ORIGINAL_ARTICLE
Orthopedic History in Iran: Ancient, Contemporary and Modern Times
Ancient Iran Signs of pierced skulls and healed broken bones have been found in the archaeological site of “Shahr-e Sūkhté” (the Burnt City), a large Bronze Age urban habitation located in Sistan and Baluchistan Province at the southeastern part of Iran, going back to over 4000 years ago. The treatment of patients in ancient Iran was mostly carried out by the spiritualist clergymen1. Abu Bakr Mohammad Zakaria Razi, Razes, (854– 925) has described joint sprains, fractures, and bone anomalies in his “The Kitab al-Hawi Fi Tebb”. He was the first to use plaster casts for fracture immobilization. Later, Avicenna (980-1037) used tractions and splints for fracture management. He also used plaster casts, mummies and bitumen to support and protect fractures1. Rashid al-Din Fazlullah Hamedani (1247–1318), the powerful vizier of Ghazan, established and endowed "Rab-e-Rashidi", the clinical teaching complex in Tabriz, where orthopedic training as well as the management of fractures was also carried out. However, the establishment was looted and destroyed after the execution of Rashid al-Din Fazlullah. Thereafter, medicine was long declined in Iran, and there was no other place in the name of hospital where patients could be treated2.
https://abjs.mums.ac.ir/article_9281_ca9e070b789d549917f04bfa2f125d85.pdf
2017-09-01
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10.22038/abjs.2017.9281
Orthopedic
History
Iran
Bahador
Alami-Harandi
1
Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Mohammad Hossein
Nabian
hamooooooon@yahoo.com
2
Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
1. Tajbakhsh, H. Zakhireh Kharazmshahy by Hakim
1
Jorjani. Tehran: Amir Kabir Publications; 2011.
2
2. Jabbari Beirami H. Management of health and medical
3
education at the largest university of history of Azerbaijan
4
"Rob-e-Rashidi". Tabriz: Elvin Publishers; 2012.
5
3. Hedayaty J. The history of contemporary medicine
6
in Iran. Tehran: Iran University of Medical Sciences;
7
2003; P. 96.
8
4. Hedayaty J. The history of contemporary medicine
9
in Iran. Tehran: Iran University of Medical Sciences;
10
2003; P. 79-81.
11
5. Afshar A, Ziaei ME, Ahmadi A. Doctor Shoja-ad-Din
12
Sheikholeslamzadeh and his achievements. Arch
13
Bone Jt Surg. 2015; 3(1):3-8.
14
6. Saadat E. The progress of medicine in Iran during recent
15
seventy years. Tehran: Unknown Publisher; 1991; P. 299.
16
ORIGINAL_ARTICLE
Osteoporosis and the Management of Spinal Degenerative Disease
Osteoporosis has become a major medical problem as the aged population of the world rapidly grows. Osteoporosispredisposes patients to fracture, progressive spinal deformities, and stenosis, and is subject to be a major concernbefore performing spine surgery, especially with bone fusions and instrumentation. Osteoporosis has often beenconsidered a contraindication for spinal surgery, while in some instances patients have undergone limited and inadequateprocedures in order to avoid concomitant instrumentation. As the population ages and the expectations of older patientsincrease, the demand for surgical treatment in older patients with osteoporosis and spinal degenerative diseasesbecomes progressively more important. Nowadays, advances in surgical and anesthetic technology make it possible tooperate successfully on elderly patients who no longer accept disabling physical conditions. This article discusses thebiomechanics of the osteoporotic spine, the diagnosis and management of osteoporotic patients with spinal conditions,as well as the novel treatments, recommendations, surgical indications, strategies and instrumentation in patients withosteoporosis who need spine operations.
https://abjs.mums.ac.ir/article_8440_47f3b84fdbb87f9d9b43466ba55f188b.pdf
2017-09-01
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10.22038/abjs.2017.8440
Degenerative scoliosis
Degenerative spondylolisthesis
Fracture
Instrumentation
Osteoporosis
Stenosis
Felix
Tome-Bermejo
felixtome@hotmail.com
1
Spine Department. Fundacion Jimenez Diaz University Hospital, Madrid. Spain
LEAD_AUTHOR
Angel
Piñera
arpinerap@fjd.es
2
Spine Department. Fundacion Jimenez Diaz University Hospital, Madrid. Spain
AUTHOR
Luis
Alvarez
lalvarez@fjd.es
3
Spine Department. Fundacion Jimenez Diaz University Hospital, Madrid. Spain
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strength of interbody fusion constructs. Spine (Phila
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Pa 1976). 2000; 25(9):1077-84.
