Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Tranexamic Acid in Total Joint Arthroplasty: Efficacy and Safety
1
2
EN
Mohammad Reza
Rasouli
0000-0001-7181-5803
Rothman Institute of Orthopaedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA
and
Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
mhr_rasouli@yahoo.com
Javad
Parvizi
Rothman Institute of Orthopaedics, Thomas Jefferson University Hospital
parvj@aol.com
10.22038/abjs.2015.3724
<br/>Despite improvements in surgical and anesthetic techniques, total joint arthroplasty (TJA) is still associated with substantial blood loss and postoperative anemia (1). A considerable portion of patients with postoperative anemia require blood transfusion, which has been shown to negatively affect the outcome of TJA and predisposes patients to development of surgical site infection and periprosthetic joint infection (2,3). <br/> <br/>Various blood conservation strategies have been developed to reduce the need for allogeneic blood transfusion in patients undergoing TJA (3). Administration of tranexamic acid (TA) is one of the most effective (4). TA is a synthetic lysine derivative drug that binds to plasminogen and prevents the interaction of plasminogen and fibrin, eventually leading to dissolution of fibrin clots (5). <br/> <br/>There is level I evidence supporting the need for allogeneic transfusion in primary total hip and total knee arthroplasties, and the efficacy of TA in particular for reducing blood loss (6,7). TA is also effective in reducing the need for blood transfusion in bilateral TJA and revision surgeries (4). Moreover, when TA is used, other blood conservation strategies are rendered unnecessary (4). <br/> <br/>The drug can be used intravenously in a weight-based manner (10-20 mg/kg), or administered 1gm intravenously at the start of surgery and 1gm intravenously at the end of surgery, or up to 3 hours after the first dose. TA can also be applied topically to the surgical site to provide hemostasis, or it can be injected intra-articularly (1g in 50 cc saline). Although oral administration of TA (25 mg/kg, maximum 2g, two hours preoperatively) has also been reported to be effective, it is not routinely used in TJA patients and intravenous and topical methods are preferred (4). <br/> <br/>Despite the proven efficacy of the use of TA in TJA, there are still some concerns about the development of venous thromboembolism (VTE) after TA is used. Since VTE following TJA is relatively rare, the majority of studies that evaluated the efficacy of TA are underpowered for evaluation of its safety. In a recent study by Poeran et al. using a large national database including 872,416 patients who had total hip or knee arthroplasty, the authors suggested that TA is effective in reducing the need for blood transfusions while not increasing the risk of VTE and renal complications (8). However, it is still advised that patients with cardiac stents and previous thromboembolic events including ischemic stroke not be administered TA. TA can also cause gastrointestinal disturbance and its dose needs to be adjusted in patients with renal impairment (5). <br/> <br/>In conclusion, administration of TA in TJA patient is a cost-effective blood conservation strategy and there is strong evidence to support the efficacy and safety of the drug in reducing blood loss and transfusion in TJA patients. Given the adverse effects of allogeneic blood transfusion on the outcome of TJA, administration of TA should be considered in patients with no contraindication for its use. <br/>
Tranexamic acid,Total Joint Arthroplasty,Arthroplasty
https://abjs.mums.ac.ir/article_3724.html
https://abjs.mums.ac.ir/article_3724_d50643b6813b41255555f78cd0112961.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Doctor Shoja-ad-Din Sheikholeslamzadeh and his Achievements
3
8
EN
Ahmadreza
Afshar
0000-0002-3676-5932
Department of Orthopedics, Urmia University of Medical
Sciences, Urmia, Iran
afshar_ah@yahoo.com
Majid
Eyvaz Ziaei
Mehrad Hospital, Tehran, Iran
majid.ziaei@yahoo.com
Aziz
Ahmdi
Iran Mehr Hospital, Tehran, Iran.
