Foot and Ankle
Mohammad Nouri; kavous vaziri; Morteza Jaannesari Ladani
Abstract
Background: The purpose of this study is to investigate the results of surgical treatment for hallux rigidus using the Weil osteotomy method in grade III patients with this disease.Methods: This quasi-experimental study involved a single-group intervention "before and after" the surgery. The research ...
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Background: The purpose of this study is to investigate the results of surgical treatment for hallux rigidus using the Weil osteotomy method in grade III patients with this disease.Methods: This quasi-experimental study involved a single-group intervention "before and after" the surgery. The research population consisted of patients with grade 3 hallux rigidus. The data collection tool used in this study was a checklist based on clinical examinations that evaluated joint movement in both plantar and lateral directions, as well as the Visual Analog Scale (VAS) to measure pain. The range of motion and pain level of the metatarsophalangeal (MTP) join were investigated and recorded before the operation and 1, 3, and 6 months after the operation. All this information was entered into SPSS software version 26.Results: The study groups included 8 (22.9%) male and 27 (77.1%) female patients, with an average age of 77.1 ± 12.17 years. The amount of pain decreased significantly (P=0.00) at the one-month and three-month follow-ups after the intervention, and the amount of passive movement of the joint in the plantar directions significantly increased from one month to three months after the intervention (P=0.00). 17 patients (48.6%) took up to two weeks after surgery, 10 patients (28.6%) between two to four weeks, and 8 patients (22.9%) more than one month to recover the mobility. The average joint space of the patients after the operation in plain radiography was 3.6 ± 0.46.Conclusion: : The Weil osteotomy surgery in hallux rigidus patients showed a significant decrease in pain level, and also a significant increase in joint motion and improvement in the average joint space in short term.
Hossein Akbari Agdam; Mohammadreza gholamrezaei; Paria Rouhi; Amirhosein Farrokhzad
Abstract
Background: There is increasing trend of orthopaedic surgeons for closed pinning of type II supracondylar fractures. In this study, the result of treatment of closed reduction and casting in comparison with pinning is evaluated.Method: In a retrospective cross-sectional study, 39 children aged 3-11 years ...
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Background: There is increasing trend of orthopaedic surgeons for closed pinning of type II supracondylar fractures. In this study, the result of treatment of closed reduction and casting in comparison with pinning is evaluated.Method: In a retrospective cross-sectional study, 39 children aged 3-11 years with Gartland type II supracondylar fracture who were treated with closed reduction and pinning were compared with closed reduction and casting by using demographic information and measurement of Baumann’s angle, and in hospital stay, by easy non-random sampling method and in 4 weeks follow-up.Result: By using the independent sample T-Test, there was a significant difference between the time duration of hospital stay and type of treatment and it was significantly lower in the group who had undergone treatment with closed reduction and casting [p value < 0.005, Mean, SD: 37.43 +- 6.42]. There was no significant difference between the Baumann’s Angle in the two groups.Conclusion: No significant difference in the radiographic outcome of the two types of treatment was observed after four weeks of follow-up.
Hip
Emre Gultac; Ahmet Acan; Cem Kilinc; Ulas Akgun; Nevres Aydogan
Abstract
Introduction: Hip fracture is a significant health problem with a high morbidity and mortality, especially in patients aged 80 years and more. In this study, we aimed to identify demographic characteristics and management of octogenarian patients with hip fracture and also aimed to determine the predictors ...
