Point-of-Care Ultrasonography in Orthopedics: A Helpful Tool to Improve Patient Care
SM Javad
Mortazavi
Tehran University of Medical Sciences
Joint Reconstruction Research Center, Tehran, Iran
author
Mohammad Hossein
Nabian
Joint
Reconstruction Research Center, Tehran University of Medical
Sciences, Tehran, Iran
author
text
article
2020
eng
An enormous technological improvement in Ultrasonography devices has occurred during last decade, providing excellent soft-tissue contrast and high spatial resolution images. Nowadays, musculoskeletal ultrasonography is going to be a stethoscope in the hand of orthopedic surgeons for the diagnosis of many musculoskeletal pathologies, as well as an accurate guide for therapeutic interventions. Therefore, it is wise for practicing orthopedic surgeons to learn musculoskeletal ultrasonography in collaboration with radiology colleagues as this would improve the patients' care .
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
323
324
https://abjs.mums.ac.ir/article_15744_ea17aa9b5954b585bd421fbb5b7c1648.pdf
dx.doi.org/10.22038/abjs.2020.47207.2306
The Present Situation of Patellofemoral Arthroplasty in the Management of Solitary Patellofemoral Osteoarthritis
E. Carlos
RODRIGUEZ-MERCHAN
Department of Orthopaedic Surgery, La Paz University
Hospital, Madrid, Spain
author
text
article
2020
eng
Patellofemoral (PF) osteoarthritis (OA) is a somewhat predominant illness, affecting up to 24% of women and 11% ofmen over the age of 55 years who suffer from symptomatic knee OA. The purposes of this narrative overview are tosummarize the present situation of patellofemoral arthroplasty (PFA) in the treatment of solitary PF-OA, and to givean account of the clinical results of PFA for the management of solitary PF degenerative OA of the knee. A CochraneLibrary and PubMed (MEDLINE) examination related to the position of PFA in PF-OA was carried out. A number ofpublications have encountered that PFA is an efficacious treatment for solitary PF-OA. Additionally, a systematic reviewdescribed fairly good results of PFA survivorship and functional outcomes at short- and mid-run follow-up in the settingof solitary PF-OA. Success of PFA depends on accurate patient selection rather than prosthetic failure or wear. In manyreports, the main cause of PFA failure is advancement of tibiofemoral OA. In contemporary times, encouraging resultshave been accomplished by the association of PFA and unicompartmental knee arthroplasty (UKA). In conclusion,patients with solitary PF-OA with severe anterior knee pain may be candidates for PFA. The success of the surgicalprocedure and the long-run survivorship of PFA are related to a good surgical technique and observation to meticulousindications and contraindications in patient selection. Newer prostheses have also played a part to amelioratedoutcomes. PFA is an alternative for younger patients with solitary PF-OA.Level of evidence: III
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
325
331
https://abjs.mums.ac.ir/article_15746_7c535b0caceb27f44e70a4dc63961ecf.pdf
dx.doi.org/10.22038/abjs.2020.15746
Truly Existing or Hyped up? Unravelling the Current Knowledge Regarding the Anatomy, Radiology, Histology and Biomechanics of the Enigmatic Anterolateral Ligament of the Knee Joint
Dinesh
Kumar. V
Department of Anatomy, Jawaharlal Institute of
Postgraduate Medical Education and Research,
Puducherry, India
author
Yogesh
Ashok Sontakke
Department of Anatomy, Jawaharlal Institute of
Postgraduate Medical Education and Research,
Puducherry, India
author
Shishir
Suranigi Murugharaj
Department of Orthopaedics, Pondicherry Institute of
Medical Sciences, Puducherry, India
author
text
article
2020
eng
Ever since its description, anterolateral ligament (ALL) of the knee joint remains as the hotspot of controversies.Though it has been described under various descriptions, the structure gained its limelight when it was christenedas anterolateral ligament by Claes in 2013. The main reason for the controversies around it is the lack of concreteevidences regarding its attachments, morphology, biomechanical aspects and radiological appearance. Similarly therole of ALL in pivot shift phenomenon also remains as a point of debate. The advocates of ALL suggest that becauseof its ability to modulate internal rotation and attachment to the lateral meniscus, ALL contributes to the pivot shiftphenomenon. Similarly, the orientation of ALL stands as the reason for varied documentation with respect to imagingtechniques. With the growing body of evidence, it is imperative to fix our stand regarding the structure because, iffound to be morphologically persistent, it can be used for concomitant anterolateral stabilization along with anteriorcruciate ligament reinforcement surgeries. The present review tries to systematically review the anatomy, variations inclassifications, descriptions, histology, radiology and biomechanical features of ALL. At the end of the review, we wouldlike to find the answer for the question: Is ALL a distinct ligamentous structure located at the anterolateral aspect of theknee? What is the contribution of it to the tibial internal rotation stability?Level of evidence: II
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
332
342
https://abjs.mums.ac.ir/article_15747_6d13df000dc4b434bc60ae6684978bba.pdf
dx.doi.org/10.22038/abjs.2019.40067.2074
The Effect of Ozone (O3) versus Hyaluronic Acid on Pain and Function in Patients with Knee Osteoarthritis: A Systematic Review and Meta-Analysis
Javad
Javadi Hedayatabad
Orthopedic Research Center, Mashhad University of
Medical Sciences, Mashhad, Iran
author
Amir R.
