Ali Ashraf Jamshidi; Fatemeh Menatnia; Javad Sarrafzadeh; Zahra Menatnia
Volume 6, supplement 1 , June 2018, , Pages 23-24
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Hossein Saremi; Shervin Bashiri
Volume 6, supplement 1 , June 2018, , Pages 24-24
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Mohsen Mardani-Kivi; Mahmoud Karimi Mobarakeh; Sohrab Keyhani; Mohammad Hossein Ebrahimzadeh; Zahra Haghparast Ghadim-Limudahi
Volume 6, supplement 1 , June 2018, , Pages 24-25
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Sohrab Keyhani; Mehran Soleymanha; Rene Verdonk; Mohammadreza Abbasian
Articles in Press, Accepted Manuscript, Available Online from 30 September 2019
Abstract
Purpose: Although some surgical techniques have been described for the operative treatment of unstable Osteochondritis dissecans (OCD) of the knee, outcomes are variable and aren’t satisfying totally. The aim of the present study is to evaluate the outcomes of autogenous osteochondral grafting ...
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Purpose: Although some surgical techniques have been described for the operative treatment of unstable Osteochondritis dissecans (OCD) of the knee, outcomes are variable and aren’t satisfying totally. The aim of the present study is to evaluate the outcomes of autogenous osteochondral grafting for OCD of the knee. Methods: In a case series study, from June 2014 to July 2015, 16 patients with stage II-IV OCD (International Cartilage Repair Society (ICRS)) of the femoral condyle were investigated. Surgical intervention considered in cases of stage III (4 cases) and IV (2 cases) and in stage II (10 cases) ones that were nonresponsive to conservative treatment. At the initial and final visits, the IKDC, Lysholm score and Tegner activity scale were evaluated. Results: The mean preoperative IKDC score (53.4) increased significantly following surgery (84.3) (P < 0.001). Based on the IKDC grading system, before the operation, the knee status was graded as nearly normal, abnormal, and severely abnormal in 4, 10, and 2 patients, respectively. At final post-surgical follow up, 15 normal and 1 abnormal knee were documented (P < 0.001). At the final visit, all of the patients (except one) were asymptomatic and returned to their previous activity levels. Conclusion: Surgical treatment of unstable OCD using autogenous osteochondral graft shows successful outcomes. In addition to reliable fixation, it can enhance healing and convert an uncontained lesion to contained one with healthy cartilage.
Shahin Mirkarimi; Arash Sharafat Vaziri; Mohammad Naghi Tahmasebi
Volume 6, supplement 1 , June 2018, , Pages 25-25
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Nasser Aghdami; Narges Labibzadeh; Mohsen Emadedin; Seyedeh Esmat Hosseini; Reza Moghadasali; Soura Mardpour; Vajiheh Azimian
Volume 6, supplement 1 , June 2018, , Pages 25-26
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Hamidreza Aslani; Seyed Taghi Nourbakhsh; Fateme Mirzaee; Fateme Bahramian; Zohreh Zafarani; Mohammad Ali Sazegari; Ardeshir Alidousti
Volume 6, supplement 1 , June 2018, , Pages 26-26
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Reza Sh. Shirvani; M.k . Emami Meibodi; Masoud Mokhtari
Volume 6, supplement 1 , June 2018, , Pages 26-27
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Sohrab Keyhani; Mehran Soleymanha; Mohammadreza Abbasian; Seyed Morteza Kazemi
Volume 6, supplement 1 , June 2018, , Pages 27-27
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Khodamorad Jamshidi; Milad Haji Agha Bozorgi; Hassan Assad Kassir; Alireza Mirzaei
Articles in Press, Accepted Manuscript, Available Online from 30 September 2019
Abstract
Object: Conservative management is generally the primary treatment for intramuscular hemangimas. However, many patients will require surgery later in their life, after suffering a long period of pain. We aimed to evaluate the oncologic and functional outcomes of surgery as the initial ...