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Introduction: Hip fracture is a significant health problem with a high morbidity and mortality, especially in patients aged 80 years and more. In this study, we aimed to identify demographic characteristics and management of octogenarian patients with hip fracture and also aimed to determine the predictors of perioperative complications. Methods: Data for all patients aged 50 years old or more who were hospitalized for hip fracture between June 2015 and June 2020 were retrospectively analyzed. Data of patients aged 80 and older were compared with those younger than 80 from the same cohort. Results: A total of 601 patients (mean age 73.9 ± 9.4 years, 62.2% female) were included. Of the study population, 21 patients (3.5%) were treated conservatively, and 580 patients (%96.5) underwent surgery. Of the 580 patients who had surgery, 170 (29.3%) were aged 80 and older. Multivariate logistic regression analysis revealed that age, presence of atrial fibrillation and coronary artery disease were independent predictors of perioperative complications in octogenarians undergoing hip fracture surgery. Conclusions: Octogenarians represent nearly one-third of the patients with hip fracture in the real-world practice. Increased age, coronary artery disease and atrial fibrillation predict perioperative adverse events in patients undergoing hip fracture surgery.
Amirreza Sadeghifar, MD; Morteza Hashemiyan, MD; Jamasb Moghaddam, MD
Abstract
Background: Rotator cuff tear is one of the major causes of shoulder pain and disability especially in over 60 year old age people. The problems with arthroscopic repair and also failure to repair with strong and valuable sutures in massive tears have increased the trend towards open surgery. This study ...
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Background: Rotator cuff tear is one of the major causes of shoulder pain and disability especially in over 60 year old age people. The problems with arthroscopic repair and also failure to repair with strong and valuable sutures in massive tears have increased the trend towards open surgery. This study was done to assess repair of rotator cuff tear by open surgery.Methods: In this cross-sectional study, 14 candidates (8 female, 6 male) for rotator cuff surgery, were assessed for shoulder function by the use of ASES and SST scoring systems, before and after surgery, by the same observing orthopaedic surgeon.Results: Mean age of patients was 57.94±14.04 years old. The mean SST score before surgery and 6 and 9 months after surgery were 10.17, 10.67 and 10.81, respetively with a significant post-operative improvement (p < /em>=.026). The mean ASES score before surgery, 6 and 9 months post surgery were 42.82, 47.95 and 57.43, respectively showing significant improvement after surgery (p < /em>=.025).Conclusions: The open surgical repair of rotator cuff tear is effective and shoulder function improves and pain decreases significantly. This is with the technique of constructing a surface, rather than making a trough, and also using of interoseous suture rather than anchor suture.
Sohrab Keyhani, MD; Arash Sherafat Vaziri, MD; Mohammad Hossein Nabian, MD
Abstract
Background: The objective of this study was to evaluate the results of repairing root and para-root radial tears of lateral meniscus during cruciate ligament reconstruction. Methods: In a retrospective study, from the 60 patients who had been treated for root or para-root injury of the lateral meniscus ...
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Background: The objective of this study was to evaluate the results of repairing root and para-root radial tears of lateral meniscus during cruciate ligament reconstruction. Methods: In a retrospective study, from the 60 patients who had been treated for root or para-root injury of the lateral meniscus from 2007 to 2011 in 3 centers in Tehran-Iran. Only 40 patients were studied with an average followe-up of 32.4 months (24-48 months). The patients were evaluated by International Knee Documentation Committee (IKDC), Lysholm and Tegner scoring systems subjectively, and by objective Lachman and McMurray tests. Results: 34 patients were operated for ACL reconstruction and 6 for ACL and PCL reconstruction and lateral meniscus tears were repaired simultaneously. On the final follow-up, all the patients had firm end-points tested by Lachman. None reported popping or clicking. The mean IKDC score was 75.25 (range: 54-92), the mean Lysholm score was 94.4 (excellent) in 22 patients and the mean Tegner score was 7.15. From the 16 patients who were professional soccer players, 14 were still playing competitively at the time of follow-up. Conclusions: The midterm results of lateral meniscus repair - at root or para-root level - in association with ACL or / and PCL reconstruction, are acceptable.
Mehran Soleymanha, MD; Ahmadreza Mirbolook, MD; Hossein Ettehad, MD; Zahra Haghparast-Ghadim-Limudahi
Abstract
Background: Tibial shaft fracture is the most common fractures of long bones. The aim of this study was to report the short-term results of intramedullary (IM) nailing in tibial shaft fractures in emergency setting. Methods: In a prospective study, 226 cases (193 men, 33 women) treated with IM nailing ...
