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.
F Biglari; A Mavaein; S Shabani; H Mahdavi Mohtasham; S M Kazemi
Abstract
Background: Clavicle fractures have various complications following open reduction and internal fixation. The main objective of this study was to investigate the prevalence of complications of Clavicle fractures following operative treatment. Also, the prevalence of infection, local dissatisfaction, ...
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Background: Clavicle fractures have various complications following open reduction and internal fixation. The main objective of this study was to investigate the prevalence of complications of Clavicle fractures following operative treatment. Also, the prevalence of infection, local dissatisfaction, non:::::union::::: and mal:::::union::::: in the Clavicle fracture after internal fixation was investigated.
Material and Methods: The study was cross-sectional. A sample of 52 patients was treated with clavicle fractures, which were treated with open resection and internal fixation. In order to determine the range of motion, strength and shoulder pain, patients were selected from Constant Shoulder Score. Radiography used to detect :::::union:::::.
Results: 12 were female and 40 were male of 52 patients. The mean score of the shoulder was 84 ± 2 (95% CI 83-84). One third of the patients used Hook. Patients complained more dysmorphic scar (96%), skin numbness (80%) and pain (73.1%). The rate of infection in patients was very low.
Conclusions: The most common complication is pain, dysmorphic scar and skin numbness that can be said to be relatively normal and can be seen in most patients. Of course, it should also be taken into account that the differences in surgical techniques, surgeries, cultural issues, gender, and age of the patients can be affected.
T Asgari; A AliAhmadi; H Mahdavi Mohtasham; SM Kazemi
Abstract
total Knee arthroplasty is an effective and cost-reducing therapeutic approach, which is very useful in relieving pain and improving the performance of patients with advanced knee arthritis, but there are some factors that may lead to the failure of this surgery. From that which patients need for ...
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total Knee arthroplasty is an effective and cost-reducing therapeutic approach, which is very useful in relieving pain and improving the performance of patients with advanced knee arthritis, but there are some factors that may lead to the failure of this surgery. From that which patients need for re-surgical repair, the most common causes of knee replacement are included as infection, poor mechanized joint replacement, implant failure, or frailty of implant. Infection is the most common cause of the main cause Knee replacement surgery. The main goal in this study is to explore new procedures to reduce implant-induced defects and also increase the implants life in knee arthroplasty surgery.
Methodology:
search was carried out in PubMed, science direct and magazine of materials for identification of published articles and studies on infections caused by bone implants. 76 articles were reviewed from 2003 to 2016 and 50 articles of them were cited in the text.
Results: From the 50 papers cited in this study, 41 articles examined the effects of non-antibiotics on infections of bone implants. 5 papers have been reviewed carefully for non-antibiotic treatments and their effects on bone tissue in vitro and 4 are related to combination of these agents with antibiotics and subsequent increase in their efficacy after surgery.
Conclusion:
Using of non-antibiotic agents to preventing cause infections after knee surgery intended to preventing biofilm formation in this area is one of the methods suggested to prevent antibiotic resistance against antibiotics.
Today, in these surgeries, polyethylmetacrylate cements are commonly used filled with antibiotics such as vancomycin and gentamicin, which unaccustomedly may be exposed by bacteria and biofilms, and ultimately lead to acute infections. Our overview is exploring the technologies that can improve the performance of orthopedic implants, which may reduce the severity of knee joint infections. The results of these reports also have revealed that the combination of technology and different types of infections at the same time, can promote microbial infection Cause.