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Object: Conservative management is generally the primary treatment for intramuscular hemangimas. However, many patients will require surgery later in their life, after suffering a long period of pain. We aimed to evaluate the oncologic and functional outcomes of surgery as the initial treatment of single-muscle hemangiomas. Patients and Methods: Medical profiles of 17 patients with hemangiomas of vastus medialis for whom surgery was selected as the initial treatment were reviewed. The indication for surgery was a bothersome pain. Postoperative muscle strength was assessed with manual muscle testing (range 0-5). The postoperative pain was measured by a visual analog scale (VAS) for pain (range 0-10). Lyshölm-Tegner knee scoring scale was used for the evaluation of knee function. Results: The mean age of the patients was 25.9±8.6 years. The surgery was performed as wide resection in 13 cases and as marginal resection in 4 cases. At a mean follow-up of 55.76±30 months, two local recurrences (11.8%) were observed. At the last evaluation session, muscle strength grade was 5/5 in 13 patients and 4/5 in four patients. Postoperative pain was noticed in four patients (VAS=1). Knee function was excellent in 13 patients and good in four patients. Both of the local recurrences occurred in marginally resected lesions. Three out of four cases with reduced muscle strength, postoperative pain, and reduced function were also treated with marginal resection. Conclusion: If a wide surgical margin is achievable without compromising the limb function, surgical resection could be considered the primary choice of treatment for single-muscle hemangiomas.
Sohrab Keyhani; Mehran Soleymanha; Seyed Morteza Kazemi
Volume 6, supplement 1 , June 2018, , Pages 27-27
Abstract
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
Pichitchai Atthakomol; Sezai Ozkan; Kyle Eberlin; Neal Chen; Jonathan Winograd; Sang-Gil Lee
Articles in Press, Accepted Manuscript, Available Online from 30 September 2019
Abstract
Object: Free functional gracilis muscle transfers (FFGT) are an option for reconstruction after traumatic brachial plexus injury. Few studies report the rate of revision surgeries following free functional muscle transfers. We examined the reoperation rate and indication for reoperation after primary ...
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Object: Free functional gracilis muscle transfers (FFGT) are an option for reconstruction after traumatic brachial plexus injury. Few studies report the rate of revision surgeries following free functional muscle transfers. We examined the reoperation rate and indication for reoperation after primary reconstruction of upper extremity function with a free gracilis transfer after brachial plexus injury. Methods: From 2003-2016, we identified 25 patients who underwent a free functional gracilis muscle transfer for restoration of upper extremity function. We reviewed their medical charts to record patient, injury, and treatment characteristics. Indication for reoperation and reoperative procedure were also identified. Results: Fourteen out of 25 patients (56%) had a reoperation after FFGT. Four flaps were re-explored for vascular compromise, but there were no flap failures. The majority of reoperations involved adjustment of tendon excursion (8/14) which demonstrated that tenolysis was the main procedure. Conclusions: Despite promising results of free functional gracilis transfers, reoperation is relatively common and should be discussed with the patient as a preoperative strategy. Early exploration of vascular compromise may decrease the flap failure. Poor tendon excursion is a common unpredicted consequence after FFMT and is the main indication for reoperation.
Suresh K Nayar; Rebecca Glasser; Eugene Deune; John Ingari; Dawn M LaPorte
Articles in Press, Accepted Manuscript, Available Online from 30 September 2019
Abstract
Background: Patient-Reported Outcomes Measurement Information System (PROMIS) scores can quantify symptoms and limitations after upper extremity surgery. Our objective was to determine how these scores compare amongst patients with trapeziometacarpal osteoarthritis treated either nonoperatively or operatively. ...