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90. Uchida K, Kobayashi S, Nakajima H, Kokubo Y, Yayama
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359
ORIGINAL_ARTICLE
Restoration of the Mechanical Axis in Total Knee Artrhoplasty Using Patient-Matched Technology Cutting Blocks. A Retrospective Study of 132 Cases
Background: The aim of this study is to evaluate the accuracy of bone cuts and the resultant alignment, using theMyKnee patient specific cutting blocks.Methods: We retrospectively reviewed 132 patients undergoing primary TKR for osteoarthritis by one single surgeon.The operative time, the preoperative Hip-Knee-Ankle (HKA) axis based on the CT-scan, the postoperative HKA axisbased on long axis standing x-rays, the planned and the actual size of the femoral and the tibial components, and thenumber of the recuts which has been made intraoperative were measured.Results: The average preoperative HKA axis was 177.50 (range 163.50 to 1940), whereas the average postoperativeHKA axis was 179.40 (range 177.10 to 182.70). No outliers were reported in the study (0%). Intraoperatively, 4 femoralcomponents (3.03%), and 7 tibial components (5.30%) applied to the patients were different than the planned size.There was no need of recuts in any of our cases intraoperatively.Conclusion: The MyKnee system evaluated in this study was shown to be remarkable reliable in the coronal planealignment, and the prediction of the component size. However, further studies are needed to determine whether thereare any clinically important improvements in outcomes or patient satisfaction when using patient-specific cutting blocksfor TKA.
https://abjs.mums.ac.ir/article_8428_cf65dee9d7b82a21340898d382931a38.pdf
2017-09-01
283
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10.22038/abjs.2017.14182.1337
CT Scan
HKA ankle
Knee alignment
Patient specific instruments
Total knee arthroplasty
Dimitrios N.
Lyras
dimitrislyras@yahoo.gr
1
Minimal Invasive Hip and Knee Fellow, Sky Ridge Medical Center, 10101 Ridgegate, Lone Tree, Colorado, USA
LEAD_AUTHOR
Robert
Greenhow
robgreenhow@gmail.com
2
Orthopedic and Trauma Surgeon, Sky Ridge Medical Center, 10101 Ridgegate, Lone Tree, Colorado, USA
AUTHOR
Craig
Loucks
craigloucks@gmail.com
3
Orthopedic and Trauma Surgeon, Sky Ridge Medical Center, 10101 Ridgegate, Lone Tree, Colorado, USA
AUTHOR
1. Barke S, Musanhu E, Busch C, Stafford G, Field R.
1
Patient -matched total knee arthroplasty: does it
2
offer any clinical advantages? Acta Orthop Belg.
3
2013; 79(3):307-11.
4
2. Rodricks DJ, Patil S, Pulido P, Colwell CW Jr. Press-fit
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condylar design total knee arthroplasty. Fourteen
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to seventeen year follow-up. J Bone Joint Surg Am.
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2007; 89(1):89-95.
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3. Vessely MB, Whaley AL, Harmsen WS, Schleck CD,
9
Berry DJ. The Chitranjan Ranawat Award: long term
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survivorship and failure modes of 1000 cemented
11
condylar total knee arthroplasties. Clin Orthop Relat
12
Res. 2006; 452(11):28-34.
13
4. Kim SJ, MacDonald M, Hernandez J, Wixson RL.
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Computer assisted navigation in total knee arthroplasty:
15
improved coronal alignment. J Arthroplasty. 2005;
16
20(7 Suppl 3):123-31.
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5. Jeffery RS, Morris RW, Denham RA. Coronal alignment
18
after total knee replacement. J Bone Joint Surg Br.
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1991; 73(5):709-14.
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6. Ritter MA, Faris PM, Keating EM, Meding JB.
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Postoperative alignment of total knee replacement.
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Its effect on survival. Clin Orthop Relat Res. 1994;
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299(2):153-6.
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7. Hetaimish BM, Khan MM, Simunovic N, Al-Harbi HH,
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Bhandari M, Zalzal PK. Meta-analysis of navigation vs
26
conventional total knee arthroplasty. J Arthroplasty.
27
2012; 27(6):1177-82.
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8. Mason JB, Fehring TK, Estok R, Banel D, Fahrbach
29
K. Meta-analysis of alignment outcomes in
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computer-assisted total knee arthroplasty surgery. J
31
Arthroplasty. 2007; 22(8):1097-106.