Kachooei
Orthopedic Research Center, Mashhad University of
Medical Sciences, Mashhad, Iran- Rothman Institute, Thomas Jefferson University,
Philadelphia, USA
author
Negar
Taher Chaharjouy
Orthopedic Research Center, Mashhad University of
Medical Sciences, Mashhad, Iran
author
Niloufar
Vaziri
Orthopedic Research Center, Mashhad University of
Medical Sciences, Mashhad, Iran
author
Hasan
Mehrad-Majd
Clinical Research Development Unit, Ghaem Hospital,
Mashhad University of Medical Sciences, Mashhad, Iran
author
Maryam
Emadzadeh
Clinical Research Development Unit, Ghaem Hospital,
Mashhad University of Medical Sciences, Mashhad, Iran
author
Mansour
Abolghasemian
Iran University of Medical Sciences, Tehran, Iran
author
Mohammad H.
Ebrahimzadeh
Orthopedic Research Center, Mashhad University of
Medical Sciences, Mashhad, Iran
author
text
article
2020
eng
Background: Of the pharmacological modalities for knee osteoarthritis (OA), intra-articular injections including ozone(O3) and hyaluronic acid (HA) are commonly used for reducing pain and improving function. In this systematic reviewand meta-analysis, we aimed to compare the effect of O3 versus HA in reducing pain and increasing function in patientswith knee OA.Methods: After searching databases, we included 6 randomized controlled trials on patients with knee OA thatcompared the effects of intra-articular injection of ozone versus HA. The primary outcome was visual analogue scale(VAS) of pain. The secondary outcome was Western Ontario and McMaster Universities Arthritis Index (WOMAC)score.Results: There was a total of 237 patients in the HA group and 230 patients in the Ozone group. Of 6 studies, 4 werein English, 1 was in Persian, and 1 was in German language. The overall Standardized Mean Difference (SMD) for VASpain did not show a significant difference between the groups although it favored HA injection (1.27 [95%CI: (-0.12)-2.66]). Total WOMAC score showed a significant difference over the time favoring HA injection (4.5 [95%CI: 1.1-8]).However, no single time point showed any significant difference between groups.Conclusion: This meta-analysis showed no significant difference between HA and ozone in reducing pain andimproving function in patients with knee OA, although the overall results favored HA over ozone. Since previous studieshave shown comparable results between HA and placebo, ozone seems to fall in the same category with more placeboeffect rather than a real disease-modifier.Level of evidence: I
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
343
354
https://abjs.mums.ac.ir/article_15749_704de05ee5c76f527451984a76eb84c0.pdf
dx.doi.org/10.22038/abjs.2020.46925.2292
Intra-articular versus Intravenous Tranexamic Acid in Total Knee Arthroplasty: A Randomized Clinical Trial
SM Javad
Mortazavi
Joint Reconstruction Research Center, Tehran University
of Medical Science, Tehran, Iran
author
Babak
Sattartabar
Joint Reconstruction Research Center, Tehran University
of Medical Science, Tehran, Iran
author
Alireza
Moharrami
Joint Reconstruction Research Center, Tehran University
of Medical Science, Tehran, Iran
author
seyed hadi
Kalantar
Joint Reconstruction Research Center, Tehran University
of Medical Science, Tehran, Iran
author
text
article
2020
eng
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 comparethe efficacy of intravenous (IV) and intra-articular (IA) administrations of TXA in TKA patients who receive aspirin aschemoprophylaxis and uses no drain post-operative.Methods: In this prospective randomized clinical trial, 49 TKA patients were intravenously given 15 mg/kg dose ofTXA, and 49 patients intraarticularly received 15 mg/kg of TXA. Demographic information, pre-operative and postoperativehemoglobin 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 preoperativelevel 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 werenot 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 concerningdecreased blood loss and adverse effects. The use of TXA during TKA is safe for patients who receive less potentchemoprophylaxis agents such as aspirin.Level of evidence: I
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
355
362
https://abjs.mums.ac.ir/article_15750_c26f6ab7d80543e88801980ab84ef713.pdf
dx.doi.org/10.22038/abjs.2019.39080.2039
The Efficacy of Intravenous Versus Topical Use of Tranexamic Acid in Reducing Blood Loss after Primary Total Knee Arthroplasty: A Randomized Clinical Trial
Ali
Torkaman
Department of Knee Surgery, Firouzgar Hospital, Iran
University of Medical Sciences,Tehran , Iran
author
Amir
Rostami
Bone and Joint Reconstruction Research Center,
Firouzgar Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Mohammad Reza
Sarshar
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Hamidreza
Yazdi
Bone and Joint Reconstruction Research Center,
Firouzgar Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Hossein
Akbari Aghdam
Department of Orthopedic Surgery, School of Medicine,
Isfahan University of Medical Sciences , Isfahan, Iran
- Bone and Joint Reconstruction Research Center, Iran
University of Medical Sciences, Tehran, Iran
author
Paniz
Motaghi
Iran University of Medical Sciences, Tehran, Iran
author
text
article
2020
eng
Background: Blood loss during and immediately after total knee arthroplasty (TKA) is among the most challengingconcerns. It has been demonstrated that Tranexamic acid (TXA) can help to reduce perioperative blood loss. TXAcan be used as an oral, topical or intravenous injection. Many studies evaluated the effectiveness of each route ofadministration but few works on a comparison between them. The current study aimed to compare the effectivenessof intravenous injection versus topical use of TXA in reducing perioperative blood loss after primary total kneearthroplasty.Methods: Eighty-five patients who were a candidate for total knee arthroplasty were randomized into two groups:one group received Intravenous injection of 15 mg/kg TXA, 10 min before tourniquet inflation while the other group received 1 g diluted TXA during wound closure. The postoperative blood loss was estimated by measuring thewhole drain output and also hemoglobin (HB) drops. Both groups compared based on the need for allogenic bloodtransfusion and also thromboembolic events.Results: Patients who received topical TXA had a higher total drain output (p <0.0001) compared to intravenousinjection. The hemoglobin drop also was more in the topical group although it was marginally significant (P=0.05).Conclusion: Intravenous injection of TXA is more effective in reducing postoperative blood loss after primary TKAcompared to topical administration.Level of evidence: I
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
363
367
https://abjs.mums.ac.ir/article_15751_604a0c333fd7983a0dc24073465edca9.pdf
dx.doi.org/10.22038/abjs.2020.40528.2099
Reoperation Rate and Indication for Reoperation after Free Functional Muscle Transfers in Traumatic Brachial Plexus Injury
Pichitchai
Atthakomol
Department of Orthopaedic Surgery, Massachusetts
General Hospital, Boston, MA, USA- Department of Orthopaedics, Faculty of Medicine,
Chiang Mai University, Thailand
author
Sezai
Ozkan
Department of Orthopaedic Surgery, Massachusetts
General Hospital, Boston, MA, USA
author
Kyle R.
