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.
Masoud Shayeste Azar; Esmael Mokhtarnejad Ganji; Soheil Osia,; Mohammad Hossein Karimi nasab; Mohammad Osia
Abstract
Abstract
Background & Aim: Septic arthritis is one of the important childhood infections with a high number of complications. Given the rare occurrence of this infection in neonates and its low number of symptoms, the diagnosis of septic arthritis in infants is difficult and its prognosis is mainly ...
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Abstract
Background & Aim: Septic arthritis is one of the important childhood infections with a high number of complications. Given the rare occurrence of this infection in neonates and its low number of symptoms, the diagnosis of septic arthritis in infants is difficult and its prognosis is mainly affected by early diagnosis and treatment. This study aimed to evaluate the results of neonatal hip septic arthritis treatment results in two training hospitals during 2001-2016.
Materials and Methods: This cross-sectional and descriptive research was performed on infants who were referred to hospitals in the North of Iran due to hip septic arthritis during 2001-2016. Medical information was two recorded in a checklist based on demographic indicators and clinical findings in the laboratory. In addition, the presence of complications in the participants was assessed via a phone call or by in-person visit.
Results: In this study, the left hip joint was the most involved joint in terms of septic arthritis (72.2%). In addition, the most common bacteria responsible for the infection were Klebsiella (50%), E.coli (22.2%), and Staphylococcus aureus (27.8%). According to the results, 50% of the subjects were treated completely with no complications, whereas 11% of the right and 38.9% of left hips had limping (p=o.615).
Conclusion: Given the high number of complications of neonatal hip infection, early diagnosis and timely treatment is needed to reduce the complications.
Massoud Shayestehazar; MH Karimi nasab; M Razavi pour; S Jour Ebrahimian
Abstract
AbstractBackground: Osteoporosis is the most common bone metabolic disease. The purpose of this study was to evaluate the effect of anti-osteoporosis treatment with bisphosphonate and parathyroid on bone repair in patients with osteoporosis related fractures.Methods: This single-blind randomized controlled ...
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AbstractBackground: Osteoporosis is the most common bone metabolic disease. The purpose of this study was to evaluate the effect of anti-osteoporosis treatment with bisphosphonate and parathyroid on bone repair in patients with osteoporosis related fractures.Methods: This single-blind randomized controlled clinical trial was performed on three groups of 20 patients each (parathyroid hormone, alendronate and control) with osteoporosis fractures hospitalized in orthopedic ward of Emam Khomeini and Boali Sinaye Sari hospitals during 2016-2018. All the patients were assessed at the 4th, 8th, and 12th week in terms of union.Results: While no union was reported at the end of the fourth week, 20, 18, and 17 subjects respectively on CinnoPar, alendronate and control groups had union at the end of the eighth week. Furthermore, the complete union was achieved for all patients in the 12th week.Conclusions: According to the results of the study, no significant difference was observed in the repair of osteoporotic fractures of distal radius by alendronate and parathyroid hormone.
Majid Sajjadi; Hadi Ramezan zadeh; MohammadHossein Kariminasab; Massoud Shayestehazar; Salman Ghaffari
Abstract
Background: congenital foot deformities are among the most common congenital abnormalities causing morbidities, disturbing the normal gait and affecting patients’ quality of life. The aim of our study was to find out the prevalence of such abnormalities in neonates born at a referral center in ...
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Background: congenital foot deformities are among the most common congenital abnormalities causing morbidities, disturbing the normal gait and affecting patients’ quality of life. The aim of our study was to find out the prevalence of such abnormalities in neonates born at a referral center in northern Iran.
Methods: This study was a descriptive cross-sectional study on the neonates born in Imam Khomeini hospital of Sari in a two-year period. The variables considered in our study were gestational age at the time of delivery, medical conditions complicating the pregnancy including diabetes, chronic hypertension, obstetrical complications like olygohydramnios, polyhydramnios, and malpresentations, mothers' age, chronic diabetes, hypertension, mothers' addiction, sex and birth weight of the newborn, history of having a child with congenital limb anomaly and the type of delivery. Photography of newborns' feet was taken on first day of birth to be assessed by an orthopaedic surgeon. In addition, the babies were examined the day after birth by one of the two neonatologists and the suspicious cases were referred to the orthopedic surgeon. Statistical analysis was performed by SPSS software.
Results: From 2025 neonates studied, 210(10.4%) calcaneovalgus, 7 (0.3%) clubfoot, 156(7%) cases of ''PesVarus'', 22 cases of (1.1%) metatarsus adductus, and 1 case of polydactyl were recognized. Among all variables, only mothers' age and cigarette smoking during pregnancy had association with congenital foot abnormalities.
Conclusion: The most prevalent congenital abnormalities in our study was Pes Calcaneovalgus and a positional mild ''Pes Varus''. The low rate of club foot, polydactyly and metatarsus adductus are notable,
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.