A Salari; M Soleymanha; Dalaleh Khosousi; K Ezzati
Abstract
AbstractIntroduction: Non-union or delayed union after long bone fracture surgery is very common. This study aimed at evaluating the healing time of closed femoral shaft fractures in smokers and non-smokers following open reduction and internal fixation with plate and intramedullary nailing.Methods: ...
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AbstractIntroduction: Non-union or delayed union after long bone fracture surgery is very common. This study aimed at evaluating the healing time of closed femoral shaft fractures in smokers and non-smokers following open reduction and internal fixation with plate and intramedullary nailing.Methods: In a cohort study, patients were divided into two groups of smokers and non-smokers with closed transverse fracture of the femoral shaft bone. The patients who smoked 6 or more cigarettes per day were considered as smoker. Treatment method was based on the patient's preference and not based on being smoker or not. Patients were followed up for one year for clinical and radiological examinations on the status of the union. The collected data were analyzed using SPSS software version 19.Results: In our study, 220 patients were studied (110 smokers and 110 non-smokers). Most of the patients with closed femoral shaft fractures were men (79.7%). Their mean age was 32.78± 16.93 years. There was a statistically significant relationship between the bone healing in treatment with plate and intramedullary nailing in smokers (P = 0.004). All non-smokers had union (100%), 74.1% in the group treated with plate had union and 78.8% in the group treated with intramedullary nailing had union, respectively (P = 0.234) 180 days after surgery. There was also a statistically significant association between delayed union in plate treatment and intramedullary nailing in patients who smoked (P = 0.04).Conclusion: The treatment and daily function of smokers is usually worse than non-smokers and needs longer follow-up. It seems that the intramedullary nailing in smokers with closed femoral shaft fracture leads to more delayed union.
Amir Salari; Kamran Asadi; Ali Bahari-Khorram
Abstract
AbstractIntroduction: A delay in diagnosis and inadequate treatment of Benign bone tumors may lead to malignant transformation or damage to other internal organs with time. We decided to Survey the frequency of benign bone tumors and its related factors in patients in a ten-year period referred to Orthopaedic ...
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AbstractIntroduction: A delay in diagnosis and inadequate treatment of Benign bone tumors may lead to malignant transformation or damage to other internal organs with time. We decided to Survey the frequency of benign bone tumors and its related factors in patients in a ten-year period referred to Orthopaedic ward of Poursina Hospital, Rasht.Materials and Methods: A descriptive retrospective study was designed on bone tumors collected from medical records of 2007 – 2017 patients referred to Guilan university of medical sciences. All the demographic data were collected and analyzed.Results: The mean age of patients with benign tumors of bone in this investigation was the 43.5 ± 12.93 years. The highest percentage of patients with benign tumors of bone were males (63.9%). The highest percentage of benign tumor of bone was multiple exostosis 25% followed by osteochondroma 22.2% and then osteoid stoma by 16.7%. Using Fisher's exact test showed a statistically significant relationship between gender, age, educational level and location of the benign tumors of bone seen in this study (P=0.001).Conclusion: Exotosis and osteochondroma are the most common benign bone tumors, and are more in the lower limb in the male gender -Blood pressure and higher education level were the common associated findings.
Amir Salari; Ahmad –Reza Mirbolok; Mozafar Hoseininejad; Ali Karimi
Abstract
Abstract
Background: Carpal tunnel syndrome (CTS) is the most common form of localized peripheral neuropathy. CTS and cervical radiculopathy (CR) often co-occur, known as double crush syndrome (DCS).
Aim: This study aimed at determining frequency of CR in patients with CTS referred to electrodiagnosis ...
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Abstract
Background: Carpal tunnel syndrome (CTS) is the most common form of localized peripheral neuropathy. CTS and cervical radiculopathy (CR) often co-occur, known as double crush syndrome (DCS).
Aim: This study aimed at determining frequency of CR in patients with CTS referred to electrodiagnosis department of Rasht Imam Reza clinic.
Materials and Methods: This was a descriptive cross-sectional study on 117 patients with CTS referred to Imam Reza clinic. The patients’ data were recorded through a questionnaire including electrodiagnosis test results, patients’ demographic data, medical history and disease primary diagnosis and related results, electromyogram (EMG)/nerve conduction velocity (NCV) tests results. NCV test shows CTS type (unilateral and bilateral) as well as its severity, while EMG test determines co-occurrence of CR and CTS, type and severity of DCS. Finally, the data were entered into SPSS 19, and analyzed using statistical tests.
Results: Out of 117 patients with primary diagnosis of CTS, 21 patients (17.9%) were male and 96 patients (82.1%) were female, with a mean age of 46.5 years. The highest frequency (41.5%) in patients with CTS belonged to housewives. 48 (41%) patients had bilateral CTS and 69 patients (59%) suffered from unilateral one. DCS prevalence in this study was about 35%. Out of 41 patients with DCS, 25 patients (61%) had unilateral DCS with moderate severity (48.8%) and C7 radiculopathy (70.7%). Using binary logistic regression analysis (method=ENTER) showed that age and body mass index (BMI) were two variables affecting on the simultaneous development of CTS and cervical spines involvement (P<0.0001).
Conclusion: Since knowing simultaneous presence of CR and CTS in patients’ therapy is necessary, patients with CTS should be examined for DCS.
Mohammad Reza Shakeri, MD; Saeed Reza Mehrpour, MD; Amir Salari, MD; Amir Mahlisha Kazemi, MD; Bahador Aalami Harandi, MD
Abstract
Background: Treatment of intra-articular calcaneal
fracture is a major orthopaedic challenge. The aim of this study was to
evaluate the results of non-operative treatment of intra-articular calcaneal
fractures, its effects and performance. Methods: In a retrospective study, 58 patients (44 males,
14 ...
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Background: Treatment of intra-articular calcaneal
fracture is a major orthopaedic challenge. The aim of this study was to
evaluate the results of non-operative treatment of intra-articular calcaneal
fractures, its effects and performance. Methods: In a retrospective study, 58 patients (44 males,
14 females) with intra-articular calcaneal fracture were evaluated clinically
and radiographically using a general performance and AOFAS, and FFI questionnaires
between 2003 and 2011 in Tehran, Iran. The mean follow-up time was 3.27 years
(2-6 years). Radiographic signs of osteoarthrities were also evaluated. Results: The mean age of patients was 38.4
(18-85 years). Ten cases (17.2%) were "tangue" and 48 (82.8%)
"joint depression" type. Spine injury was abserved in 13.8%, other
limb injuries in 27.6%, and head injury in 3.4% of the cases. The mean AOFAS
score was 79.14 and FFI score 24.7. Osteoarthritis of moderate degree was seen
in 48% and severe in 17% of the cases an radiographs. By the time of follow-up,
5 patients had required surgeries to treat the delayed complications. Conclusions: Treatment of intra-articular calcaneal
fracture is a real challenge. Close treatment, although maybe painless and give
comparable results with open surgery in AOFAS and FFI testing, will show
radiographic signs of osteoarthirits in about 50% of the time-even in short or
mid-term follow-up.
