Mohsen Karami; Ali Akbar Esmailiejah; Mohammad Hossein Kazemi; Farshad Safdari, MSc
Abstract
Background: Hemivertebra is one of the common causes of congenital
scoliosis. In cases with curve progression, resection of the hemivertebra
through a combined anterior and posterior approach (CAPA) is one of the usual treatment
modalities which is associated with high morbidity. Recently, hemivertebra
resection ...
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Background: Hemivertebra is one of the common causes of congenital
scoliosis. In cases with curve progression, resection of the hemivertebra
through a combined anterior and posterior approach (CAPA) is one of the usual treatment
modalities which is associated with high morbidity. Recently, hemivertebra
resection through a posterior only approach (POA) is introduced. In the current
study, we are reporting our experience with a single posterior approach. Methods: Ten
patients with lumbar CS who had undergone hemivertebra resection through a POA
with transpedicular instrumentation and short segment fusion, between 2009 and
2012 were retrospectively studied. The main and the compensatory scoliotic
curves and kyphotic curves were measured and compared before surgery and by the
16.1±10 months follow-up. Results: Fusion was
obtained in all of the patients. The mean drop in the main, compensatory and
kyphotic curves were 39.6±6.6 to 11.3±5 degrees, 12.9±5.1 to 7.8±3.4 degrees
and 15.6±8.1 to 2.7±8.2 degrees, respectively (p < /i>
Ahmad Dasht Bozorg; Seyed Saeed Tabatabaee; Tahmineh Ghalami
Abstract
Background: Acute Hematogenous Osteomyelitis (AHO) is a potentially dangerous disease of childhood which is often seen in boys and involves the metaphysis of lower extremity, especially tibia. The aim of this study is to review the common bones and common organisms involved in hematogenous osteomyelitis ...
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Background: Acute Hematogenous Osteomyelitis (AHO) is a potentially dangerous disease of childhood which is often seen in boys and involves the metaphysis of lower extremity, especially tibia. The aim of this study is to review the common bones and common organisms involved in hematogenous osteomyelitis in children.Methods: In this retrospective study, the data of 111 children with acute hematogenous osteomyelitis admitted between 1997 and 2006 in two training hospitals in Ahvaz, Iran was studied. The responsible organism and the involved bone are the cases of interest in this study. Results: Acute hematogenous osteomyelitis was 3.27 times more common in boys than girls. The most common site of involvement was distal tibia in boys and proximal femur in girls. In 68.89% of the patients the culture of the involved bone was positive and the most common organism was staphylococcus aureus in both sexes. Conclusions: Acute hematogenous osteomyelitis is more common in boys than girls. The most common site of involvement was different in boys and girls but the most common responsible organism for infection was staphylococcus aureus in both genders.
Farivar A Lahiji, MD; Hamidreza Aslani, MD; Amir Bisadi, MD; Seyed Mahdi Hosseini Khameneh, MD; Elham Rahimian, MD; Ali Fotouhi Maleki, MD; Seyyed Rouhollah Mousavi, MD; Farshad Safdari, MSc
Abstract
Background: Some authors suggested using ultrasound
in diagnosis of carpal tunnel syndrome (CTS), however the efficacy of
ultrasound in determining the severity of disease is unclear. In current study,
we aimed to investigate the diagnostic efficacy of ultrasound in determining
the severity of ...
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Background: Some authors suggested using ultrasound
in diagnosis of carpal tunnel syndrome (CTS), however the efficacy of
ultrasound in determining the severity of disease is unclear. In current study,
we aimed to investigate the diagnostic efficacy of ultrasound in determining
the severity of CTS in comparison with NCV using measurement of cross-sectional
area of median nerve. Methods: In
a prospective study, 181 CTS suspected wrists (94 patients) were investigated.
The cross-sectional area of the median nerve was measured using ultrasound and
the severity of disease was determined based on criteria of El Miedany et al. Based on the NCV,
the patients were divided into four groups of normal, mild, moderate or severe
CTS. Finally, the mean cross-sectional area was compared between the groups and
the kappa agreement coefficient for determining the severity of disease by the two
methods was calculated. Results: The mean cross-sectional area increased
significantly with increase in disease severity (p < /i>>.001). Conclusions: Determination of cross-sectional area of
median nerve with ultrasound can be a useful tool in decision-making about
surgical intervention in carpal tunnel syndrome. However, the clinical
correlation is mandatory.