Eberlin
Division of Plastic and Reconstructive Surgery,
Massachusetts General Hospital, Boston, MA, USA
author
Neal
Chen
Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School
author
Jonathan
Winograd
Division of Plastic and Reconstructive Surgery,
Massachusetts General Hospital, Boston, MA, USA
author
Sang-Gil
Lee
Department of Orthopaedic Surgery, Massachusetts
General Hospital, Boston, MA, USA
author
text
article
2020
eng
plexus injury. Few studies report the rate of revision surgeries following free functional muscle transfers. We examinedthe reoperation rate and indication for reoperation after primary reconstruction of upper extremity function with a freegracilis transfer after brachial plexus injury.Methods: From 2003-2016, we identified 25 patients who underwent a free functional gracilis muscle transfer forrestoration of upper extremity function. We reviewed their medical charts to record patient, injury, and treatmentcharacteristics. 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 vascularcompromise, 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.Conclusion: Despite promising results of free functional gracilis transfers, reoperation is relatively common and shouldbe discussed with the patient as a preoperative strategy. Early exploration of vascular compromise may decrease theflap failure. Poor tendon excursion is a common unpredicted consequence after FFMT and is the main indication forreoperation.Level of evidence: IV
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
368
372
https://abjs.mums.ac.ir/article_15753_d2658136a405b89a78e42524488a0941.pdf
dx.doi.org/10.22038/abjs.2019.41123.2113
Angioleiomyoma of the Hand: A Case Series and Review of the Literature
Caleb M.
Yeung
Division of Orthopaedic Oncology, Department of
Orthopaedic Surgery, Massachusetts General Hospital,
Harvard Medical School, Boston, MA, USA
author
Laura
Moore
Division of Orthopaedic Oncology, Department of
Orthopaedic Surgery, Massachusetts General Hospital,
Harvard Medical School, Boston, MA, USA
author
Jonathan
Lans
Division of Orthopaedic Oncology, Department of
Orthopaedic Surgery, Massachusetts General Hospital,
Harvard Medical School, Boston, MA, USA
author
Santiago A.
Lozano-Calderón,
Division
of Orthopaedic Oncology, Department of Orthopaedic Surgery,
Massachusetts General Hospital, Harvard Medical School,
Boston, MA, USA
author
text
article
2020
eng
Background: 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 aseries of cases of angioleiomyomas.Methods: A retrospective case review of five patients with angioleiomyomas arising in the hand was performed. Patientswere identified via International Classification of Diseases, Ninth and Tenth Revision (ICD-9 and ICD-10) diagnosiscodes 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. Patientspresented 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 withoutrecurrence.Conclusion: Angioleiomyomas are rare tumors that can arise in the hand and should be included in the differentialdiagnosis of a patient presenting with a painful hand mass. They can be successfully treated with marginal excision.Level of evidence: IV
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
373
377
https://abjs.mums.ac.ir/article_15754_81fd0e90cbeb7e296e3531d4facface5.pdf
dx.doi.org/10.22038/abjs.2020.15754
Fracture Surgery in Known COVID-19 Infected Patients: What Are the Challenges?
Mehrdad
Sadighi
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
SM Javad
Mortazavi
Joint Reconstruction Research Center (JRRC), Imam
Khomeini Hospital Complex, Tehran University of Medical
Science, Tehran, Iran
author
Adel
Ebrahimpour
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
Alireza
Manafi-Rasi
Department of Orthopedic Surgery, Imam Hossein
Hospital,Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
Mohammad H.