32
9. Lustig S, Fleury C, Goy D, Neyret P, Donell ST. The
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accuracy of acquisition of an imageless computerassisted
34
system and its implication for knee
35
arthroplasty. Knee. 2011; 18(1):15-20.
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10. Harvie P, Sloan K, Beaver RJ. Computer navigation
37
vs conventional total knee arthroplasty five-year
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functional results of a prospective randomized trial. J
39
Arthroplasty. 2012; 27(5):667-72.
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11. Spencer JM, Chauhan SK, Sloan K, Taylor A, Beaver RJ.
41
Computer navigation versus conventional total knee
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replacement: no difference in functional results at
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two years. J Bone Joint Surg Br. 2007; 89(4):477-80.
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12. Lombardi AV Jr, Berend KR, Adams JB. Patient-specific
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approach in total knee arthroplasty. Orthopedics.
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2008; 31(9):927-30.
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13. Noble JW Jr, Moore CA, Liu N. The value of patient
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matched instrumentation in total knee arthroplasty.
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J Arthroplasty. 2012; 27(1):153-5.
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14. Bathis H, Perlick L, Tingart M, Lüring C, Zurakowski
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D, Grifka J. Alignment in total knee arthroplasty. A
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comparison of computer-assisted surgery with the
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conventional technique. J Bone Joint Surg Br. 2004;
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86(5):682–7.
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15. Rand JA, Coventry MB. Ten-year evaluation of
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geometric total knee arthroplasty. Clin Orthop. 1988;
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232(7):168-73.
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16. Howell SM, Howell SJ, Kuznik KT, Cohen J, Hull ML.
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Does a kinematically aligned total knee arthroplasty
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restore function without failure regardless of
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alignment category? Clin Orthop Relat Res. 2013;
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471(3):1000–7.
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17. Bellemans J, Colyn W, Vandenneucker H, Victor J. The
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Chitranjan Ranawat award: is neutral mechanical
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alignment normal for all patients? The concept of
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constitutional varus. Clin Orthop Relat Res. 2012;
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470(1):45–53.
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18. Blakeney WG, Khan RJ, Wall SJ. Computer-assisted
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techniques versus conventional guides for
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component alignment in total knee arthroplasty: a
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randomized controlled trial. J Bone Joint Surg Am.
72
2011; 93(15):1377–84.
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19. Brin YS, Nikolaou VS, Joseph L, Zukor DJ, Antoniou J.
74
Imageless computer assisted versus conventional
75
total knee replacement: a Bayesian meta-analysis of 23
76
comparative studies. Int Orthop. 2011; 35(3):331–9.
77
20. Nunley RM, Ellison BS, Ruh EL, Williams BM, Foreman
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K, Ford AD, et al. Are patient-specific cutting blocks
79
cost effective for total knee arthroplasty? Clin Orthop
80
Rel Res. 2012; 470(3):889-94.
81
21. Conteduca F, Iorio R, Mazza D, Caperna L, Bolle G,
82
Argento G, et al. Are MRI-based, patient matched
83
cutting jigs as accurate as the tibial guides? Int
84
Orthop. 2012; 36(8):1589-93.
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22. Ng VY, DeClaire JH, Berend KR, Gulick BC, Lombardi
86
AV Jr. Improved accuracy of alignment with patientspecific
87
positioning guides compared with manual
88
instrumentation in TKA. Clin Orthop Relat Res. 2012;
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470(1):99-107.
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23. Koch PP, Müller D, Pisan M, Fucentese SF. Radiographic
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accuracy in TKA with a CT-based patient-specific
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cutting block technique. Knee Surg Sports Traumatol
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Arthrosc. 2013; 21(10):2200-5.
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24. Anderl W, Pauzenberger L, Kölblinger R, Kiesselbach
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G, Brandl G, Laky B, et al. Patient-specific
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instrumentation improved mechanical alignment,
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while early clinical outcome was comparable to
98
conventional instrumentation in TKA. Knee Surg
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Sports Traumatol Arthrosc. 2016; 24(1):102-11.
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25. Bowers ME, Trinh N, Tung GA, Crisco JJ, Kimia
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BB, Fleming BC. Quantitative MR imaging using
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“LiveWire” to measure tibiofemoral articular
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cartilage thickness. Osteoarthritis Cartilage. 2008;
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16(10):1167-73.
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26. Koo S, Giori NJ, Gold GE, Dyrby CO, Andriacchi TP.
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MR images is dependent on cartilage thickness:
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Biomech Eng. 2009; 131(12):121004.