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Background: Patient-Reported Outcomes Measurement Information System (PROMIS) scores can quantify symptoms and limitations after upper extremity surgery. Our objective was to determine how these scores compare amongst patients with trapeziometacarpal osteoarthritis treated either nonoperatively or operatively. Methods: In this retrospective comparative study, we compared PROMIS scores (upper extremity function [UEF], pain interference, and depression) between 43 patients who underwent nonoperative treatment (nonsteroidal anti-inflammatory drugs/splinting/injections) and 33 patients who underwent trapeziectomy with ligament reconstruction and tendon interposition for trapeziometacarpal osteoarthritis (minimum 6-month recovery period) by 4 surgeons from 2014–2018. PROMIS scores were compared across all patients by Eaton-Littler staging. We used linear regression to assess correlations between time-since-surgery and each PROMIS domain. Multivariable linear regression was used to identify patient and disease factors independently associated with PROMIS scores. Results: Surgery was not associated with better UEF (37 vs. 40, P=0.23), less pain interference (58 vs. 56, P=0.42), or fewer symptoms of depression (47 vs. 46, P=0.59). Similarly, no differences were observed across all patient by Eaton-Littler stage for UEF (P=0.49), pain (P=0.48), or depression (P=0.90). For the operative group, greater time-since-surgery, or patient recovery period, correlated moderately with worse UEF (R=0.41) and increased pain (R=0.37). Conclusions: In small retrospective comparative cohorts, surgery was not associated with better UEF, pain, or depression scores compared with nonoperative treatment for trapeziometacarpal osteoarthritis.
E. Carlos RODRIGUEZ-MERCHAN
Articles in Press, Accepted Manuscript, Available Online from 01 November 2019
Abstract
Patellofemoral (PF) osteoarthritis (OA) is a relatively prevalent disease, afflicting up to 24% of women and 11% of men over the age of 55 years who have symptomatic knee OA.The aims of this narrative overview is to help to determine the place of patellofemoral arthroplasty (PFA) in the management of ...
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Patellofemoral (PF) osteoarthritis (OA) is a relatively prevalent disease, afflicting up to 24% of women and 11% of men over the age of 55 years who have symptomatic knee OA.The aims of this narrative overview is to help to determine the place of patellofemoral arthroplasty (PFA) in the management of isolated PF-OA, and to describe the clinical outcomes of PFA for the treatment of isolated PF degenerative OA of the knee. A Cochrane Library and PubMed (MEDLINE) search related to the role of PFA in PF-OA was performedSeveral reports have found that PFA is an efficacious management for isolated PF-OA. Moreover, a systematic review reported fairly good outcomes of PFA survivorship and functional results at short- and mid-run follow-up in the setting of isolated PF-OA. Success of PFA depends upon precise patient selection rather than prosthetic failure or wear. In many reports, the principal reason of PFA failure is progression of tibiofemoral OA. In recent times, promising outcomes have been produced by the association of PFA and unicompartmental knee arthroplasty (UKA). In cvonclusion, patients with isolated PF-OA with intense anterior knee pain may be aspirants for PFA. The success of the surgical technique and the long-run survivorship of the prosthesis rely on good surgical procedure and adherence to rigorous indications and contraindications in patient selection. Newer prostheses have also contributed to ameliorated results. PFA is an option for younger patients with isolated PF-OA.
Farshad Nikouei; Naveed Nabizadeh; Elham Mirzamohammadi; Maryam Ameri; Saeed Sabbaghan; Behrooz Givehchian; Farshad Safdari
Articles in Press, Accepted Manuscript, Available Online from 01 November 2019
Abstract
Objects: An oscillating bone saw has been used rarely to perform laminectomy. The purpose of this study is to describe a relatively quick and harmless technique for multilevel laminectomy in patients with lumbar spinal stenosis (LSS) by means of an oscillating bone saw in addition to reporting ...
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Objects: An oscillating bone saw has been used rarely to perform laminectomy. The purpose of this study is to describe a relatively quick and harmless technique for multilevel laminectomy in patients with lumbar spinal stenosis (LSS) by means of an oscillating bone saw in addition to reporting the matters those entail this technique and surgery-associated features as well. Methods: In a prospective study, 45 LSS patients who required multilevel laminectomy were included. The bones were cut using an oscillating sagittal saw equipped with a fine 1 cm blade. Posterolateral fusion was performed if any evidence of spinal instability occurred or correction of deformity was addressed. The spent time for laminectomy from initial cutting to whole bone removal (T1) and the duration of laminectomy initiation to the end of decompression (T2) for corresponding level were recorded. Furthermore, the volume of harvested autograft was measured. Any dural injuries were reported. Results: Posterolateral fusion was performed in 32 patients (71.1%). T1 per level and T2 per level averaged 70.5±5.4s and 157.5±12.1s, respectively. The volume of harvested autograft per level averaged 3.5±1.2 cc. No durotomy was observed during laminectomy using an oscillating bone saw. However, a dural tear occurred in one patient when a Kerisson punch was utilized for ligamentum flavum removal and foraminotomy. Conclusion: Laminectomy using an oscillating bone saw is a safe procedure that provides a sufficient volume of harvested autograft for fusion. In our experience, this technique can remarkably reduce the time of surgery as well.