azizahmadi@yahoo.com
10.22038/abjs.2015.3723
Doctor Shoja-ad-Din Sheikholeslamzadeh (also known as Dr. Sheikh) (1931-2014) was an outstanding orthopedic surgeon. He is credited for the establishment of the Iranian Association of Rehabilitation, Shafa Yahyaian Hospital as an Orthopedic and Rehabilitation Center, the Social Welfare Organization, Iran’s emergency dispatch center (115) and many other major projects that led to the upgrading of health care services in Iran. He also served as the Minister of Social Welfare and Minister of Health and Welfare before the Islamic revolution. The history of modern health care management and modern orthopedic surgery in Iran are indebted to the great leadership and executive abilities of Dr. <br/>Sheikh
History of orthopedics in Iran,Shoja-ad-Din Sheikholeslamzadeh
https://abjs.mums.ac.ir/article_3723.html
https://abjs.mums.ac.ir/article_3723_5b7c116b151335a93a8ca8b0fdad2f6a.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Evidence-Based ACL Reconstruction
9
12
EN
E. Carlos
RODRIGUEZ-MERCHAN
0000-0002-6360-0113
Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain
ecrmerchan@hotmail.com
10.22038/abjs.2015.3769
There is controversy in the literature regarding a number of topics related to anterior cruciate ligament (ACL)reconstruction. The purpose of this article is to answer the following questions: 1) Bone patellar tendon bone (BPTB) reconstruction or hamstring reconstruction (HR); 2) Double bundle or single bundle; 3) Allograft or authograft; 4) Early or late reconstruction; 5) Rate of return to sports after ACL reconstruction; 6) Rate of osteoarthritis after ACL reconstruction. A Cochrane Library and PubMed (MEDLINE) search of systematic reviews and meta-analysis related to ACL reconstruction was performed. The key words were: ACL reconstruction, systematic reviews and meta-analysis. The main criteria for selection were that the articles were systematic reviews and meta-analysesfocused on the aforementioned questions. Sixty-nine articles were found, but only 26 were selected and reviewed because they had a high grade (I-II) of evidence. BPTB-R was associated with better postoperative knee stability but with a higher rate of morbidity. However, the results of both procedures in terms of functional outcome in the long-term were similar. The double-bundle ACL reconstruction technique showed better outcomes in rotational laxity, although functional recovery was similar between single-bundle and double-bundle. Autograft yielded better results than allograft. There was no difference between early and delayed reconstruction. 82% of patients were able to return to some kind of sport participation. 28% of patients presented radiological signs of osteoarthritis with a follow-up of minimum 10 years.
ACL,BPTB,Hamstring,Reconstruction
https://abjs.mums.ac.ir/article_3769.html
https://abjs.mums.ac.ir/article_3769_cc02f87e91378adf6aea5fadb0cc1b63.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Surgical Procedures of the Elbow: A Nationwide Cross-Sectional Observational Study in the United States
13
18
EN
Ahmet
Kinaci
Orthopaedic Hand and Upper Extremity Service
Harvard Medical School
Massachusetts General Hospital
Yawkey Center, Suite 2100
55 Fruit Street
Boston, MA 02114
akinaci@outlook.com
Valentin
Neuhaus
Orthopaedic Hand and Upper Extremity Service
Harvard Medical School
Massachusetts General Hospital
Yawkey Center, Suite 2100
55 Fruit Street
Boston, MA 02114
valentin.neuhaus@gmx.ch
David
Ring
0000-0002-6506-4879
Orthopaedic Hand and Upper Extremity Service
Harvard Medical School
Massachusetts General Hospital
Yawkey Center, Suite 2100
55 Fruit Street
Boston, MA 02114
david.ring@austin.utexas.edu
10.22038/abjs.2015.3770
Background: <br/> <span style="font-size: xx-small; font-family: ArialMT;">Elbow surgery is shared by several subspecialties. We were curious about the most common elbow</span> <br/>surgeries and their corresponding diagnoses in the United States. <br/> Methods: <br/> <span style="font-size: xx-small; font-family: ArialMT;">We used the National Hospital Discharge Survey (NHDS) and the National Survey of Ambulatory Surgery </span>(NSAS) data gathered in 2006-databases that together provide an estimate of all inpatient and ambulatory surgical care in the US. <br/>Results: <br/><span style="font-size: xx-small; font-family: ArialMT;">An estimated 150,000 elbow surgeries were performed in the US in 2006, 75% in an outpatient setting. The </span>most frequent diagnosis treated operative was enthesopathy (e.g. lateral epicondylitis) and it was treated with several different procedures. More than three quarters of all elbow surgeries treated enthesopathy, cubital tunnel syndrome, or fracture (radial head in particular). Arthroscopy and arthroplasty accounted for less than 10% of all elbow surgeries. <br/>Conclusions: <br/> <span style="font-size: xx-small; font-family: ArialMT;">Elbow surgery in the United States primarily addresses enthesopathies such as tennis elbow, cubital </span>tunnel syndrome, and trauma. It is notable that some of the most common elbow surgeries (those that address enthesopathy and radial head fracture) are some of the most variably utilized and debated.
Ambulatory care,Elbow diagnosis,Elbow surgery,Inpatient care,National surveys
https://abjs.mums.ac.ir/article_3770.html
https://abjs.mums.ac.ir/article_3770_d197dced19275c2fabb7be3ce29c0699.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Giant Cell Tumor of Tendon Sheath
19
21
EN
Jan Paul
Briët
Orthopaedic Hand and Upper Extremity Service
Harvard Medical School
Massachusetts General Hospital, Boston, MA 02114, USA
jp.briet@gmail.com
Stéphanie
J.E.
