Comparison between Two Methods of Intramedullary Nailing and Plating in the Treatment of Closed Noncomminuted Diaphyseal Tibia Fracture with Intact Fibula
Volume 12, Issue 3, Summer 2014, Pages 95-102
https://doi.org/10.22034/ijos.2020.121269
Afshin Heshmaty, MD, Amir Reza Sadeghifar, MD ط Sadeghifar, MD, Alireza Saied, MD, Alia Ayatollahi Moussavi, MD, Mohsen Ostovar, MD, Fatemeh Arabnejhad
Abstract Background: The aim of the present study was to compare two methods of plating and intramedullary nailing in treatmant of closed noncomminuted tibia fractures with intact fibulae.Methods: Utimately 69 patients were followed for at least one year. The patients were randomly devided into two groups of plating and intramedullary nailing and operated on.Results: One case of non:::union::: and one case of superficial infection occurred in the intramedullary group. One of the patients in the intramedullary group developed late deep infection in the screws location (in both cases p < /em>>.05). In both of the groups the tibia fractures reached :::union::: in about 4 months, though the intramedulary group had underwent more operations for :::union::: achievement (dynamization in 4, 12.1%, p < /em>≥.05). The need for implant removal was not statistically significant in the two groups (p < /em>≥.05). Of the other variables, the diffence between the two groups was statistically significant only with regard to their complaints of the limb and the number of individuals with knee pain (p < /em>
Tourniquet in Surgery of the Limbs: a Review of History, Types and Complications
Volume 10, Issue 1, Winter 2012, Pages 43-52
https://doi.org/10.22034/ijos.2020.121059
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 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.