Mohammad Dehghani; Behrooz Fadaei; Shirvan Rastegar; Abolghasem Zarezadeh; Keyvan Ghadimi; Roham Nik Khah; Eslami Sepehr
Articles in Press, Accepted Manuscript, Available Online from 01 November 2019
Abstract
Background: Carpal Tunnel Syndrome(CTS) is characterized by complications such as pain, paresthesia, and numbness in the fingers. There are some surgical therapies for management of severe carpal tunnel, but differences exist between the treatments available for creating the opposition. Therefore, the ...
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Background: Carpal Tunnel Syndrome(CTS) is characterized by complications such as pain, paresthesia, and numbness in the fingers. There are some surgical therapies for management of severe carpal tunnel, but differences exist between the treatments available for creating the opposition. Therefore, the current study was conducted to compare the effect of modified Camitz and BRAND techniques on thumb opposition in patients with severe CTS. Methods: This clinical trial study was carried out in the Alzahra and Kashani hospitals in Isfahan province, Iran from 2014 to 2018. Subjects included 40 patients with severe CTS who had the indications for opponensplasty surgery based on inclusion and exclusion criteria. The patients were divided into two parallel groups of modified Camitz and BRAND. Quick DASH-9 score, Kapandji score, pulp and side pinch and pronation angle were assessed in the patients before and after surgery. Results: The results of the study showed that , Quick DASH-9 score, Kapandji score, pulp and side pinch and pronation angle significantly improved post-operative compared to pre-operative (P<0.05). But, there were no significant differences in the mentioned variables between both groups pre and post-operative (P>0.05, for all the studied variables). There was not any complications in both groups after the surgery. Conclusion: The findings of the present study demonstrated that, both Modified Camitz and BRAND techniques are effective and safe techniques, yielding high improvement and no serious complications, and they can be considered for treatment of patients with severe CTS.
Caleb Yeung; Laura Moore; Jonathan Lans; Santiago Lozano-Calderón
Articles in Press, Accepted Manuscript, Available Online from 01 November 2019
Abstract
Background/Purpose: Angioleiomyomas are rare tumors arising from vascular tissue that can occasionally present in the hand. Reports of angioleiomyomas in this location are highly limited. Here, we describe the presentation and outcomes of a series of cases of angioleiomyomas. Methods: A retrospective ...
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Background/Purpose: Angioleiomyomas are rare tumors arising from vascular tissue that can occasionally present in the hand. Reports of angioleiomyomas in this location are highly limited. Here, we describe the presentation and outcomes of a series of cases of angioleiomyomas. Methods: A retrospective case review of five patients with angioleiomyomas arising in the hand was performed. Patients were identified via International Classification of Diseases, Ninth and Tenth Revision (ICD-9 and ICD-10) diagnosis codes and were reviewed through the electronic medical record for demographic information, tumor characteristics, management, and outcomes. A literature review was also conducted of angioleiomyomas. Results: Five patients were diagnosed with angioleiomyoma at our institution between 1992 and 2015. Patients presented with a painful, slow-growing hand mass in all cases. The majority of patients were male and of middle-age. All of the patients were successfully treated with marginal excision and had full return to functional status without recurrence. Conclusion: Angioleiomyomas are rare tumors that can arise in the hand and should be included in the differential diagnosis of a patient presenting with a painful hand mass. They can be successfully treated with marginal excision.
Hamidreza Aslani; Seyed Taghi Nourbakhsh; Zohreh Zafarani; Monireh Ahmadi-Bani; Mohammad Ebrahim Shahsavand Ananloo; Maani Beigy; Shahin Salehi
Volume 4, Issue 1 , January 2016, , Pages 90-93
Abstract
Frozen shoulder is a glenohumeral joint disorder that perturbs movement because of adhesion and the existence of fibrosis in the shoulder capsule. Platelet-rich plasma can produce collagen and growth factors, which increases stem cells and consequently enhances the healing. To date, there is no ...