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Background: Tibial shaft fracture is the most common fractures of long bones. The aim of this study was to report the short-term results of intramedullary (IM) nailing in tibial shaft fractures in emergency setting. Methods: In a prospective study, 226 cases (193 men, 33 women) treated with IM nailing during 2 years (2009-2011) in a training hospital in Rasht-Iran, and followed for two years. The mean age was 34±3 years old. We investigated for open or closed fractures, accompanied with fibular fractures, proneal nerve or anterior tibialis artery injury, degenerative changes in knee joint, knee pain, atrophy of quadericeps muscle, mal:::union:::, chronic osteomyelitis, delayed :::union:::, and non:::union:::. Short musculoskeletal function assessment questionnaire (SMFA) was also completed and the data were analysed by statistical software. Results: There were 151 Open fractures and 75 closed fractures. Open procedure was used in 155 cases and closed one in 71 cases. Knee pain was the most frequenct and non :::union::: the least common complication. Musculoskeletal limitation appeared more in open fractures and in association with fibular fracture and was more in female than male patients (p < /i>
Mohammad Mehdi Sarzaeem, MD; Mohammad Razi, MD; Farideh Najafi, MD; Mohammad Amin Najafi
Abstract
Background: The gold standard in ACL reconstructions has been the bone–patellar tendon–bone autograftfixed with interference screws. This prospective study, aimed to compare two method of fixation for BPTB grafts: press fit fixation vs. interference screw, over a 12 months follow-up interval.Methods: ...
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Background: The gold standard in ACL reconstructions has been the bone–patellar tendon–bone autograftfixed with interference screws. This prospective study, aimed to compare two method of fixation for BPTB grafts: press fit fixation vs. interference screw, over a 12 months follow-up interval.Methods: In a randomized clinical trial study, 158 patients with an average age of 29.8 years were treated for torn ACL with BPTB autograft in a teaching hospital in Tehran, Iran. In 82 patients press fit fixation technique, and in 76 cases an interference-screw was used. At the time of final follow-up, 71 patients in press-fit group and 65 patients in interference-screw group were evaluated in terms of return to pre-injury activity level, pain, knee stability, range of motion, IKDC score and complications.Results: In the final follow-up, 59 cases in interference screw and 55 in press-fit screw group had good-to-excellent IKDC score (p < /em>≥.05). The mean laxity assessed improved to 2.7 mm and 2.5 mm in press-fit and screw group, respectively. Regarding Lachman and pivot shift tests, there was a statistically significant improvement in the integrity of the ACL in both groups, with no significant difference (p < /em>≥.05).Conclusions: the press-fit technique is an efficient procedure. Its outcome was comparable with the interference screw group. Furthermore it has unlimited bone-to-bone healing, no need for removal of hardware, ease for revision and cost effectiveness.
Jalil Zare'e, MD; Jalil Zare'e, MD; Arefeh Hedayati, MD; Mohammad Reza Hedayati, MD; Mahmoud Vakili, MD; Farshad Safdari, MSc
Abstract
Background: There is a great debate about the proper autograft for arthroscopic anterior cruciate ligament reconstruction (ACLR). In current study, we compared the clinical and functional outcomes of ACLR using either medial hamstring (MH) tendon or patellar tendon (PT).
Methods: Eighty ...
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Background: There is a great debate about the proper autograft for arthroscopic anterior cruciate ligament reconstruction (ACLR). In current study, we compared the clinical and functional outcomes of ACLR using either medial hamstring (MH) tendon or patellar tendon (PT).