Ebrahimzadeh
Orthopedic Research Center, Ghaem Hospital, Mashhad
University of Medical Sciences, Mashhad, Iran
author
Meisam
Jafari KafiAbadi
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
Seyyed Saeed
Khabiri
Department of Orthopedic Surgery, Kermanshah
University of Medical Sciences, Kermanshah Iran
author
Saber
Barazandeh Rad
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
Monireh
Yaghoubi
Department of Orthopedic Surgery, Kermanshah
University of Medical Sciences, Kermanshah Iran
author
Mohammadreza
Chehrassan
Department of Orthopedic Surgery, Shohada Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
text
article
2020
eng
Background: Surgery in the time of COVID-19 pandemic is a challenging issue while treatment of affected fracturepatients is inevitable. The present study summarizes the challenges that an orthopedic surgeon is confronting duringthe surgical treatment of fracture patients with concomitant COVID-19 infection.Methods: Demographic and fracture related data of 13 fracture patients with concomitant COVID-19 infection whowere treated with surgery was collected from three trauma centers in Tehran and Kermanshah cities from 21, February2020 to April 3, 2020.Results: All patients were male with mean age of 38.6±19.5 years. Eight patients had high energy fracture and sevenpatients had multiple fractures and trauma. Wrist and hand were the common sites of fracture following hip and pelvis. Themean interval time period between the diagnosis of COVID-19 infection and surgery was 2.3±1.5 days. Before surgery, allpatients except one had been admitted to the corona dedicated wards, while two patients were admitted to the intensivecare unit (ICU). One of the ICU admitted patients died. All the 12 alive patients remained in home isolation after discharge.Conclusion: Fracture surgery in COVID-19 patients has many challenges such as lack of medical resources, delayof surgery, medial staff fear, and patient isolation. However, a multidisciplinary approach using all potential hospitalresources would lead to successful operation and acceptable outcome.Level of evidence: III
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
378
382
https://abjs.mums.ac.ir/article_15755_c23705b478b5a9e2e60519b4a071b2f1.pdf
dx.doi.org/10.22038/abjs.2020.47899.2372
Equivalent PROMIS Scores after Nonoperative or Operative Treatment of Trapeziometacarpal Osteoarthritis
Suresh K.
Nayar
Orthopaedics, Johns Hopkins University School of Medicine, Baltimore, USA
author
Rebecca
Glasser
Orthopaedics, Johns Hopkins University School of Medicine, Baltimore, USA
author
Eugene
Deune
Orthopaedics, Johns Hopkins University School of Medicine, Baltimore, USA
author
John
Ingari
Orthopaedics, Johns Hopkins University School of Medicine, Baltimore, USA
author
Dawn
LaPorte
Orthopaedics, Johns Hopkins University School of Medicine, Baltimore, USA
author
text
article
2020
eng
Background: Patient-Reported Outcomes Measurement Information System (PROMIS) scores can quantify symptomsand limitations after upper extremity surgery. Our objective was to determine how these scores compare amongstpatients 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 antiinflammatorydrugs/splinting/injections) and 33 patients who underwent trapeziectomy with ligament reconstructionand tendon interposition for trapeziometacarpal osteoarthritis (minimum 6-month recovery period) by 4 surgeons from2014–2018. PROMIS scores were compared across all patients by Eaton-Littler staging. We used linear regression toassess correlations between time-since-surgery and each PROMIS domain. Multivariable linear regression was usedto 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 byEaton-Littler stage for UEF (P=0.49), pain (P=0.48), or depression (P=0.90). For the operative group, greater timesince-surgery, or patient recovery period, correlated moderately with worse UEF (R=0.41) and increased pain (R=0.37).Conclusion: In small retrospective comparative cohorts, surgery was not associated with better UEF, pain, ordepression scores compared with nonoperative treatment for trapeziometacarpal osteoarthritis.Level of evidence: III
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
383
390
https://abjs.mums.ac.ir/article_15756_a733110f87128971a486cc92b58ee341.pdf
dx.doi.org/10.22038/abjs.2019.41772.2128
The Survival and Incidence Rate of Ewing Sarcoma; a National Population-based Study in Iran (2008-2015)
Adel
Ebrahimpour
Cancer Research Center, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
- Department of Orthopedic Surgery, Shohadaye Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
Mohammadreza
Chehrassan
Cancer Research Center, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
- Department of Orthopedic Surgery, Shohadaye Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
Mehrdad
Sadighi
Cancer Research Center, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
- Department of Orthopedic Surgery, Shohadaye Tajrish
Hospital, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
Mehdi
Azizmohammad Looha
Department of Biostatics, Faculty of Paramedical
Sciences, Shahid Beheshti University of Medical Sciences,
Tehran, Iran
author
Amin
Karimi
Department of Orthopedic Surgery, Taleghani Hospital,
Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Atieh
Akbari
Cancer Research Center, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
author
Alireza
Raeisi
Shiraz University of Medical Sciences, Shiraz, Iran
author
Mohammad Esmaeil
Akbari
Cancer Research Center, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
author
text
article
2020
eng
Background: The effect of race and ethnicity on some kind of malignant bone tumors including Ewing sarcomahas been proven in different studies. In order to evaluate the latter, national cancer registries may help to increaseunderstanding about potential cancer causes, prevention and control strategies, and apply these findings to controlhealth problems among populations with similar characteristics.Methods: A national population-based cancer registry study based on all patients affected by Ewing Sarcoma wasregistered in the Iran National Cancer Registry (INCR) between 2008 and 2015 was designed. Demographic data ofmicroscopically confirmed cases of bone Ewing sarcoma were registered. Patients with Ewing sarcoma were dividedin groups to describe the primary site of the tumor (including axial or appendicular bones) and analyzed. In order toanalyze the survival rate, randomized selection of the patient through the INCR data-base was performed.Results: A total of 678 cases of malignant Ewing sarcoma of the bone were identified through the INCR. The meanage of Ewing sarcoma in Iran was 21.53 years. Nearly half of patients were observed at the age group of 15-24. Thetotal crude incidence rate of Ewing sarcoma was 1.29 in 1 million. The mean 5 year survival rate was 47%. The Meansurvival rate for study population was 5.53.Conclusion: The crude incidence rate of Ewing sarcoma in Iran is relatively lower with respect to other registries. Themajority of patients are in 15-25 years group and shows affection by Ewing sarcoma in an older age. Socioeconomicfactors had direct influence on survival rate.Level of evidence: IV
