Hamid Mahdavi Mohtasham; Farshad Safdari; Azad Aliahmadi; Seyyed Morteza Kazemi
Abstract
Background: One of the common reasons for referral to healthcare centers are orthopedic injuries which may occur due to spontaneous pathologic injuries, traffic accidents, workplace injuries, and during exercise. This study aimed to determine the frequency, types and causes of orthopedic injuries refering ...
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Background: One of the common reasons for referral to healthcare centers are orthopedic injuries which may occur due to spontaneous pathologic injuries, traffic accidents, workplace injuries, and during exercise. This study aimed to determine the frequency, types and causes of orthopedic injuries refering to Akhatr teaching hospital in Tehran.Methods: In this study, records of all the patients presented to the emergency department of the Akhtar hospital in 2015 were reviewed. Data were collected by random completion of the "damage record questionnaire" by nurses. Data were analyzed using descriptive (frequency, mean and standard deviation) and inferential (Chi-square) statistics to evaluate the incidence rate of injuries and demographic characteristics of the participants and to compare the incidence rate of injuries in various body parts.Results: Most injuries occurred in lower extremities, followed by upper extremities. In addition, there was a significant association between gender and cause of incidents (P<0.03). Moreover, a significant correlation was observed between gender and rate of injury in left (P<0.001) and right (P<0.049) lower extremities and also in the right (P<0.001) and left (P<0.001) upper extremities. Results demonstrated a higher rate of injury among men, compared to women. Furthermore, the ankle was the most commonly injured area in the lower extremities while the wrist was the most common area of injury in upper extremities.Conclusion: According to our results, the main cause of orthopedic injuries in the emergency department was traffic accidents (drivers, car occupants, and pedestrians), and the majority of patients were in the age range of 20- 40 years.
Hamid Mahdavi Mohtasham; S Mortezi Kazemi
Abstract
Research in this age is of great importance. In the areas of product manufacturing and knowledge, the effect of research can be clearly seen. Thus, teaching how to write a scientific article can help. A point that is very important in writing a scientific paper is the individual’s interest in the ...
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Research in this age is of great importance. In the areas of product manufacturing and knowledge, the effect of research can be clearly seen. Thus, teaching how to write a scientific article can help. A point that is very important in writing a scientific paper is the individual’s interest in the subject of research. If the researcher is not interested in the subject, it will be difficult for him. Hence, the researcher’s knowledge about the topic is important. A scientific paper has a structure consisting of several sections including introduction, methodology, results, discussion, conclusion, acknowledgment and references. Awareness of these sections and how they can be written can help writers and researches to write valuable articles.
Mohamad Qoreishy; Seyyed Morteza Kazemi; Hamid Mahdavi Mohtasham
Abstract
Background and Aim: Documentation, examination, and observation of surgical information and experiences are among the important methods for evaluating surgical exercises. To this end, documenting the performed surgeries by residents and submitting the final log can be effective in assessing their acquired ...
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Background and Aim: Documentation, examination, and observation of surgical information and experiences are among the important methods for evaluating surgical exercises. To this end, documenting the performed surgeries by residents and submitting the final log can be effective in assessing their acquired skills. Therefore, we apply a paper logbook, which is a time-consuming process with low accuracy. As a result, the traditional orthopedic surgical logbook was improved in the present study to provide a complete electronic report on surgical activities of residents and compare their results with other residents by professors online.
Materials and Methods: The surgical activities of orthopedic surgery residents in the Akhtar hospital were assessed for two years using an electronic logbook, which was designed in Excel and uploaded on Google Docs Database. In addition, information about surgeries by residents was recorded in categories.
Results: The electronic logbook was implemented in the Akhtar hospital for two years without any error or problem. Using the mentioned system, it was possible to provide the reports on surgeries by residents and even the number of surgeries of professors on different diagrams, archive the information, assess the residents’ skills, and compare them to the expected scientific and practical levels. The results indicate that the satisfaction of the professors and residents from the Electronic logbook is greater than the traditional one.
Conclusion: According to the results of the study, the electronic logbook of orthopedic surgery residents has many benefits and can provide easy access to the number and details of surgeries performed by the residents based on the course design. In addition, we can recognize the ability of these individuals in performing the necessary surgeries and compare them with residents of other universities. Moreover, this program can be implemented across the nation and in other medical fields.