Methods: Eighty eight patients with anterior cruciate ligament (ACL) injury contributed to a retrospective study. The study was done in a teaching hospital in Yazd, Iran. Patients were divided into two groups based on the type of autograft used for ACLR: MD (48 patients) and PT (40 patients). In a follow-up of 18.5±2.2 months in MH and 19.3±2.9 months in PT group, the pain was analized using visual analogue scale (VAS) and the range of knee flexion was measured. The result of the surgery was assessed utilizing Tegner-Lysholm score, KOOS (Knee injury and osteoarthritis outcomes) and return to the previous activity.
Results: The two groups were the same in term of range of knee flexion, KOOS and Tegner-Lysholm score. The VAS averaged .9±.3 in MH and 1.15±.5 in PT groups, with no significant difference. Return to previous activity was seen in 80% of PT group and 85.4% of MH group.
Conclusions: ACLR using either MH or PT autograft, is effective in short-term, and is associated with satisfactory clinical and functional outcomes.
Mikaeil Tafkiki Alamdari; Ahmadreza Afshar
Abstract
Background: Knee dislocation, although a rare injury, is a severe injury which can endanger the limb viability or cause a significant impairment in the knee function. The purpose of this study was to evaluate the knee function and knee osteoarthritis in the patients who had sustained an acute traumatic ...
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Background: Knee dislocation, although a rare injury, is a severe injury which can endanger the limb viability or cause a significant impairment in the knee function. The purpose of this study was to evaluate the knee function and knee osteoarthritis in the patients who had sustained an acute traumatic knee dislocation . Methods: In a retrospective study, 19 consecutive patients with knee dislocation who were treated by different therapies were studied during 5 years in a teaching hospital in Urmia, Iran. Vascular injuries lead to amputation in 3 patients. The follow-up study was performed on the remaining 16 patients within 37±13 months. The patients were evaluated for knee stability, range of motion and the "Tegner-Lysholm" knee function scores. The development of knee osteoarthritis was classified according to Kellgren and Lawrence classification . Results: The knee function was excellent in one, good in 3, fair in 9, and poor in 3 cases. The younger patients and knees with wider range of motion had better "Tegner-Lysholm" scores. The knee scores had significant correlation with the severity in the class of dislocation. The time of surgical reconstruction, whether early or delayed, had no significant effect on the outcome. The mean knee range of motion for the 12 patients who were treated surgically was 120±15 degrees and for the 4 patients who were treated non-surgically was 115±28 degrees. There was a significant correlation between the "Tegner-Lysholm" scores and knee range of motion. Conclusions: Knee dislocation is a very severe complex trauma and normal knee functional outcome is not often achieved. The knees with the more extensive ligament injuries have less favorable outcomes. Younger patients and knees with larger range of motion had better functional outcomes.
Siamak Afshin Majd; Shahryar Poorfarzam; Daryoosh Mehdi Barzi; Masoud Moghadamnia
Abstract
Background: Carpal tunnel syndrome is the entrapment of median nerve in carpal tunnel, resulting in pain and numbness in hand and fingers. It is the most common cause of nerve entrapment in the upper limb. There are two main treatment protocoles: medical and surgical. Methods: In a cohort study, in 220 ...
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Background: Carpal tunnel syndrome is the entrapment of median nerve in carpal tunnel, resulting in pain and numbness in hand and fingers. It is the most common cause of nerve entrapment in the upper limb. There are two main treatment protocoles: medical and surgical. Methods: In a cohort study, in 220 patients with carpal tunnel syndromes, splinting was compared with sugery. During a 12 months period, symptoms relief and function improvement were evaluated, using the Levine questionnaire. Results: There was no difference between the two groups at the beginning. In the first and third months of follow-up the symptoms severity was lower in splint group but in the six and twelve month evaluation, the surgical group had less symptoms. Regarding functional improvement, the same results occurred with better results in one and three months for splint group and in six and twelve months for surgical group. Conclusions: Although splinting for carpal tunnel syndrome had superior results in first two months, the improvement with surgery is better maintained into 6-12 months .