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
391
399
https://abjs.mums.ac.ir/article_15757_2f69ebd1b48b8a9b7b781a079fc6439e.pdf
dx.doi.org/10.22038/abjs.2020.44095.2206
Anthropometric Measurements of Distal Femur to Design the Femoral Component of Total Knee Arthroplasty for the Iranian Population
Ali
Birjandinejad
Orthopedic Research Center, Shahid Kamyab Hospital,
Mashhad University of Medical Sciences, Mashhad, Iran
author
Reza
Zandi
Taleghani Hospital, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
author
elham
karimi
Department of Biology and Anatomical Sciences,
Faculty of Medicine, Shahid Beheshti University of
Medical Sciences, Tehran, Iran
author
text
article
2020
eng
Background: Acquiring knowledge about anatomic and geometric quantities of bones is among the most vitalparameters in orthopedic surgery that has a significant effect on the treatment of various disorders and subsequentoutcomes. The aim of this study was to obtain anthropometric information for distal femur in order to compare withsimilar dimensions of prosthesis used in total knee arthroplasty (TKA) surgery and to design more suitable and optimalcomponents.Methods: Morphological data of distal femur were measured in 132 knees (81 males and 51 females) using magneticresonance imaging (MRI). The data included anterior-posterior (AP) length, medial-lateral (ML) width, medial AP (MAP),lateral AP (LAP), MAP to LAP distance in the anterior distal femur namely anterior medial lateral (AML) width, medialand lateral condyle width, and intercondylar notch. The aspect ratio (ML/AP) was also calculated and the results werecompared with similar dimensions of currently used knee implants.Results: Our data showed that men are significantly larger in all dimensions than women. In the distal femur withsimilar AP lengths in both sexes, women had a smaller ML width than men (p <0.001). Comparison between the distalfemur and studied prostheses showed no high correlation and similarity between the femoral component and femoralcondyle prostheses in the resected surface of the bone.Conclusion: The results of this study can provide the data needed to design prostheses suitable for the Iranianpopulation.Level of evidence: III
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
400
406
https://abjs.mums.ac.ir/article_15758_e56b2ea9b078e50119b09620c01aaf54.pdf
dx.doi.org/10.22038/abjs.2018.32420.1861
Application of Oscillating Saw for Lumbar en Bloc Laminectomy: A Case Series
Farshad
Nikouei
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
2 Faculty of Medicine,
author
Naveed
Nabizadeh
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Elham
Mirzamohammadi
Faculty of Medicine, Iran University of Medical Sciences,
Tehran, Iran
author
Maryam
Ameri
Department of Forensic Medicine and Toxicology, Iran
University of Medical Sciences, Tehran, Iran
author
Saeed
Sabbaghan
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Behrooz
Givehchian
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Farshad
Safdari
Bone and Joint Related Tissue Research Center, Shahid
Beheshti University of Medical Sciences, Tehran, Iran
author
text
article
2020
eng
Background: An oscillating bone saw is rarely used to perform laminectomy. The purpose of this study was to describea relatively quick and harmless technique for multilevel laminectomy in patients with lumbar spinal stenosis (LSS) usingan oscillating bone saw to find out how this instrument affects the time of surgery and rate of complications.Methods: This prospective study was conducted on 45 patients with LSS who required multilevel laminectomy. Thebones were cut using an oscillating sagittal saw equipped with a fine 1-cm blade. Posterolateral fusion was performed ifany evidence of spinal instability occurred, or the correction of deformity was addressed. The time spent for laminectomyfrom initial cutting to the whole bone removal (T1) and the duration of laminectomy (i.e., from initiation to the end ofdecompression; T2) were recorded for the corresponding level. The volume of harvested autograft was also measured,and any dural injuries were reported.Results: Posterolateral fusion was performed on 32 (71.1%) patients. The mean T1 and T2 per level were estimated at70.5±5.4 and 157.5±12.1 sec, respectively. In addition, the mean volume of harvested autograft per level was obtainedas 3.5±1.2 cc. No durotomy was observed during laminectomy using an oscillating bone saw. However, a dural tearoccurred in one patient when a Kerisson punch was utilized for ligamentum flavum removal and foraminotomy.Conclusion: Based on the findings, it can be concluded that laminectomy by means of the oscillating bone saw is asafe procedure that provides a sufficient volume of harvested autograft for fusion. This technique could also induce aremarkable reduction in the time of surgery.Level of evidence: IV
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
407
412
https://abjs.mums.ac.ir/article_15759_9eb92e7cb22f88ba7abed059c2626114.pdf
dx.doi.org/10.22038/abjs.2020.15759
The Effect of Total Knee Arthroplasty on Hindfoot Alignment in Patients with Severe Genu Varum and Genu Valgum
Hosseinali
Hadi
Orthopedic Department, Arak University of Medical
Sciences, Arak, Iran
author
Mahmood
Jabal Amoli
Bone and Joint Reconstruction Research Center, Shafa
Yahyaian Hospital, Iran University of Medical Science,
Tehran, Iran
author
Abolfazl
Bagherifard
Bone and Joint Reconstruction Research Center, Shafa
Yahyaian Hospital, Iran University of Medical Science,
Tehran, Iran
author
Ahmadreza
Behrouzi
Valiasr Hospital, Arak University of Medical Sciences,
Arak, Iran
author
Fatemeh
Safi
Radiology Department, Faculty of Medicine, Arak
University of Medical Sciences, Arak, Iran
author
