeh, MD; Eghbal Sadri Mahvelati, MD
Abstract
Background: Proximal tibial fractures are complex injuries and are, historically associated with high complication rates. The purpose of this study is to evaluate the clinical usefulness of locking compression plates (LCP) in comparison with T-buttress plates in treating proximal tibial fractures.Methods: ...
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Background: Proximal tibial fractures are complex injuries and are, historically associated with high complication rates. The purpose of this study is to evaluate the clinical usefulness of locking compression plates (LCP) in comparison with T-buttress plates in treating proximal tibial fractures.Methods: In a prospective study, 62 patients (51 men, 11 women) with proximal tibial fracture referring to Mashhad Medical University Trauma Center were treated with T-buttress plate fixation in 35 and LCP in 27 cases. The treatment outcome was evaluated clinically and radiographically with 24 months (18-36 months) average follow-up.Results: In LCP group, there were 3 cases of Knee motion limitation, 1 mal:::union:::, 1 infection and no non-:::union::: and in T-plate group, 4 cases of knee motion limitation, 6 mal:::union:::s, 2 non-:::union:::s and 4 infections. There was, therefore, no significant difference in terms of joint range of motion between the two groups. Mal:::union::: and infection were, however, more common in T-plate fixation group.Conclusions: Locking compression plating in proximal tibial fractures provides stronger fixation and is associated with less mal:::union::: and infection as compared to T-plate fixation.
