Mehran razavipour; salman ghaffari; masoud shayestehazar; abolfazl kazemi; Shayan Amjadi
Abstract
Introduction: One of the factors affecting the prognosis of distal radius fracture is anatomical correction. Several studies conducted in connection with the reconstruction of anatomical and functional consequences, which have had conflicted results. This study has been designed and implemented aimed ...
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Introduction: One of the factors affecting the prognosis of distal radius fracture is anatomical correction. Several studies conducted in connection with the reconstruction of anatomical and functional consequences, which have had conflicted results. This study has been designed and implemented aimed to investigate the relationship between radiological index (anatomical) after displaced distal radius fractures with function and clinical outcomes.Methods: This is a retrospective cohort study to assess the association of radiological indices with clinical and functional outcomes of distal radius fractures. In this study, radiological indices, including the radius, volar tilt, tear drop angle, articular cavity depth and AP Distance were investigated. Pinch and grip strength were measured and Quick DASH questionnaire evaluated the performance.Results: Pain score significantly correlated with radial shortening (P=0,038), but it was not independent of treatment method. Patients’ satisfaction rate was significantly lower in patients with abnormal articular depth, independent of age and treatment method (P=0.004). Quick-DASH score significantly correlated with radial shortening and articular cavity depth, independent of treatment method and age (P=0.006). Percutaneous pinning associated significantly with less pain, less disability and more satisfaction (P<0.05).Conclusion: Radial shortening, articular cavity depth had a correlation with the clinical and functional outcomes. While Some studies suggested radiological indices in the elderly is not necessarily have a correlation with functional outcomes, in this study correlation of radiologic indices with clinical and functional outcome was independent of age.
M Shayestehazar; M Shayestehazar; MH Karimi nasab; S Ghafari; M Razavi pour; M Mahmoudi; E Moayed Abedi
Abstract
Backgrounds: Various studies have been conducted on the local and systemic effects of orthopedic hardware. This study aimed to evaluate the pathologic reactions to orthopedic hardware (nail and plate) in patients.
Methods: In this descriptive study, the pathologic reactions of 15 patients (12 males ...
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Backgrounds: Various studies have been conducted on the local and systemic effects of orthopedic hardware. This study aimed to evaluate the pathologic reactions to orthopedic hardware (nail and plate) in patients.
Methods: In this descriptive study, the pathologic reactions of 15 patients (12 males and 3 females) with a mean age of 37.41 years, who underwent orthopaedic hardware removal surgery in two Hospitals in Sari, Iran, were assessed through observation, laboratory tissue evaluation, and a questionnaire.
Results: In this research, no allergic reaction was observed in the patients after the insertion of hardware. In this regard, 6.66% of patients reported infection after insertion of hardware, and there was one case of non:::union:::. Furthermore, no systematic complication was observed in any of the patients. The majority of patients had moderate tissue inflammation at the hardware site, and there was no evidence of malignancy in any of the pathology samples.
Conclusion: According to the results of the research, a moderate level of tissue inflammation might be observed at the site of orthopedic hardware placement.
Abstract
:Operative surgeries for orthopedic hardware removal are one of the most common elective orthopedic surgeries. Believes and conceptions of orthopedists about removing orthopedic devices are different. There is no solution based on witness about removing orthopedic devices.
all the patients ...
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:Operative surgeries for orthopedic hardware removal are one of the most common elective orthopedic surgeries. Believes and conceptions of orthopedists about removing orthopedic devices are different. There is no solution based on witness about removing orthopedic devices.
all the patients who had been admitted for removing orthopedic devices in operating roomhad been studied prospectively
140patients, 90 males (64.5 %) and 50 females (35.5%) , with average 48.18±54.35 years old (18-95 years old) studied.Most anatomic location included leg with 39 cases (27.7%) and Femur with 21 cases (14.9%) and less anatomic locations included Hip with 1 case (0.7%) and shoulder with 2 cases (1.4%).26 patients (18.5%) were operated as an elective surgery (due to surgeon’s recommendation and hospitalization in this group were in average 32.12 minutes and 4.44 days.
decision about removing orthopedic devises is difficult, needs to pay attention to all aspects and current indications.Because of lack of facilities and hospital staff are can say that by reducing elective surgeries cases we can consider the more important patients.