Becker
Orthopaedic Hand and Upper Extremity Service
Harvard Medical School
Massachusetts General Hospital, Boston, MA 02114, USA
sjebecker@gmail.com
Thijs
C.H.
Oosterhoff
Orthopaedic Hand and Upper Extremity Service
Harvard Medical School
Massachusetts General Hospital, Boston, MA 02114, USA
tch.oosterhoff@gmail.com
David
Ring
0000-0002-6506-4879
Massachusetts General Hospital
david.ring@austin.utexas.edu
10.22038/abjs.2015.3772
Background: <br/> <span style="font-size: xx-small; font-family: ArialMT;">Giant cell tumor of tendon sheath (GCTTS) is often thought of as a volar finger mass. We hypothesized </span>that GCTTS are equally common on the dorsal and volar aspects of the hand. In addition, we hypothesized that there are no factors associated with the location (volar versus dorsal) and largest measured dimension of a GCTTS. <br/>Methods: <br/> <span style="font-size: xx-small; font-family: ArialMT;">A total of 126 patients with a pathological diagnosis of a GCTTS of the hand or finger were reviewed. </span>Basic emographic and GCTTS specific information was obtained. Bivariable analyses were used to assess predicting factors for location (volar or dorsal side) and largest measured diameter of a GCTTS. <br/>Results: <br/> <span style="font-size: xx-small; font-family: ArialMT;">Seventy-two tumors (57%) were on the volar side of the hand, 47 (37%) were dorsal, 6 (4.8%) were both </span>dorsal and volar, and one was midaxial (0.79%). The most common site of a GCTTS was the index finger (30%). There were no factors significantly associated with the location (volar or dorsal, n=119) of the GCTTS. There were also no factors significantly associated with a larger diameter of a GCTTS. <br/>Conclusions: <br/> <span style="font-size: xx-small; font-family: ArialMT;">A GCTTS was more frequently seen on the volar aspect of the hand. No significant factors associated </span>with the location or an increased size of a GCTTS were found in this study.
Dorsal,Giant cell tumor of tendon sheath,Hand,Location,Size,Volar
https://abjs.mums.ac.ir/article_3772.html
https://abjs.mums.ac.ir/article_3772_fe22b6d0e4da1b82f745d3a4ec38c6a4.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Better Survival of Total Knee Replacement in Patients Older Than 70 Years: A Prospective Study with 8 To 12 Years Follow-Up
22
28
EN
Ricardo
Fernandez-Fernandez
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain
rfdezfdez@yahoo.com
E. Carlos
RODRIGUEZ-MERCHAN
0000-0002-6360-0113
Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain
ecrmerchan@hotmail.com
10.22038/abjs.2015.3825
<span style="font-size: xx-small;">Background: </span><br/><span style="font-size: xx-small; font-family: Arial,Arial;">Modern knee designs have popularized its use in younger patients due to its better performance. There remains uncertainty whether higher demands of these patients can affect implant survivorship. </span> <br/>Purpose: <br/><span style="font-size: xx-small;"><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">To assess whether modern knee designs have provided similar results in patients younger than 70 years versus older patients. </span></span></span><br/>Methods: <br/><span style="font-size: xx-small;"><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">We included 203 consecutive patients (236 knees) who underwent knee replacement for osteoarthritis with a mean follow-up of 11.4 years (range: 8.8 to 12). The mean age was 70 years (range: 31 to 85). Knee replacements </span></span><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">were stratified into two groups: 109 were younger than 70 years and 127 were older than 70 years (70 years of age is </span></span><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">the mandatory retirement age). </span></span></span><br/>Results: <br/><span style="font-size: xx-small;"><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">There were no significant pre-operative differences between groups with regards to knee alignment, alpha or beta angles, knee score or function score. Fourteen implants were radiographically loose at last follow up visit. Groups were matched in terms of demographic data. We found that patients older than 70 years had significantly better mean survivorship at 12 years. (97% vs. 88%; P=0.010). Patients under 70 years presented with a higher rate </span></span><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">of polyethylene wear which was further associated with radiolucent lines in the femur and tibia as well as the presence of osteolysis. There was also an association between migration and presence of osteolysis. </span></span></span><br/>Conclusions: <br/><span style="font-size: xx-small;"><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">Patients over 70 years old undergoing cemented total knee replacement for osteoarthritis showed </span></span><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">better implant survivorship versus patients under 70 years old. </span></span></span>
Elderly patients,Survival analysis,TKR
https://abjs.mums.ac.ir/article_3825.html
https://abjs.mums.ac.ir/article_3825_6f60a54d20a14af76fcf62ca0b687ee5.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Biomechanical Comparison Between Bashti Bone Plug Technique and Biodegradable Screw for Fixation of Grafts in Ligament surgery
29
34
EN
Kaveh
Bashti
Tehran university of medical sciences
bashtikaveh@yahoo.com
Mohammad Naghi
Tahmasebi
0000-0003-4644-6756
Tehran university of medical sciences,Shariati hospital
mntahmasebi@gmail.com
Hasan
Kaseb
Tehran university of medical sciences,Emam hospital
kasebm.h@gmail.com
Farzam
Farahmand
0000-0001-8900-7003
Sharif university of technology.School of biomechanics
farahmand@sharif.edu
Mohammad
Akbar