Amir
Azimi
Orthopedic Department, Arak University of Medical
Sciences, Arak, Iran
author
Mahtab
Ghanbari
Nursing Department, Qom University of Medical
Sciences, Qom, Iran
author
Gholamreza
Azarnia Samarin
Orthopedic Department, Arak University of Medical
Sciences, Arak, Iran
author
text
article
2020
eng
Background: The maintenance of deformity in the ankle and hindfoot after correction of knee deformity following kneearthroplasty may cause abnormal tension in the knee and patient dissatisfaction. The aim of this study was to determinethe effect of knee arthroplasty on the hindfoot alignment in patients with severe genu varum and valgum.Methods: A total of 84 patients with primary osteoarthritis, were enrolled in the study. The knee deformity was measuredusing a long leg film before surgery. The long axial radiographic view of hindfoot was taken in the standing position forall patients, before and six months after surgery. Comparisons were made on changes in the hindfoot angles measuredbefore and 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, the mean preoperative hindfoot anglewas + 5.32 ± 6.12 ° (valgus) which was changed to - 0.25 ± 4.91 ° (varus) in the postoperative phase. In the kneevalgus group, the 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 ± 3.30and + 5.28 ± 6.86 °, respectively. These angles were changed to + 0.21± 5.17 and -1.60 ± 3.89° six months aftersurgery, respectively. The mean preoperative hindfoot angle in severe and very severe valgus knee deformity groupswere - 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 deformityin terms of pre and post-operative hindfoot angle.Conclusion: The hindfoot alignment is significantly corrected after knee arthroplasty. The severity of knee deformitydoes not correlate with the severity of the hindfoot deformity before and after surgery.Level of evidence: I
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
413
419
https://abjs.mums.ac.ir/article_15760_98a5624e562877456e323675b7c2443c.pdf
dx.doi.org/10.22038/abjs.2019.33735.1883
Modified Camitz versus BRAND Procedures for the Treatment of Severe Carpal Tunnel Syndrome: A Comparative Trial Study
Mohammad
Dehghani
Department of Orthopedic, School of Medicine, Isfahan
University of Medical Sciences, Isfahan, Iran
author
Behrooz
Fadaei
Department of Orthopedic, School of Medicine, Isfahan
University of Medical Sciences, Isfahan, Iran
author
Shirvan
Rastegar
Department of Orthopedic, School of Medicine, Isfahan
University of Medical Sciences, Isfahan, Iran
author
Abolghasem
Zarezadeh
Department of Orthopedic, School of Medicine, Isfahan
University of Medical Sciences, Isfahan, Iran
author
Keyvan
Ghadimi
School of Medicine, Isfahan University of Medical
Sciences, Isfahan, Iran
author
Roham
Nikkhah
School of Medicine, Isfahan University of Medical
Sciences, Isfahan, Iran
author
Sepehr
Eslami
Department of Orthopedic, School of Medicine, Isfahan
University of Medical Sciences, Isfahan, Iran
author
text
article
2020
eng
Background: Carpal tunnel syndrome (CTS) is characterized by complications such as pain, paresthesia, andnumbness in the fingers. There are some surgical therapies for the management of severe carpal tunnel, but differencesexist between the treatments available for creating the opposition. The current study was conducted to compare theeffect of modified Camitz and BRAND techniques on thumb opposition in patients with severe CTS.Methods: A total of 40 patients with severe CTS who were candidates for opponensplasty were enrolled in this clinicaltrial study at Alzahra and Kashani hospitals, Isfahan, Iran, from 2014 to 2018. The patients were divided into two groupsof modified Camitz and BRAND. Quick DASH-9 and Kapandji scores as well as pulp and side pinch and pronationangle were assessed before and after the surgeries.Results: Quick DASH-9 score, Kapandji score, pulp and side pinch and pronation angle significantly improved postoperatively(P=0.0XXX, P=0.0XXX, P=0.0XXX, P=0.0XXX, and P=0.0XXX, respectively). But, no significant differenceswere seen in the mentioned variables between both groups pre and post-operative (P>0.05, for all the studied variables).No postsurgical complications were seen in any of the groups.Conclusion: The findings of the present study demonstrated that, both Modified Camitz and BRAND techniquesare effective and safe techniques, yielding high improvements, but no serious complications. Both techniques can beconsidered for treatment of patients with severe CTS.Level of evidence: II
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
420
425
https://abjs.mums.ac.ir/article_15761_239012321c91542eb9c016a24f78768c.pdf
dx.doi.org/10.22038/abjs.2020.15761
Autogenous Osteochondral Grafting for Treatment of Knee Osteochondritis Dissecans: A Case Series Study
Sohrab
Keyhani
Orthopedic Department Chair, Akhtar Orthopedic
Training and Research Hospital, Shahid Beheshti
University of Medical Sciences, Tehran, Iran
author
Mehran
Soleymanha
Orthopaedic Research center, Department of
Orthopaedic, Poursina Hospital and School of Medicine,
Guilan University of Medical Sciences, Rasht, Iran
author
Rene
Verdonk
Department of Orthopedics and Traumatology, Ghent
University, Ghent, Belgium
author
Mohammadreza
Abbasian
Akhtar Orthopedic Training and Research Hospital,
Shahid Beheshti University of medical Sciences, Tehran,
Iran
author
text
article
2020
eng
Background: Although some surgical techniques have been described for the operative treatment of unstableOsteochondritis dissecans (OCD) of the knee, outcomes are variable and are not satisfying totally. The aim of thepresent 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 CartilageRepair 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 theinitial 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 1abnormal knee were documented (p <0.001). The mean Lysholm score increased from 44.3 per operatively to 86.3(p <0.001).Tegner activity score improved from 2.8±1 pre operatively to 5.6 ±2 (p <0.001).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 appropriatefor autogenous osteochondral grafting with healthy cartilage.Level of evidence: IV
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
426
431
https://abjs.mums.ac.ir/article_15762_b7bd2f988a6565e5205a49e4e45ce548.pdf
dx.doi.org/10.22038/abjs.2019.39026.2038
The Prevalence, Zone, and Type of the Meniscus Tear in Patients with Anterior Cruciate Ligament (ACL) Injury; Does Delayed ACL Reconstruction Affects the Meniscal Injury?