Amir Salari; Sadegh Saberi; Ramin Spandar; Mahmood Motamedi
Abstract
Background: The objective of this study was to evaluate the results of our experience in open reduction and internal fixation of fractures of calcaneus. Methods: In a quasi experimental study, 20 patients with mean age of 35.5 years (15-69 years) with calcaneus fracture - grade II and III- underwent ...
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Background: The objective of this study was to evaluate the results of our experience in open reduction and internal fixation of fractures of calcaneus. Methods: In a quasi experimental study, 20 patients with mean age of 35.5 years (15-69 years) with calcaneus fracture - grade II and III- underwent surgery with open reduction and fixation in a 5-year period in a training hospital in Tehran-Iran. The patients' profile, Bohler and Gysan angles before and after surgery were measured and statistically analyzed. Results: Post surgery Bohler and Gysan angles showed significant improvement (p=.000). Open surgery with internal fixation contributed to improving the angles. The questionnaire with a 4-6 months follow-up showed that the average American Orthopaedic Foot and Ankle Society (AOFAS) score and Food Function Index (FFI) score was good or excellent in 80% and fair in 20%. Overall, 7 patients had complications after surgery, which were controlled successfully painted patients have had good results after surgery. Conclusion: The results of calcaneus fractures treated with open reduction internal fixation surgery have a positive effect and are in line with previous studies.
Mohsen Mardani-Kivi; Mahmood Karimi Mobarakeh; Kamran Asadi; Keyvan Hashemi Motlagh; Khashayar Saheb Ekhtiari
Abstract
Background: Cementless total hip replacement is an accepted alternative to total hip replacement with cement in younger patients, but it remains controversial for elderly patients. This study evaluated the functional results and complications of cemented and cementless methods in old patients.
Methods: ...
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Background: Cementless total hip replacement is an accepted alternative to total hip replacement with cement in younger patients, but it remains controversial for elderly patients. This study evaluated the functional results and complications of cemented and cementless methods in old patients.
Methods: In this cross-sectional study, all the patients aged 65 years or older who had been hospitalized for total replacement of hip joint because of femoral neck fracture or osteoarthritis of hip were studied during a 3-year period in three educational hospitals in Iran. "Harris hip score" was used to assess the functional consequences. The early complications -thrombophlebitis of lower limbs, dislocation, hematoma and infection - and late complications - aseptic loosening, dislocation, and reoperation, were documented.
Results: 209 eligible patients, including 96 (45.9%) cemented and 113 (54%) cementless were studied. Patients were followed for a mean period of 5 years and 2 months (51-82 months). The overall rate of early complication was 8 cases (3.8%): five in the cemented and three in cementless group, respectively. Late complications were seen in two cases -one loosening in cemented group and one dislocation in cementless group. The final Harris hip score at the final follow-up was 84.01±4.71 in cemented and 85±5.02 in the cementless groups (p≥.05).
Conclusion: Cementless hip replacement can have a satisfactory functional result like cemented hip replacement procedure in the elderly patients over 65 years of age.
Ahmad Dashtbozorg; Ahmad Dashtbozorg; Seyed Abdolhossein Mehdinassab; Fatemeh Badakhshanmehr
Abstract
Background: Femoral neck fracture is uncommon but serious injuries in young adult with high complication rate. This study was designed to evaluate the outcome of surgical treatment of such a fracture fixed by screw in. Methods: In a descriptive prospective study form 2006 to 2009, 42 patients with the ...
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Background: Femoral neck fracture is uncommon but serious injuries in young adult with high complication rate. This study was designed to evaluate the outcome of surgical treatment of such a fracture fixed by screw in. Methods: In a descriptive prospective study form 2006 to 2009, 42 patients with the mean age of 37 years (15–60 yrs) were treated by closed or open reduction and screw fixation for femoral neak fractures in two university hospitals in Ahvaz- Iran. They all received surgery within the first 24 hours after injury. They were followed for 15 months on average. Results: In accordance with Garden classification, 2 patients were type I, 3 type II, 18 type III and 19 type IV Gorden fractures. Thirty two cases were fixed by open reduction and fixation and 10 by closed reduction. :::union::: was achieved in 30 pateints. The 12 (28.6%) cases of non:::union::: were seen in the ones who received open reduction and fixation. Avascular necrosis was observed in 7 patients (16.7%), 4 of whom had obtained :::union:::. Conclusion: Femoral neck fracture is associated with high complication rate, in particular, if open reduction becomes necessary.