Sharif university of technology,school of biomechanics
m_akbar@mech.sharif.edu
Amir
Mobini
Sharif university of technology, school of bimechanics
amobini@mech.sharif.ir
10.22038/abjs.2015.3826
<br/><span style="font-size: xx-small;">Background: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">Ligament reconstruction is a common procedure in orthopedic surgery. Although several popular </span></span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">techniques are currently in use, new methods are proposed for secure fixation of the tendon graft into the bone tunnel. </span></span><br/><span style="font-size: xx-small;">Purposes: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">We sought to introduce our new technique of Bashti bone plug for fixation of soft tissue graft in anterior cruciate ligament (ACL) reconstruction and to compare its biomechanical features with conventional absorbable interference screw technique in a bovine model. </span></span><br/><span style="font-size: xx-small;">Methods: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">Twenty pairs of bovine knees were harvested after death. Soft tissue was removed and the Achilles tendon was harvested to be used as an ACL graft. It was secured into the bone tunnel on the tibial side via two different </span></span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">methods: Bashti Bone Plug technique and conventional screw method. Biomechanical strength was measured using 200 N and 300 N cyclic loading on the graft. Pull out strength was also tested until the graft fails. </span></span><br/><span style="font-size: xx-small;">Results: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">No graft failure was observed after 200 N and 300 N cyclic loading in either fixation methods. When testing for pull out failure, 21 tendons (53%) were torn and 19 tendons (48%) slipped out. No fixation failure occurred, which did not reveal a significant difference between the bone plug or interference screw group (</span></span><em><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">P</span></span></em><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">=0.11). The mean pull out </span></span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">force until failure of the graft was 496±66 N in the screw group and 503±67 N in the bone plug group (</span></span><em><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">P</span></span></em><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">=0.76). </span></span><br/><span style="font-size: xx-small;">Conclusions: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">Our suggested fixation technique of Bashti bone plug is a native, cheap, and feasible method that provides comparable biomechanical strength with interference screw when soft tissue fixation was attempted in bovine </span></span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">model. </span></span>
anterior cruciate ligament,Bashti,Biomechanical strength,Bone plug,Bovine model,Initial fixation,Interference screw,Reconstruction
https://abjs.mums.ac.ir/article_3826.html
https://abjs.mums.ac.ir/article_3826_39f1896a92d434877aec4e36ddaad215.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
The Results of Biplanar Distal Femoral Osteotomy; A Case Series Study
35
38
EN
Abolfazl
Bagherifard
0000000249658810
iran university of medical science
bagherifd@gmail.com
Mahmoud
Jabalameli
0000-0002-1595-4152
iran university of medical science
jabalamelimd@yahoo.com
Hosein Ali
Hadi
0000-0001-6590-4308
arak university of medical science
hosseinali_hadi@yahoo.com
Mohammad
Rahbar
iran university of medical science
kourosh.rahbar@yahoo.com
Tahmineh
Mokhtari
tehran university of medical science
mokhtari.tmn@gmail.com
Hooman
Yahyazadeh
0000-0003-3463-5699
Shafa Orthopedic Hospital, Iran University of Medical
Sciences, Tehran, Iran
yahyazadehhooman@yahoo.com
Mahdi
Abbaszadeh
Shafa Orthopedic Hospital, Iran University of Medical
Sciences, Tehran, Iran
ali
jahansouz
iran university of medical science
a_jahansouz@yahoo.com
10.22038/abjs.2015.3792
Background: <br/> <span style="font-size: xx-small; font-family: ArialMT;">Distal femur wedge osteotomies for varus or valgus alignment of the lower extremity could be done </span>in either uniplanar or biplanar fashion.Union time and stability of the osteotomy site has been considered important in this anatomic region. In this study, clinical and radiographic findings of biplane distal femur osteotomy were reported. <br/>Methods: <br/><span style="font-size: xx-small; font-family: ArialMT;" lang="KO">Clinical, functional, and radiological findings of eight patients (10 knees)underwent biplane distal femur </span>osteotomy were evaluated. Visual analogue score (VAS) and Lysholm-Tegner knee score were used for the assessment of pain and function before and three months after surgery. <br/>Results: <br/> <span style="font-size: xx-small; font-family: ArialMT;" lang="KO">In this study, eight patients were included. All patients were female. The mean age was 28±6.3. The </span>mean pre-operativemechanical anglewas 8.7±2.2˚and the post-operativeangle was 1.4±0.53˚ in patients with valgus alignment whileit was 7.0±1.0˚preoperatively and 0.66±1.2˚ postoperatively in patients with varus alignment. The mean lateral distal femoral angle (LDFA)was 85±8.0˚ before surgery and was 88±1.3˚ after surgery. According to Lysholm- Tegner knee score, in the post-operative visit, sixknees were good and four were excellent. The mean union time was 9.2±2.3 weeks. <br/>Conclusions: <br/> <span style="font-size: xx-small; font-family: ArialMT;">Biplane distal femur osteotomy is a reliable technique that creates larger surfaces and more stability </span>at the osteotomy site with further rapid union.