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Frozen shoulder is a glenohumeral joint disorder that perturbs movement because of adhesion and the existence of fibrosis in the shoulder capsule. Platelet-rich plasma can produce collagen and growth factors, which increases stem cells and consequently enhances the healing. To date, there is no evidence regarding the effectiveness of platelet-rich plasma in frozen shoulder. A 45-year-old man with shoulder adhesive capsulitis volunteered for this treatment. He underwent two consecutive platelet-rich plasma injections at the seventh and eighth month after initiation of symptoms. We measured pain, function, and ROM by the visual analogue scale (VAS), and scores from the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and goniometer; respectively. After the first injection, the patient reported 60% improvement regarding diurnal shoulder pain, and no night pains. Also, two-fold improvement for ROM and more than 70% improvement for function were reported. This study suggests the use of platelet-rich plasma in frozen shoulder to be tested in randomized trials.
Seyed Hosein Fattahi Masoum; Amir H jafarian; Fatemeh Sadat Abtahi Mehrjardi; Mehrdad Fakhlaei; Leila Sargordan Fard Arani; Sharifeh Kamalimotlagh; Asieh sadat fattahi
Articles in Press, Accepted Manuscript, Available Online from 01 November 2019
Abstract
Primary synovial sarcoma of mediastinum is very rare between soft tissue sarcomas with only a few reported cases in the world literature,its optimal therapy is still unclear, but surgical resection is the main treatment.Herein, we report a case of a 20*20 cm (2000gr) primary mediastinal giant synovial ...
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Primary synovial sarcoma of mediastinum is very rare between soft tissue sarcomas with only a few reported cases in the world literature,its optimal therapy is still unclear, but surgical resection is the main treatment.Herein, we report a case of a 20*20 cm (2000gr) primary mediastinal giant synovial sarcom with a 2*2cm nodul of lung diagnosed in a 42 year-old male on whom the radical excision of the tumor and the metastasis was performed.
Hosseinali Hadi; mahmood jabalamoli; Abolfazl Bagheri Fard; ahmadreza behrouzi; Fatemeh Safi; amir azimi; Mahtab Ghanbari; Gholamreza Azarnia Samarin
Articles in Press, Accepted Manuscript, Available Online from 21 November 2019
Abstract
Introduction: The maintenance of deformity in the ankle and hindfoot after correction of knee deformity following knee arthroplasty may cause abnormal tension in the knee and patient dissatisfaction Materials and methods: A total of 84 patients with primary osteoarthritis, were enrolled in the study. ...
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Introduction: The maintenance of deformity in the ankle and hindfoot after correction of knee deformity following knee arthroplasty may cause abnormal tension in the knee and patient dissatisfaction Materials and methods: A total of 84 patients with primary osteoarthritis, were enrolled in the study. The knee deformity was measured using a long leg film before surgery. The long axial radiographic view of hindfoot was taken in the standing position for all patients, before and six months after surgery. Results: A total of 84 patients with mean age of 62.28 ± 7.77 years, 77 (92%) and seven patients (eight percent) had knee varus and valgus deformity, respectively. In the knee varus group, mean preoperative hindfoot angle was + 5.32 ± 6.12 ° (valgus) and was changed to - 0.25 ± 4.91 ° (varus) in the postoperative phase. In the knee valgus group, mean pre and postoperative hindfoot angles were - 7.71 ± 7.06° (varus) and - 2.14 ± 5.92 ° (varus), respectively. The mean preoperative hindfoot angle in severe and very severe varus knee groups were + 5.45 ± 3.30 and + 5.28 ± 6.86 °, respectively. These angles were changed to + 0.21± 5.17 and -1.60 ± 3.89° six months after surgery, respectively. The mean preoperative hindfoot angle in severe and very severe valgus knee deformity groups were - 7.00 ± 4.69 and -8.66 ± 10.69 °, respectively. These angles were changed to - 2.00 ± 5.71 and - 2.33 ± 7.50 °after surgery, respectively. There was no significant difference between patients with severe and very severe deformity in terms of pre and post-operative hindfoot angle. Conclusion: The hindfoot alignment is significantly corrected after knee arthroplasty. The severity of knee deformity does not correlate with the severity of the hindfoot deformity before and after surgery. Level of evidence: I
Sohrab Keyhani; Mohamad Sajad Mirhoseini; Ali Akbar Esmailiejah; Seyyed-Mohsen Hosseininejad; Naser Ghanbari
Articles in Press, Accepted Manuscript, Available Online from 21 November 2019
Abstract
Introduction: Meniscus tear is a common finding in patients with anterior cruciate ligament (ACL) injury and may affect the natural history of the injury and the outcomes of treatment. In the current study, the characteristics of meniscus tears in patients underwent arthroscopic ACL reconstruction were ...