Seyed Abdolhossein Mehdinassab, MD; Nasser Sarrafan, MD; Omid Jangjoo, MD
Abstract
Background: Tibial plateau fracture is an intraarticular injury that can affect the stability of the knee joint and lead to patient disability. The aim of this study was to determine the functional outcome of surgically treated tibial plateau fractures.Methods: In a prospective study, 70 patients (46 ...
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Background: Tibial plateau fracture is an intraarticular injury that can affect the stability of the knee joint and lead to patient disability. The aim of this study was to determine the functional outcome of surgically treated tibial plateau fractures.Methods: In a prospective study, 70 patients (46 males, 24 females) with average age of 38 years (23-54 years), with closed tibial plateau fractures who treated by open reduction and plate fixation was studied in two hospitals in Iran, with a one year follow-up. The functional outcome was evaluated by "Hospital for Specific Surgery (HSS)" and SF-36 scores.Results: The average time to :::union::: was 13 weeks with a mean range of motion of 125 degrees one year after injury. Functional results showed a mean HSS score of 80 points (Range: 19-100). Schatzker type I, II, II, IV fractures showed statistically significant better results compared with Shatzker type V & VI fractures. With regard to SF-36 score 1 year after injury, of eight SF-36 subscales, the results were low in 6 subscales. The majority of patients were able to perform most of the pre-injury daily activities after 1 year. The most important independent factors influencing functional results in this study were age of the patients and fracture type.Conclusion: Functional results after open reduction and internal fixation of tibial plateau fractures seem to be excellent according to HSS score, however overall patients' subjective appraisal was not satisfactory.
Alireza Hootkani, MD; Hassan Rahimi, MD; Ali Moradi, MD; Ehsan Vahedi, MD; Abolfazl Kazemi
Abstract
Background: Traumatic hand injuries can lead to major disabilities. Due to high number of young active people who can be affected with such disabilities, finding the results of emergency tendon and nerve repairs would give us a guideline in managing such injuries.Methods: In a prospective study, 91 patients ...
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Background: Traumatic hand injuries can lead to major disabilities. Due to high number of young active people who can be affected with such disabilities, finding the results of emergency tendon and nerve repairs would give us a guideline in managing such injuries.Methods: In a prospective study, 91 patients (87 males, 4 females) were randomly selected among the referrals to an orthopaedic emergency of a hospital in Mashhad, Iran. The patients had a mean age of 26.6 years. Demographic information and details of the injuries were recorded before surgery and also in the post operative period with 18 months follow-up.Results: The average size of the skin wounds was 4.4 centimeters, and the majority had sharp edges. The most commonly injured tendons were flexor digitorom superficialis, flexor carpi radialis, extensor digitorom communis and extensor policis longus. The most common complication was joint stiffness which had a direct relation with inadequate physiotherapy. Ulnar nerve repair had a worse outcome compared with median nerve repair. None of the repaired nerves obtained full sensory and motor recovery.Conclusion: Repair of tendon and nerve injuries in emergency settings does not uniformly give good results. It is best not to attempt repair of nerve injury, or more than three extensor flexor tendon injuries in emergency room.
Massoud Yavari, MD; Ali Karbalaei Khani, MD; Alia Ayatollahi Mousavi, MD; Alireza Saied, MD
Abstract
Background: Tendon transfer for radial nerve palsy is often a rewarding procedure. The aim of this study is to compare the results of three different kinds of transfers used for radial nerve paralysis.Methods: In a retrospective study, 41 patients with irreversible radial nerve paralysis who had undergone ...