Sohrab
Keyhani
Shahid Beheshti University of Medical Sciences, Tehran,
Iran
author
Ali Akbar
Esmailiejah
Shahid Beheshti University of Medical Sciences, Tehran,
Iran
author
Mohamad Sajad
Mirhoseini
Alborz University of Medical Sciences, Karaj, Iran
author
Seyyed-Mohsen
Hosseininejad
Shahid Beheshti University of Medical Sciences, Tehran,
Iran
author
Naser
Ghanbari
Shahid Beheshti University of Medical Sciences, Tehran,
Iran
author
text
article
2020
eng
Background: Meniscus tear is a common finding in patients with anterior cruciate ligament (ACL) injury and may affectthe natural history of the injury and the outcomes of treatment. In the current study, the characteristics of meniscus tearsin patients who underwent arthroscopic ACL reconstruction were investigated.Methods: The hospital records of 1022 patients were reviewed. The measured variables included the presence ofmeniscus tear, ramp and root injury, the zone of injury based on the Cooper classification, and the type of tear. The ACLtears with delay more than 3 months for ACLR were recorded as chronic injuries.Results: The incidence of meniscus tear was 44.4%; among whom, bucket-handle injury was the most common type(30.4%) and the ramp lesion was found in 20.5%. The meniscus was repaired in 56.6%. The incidence of medialmeniscus 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).Conclusion: Delay more than 3 months 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.Level of evidence: IV
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
432
438
https://abjs.mums.ac.ir/article_15763_27c7db74e426c698e820d23d977c7077.pdf
dx.doi.org/10.22038/abjs.2019.39084.2076
Surgical Excision as the First Therapeutic Choice in Single-muscle Hemangiomas: a Case Series
Khodamorad
Jamshidi
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Milad
Haji Agha Bozorgi
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Hassan
Assad Kassir
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
Alireza
Mirzaei
Bone and Joint Reconstruction Research Center, Shafa
Orthopedic Hospital, Iran University of Medical Sciences,
Tehran, Iran
author
text
article
2020
eng
Background: 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 theoncologic and functional outcomes of surgery as the initial treatment of single-muscle hemangiomas.Methods: Medical profiles of 17 patients with hemangiomas of vastus medialis for whom surgery was selected asthe initial treatment were reviewed. The indication for surgery was a bothersome pain. Postoperative muscle strengthwas 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. Surgery was performed as wide resection in 13 cases andas 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. Postoperativepain was noticed in four patients (VAS=1). Knee function was excellent in 13 patients and good in four patients. Bothof 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 couldbe considered as the primary choice of treatment for single-muscle hemangiomas.Level of evidence: IV
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
439
444
https://abjs.mums.ac.ir/article_15764_610201691ce31c195c14d1e29989c702.pdf
dx.doi.org/10.22038/abjs.2019.40674.2098
The Effect of Suspension and Conventional Core Stability Exercises on Characteristics of Intervertebral Disc and Chronic Pain in Office Staff Due to Lumbar Herniated Disc
Reza
khanzadeh
Department of Sport Injuries and
Corrective Exercises, Faculty of Sport Sciences, University
of Isfahan, Isfahan, Iran
author
Reza
Mahdavinejad
Department of Sport Injuries and Corrective
Exercises, Faculty of Sport Sciences, University of Isfahan,
Isfahan, Iran
author
Ali
Borhani
Department of radiology, Medical Sciences
University of Tehran , Tehran, Iran
author
text
article
2020
eng
Background: The purpose of this study was to identify the effects of eight weeks of conventional and suspension corestability exercises by use of the designed device on characteristic of intervertebral discs in low back pain.Methods: A total of 27 men with chronic low back (CLB) pain due to lumbar disc herniation in L4-L5 and L5-S1 regionswere enrolled in this quasi-experimental study. After assessing the pain intensity using a visual analog scale (VAS) anddetermining the disc herniation index using MRI, each group of patients were asked to perform either conventionalor suspension exercises for eight weeks, each week consisting of three training sessions. The pain intensity wasassessed at the end of the first, second, third, fourth and eighth weeks and the disc hernia index was determined againat the end of the eight weeks of exercises.Results: The results indicated significant changes in the intensity of pain in both groups through the period of eightweeks of exercise with a remarkable pain relief. In relation to the structural characteristics of the intervertebral disc, dataanalysis did not reveal any significant change between the pre- and post-test.Conclusion: Considering the beneficial effects of the stability exercises and specially suspension stability exerciseswith respect to pain alleviation and reduced use of sedatives and anti-inflammatory drugs, this method can be helpfulat early stages of treatment for chronic pains.Level of evidence: I
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
445
453
https://abjs.mums.ac.ir/article_15765_0f5a089543124361771d5a278ab4c245.pdf
dx.doi.org/10.22038/abjs.2019.40758.2102
Primary Synovial Sarcoma Presenting as a Huge Mass: A Report of a Rare Case and Review of Literature
Seyed Hosein
Fattahi Masoum
Lung Diseases Research Center, Mashhad University of
Medical Sciences, Mashhad, Iran
author
Amir Hossein
Jafarian
Mashhad University of Medical Sciences, Mashhad, Iran
author
Alireza
Sharifian Attar
Department of Anesthesia, Faculty of Medicine, Mashhad
University of Medical Sciences,Mashhad,Iran
author
Fatemeh Sadat
Abtahi Mehrjardi
Endoscopic and Minimally Invasive Surgery Research
Center, Mashhad University of Medical Sciences,
Mashhad, Iran
author
Mehrdad
Fakhlaei
Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Leila.