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Introduction: Meniscus tear is a common finding in patients with anterior cruciate ligament (ACL) injury and may affect the natural history of the injury and the outcomes of treatment. In the current study, the characteristics of meniscus tears in patients underwent arthroscopic ACL reconstruction were investigated. Materials and methods: The hospital records of 1022 patients were reviewed. The measured variables included the presence of meniscus tear, ramp and root injury, the zone of injury based on the Cooper classification and the type of tear. The ACL tears with more than 3 months delay in ACLR recorded as chronic injuries. Findings: The incidence of meniscus tear was 44.4%. Among them, the most common type of tear was bucket-handle injury (30.4%) and the ramp lesion was found in 20.5% and. The meniscus was repaired 56.6%. The incidence of medial meniscus injury was significantly higher in chronic ACL tears and vice versa (p<0.001). The incidence of ramp lesion (9.1% Vs 20.5%) and root tear (1.3% Vs 2.9%) were significantly higher in the chronic and acute tears, respectively (p<0.001). The chronicity of the ACL injury was not related to the reparability of the meniscus tear. Conclusion: More than 3 months delay in ACLR was associated with the increased incidence of meniscal injury, specially the medial meniscus, and ramp lesion. It seems that early ACLR may be more helpful for the patients. However, the chronicity of the ACL tear had no effect on the reparability of the meniscus injury.
Seyed Mohammad Javad Mortazavi; Babak Sattartabar; Alireza Moharrami; seyed hadi Kalantar
Articles in Press, Accepted Manuscript, Available Online from 30 December 2019
Abstract
Background: Total knee arthroplasty (TKA) can cause excessive blood loss requiring allogenic transfusions. Tranexamic acid (TXA) has been increasingly used for lowering blood loss. The present study aimed to compare the efficacy of intravenous (IV) and intra-articular (IA) administrations of TXA in TKA ...
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Background: Total knee arthroplasty (TKA) can cause excessive blood loss requiring allogenic transfusions. Tranexamic acid (TXA) has been increasingly used for lowering blood loss. The present study aimed to compare the efficacy of intravenous (IV) and intra-articular (IA) administrations of TXA in TKA patients who receive aspirin as chemoprophylaxis and uses no drain post-operative. Methods: In this prospective randomized clinical trial, 49 TKA patients were intravenously given 15 mg/kg dose of TXA, and 49 patients intraarticularly received 15 mg/kg of TXA. Demographic information, pre-operative and post-operative hemoglobin values of the patients were used for assessing total perioperative blood loss by GOOD & NADLER formulae. Results: There was not any significant difference between the IV TXA and IA TXA groups concerning blood loss (P= 0.102). However, the decrease in hemoglobin level at 48 hours post-operation compared to the preoperative level in the IV TXA group was significantly higher than that in the IA TXA group (-2.3 ±0.8 vs. -1.9 ±1.0 g/dL; P= 0.038). No blood transfusion was needed, and the deep venous thrombosis and pulmonary embolization were not observed in either of the groups (P> 0 .05). Conclusion: Our study showed that during TKA, the IA TXA is equally safe and effective as its IV infusion concerning decreased blood loss and adverse effects. The use of TXA during TKA is safe for patients who receive less potent chemoprophylaxis agents such as aspirin. The study was retrospectively registered in IRCT with code, IRCT20160809029286N3. There are no conflict of interest to decleare. (https://irct.ir/trial/36432)
Dinesh Kumar Viswakumar; Yogesh Ashok Sontakke; Shishir Murugharaj Suranigi
Articles in Press, Accepted Manuscript, Available Online from 30 December 2019
Abstract
Anterolateral ligament (ALL) of the knee joint has been subjected to lot of controversies in the past few years. Even though this enigmatic structure was described under different descriptions, it got christened as anterolateral ligament by Claes in 2013 and since then it is being hugely discussed in ...