Biplane Osteotomy,Lysholm-Tegner Knee Score,visual analogue scale
https://abjs.mums.ac.ir/article_3792.html
https://abjs.mums.ac.ir/article_3792_56560d3fc4fe8761cb65fdd90bc4366e.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Stage IE Primary Bone Lymphoma:Limb Salvage for Local Recurrence
39
44
EN
Khodamorad
Jamshidi
0000-0001-9475-5866
Iran University of Medical Science
jamshidi_k@yahoo.com
Mahmoud
Jabalameli
0000-0002-1595-4152
Iran University of Medical Science
jabalamelimd@yahoo.com
Mohammad
Ghorban Hoseini
Iran University of Medical Science
dr.ghhoseini@gmail.com
Abolfazl
Bagherifard
Iran University of Medical Scince
bagheri@meph.ir
10.22038/abjs.2015.3794
Background: <br/> <br/><span style="font-size: xx-small; font-family: ArialMT;">Primary bone lymphoma or non-Hodgkin lymphoma of bone is a rare disease. There are only a few</span> <br/>case series of stage IE of this condition in medical literature. The aim of this study is to determine the rate of survival <br/> <br/>for stage IE after combined modality treatment, the rate of local recurrence, and the results of limb salvage in cases <br/> <br/>of local recurrence. <br/> <br/> <br/>Methods: <br/> <br/><span style="font-size: xx-small; font-family: ArialMT;">We collected data from 61 patients with histologically confirmed PBL treated at the Musculoskeletal</span> <br/> <br/>Oncology Department of our hospital from 2000 to 2010. Retrospective evaluation included demographics, symptoms, <br/>tumor locations, outcomes of surgical treatment for local recurrence and survival rates. <br/>Results: <br/> <br/><span style="font-size: xx-small; font-family: ArialMT;">All patients received Combined Modality Therapy. Overall,five year survival was 89% and five year disease</span> <br/>free survival rate was 78%. Local recurrence occurred in 6 patients during follow up period, which was treated surgically <br/> <br/> <br/>by wide excision and reconstruction. The mean follow-up for the local recurrence group was 36(24-54) months and <br/>mortality rate in this group was 17%. <br/>Conclusions: <br/> <br/><span style="font-size: xx-small; font-family: ArialMT;">Combined Modality Therapy for stage IE primary bone lymphomaresults in good survival rate. In case</span> <br/> <br/>of local recurrence, wide excision and reconstruction improves the outcomes.
Bone,Limb salvage,Local recurrence,Lymphoma
https://abjs.mums.ac.ir/article_3794.html
https://abjs.mums.ac.ir/article_3794_8fa1f4f2cef9f2a9a990db1596a13c3e.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Short Form-McGill Pain Questionnaire-2 (SF-MPQ-2): A Cross-Cultural Adaptation and Validation Study of the Persian Version in Patients with Knee Osteoarthritis
45
50
EN
Amir Reza
Kachooei
0000-0001-7795-1830
Mashhad University Of Medical Sciences
Mashhad
Iran
arkachooei@gmail.com
Mohammad H.
Ebrahimzadeh
0000-0003-4417-9877
Orthopedic Research Center
Mashhad University of Medical Sciences, Mashhad, Iran.
