Mohammad Karim Golnari, MS; Amir Hossein Kahlaee, PhD; Abbas Rahimi, PhD; Seyyed Mahdi Tabatabaee, Ms; Jandark Eghlidi, MS; Ali Asghar Jamehbozorgi, MS
Abstract
Background: Hallux valgus is one of the most prevalent deformities which causes changes in the center of pressure (COP) and standing balance. This paper looks at the mechanical changes of spacer pads used for such a deformity.
Methods: In this quasi experimental study, 24 people suffering from hallux ...
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Background: Hallux valgus is one of the most prevalent deformities which causes changes in the center of pressure (COP) and standing balance. This paper looks at the mechanical changes of spacer pads used for such a deformity.
Methods: In this quasi experimental study, 24 people suffering from hallux valgus were reffered to a trainig hospital in Tehran, Iran. A Bertec force plate was used to collect data related to COP parameters. The balance tests of TUG and FR were used to evaluate the changes in balance. The tests were done without and with toe spacers in a 15 second period of time and the COP displacement in anteroposterior and mediolateral directions and also the path length of COP displacement, velocity of COP displacement and confidence ellipse of the COP were measured. The data were analyzed using statistical tests.
Results: Using the toe spacers did not cause a significant change in displacement of COP in anteroposterior and mediolateral directions, confidence ellipse, velocity of COP displacement and the path length of COP displacement (p < /em>≥.05). But the change in the results of FR and TUG tests was significant (p < /em><.05).
Conclusions: Using the toe spacers in hallux valgus causes no significant changes in COP displacement, path length, velocity and confidence ellipse, but shows improvement in results of balance tests in elderly suffering from hallux valgus deformity.
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.
Issa Navab, MD; Saeed Reza Mehrpour, MD; Mehdi Jaafari, MD
Abstract
Background: This study was intended to assess the total hospital cost of the patients with hip fractures (intertrochantric and femoral neck) in a teaching hospital. The aim was to show the financial burden on the patients and the society, and argue on the benefits of osteoporosis prophylaxis in order ...
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Background: This study was intended to assess the total hospital cost of the patients with hip fractures (intertrochantric and femoral neck) in a teaching hospital. The aim was to show the financial burden on the patients and the society, and argue on the benefits of osteoporosis prophylaxis in order to decrease incidence of such fractures.Methods: The study was a chart review of 164 patients over 65 years of age with hip fractures hospitalized in Shariati hospital in a 3-year interval. The in-hospital expenses were calculated.Results: In 92 females and 72 males, the age range varied from 65 to 98 years. The average hospitalization period was 8 days. 85 patients spent an average of 2 days in the intensive care unit. The hospital cost for such person was 7.873.900 Rials (830 $US). The highest cost was 31.800.000 Rials, and the lowest, in a person who did not receive any operation, was 670.000 Rials. The total hospital expense in one year for hip fracture was 2000 million Rials.Conclusions: Personal and society costs are high for any hip fracture. Screening and treatment of osteoporosis may help to decrease this cost.