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Background: Tendon transfer for radial nerve palsy is often a rewarding procedure. The aim of this study is to compare the results of three different kinds of transfers used for radial nerve paralysis.Methods: In a retrospective study, 41 patients with irreversible radial nerve paralysis who had undergone tendon transfer over a 5-year period (2005-2009) were studied. 18 patients had received flexor carpia ulnaris transfer, 10 cases had flexor carpi radialis transfer, and 13 had transfer of flexor digitorum superficialis. With a mean follow-up of 20 months, the patients were evaluated for achieved range of motion, return to previous job, and their overall satisfaction. The DASH score was also calculated for each patient.Results: There was no statistical difference between the 3 groups in terms of DASH score, ability and time of returning back to job, and their satisfaction with the procedure. The range of motion also did not show any difference. An overall satisfaction rate of 95 percent was observed, with no major complication in any of the groups.Conclusion: The 3 different methods of tendon transfer studied in this paper give satisfactory results irrespective of the method used.
Seyed Reza Sharifi, MD; Seyed Mehdi Mazloomi, MD; Ali Birjandinejad, MD; Mohammad Taghi Peivandi, MD; Amir Reza Bidkhori, MD
Abstract
Background: Acetabular fracture is a common injury, with unclear treatment outcome. We are reporting the results of treatment of unstable acetabular fractures, comparing operative with non-operative treatment in a small group of patients.Methods: In a retrospective study, in a teaching hospital, 20 cases ...
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Background: Acetabular fracture is a common injury, with unclear treatment outcome. We are reporting the results of treatment of unstable acetabular fractures, comparing operative with non-operative treatment in a small group of patients.Methods: In a retrospective study, in a teaching hospital, 20 cases of unstable acetabular fracture treated with open reduction and internal fixation were compared with 20 cases who had been treated non-surgically. The mean age was 34.5 years old (20-50 yrs old). The early clinical resuts, including complications, and also treatment costs were compared in those two groups.Results: There was no significant difference in the level of function between the two groups.There was a higher rate of heterotopic ossification and nerve injury in the operated cases, but not statistically significant. The time to fracture :::union::: was less in the non-operated cases. The hospital cost was significantly higher in the non-operative group (p < /em>
Ahmad Ensafdaran, MD; Amir Reza Vosoughi, MD; Mohammad Reza Ensafdaran, MD; Amir Reza Vosoughi, MD
Abstract
Background: Osteoarthritis is common especially in over 50 years of age patients. There are several non–surgical treatment modalities such as non-steroid anti-inflammatory drugs, physiotherapy, and intra-articular injection of steroids and Hyaluronic Acid. Surgical procedures include arthroplasty, ...
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Background: Osteoarthritis is common especially in over 50 years of age patients. There are several non–surgical treatment modalities such as non-steroid anti-inflammatory drugs, physiotherapy, and intra-articular injection of steroids and Hyaluronic Acid. Surgical procedures include arthroplasty, osteotomy of tibia and arthroscopic débridement. Careful selection of patients in particular, for arthroscopic débridement is a very important point.Methods: In a prospective study, 88 patients with mean age of 55.28 (55-63 years) with knee osteoarthritis who had failed non-surgical treatments were selected for arthroscopic débridement. Radiographic inclusion criteria were presence of 3-4 millimeters of joint space, less than 10 degrees flexion contracture and varus/valgus malalignment, and at least 100 degrees of flexion. The treatment results were assessed annually in 3 successive years, using Lysholm knee Scale. Seventy-four patients (43 females, 31 males) had complete follow-up and are reported here.Results: The pre operative Lysholm score of 37.2 (range: 26-55) increased to 81.9 (range: 70-90) in first year, to 82.9 (range: 70-95) by the second year and to 78.5 (60-90) in the third year (p < /em>