ebrahimzadehmh@mums.ac.ir
Reza
Erfani-Sayar
Anesthesiologist, Pain Research Center
Department of Anesthesiology, Intensive Care and Pain Control
Mashhad University of Medical Sciences
Ahmad-Abad Street, Mashhad, 91799-9199 Iran
reza_es77@yahoo.com
Maryam
Salehi
Assistant Professor of Community Medicine
Community Medicine Department, Faculty of Medicine
Mashhad University of Medical Sciences
salehim@mums.ac.ir
Ehsan
Salimi
Orthopedic Research Center
Mashhad University of Medical Sciences
Ahmad-Abad Street, Mashhad, 91799-9199 Iran
ehsan.salimi67@yahoo.com
Shiva
Razi
Orthopedic Research Center
Mashhad University of Medical Sciences
Ahmad-Abad Street, Mashhad, 91799-9199 Iran
razi.shiva@gmail.com
10.22038/abjs.2015.3827
<br/><span style="font-size: xx-small;">Background: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">We aimed to develop and validate the Persian version of Short Form McGill Pain Questionnaire-2 (SF-MPQ-2) in patients with knee osteoarthritis. </span></span><br/><span style="font-size: xx-small;">Methods: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">Translation and back translation was performed using Beaton’s guideline. After a consensus has achieved on the Persian version of SF-MPQ-2, it was administered to 30 patients with knee osteoarthritis in a pilot study. Then, we </span></span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">enrolled 100 patients with knee osteoarthritis to fill the final SF-MPQ-2 as well as SF-36 and WOMAC questionnaires. Forty-three patients returned 3 days after the initial visit to fill the Persian SF-MPQ-2 for the second time. Construct validity was tested by Pearson’s correlation coefficient between subscales of SF-MPQ-2 and subscales of SF-36 and WOMAC. Internal consistency for total and subscales was calculated by Cronbach’s alpha and reliability between test retest was performed using Intraclass correlation coefficient (ICC). </span></span><br/><span style="font-size: xx-small;">Results: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">ICC for subscales of SF-MPQ-2 ranged from 0.73 to 0.90. The ICC for total SF-MPQ-2 was 0.90. Cronbach’s alpha for subscales was 0.65-0.74 at the first visit and 0.58-0.81 at the second visit. Cronbach’s alpha for the total questionnaire was 0.88 and 0.91 at the first and second visit, respectively. Pearson’s correlation coefficient was highly significant when comparing subscales specifically with WOMAC (r=-0.47 to -0.61; </span></span><em><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">P</span></span></em><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;"><0.001). Interscale correlation between subscales of SF-MPQ-2 was significant as well (r: 0.43-0.88, </span></span><em><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">P</span></span></em><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;"><0.001). </span></span><br/><span style="font-size: xx-small;">Conclusions: </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">Persian SF-MPQ-2 showed excellent reliability and good to excellent internal consistency throughout </span></span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">the questionnaire. It is a valid and reliable instrument for measuring the pain intensity and applicable in osteoarthritic </span></span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">pain assessment. </span></span>
Persian,Psychometric,Reliability,Short from McGill pain questionnaire,Validity
https://abjs.mums.ac.ir/article_3827.html
https://abjs.mums.ac.ir/article_3827_6a42f8b8efbcf717085a84c08412a321.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Prediction of Mortality in Hip Fracture Patients:Role of Routine Blood Tests
51
55
EN
Hamid Reza
Seyedi
Kashan University of Medical Sciences, Kashan, Iran
seiadiarani_hr@kaums.ac.ir
Mehrdad
Mahdian
0000-0002-9168-6372
Trauma Research Center, Kashan University of Medical Sciences, Kashan, I.R. Iran
mmahdian78@gmail.com
Gholamreza
Khosravi
Trauma research Center, Kashan University of medical Sciences, Kashan, Iran
khosravi_gh@kaums.ac.ir
Mohammad
Sabahi Bidgoli
Kashan University of medical Sciences, Kashan, Iran
sabahi@kaums.ac.ir
Seyed Gholamabbas
Mousavi
Kashan University of medical Sciences, Kashan, Iran
moosavi_ga@kaums.ac.ir
Mohammad Reza
Razavizadeh
Trauma research Center, Kashan University of medical Sciences, Kashan, Iran
razavizadeh_m@kaums.ir
Soroush
Mahdian
Student Research Committee, Arak University of Medical Sciences, Arak, Iran
soroushmahdian@live.com
Mahdi
Mohammadzadeh
Trauma research Center, Kashan University of Medical Sciences, Kashan, Iran
dmmzn58@gmail.com
10.22038/abjs.2015.3793
<span style="font-size: xx-small;">Methods: </span><br/><span style="font-size: xx-small; font-family: Arial,Arial;">In a retrospective descriptive study, medical records of 204 hip fractured patients with the age of 60 or older who were admitted to the Department of Orthopedics was considered regarding routine laboratory tests. Predictive values of these tests were assessed using receiver operating characteristic curve (ROC). </span><br/> Results: <br/><span style="font-size: xx-small;"><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">The incidence of death due to hip fracture was 24%. The mortality rate was significantly increased with age > 65 (OR= 15). There was no significant difference between mortality in regards to gender. High plasma BUN (more than 20 mg/dl) and creatinine (more than 1.3 mg/dl) significantly increased the chance of mortality. [OR= 3.0 and OR=2.5 for BUN and creatinine, respectively]. Patients’ mortality did not show any correlation with sodium and </span></span><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">potassium plasma levels and blood hemoglobin. </span></span></span><br/>Conclusions: <br/><span style="font-size: xx-small;"><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">There is direct correlation between plasma levels of BUN and creatinine and 3-month mortality after hip fractures. Patients with high plasma levels of BUN were three times more likely to die than those with normal BUN. Also, patients with high plasma creatinine levels were 2.5 times more likely to die than those who had normal values. </span></span><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">Mortality was also associated with increasing age but did not vary with gender. Patients aging more than 65 were 15 </span></span><span style="font-size: xx-small; font-family: Arial,Arial;"><span style="font-size: xx-small; font-family: Arial,Arial;">times more likely to die following a hip fracture than those with younger age. </span></span></span>
BUN,Creatinine,Hematologic tests,Hip fracture,Prognosis,Serologic tests
https://abjs.mums.ac.ir/article_3793.html
https://abjs.mums.ac.ir/article_3793_bb47eed0f971712c9ab24b61aacc8eee.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
The Zarit Caregiver Burden Interview Short Form (ZBI-12) in spouses of Veterans with Chronic Spinal Cord Injury, Validity and Reliability of the Persian Version
56
63
EN
Mohammad T.
