Knee
Emad Kouhestani; Reza Minaei; Farshad Safdari; Muntadhar Alshohaib
Abstract
Background: Postoperative pain following total hip arthroplasty (THA) impacts patients' rehabilitation and quality of life. Although gabapentin has been widely used for pain control, its effectiveness in hip arthroplasty is not well established. The aim of our systematic review is to evaluate the effect ...
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Background: Postoperative pain following total hip arthroplasty (THA) impacts patients' rehabilitation and quality of life. Although gabapentin has been widely used for pain control, its effectiveness in hip arthroplasty is not well established. The aim of our systematic review is to evaluate the effect of gabapentin on postoperative pain after THA.Methods: A systematic search was conducted in three databases: MEDLINE, PsycINFO, and Embase, through OVID, using the keywords gabapentin, pain, and hip arthroplasty, with no restrictions on language or publication date. To evaluate the quality of the articles, the Cochrane Collaboration tool was used.Results: Five studies, including 728 patients, were included in our systematic review. Gabapentin 600 mg was used in three and 1200 mg in two studies. The results of these studies showed that gabapentin had no significant effect on pain or morphine consumption after THA. Besides, gabapentin use was associated with side effects such as rash, nausea, headache, vomiting, and pruritus.Conclusion: Gabapentin does not decrease pain or morphine consumption after THA. However, future studies with a larger sample size and longer follow-up period are required.
Abstract
Background: Weaver-Dunn technique is one the prevalent methods for treating acute acromioclavicular joint (ACJ) dislocation. Until now, several modifications of this technique have been introduced. Regarding the drawbacks of the previous modifications and the importance of presence of an intact coracoacromial ...
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Background: Weaver-Dunn technique is one the prevalent methods for treating acute acromioclavicular joint (ACJ) dislocation. Until now, several modifications of this technique have been introduced. Regarding the drawbacks of the previous modifications and the importance of presence of an intact coracoacromial ligament (CAL), we introduced a new modification of Weaver-Dunn technique and investigated the preliminary results.
Materials and methods: There were 15 patients with acute ACJ enrolled in current study. In the modified surgical technique, the medial half of the CAL is dissected from the bone and passed through a hole made in the clavicle bone and tied on itself. Before the operation and at the last visit, CC distance was measured on both sides. At the last visit, Constant score and UCLA score were completed. The pain intensity was measured using visual analogue scale (VAS). The patients were followed for 4.2±2.6 years.
Results: Preoperatively, CC distance of injured side was significantly greater than the other side (19.5±1.6 mm Vs 7.1±0.5 mm; p<0.001). At the last visit, CC distance of the operated side was insignificantly greater than the healthy side (8.2±0.9 mm Vs 7.1±0.5 mm; p=0.318). Constant score averaged 93.3±13.2 and 95.1±10.8 for operated and healthy shoulders, respectively (p=0.118). UCLA averaged 32.6±3.3 and pain intensity was 1.4±0.8.
Conclusion: Treatment of acute ACJ dislocations using the modified technique was associated with favorable outcomes. Utilizing this method, the joint stability and function are preserved.
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.