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Anterolateral ligament (ALL) of the knee joint has been subjected to lot of controversies in the past few years. Even though this enigmatic structure was described under different descriptions, it got christened as anterolateral ligament by Claes in 2013 and since then it is being hugely discussed in orthopaedics forums. The biomechanical and radiological factors along with its function have been described recently, but the evidences are not concrete enough. One school of orthopaedic surgeons suggest that because of its ability to modulate internal rotation and attachment to the lateral meniscus, ALL contributes to the pivot shift phenomenon. Similarly, because of its oblique placement and variations in protocols, radiological and histological findings documented in the literature are also varied in nature. With the growing body of evidence, there is an increasing call for concomitant anterolateral stabilization along with anterior cruciate ligament reinforcement surgeries. The present review is an attempt to systematically review the anatomy, variations in classifications, descriptions, histology, radiology and biomechanical features of ALL. At the end of the review, we conclude that ALL is a distinct ligamentous structure located at the anterolateral aspect of the knee with the possible contribution to the tibial internal rotation stability. Level of Evidence: I
reza khanzadeh; reza mahdavinejad; Ali Borhani
Articles in Press, Accepted Manuscript, Available Online from 30 December 2019
Abstract
Abstract Objective: The purpose of this study was to identify the effects of eight weeks of conventional core stability exercises and suspension core stability exercises by use of the designed device on characteristic of intervertebral discs in low back and Pain. Methods: This was a quasi-experimental ...
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Abstract Objective: The purpose of this study was to identify the effects of eight weeks of conventional core stability exercises and suspension core stability exercises by use of the designed device on characteristic of intervertebral discs in low back and Pain. Methods: This was a quasi-experimental study with two groups. The individuals consisted of 27 men with chronic low back pain due to lumbar disc herniation in L4-L5 and L5-S1 regions. After assessing the intensity of pain using visual analog scale (VAS) and determining the disc herniation index using MRI, the individuals performed conventional and suspension exercises for eight weeks and each week consisted of three training sessions. The intensity of pain was assessed in first, second, third, fourth and eighth weeks and the Disc Hernia Index was determined again at the end of the eight weeks of exercises. For data analysis, the paired t-test and repeated measures analysis were applied. Results: The results indicated significant changes in the intensity of pain in both groups through the period of eight weeks of exercise and a remarkable pain relief was observed in the individuals. In relation to the structural characteristics of the intervertebral disc, the data analysis did not reveal any significant change between pretest and posttest. Conclusion: Considering the beneficial effects of the stability exercises and specially suspension stability exercises with respect to pain alleviation and thus reduced use of sedatives and anti-inflammatory drugs, this method can be helpful at the early treatment stages for chronic pains.
SM Javad Mortazavi; nima bagheri; Amir Reza Farhoud; seied hadi Kalantar; Ehsan Ghadimi
Articles in Press, Accepted Manuscript, Available Online from 30 December 2019
Abstract
Total knee arthroplasty is considered as the treatment of choice for those with end-stage hemophilic arthropathy. Compared to other patients undergoing TKA, these patients have specific features, such as bleeding tendency, younger age, pre-operative restricted range of motion (ROM), altered anatomy and ...
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Total knee arthroplasty is considered as the treatment of choice for those with end-stage hemophilic arthropathy. Compared to other patients undergoing TKA, these patients have specific features, such as bleeding tendency, younger age, pre-operative restricted range of motion (ROM), altered anatomy and increased complications. This narrative review is going to investigate several issues regarding the TKA in hemophilic patients, including indications, perioperative factor replacement, surgical challenges, postoperative rehabilitation, outcome, and complications.