Rajabi Mashhadi
Orthopedic Research Center,
Ghaem Hospital,
Mashhad University of Medical Sciences
Mashhad, 91766-99199 Iran
rajabimt@mums.ac.ir
Hosein
Mashhadinejad
Orthopedic Research Center,
Ghaem Hospital,
Mashhad University of Medical Sciences
Mashhad, 91766-99199 Iran
ebrahimih2@mums.ac.ir
Mohammad H
Ebrahimzadeh
0000-0003-4417-9877
Orthopedic Research Center,
Ghaem Hospital,
Mashhad University of Medical Sciences
Mashhad, 91766-99199 Iran
ebrahimzadehmh@mums.ac.ir
Farideh
Golhasani-Keshtan
Orthopedic Research Center,
Ghaem Hospital,
Mashhad University of Medical Sciences,
Mashhad, 91766-99199 Iran
golhasanif1@mums.ac.ir
Hanieh
Ebrahimi
Orthopedic Research Center
Ghaem Hospital
Mashhad University of Medical Sciences
Mashhad, 91766-99199 Iran
shh.hani62@gmail.com
Zahra
Zarei
Orthopedic Research Center
Ghaem Hospital
Mashhad University of Medical Sciences
Mashhad, 91766-99199 Iran
golhasanif1@yahoo.com
10.22038/abjs.2015.3795
Background: <br/> <span style="font-size: xx-small; font-family: ArialMT;">To test the psychometric properties of the Persian version of Zarit Burden Interview (ZBI-12) in the </span>Iranian opulation. <br/>Methods: <br/><span style="font-size: xx-small; font-family: ArialMT;">After translating and cultural adaptation of the questionnaire into Persian, 100 caregiver spouses of Iran-</span>Iraq war (1980-88) veterans with chronic spinal cord injury who live in the city of Mashhad, Iran, invited to participate in the study. The Persian version of ZBI-12 accompanied with the Persian SF-36 was completed by the caregivers to test validity of the Persian ZBI-12.A Pearson`s correlation coefficient was calculated for validity testing.In order to assess reliability of the Persian ZBI-12, we administered the ZBI-12 randomly in 48 caregiver spouses again 3 days later. <br/>Results: <br/> <span style="font-size: xx-small; font-family: ArialMT;">Generally, the internal consistency of the questionnaire was found to be strong (Cronbach’s alpha 0.77). Intercorrelation</span>matrix between the different domains of ZBI-12 at test-retest was 0.78. The results revealed that majority of questions the Persian ZBI_12 have a significant correlation to each other. In terms of validity, our results showed that there is significant correlations between some domains of the Persian version the Short Form Health Survey -36 with the Persian Zarit Burden Interview such as Q1 with Role Physical (<em><span style="font-size: xx-small; font-family: Arial-ItalicMT;"><em><span style="font-size: xx-small; font-family: Arial-ItalicMT;">P</span></em></span></em><span style="font-size: xx-small; font-family: ArialMT;"><span style="font-size: xx-small; font-family: ArialMT;">=0.03),General Health (</span></span><em><span style="font-size: xx-small; font-family: Arial-ItalicMT;"><em><span style="font-size: xx-small; font-family: Arial-ItalicMT;">P</span></em></span></em><span style="font-size: xx-small; font-family: ArialMT;">=0.034),Social Functional </span>(0.037), Mental Health (0.023) and Q3 with Physical Function (<em><span style="font-size: xx-small; font-family: Arial-ItalicMT;"><em><span style="font-size: xx-small; font-family: Arial-ItalicMT;">P</span></em></span></em><span style="font-size: xx-small; font-family: ArialMT;">=0.001),Viltality (0.002), Socil Function (0.001).</span> <br/>Conclusions: <br/> <span style="font-size: xx-small; font-family: ArialMT;">Our findings suggest that the Zarit Burden Interview Persian version is both a valid and reliable </span>instrument for measuring the burden of caregivers of individuals with chronic spinal cord injury.