Zahra Hassanzadeh Rostami, MSc; Mohammad Hassan Eftekhari, Ph.D; Mohammad Jafar Emami, MD; Abdolreza Rajaeefard, Ph.D
Abstract
Background: Phytoestrogens enhance bone integrity
through prevention of bone loss and stimulation of bone formation, and also facilitation
of bone healing. The aim of the present study was to evaluate the effect of vitex agnus castus extract, as a source of phytoestrogen on alkaline phosphatase and
VEGF ...
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Background: Phytoestrogens enhance bone integrity
through prevention of bone loss and stimulation of bone formation, and also facilitation
of bone healing. The aim of the present study was to evaluate the effect of vitex agnus castus extract, as a source of phytoestrogen on alkaline phosphatase and
VEGF (vascular endothelial growth factor) and also callus formation in women
with long bone fractures. Methods: In a double-blind randomized placebo
controlled trial, 32 women with long bone fracture, age 20-45 years old, were
randomly divided into the VAC (vitex agnus
castus), receiving 1 Agnugol tablet (containing 4 mg dried fruit
extract of vitex agnus castus)-daily for 8 weeks or a placebo group. Serum alkaline
phosphatase and VEGF were measured at the beginning and the end point, and also
callus formation was checked at the end of study. Results: Serum alkaline phosphatase was increased
in both groups compared to the baseline. Although the elevation of ALP
(Alkaline phosphatase) in placebo group was not significant, in treatment
group, ALP was considerably increased (p=.05). Comparison of the change of VEGF
showed that, only in VAC group, VEGF level was significantly increased (p < /i>=.01).
The callus formation which revealed the fracture healing, in VAC and control
groups was 71.4% and 53.8%, respectively. Conclusions: Treatment with vitex agnus castus extract for 2 months could enhance the VEGF
level, however, further studies are need to show the effects of vitex agnus castus extract on alkaline phosphatase
level and callus formation.
Mohammad Reza Shakeri, MD; Saeed Reza Mehrpour, MD; Amir Salari, MD; Amir Mahlisha Kazemi, MD; Bahador Aalami Harandi, MD
Abstract
Background: Treatment of intra-articular calcaneal
fracture is a major orthopaedic challenge. The aim of this study was to
evaluate the results of non-operative treatment of intra-articular calcaneal
fractures, its effects and performance. Methods: In a retrospective study, 58 patients (44 males,
14 ...
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Background: Treatment of intra-articular calcaneal
fracture is a major orthopaedic challenge. The aim of this study was to
evaluate the results of non-operative treatment of intra-articular calcaneal
fractures, its effects and performance. Methods: In a retrospective study, 58 patients (44 males,
14 females) with intra-articular calcaneal fracture were evaluated clinically
and radiographically using a general performance and AOFAS, and FFI questionnaires
between 2003 and 2011 in Tehran, Iran. The mean follow-up time was 3.27 years
(2-6 years). Radiographic signs of osteoarthrities were also evaluated. Results: The mean age of patients was 38.4
(18-85 years). Ten cases (17.2%) were "tangue" and 48 (82.8%)
"joint depression" type. Spine injury was abserved in 13.8%, other
limb injuries in 27.6%, and head injury in 3.4% of the cases. The mean AOFAS
score was 79.14 and FFI score 24.7. Osteoarthritis of moderate degree was seen
in 48% and severe in 17% of the cases an radiographs. By the time of follow-up,
5 patients had required surgeries to treat the delayed complications. Conclusions: Treatment of intra-articular calcaneal
fracture is a real challenge. Close treatment, although maybe painless and give
comparable results with open surgery in AOFAS and FFI testing, will show
radiographic signs of osteoarthirits in about 50% of the time-even in short or
mid-term follow-up.
Mohammad Fakoor, MD; Seyed Shahnam Moosavi, MD; Payam Mohammad Hosseini, MD
Abstract
The distal radius is frequently affected by primary bone tumors, and is a
common site for occurrence of giant cell tumor. Giant cell tumor at the
distal end of the radius can be treated by various methods. Small lesion can be
treated by curettage and filling bone defect by autogenous bone graft ...
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The distal radius is frequently affected by primary bone tumors, and is a
common site for occurrence of giant cell tumor. Giant cell tumor at the
distal end of the radius can be treated by various methods. Small lesion can be
treated by curettage and filling bone defect by autogenous bone graft or
allograft, or bone cement. Large lesion that involved articular surface can be
treated by wide resection and reconstruction with osteoarticular graft from
proximal fibular. This report presents a 42 year-old lady that was treated with
osteoarticular fibular graft for her recurrent distal radius giant cell tumor.