110
ORIGINAL_ARTICLE
Effectiveness of Minimally Invasive Plate Osteosynthesis (MIPO) on Comminuted Tibial or Femoral Fractures
Background: Comminuted fractures happen frequently due to traumas. Fixation without opening the fracture site,known as minimally invasive plate osteosynthesis (MIPO), has recently become prevalent. This study has beendesigned to assess the outcomes of this treatment for tibial and femoral comminuted fractures.Methods: A total of 60 patients with comminuted femoral or tibial fractures were operated with MIPO method in thiscross-sectional study at Alzahra university hospital in 2015. Eleven patients were excluded due to lack of adequatefollow-ups. Patients’data including union time; infection in the fractured site; hip and knee range of motion; and anymalunion or deformities like limb length discrepancy were collected after the surgery in every session.Results: Among 32 femoral and 17 tibial fractures, union was completed in48 patients, while only one patient withfemoral fracture had nonunion. The mean union time was 18.57±2.42 weeks. Femur fractures healed faster than tibia(17.76±2.36 compared to 19±2.37 weeks, respectively, P=0.09). None of the patients suffered from infections or fistula.The range of motion in hip and knee remained intact in approximately all patients. Malunion happened in 3 patients; 100internal rotation in 1 patient; and 1cm limb shortening in 2 patients.Conclusion: According to the result of this study, MIPO is a simple and effective method of fixation with a high rateof union as well as minimal complications for comminuted fractures of long bones. Infection is rare, and malunion orany deformity is infrequent. MIPO appears to be a promising and safe treatment alternative for comminuted fractures.
https://abjs.mums.ac.ir/article_8429_ae969aa014fc9065c5679e60019ed1d7.pdf
2017-09-01
290
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10.22038/abjs.2017.14496.1348
Comminuted fractures
Femur
Minimally invasive plate osteosynthesis
MIPO
Plate osteosynthesis
Tibia
Ali
Andalib
ali_andalib@yahoo.com
1
Alzahra Hospital, Isfahan University of Medical Science, Isfahan, Iran
AUTHOR
Erfan
Sheikhbahaei
erfan.shikhbahaei@gmail.com
2
Isfahan University of Medical Sciences, Isfahan, Iran
AUTHOR
Zeynab
Andalib
zeynab_andalib@yahoo.com
3
Azad Islamic University, Najaf Abad branch, Isfahan, Iran
AUTHOR
Mohammad A.
Tahririan
tahririan@med.mui.ac.ir
4
Alzahra Hospital, Isfahan University of Medical Science, Isfahan, Iran
LEAD_AUTHOR
1. Paige WA, Wood II GW. Fractures of lower extremity.
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Terry Canale S, Beaty J, editors, Campbell’s operative
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orthopedics. New York: Mosby; 2003.
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2. Charles M. Court Brown Fractures of the tibia and
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fibula. In: Robert WB, Charles CB, editors. Rockwood
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& Wilkins fractures in adults. Philadelphia: Lippincott
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Williams &Wilkins; 2006.
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of complex tibial periarticular fractures using
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management. Davos: AO Publishing & Stuttgart; 2000.
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invasive plate osteosynthesis of distal fractures of the
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tibia. Injury. 1997; 28(Suppl 1):A42-7.
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17. Krettek C, Schandelmaier P, Nliclau T, Tscherne H.
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technique. J Orthop Trauma. 1996; 10(6):372-7.
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24. Perren SM. Evolution of the internal fixation of long
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25. Fernandes HJ, Sakaki MH, Silva Jdos S, Reis FB, Zumiotti
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AV. Comparative multicenter study of treatment of
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multi-fragmented tibial diaphyseal fractures with
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26. Wisniewski TF, Radziejowski MJ. Minimally invasive
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plating of high proximal tibial fractures unsuitable
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for nailing. Program and abstracts of the 18th Annual
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27. Wenda K, Runkel M, Degreif J, Rudig L. Minimally
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invasive plate fixation in femoral shaft fractures.
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28. Oh CW, Park BC, Kyung HS, Kim SJ, Kim HS, Lee SM, et
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al. Percutaneous plating for unstable tibial fractures. J
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Orthop Sci. 2003; 8(2):166-9.
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29. Wong EW, Lee EW. Percutaneous plating of lower limb
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long bone fractures. Injury. 2006; 37(6):543-53.
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30. Xu H, Xue Z, Ding H, Qin H, An Z. Callus formation and
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mineralization after fracture with different fixation
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2015; 10(10):e0140037.
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study. Injury. 2015; 46(11):2170-6.