S Arani
University of Pennsylvania, Philadelphia, PA, USA
author
Sharifeh
Kamalimotlagh
University of Pennsylvania, Philadelphia, PA, USA
author
Asieh Sadat
Fattahi
Endoscopic and Minimally Invasive Surgery Research
Center, Mashhad University of Medical Sciences,
Mashhad, Iran
author
text
article
2020
eng
Primary synovial sarcoma of mediastinum is very rare among soft tissue sarcomas. Only a few cases have been reportedin the literatures. The best treatment is still unclear, but, surgical resection is the main therapy. In this article we reporta case of a 20*20 cm (2000gr) primary giant mediastinal synovial sarcoma in a 42 year-old man. We performed radicalexcision of the tumor and the metastasis.Level of evidence: V
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
454
456
https://abjs.mums.ac.ir/article_15766_8e3a67f1b060dd477bd8f147092f3948.pdf
dx.doi.org/10.22038/abjs.2020.15766
Anticoagulation Strategies for the Orthopaedic Surgeon: Reversal and Timelines
Matthew D.
Riedel
Yale University Department of Orthopaedics and
Rehabilitation, Yale University School of Medicine, New
Haven CT, USA
author
Ian T.
Watkins
University of Miami Leonard M. Miller School of
Medicine, Miami FL, USA
author
Johnathon R.
McCormick
University of Miami Leonard M. Miller School of
Medicine, Miami FL, USA
author
Hans P.
Van Lancker
Department of Orthopaedic Surgery, St. Elizabeth
Medical Center, Brighton MA, USA- Harvard Medical School, Boston, MA, USA
author
text
article
2020
eng
Article Highlights: 1) This article provides a full anticoagulant reference for the practicing orthopaedic surgeon which can be used in any clinical scenario, whether urgent or elective surgical intervention is required 2) A comprehensive list of anticoagulant reversal agents and drugs with short half-lives (for bridging) are described with the intention to provide the data needed to safely manage a patient peri-operatively during urgent orthopaedic surgical care (i.e. fracture or infection) 3) Half-life and method of excretion for all drugs are included with the intention to accurately guide decisions regarding the appropriate timing of scheduling elective orthopaedic surgical care with regards to anticoagulant metabolism and effect 4) The practicing orthopaedic surgeon using this guide should always consider medical co-management of these complex patients as their medical co-morbidities may not be amenable to anticoagulant reversal or peri-operative cessation of therapy, even for a short period 5) The data contained in this article stands to serve as a foundation upon which institution-specific guidelines regarding the peri-operative management of orthopedic patients on long-term anticoagulation can be developed
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
457
460
https://abjs.mums.ac.ir/article_15767_4f8ef7ecf6d200710788d4b4a9c9cf81.pdf
dx.doi.org/10.22038/abjs.2019.44803.2222
Reply to “A Critical Review of Proximal Fibular Osteotomy for Knee Osteoarthritis”
Samundeeswari
Saseendar
CARE Sports Injury, India
author
Saseendar
Shanmugasundaram Saseendar
Apollo Hospital, Muscat, Sultanate of Oman
author
Srinivas BS
Kambhampati
Sri Dhaatri Orthopaedic, Maternity and Gynaecology
Center, Vijayawada, Andhra Pradesh, India
author
text
article
2020
eng
Proximal fibular osteotomy is a surgical procedure that has evoked significant interest and controversy in the recent past. Vaishya et al have made a significant effort in compiling the available evidence on the topic. However, we would like to make some significant suggestions and additions to the findings in their manuscript.
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
461
462
https://abjs.mums.ac.ir/article_15768_645d61e6500de2f6b355e6fe2a05ee15.pdf
dx.doi.org/10.22038/abjs.2019.44398.2215
Distal Femoral Valgus Cut Errors in Total Knee Replacement
Hamidreza
Yazdi
Bone and Joint Reconstruction Research Centre,
Firoozgar Hospital, Department of Knee Surgery, Iran
Univesity of Medical Sciences, Tehran, Iran
author
Mohammad Taher
Ghaderi
Bone
and Joint Reconstruction Research Center, Shafa Orthopedic
Hospital, Iran University of Medical Sciences, Tehran, Iran
author
text
article
2020
eng
The causes of malalignment in total knee arthroplasty can be categorized into three different groups; 1) Errors in bone cuts 2) Errors in implant fixations, and 3) The method of setting down the cutting guides (1). We would like to announce that more several distal femoral valgus cut errors may occur during total knee replacement.
The Archives of Bone and Joint Surgery
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
2345-4644
8
v.
3
no.
2020
463
464
https://abjs.mums.ac.ir/article_15769_8dde197251e598de01df640cd3d34821.pdf
dx.doi.org/10.22038/abjs.2020.46578.2280