Iranian Journal of Orthopedic Surgery

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 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. 

Abstract Background: Developmental dysplasia of the hip (DDH) is a common problem and inappropriate treatment may result in serious complications. Several techniques have been used to monitor the status of the hip after reduction. Each has its own problem so that ultrasound found a special place where the assessment is needed. The aim of this study was to determine the diagnostic value of transinguinal and transgluteal ultrasound in comparison to CT scan in the evaluation of femoral head position in acetabulum in DDH treatment in spica cast. Methods : A cross-sectional study was performed on 37 affected hips in 24 infants at the age of 9 to 36 months during one year in a teaching hospital in Tehran, Iran. After close or open reduction and applying spica cast, an opening was made over the anterior edge of the inguinal region and transinguinal and transgluteal ultrasound was performed to confirm the quality of reduction in the acetabulum. The sensitivity, specificity, positive and negative predictive values of the postoperative ultrasonography was compared with CT scan. Data analysis was done by statistical tests. Results: The rate of agreement between ultrasonography and CT scan results was 91% (p < /i>