Burden,Iran,Persian,Reliability,SF-36,Spinal cord injury,Validity,ZARIT Caregiver Burden Interview
https://abjs.mums.ac.ir/article_3795.html
https://abjs.mums.ac.ir/article_3795_3a684320fb4b5908a0282ced7cc30caf.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Motor Aphasia as a Rare Presentation of Fat Embolism Syndrome; A Case Report
64
66
EN
Seyed Houssein
Saeed-Banadaky
Department of orthopedics, Shahid sadoughi University of Medical Sciences-Yazd, Iran
saeed@ssu.ac.ir
Sima
Valizadeh
Shahid sadoughi University of Medical Sciences-Yazd, Iran
simavalizade@yahoo.com
Marzieh
Ghilian
Department of Emergency Medicine, Shahid Sadoughi University of Medical Sciences-Yazd, Iran
marziehghilian@yahoo.com
10.22038/abjs.2015.3828
<br/><span style="font-size: xx-small;">Fat embolism syndrome is a clinical diagnosis, and diagnostic procedures are not specific. In every trauma patient, Fat embolism syndrome has to be considered as a possibility and supportive treatment should begin as soon as possible. The authors reported a rare case of Fat embolism syndrome whose only neurological symptom was motor aphasia. A </span><span style="font-family: Arial,Arial; font-size: xx-small;"><span style="font-family: Arial,Arial; font-size: xx-small;">young man sustained comminuted femoral shaft fracture following an accident presented dyspnea, motor aphasia and </span></span><span style="font-size: xx-small;">petechial rash. The Po2 and O2 Saturation were 53 and 91.1%. The body temperature was 38.5 °C. The hemoglobin decreased from 12.9 to 8.7 and platelet from 121000 to 84000 mg/dl. The pulse rate was 120 bpm. The CT scan and MRI were normal. Fat embolism syndrome was diagnosed according to both Gurd and Schonfeld criteria ruling out other possible causes. Patient recovered completely. Although rare, focal neurological symptoms and motor aphasia should be kept in mind as a part of diagnostic criteria. </span>
Broca Aphasia,Fat embolism,Femoral fractures
https://abjs.mums.ac.ir/article_3828.html
https://abjs.mums.ac.ir/article_3828_827fabdc2c914cf3260d216f10b30af7.pdf
Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association
The Archives of Bone and Joint Surgery
2345-4644
2345-461X
3
1
2015
01
01
Chronic Osteomyelitis in the Femoral Midshaft Following Arthroscopic ACL Reconstruction
67
70
EN
Ebrahimzadeh
Mohammad Hosein
0000-0003-4417-9877
mashad university of medical sciences
ebrahimzadehmh@mums.ac.ir
Ali
Moradi
0000-0001-5796-8774
Assistant Professor of Orthopedic Surgery,
Orthopedic Research Center,
Mashhad University of Medical Sciences, Mashhad, Iran
moradial@mums.ac.ir
Mohammad Kazem
Khalesi
Orthopedic Surgeon,
Mashhad University of Medical Sciences, Iran
ebrahimih2@mums.ac.ir
Maysam
Fathi Choghadeh
Orthopedic Surgeon,
Mashhad University of Medical Sciences, Iran
fathim902@mums.ac.ir
10.22038/abjs.2015.3829
<br/><span style="font-size: xx-small;">A 25 year-old man presented with pain, swelling, and intermittent drainage from distal lateral aspect of his left knee three months after undergoing isolated ACL reconstruction with arthroscopic hamstring autograft and endobottom technique. His surgeon at that time tried to eliminate the pathology through arthroscopic wash out in two attempts. However, the pain, edema, and discharge recurred after a year of being symptom free. The patient underwent imaging assessment and anteroposterior and lateral radiographs demonstrated a sclerotic area beneath the femoral condoyle in femoral tunnel and a fusiform sclerotic area in the lateral aspect of femoral midshaft. Magnetic Resonance Imaging revealed necrotic tissue with bone edema consistent with the sclerotic area in radiographs indicating micro abscesses and osteomyelitis. A diagnosis of femoral chronic osteomyelitis was made and the patient underwent arthroscopic drainage and washout, followed by open surgery for diaphysial femoral osteomyelitis. Rehabilitation was started and after six months the patient returned to his work .</span>
ACL,ACL reconstruction,Infection,Osteomyelitis
https://abjs.mums.ac.ir/article_3829.html
https://abjs.mums.ac.ir/article_3829_43683f183628277f1e67ebd41ebe2243.pdf