A Mavian; F Biglari; S Shabani; H Mahdavi Mohtasham; S M Kazemi
Abstract
Background: The outcome of ankle fractures treatment is great importance. The purpose of the present study was to investigate the outcome of ankle fractures treatment by open reduction method and internal fixation.
Material and Methods: The method of study was cross-sectional. A total of 169 patients ...
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Background: The outcome of ankle fractures treatment is great importance. The purpose of the present study was to investigate the outcome of ankle fractures treatment by open reduction method and internal fixation.
Material and Methods: The method of study was cross-sectional. A total of 169 patients with ankle fracture who underwent open surgical and internal fixation surgery were the statistical sample. Patients were evaluated by a Clinical rating system for the ankle and hindfoot and eventually gave them a point from 100.
Results: Of the 169 samples, 53 were female and 116 were male. The average a Clinical rating system for the ankle and hindfoot was 51 (95% CI 49-53). The most common fractures type was bimalleoalr fracture. The majority of patients suffering from daily dysfunction and pain, their gait pattern was also changed.
Conclusions: According to the results and available studies, the results of surgical treatment of ankle fractures were not optimal and further investigation and finding more appropriate intervention methods were needed in order to obtain the desired results. To achieve optimal surgical outcome, it is recommended that the time interval between injury and surgery should not exceed 4 days.
S M Kazemi; MR Abbasian; M Karimzadeh; F Safdari; H Mahdavi Mohtasham
Abstract
Background: Distal femoral intra-articular fractures (DFIAF) can be very challenging. Although, satisfactory outcomes have been reported, however, there are several complications interfering the patients after treatment. In current retrospective study, the outcomes of treating DFIAF with ...
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Background: Distal femoral intra-articular fractures (DFIAF) can be very challenging. Although, satisfactory outcomes have been reported, however, there are several complications interfering the patients after treatment. In current retrospective study, the outcomes of treating DFIAF with open reduction internal fixation (ORIF) using locking plates (LCP) were investigated.
Material and Methods: There were 51 patients enrolled. In last visit, Lysholm score was completed for all of the patients. Pain intensity and satisfaction were measured using visual analogue scale (VAS). Degenerative changes were assessed on plain x-rays. Bilateral knee range of motion was measured and compared. The patients were followed for 17.4±7.2 months.
Results: Fractures were united in all of the patients. Degenerative changes were found in 15 patients (29.4%). The pain intensity was 2.7±1.3. Nineteen patients required to use analgesics (37.2%). VAS for satisfaction averaged 7.7±1.1. The Lysholm score averaged 81.8±8.3. The range of knee motion was significantly limited inn operated side compared to the healthy one (116.6±12.4 Vs 125.3±7.3; p<0.001).
Conclusions: Treatment of DFIAF using ORIF can be associated with complete fracture healing. However, the incidence of degenerative changes and consequent complications such as pain and loss of ROM are considerably concerning.
Faramarz Mosaffa, MD; Seyyed Morteza Kazemi, MD; Mohammad Kaffashi, MD; Alireza Eajazi, MD; Laleh Daftari Besheli, MD; Mohammad Reza Bigdeli, MD; Ramin Farhang Zanganeh, MD
Abstract
Background: Antifibrinolytic drugs are used to minimize the potential risks of bleeding and blood transfusion. Studies showed the effect of tranexamic acid on decreasing blood loss in cemented THA. We would like to report its effect on cementless hip arthroplasty.Methods: A prospective double blind randomized ...
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Background: Antifibrinolytic drugs are used to minimize the potential risks of bleeding and blood transfusion. Studies showed the effect of tranexamic acid on decreasing blood loss in cemented THA. We would like to report its effect on cementless hip arthroplasty.Methods: A prospective double blind randomized controlled study was conducted on 64 candidates for cementless THA under epidural anesthesia between 2006 and 2008. The patients were randomly divided into study and control groups. 32 patients received tranexamic acid (15 mg/kg) and 32 received normal saline immediately before surgery.Results: The comparison of two groups showed less drop in 6 hour (p < /em>=0.035) and 24 hour (p < /em>=0.043) post-operative hemoglobin levels, less intra-operative bleeding (p < /em>=0.024), and less need for allogenic blood transfusion (p < /em>=0.017) in the tranexamic acid group. Although the mean of 6 and 24 hour hematocrit level was higher and hospital stay was shorter in the tranexamic acid group, but the differences were not significant.Conclusion: administration of tranexamic acid before cementless THA under epidural anesthesia can reduce intra-operative and post-operative bleeding as well as need for blood transfusion.
