Mohammad Foroozeshfard, MDر; Mohammad Mirzayikhah طMirzayikhah; Ahmad Sheikhi; Naimolsadat Kia, MD; Majid Mirmohammadkhani, MD; Mohsen Poorazizi
Abstract
Background: Hip fracture is very common orthopaedic fracture in elderly. The present study investigates the outcome after surgical treatment.Methods: The hip fractures of over 65-year old patients that had undergone surgery in a 5-year period were retrospectively studied in a hospital in Semnan, Iran. ...
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Background: Hip fracture is very common orthopaedic fracture in elderly. The present study investigates the outcome after surgical treatment.Methods: The hip fractures of over 65-year old patients that had undergone surgery in a 5-year period were retrospectively studied in a hospital in Semnan, Iran. The information of 259 patients (120 male, 139 women) were collected including demographic data, medical history, history of surgery (type of anesthesia, technique of surgery), length of hospitalization before and after surgery, and death in hospital.Results: From all the operated cases, 174 (67.2%) received spinal, 68% (26.3), epidural and 17% (6.6) general anesthesia. 185 pateints (71.4%) had no complication and 74% (28.6) had at least one complication. 12 patients (6.4) died while in hospital. 56 cases (21.6%) were walking with no problem 32 (12.4%) required walking and 9 patients (3.5%) were not able to walk.Conclusions: Complications after surgery for hip fracture are relatively high. To recover faster and reduce more serious complications, it is recommended to change the strategies on how to care for the elderly during and after surgery.
Alireza Saied; Fatemeh Arabnejad; Alia Ayatollahi Moussavi
Abstract
Tourniquet is a device that prevents blood entrance and exit from a limb. Its use goes back to 200 years BC- the Roman emperors’ era - and has been utilized especially in amputations. During the history, several types of tourniquets have been used by surgeons and its design has changed regularly. Nowadays ...
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Tourniquet is a device that prevents blood entrance and exit from a limb. Its use goes back to 200 years BC- the Roman emperors’ era - and has been utilized especially in amputations. During the history, several types of tourniquets have been used by surgeons and its design has changed regularly. Nowadays tourniquet is used very often in orthopaedic, vascular and plastic surgery. Although its usage is not routine, but it is a great help to the surgeon. Tourniquet, like other techniques has risks and side effects and the surgeons have to be aware of them as well as its proper use. This article mainly deals with pneumatic tourniquet, its usage and complications.
Mohammad Ali Hosseinian, MD; Tooraj Salimi, MD; Yalda Soleimanifard, MD; Kourosh Sheibani, MD
Abstract
Background: Thoracic oulet syndrome is treated using non-surgical or surgical approaches. Surgical treatment is necessary if non-surgical treatments fail. In this study we compared the supraclavicular and transaxillary approaches for surgery of the brachial plexus.Methods: We, retrospectively, studied ...
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Background: Thoracic oulet syndrome is treated using non-surgical or surgical approaches. Surgical treatment is necessary if non-surgical treatments fail. In this study we compared the supraclavicular and transaxillary approaches for surgery of the brachial plexus.Methods: We, retrospectively, studied 69 patients undergoing surgery to treat thoracic outlet syndrome from 2001 to 2008. Twenty six patients had bilateral thoracic outlet syndrome. Sixty three cases were operated with supraclavicular approach for the first time, 32 cases were operated with transaxillary approach for the first time, and 7 cases were reoperated with supraclavicular approach. The complications were evaluated for 24 months.Results: Pneumothorax, hemothorax, vessels injury in transaxillary and supraclavicular approach were the same but permanent and transient brachial plexus injury in transaxillay approach were more than supraclavicular approach.Conclusion: Supraclavicular approach for surgical treatment of thoracic outlet syndrome provides better access to braxial plexus and there is less need for reoperation compared to transaxillary method.