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32. Bhat R, Wani MM, Rashid S, Akhter N. Minimally
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invasive percutaneous plate osteosynthesis for closed
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distal tibial fractures: a consecutive study based
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on 25 patients. Eur J Orthop Surg Traumatol. 2015;
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25(3):563-8.
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33. Lill M, Attal R, Rudisch A, Wick MC, Blauth M, Lutz M.
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study. Eur J Trauma Emerg Surg. 2015; 42(6):733-740
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ORIGINAL_ARTICLE
Long-term Results of Osteoarticular Allograft Reconstruction in Children with Distal Femoral Bone Tumors
Background: There is no consensus regarding the best method of reconstruction in pediatric population following thewide resection of malignant bone tumors. More exploration of the complications of osteoarticular reconstruction leads toless existing controversy of this type of reconstruction, which is the main point of this article.Methods: Long-term outcomes and complications of osteoarticular allograft reconstruction of primary distal femoral bonesarcomas in 22 children with mean age of 10.7 years old were reviewed in this study. Musculoskeletal Tumor Society(MSTS) scoring system was used for functional evaluation of the allografts.Results: With an average follow-up time of 81 months, the outcomes of 16 patients with allografts at the final follow upwere evaluated. As expected, Limb length discrepancy (LLD) was observed in all patients (mean LLD= 2.73cm), whichwas significantly correlated to allograft survival time (P<0.001). Degenerative joint disease (DJD) was also seen in allpatients and its grade was also significantly correlated to allograft survival time (P<0.001). The mean MSTS-score was74% at the latest follow-up, ranging from 60% to 90%. Five and 10 year survival rate of allografts were found to be 93.3%and 62.2%, respectively.Conclusion: Osteoarticular allograft reconstruction could result in several complications including DJD. Despite itsconsiderable biologic advantage over endoprosthesis, osteoarticular allograft reconstruction is a long-lasting but still atemporary solution before performing megaprosthesis. This allows patients to preserve their remaining physis for limbgrowth and become old enough for an adult megaprosthesis.
https://abjs.mums.ac.ir/article_7939_26ff061d4995b4b9e271587d7a00b40e.pdf
2017-09-01
296
301
10.22038/abjs.2016.7939
Distal Femoral Tumor
Osteoarticular Allograft
Pediatric
Khodamorad
Jamshidi
jamshidi_k@yahoo.com
1
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
Mehrdad
Bahrabadi
mehrdad.bahrabadi@gmail.com
2
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Alireza
Mirzaei
mirzaeialireza26@gmail.com
3
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran
AUTHOR
1. Bloem JL, Taminiau AH, Eulderink F, Hermans J,
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3. Ottaviani G, Jaffe N. The epidemiology of
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osteosarcoma. Pediatric and adolescent
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osteosarcoma. New York: Springer; 2009. P. 3-13.
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4. Chauhan A, Joshi GR, Chopra BK, Ganguly M,
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Reddy GR. Limb salvage surgery in bone tumors: a
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Indian J Surg Oncol. 2013; 4(3):248-54.
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limb salvage surgery: modular endoprosthesis
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30(6):458-64.
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FJ, Ghandur-Mnaymneh L. Massive distal femoral
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tumors. Clin Orthop Relat Res. 1994; 303:103-15.
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M. Long-term results in children with massive bone
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Haller DG, et al. AJCC cancer staging manual. Berlin,
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Germany: Springer Science & Business Media; 2002.
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E, Conrad C, et al. NCCN sarcoma practice guidelines.
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(Williston Park, NY). 1998; 12(7A):183-218.
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Orthop Scand. 1997; 68(4):387-91.
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17. Enneking WF, Dunham W, Gebhardt MC, Malawar M,
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ORIGINAL_ARTICLE
Acute Primary Total Knee Arthroplasty for Proximal Tibial Fractures in Elderly
Background: Proximal tibial fractures in elderly patients with osteoporosis or knee osteoarthritis (OA) are challengingcases. In the current study, we present our experience with uncommon acute primary total knee arthroplasty (PTKA)in this patient population.Methods: PTKAs were performed following proximal tibial fractures in 30 consecutive patients over 60 years of agewith osteoporosis or knee OA between 2005 and 2009. Three constrained condylar knees (CCK) and no hinged kneeprosthesis were used. Patients were followed up for 4.5±1.1 years.Results: Patients were discharged after 4.6±1.2 days. The postoperative Tegner activity scale (3.5±1.3) was improvedsignificantly compared to the preoperative scale (2.5±1.2) (P<0.001). The knee flexion range was significantly greaterin the operated side (106±13 degrees) compared to the uninjured knee (120±8 degrees) (P<0.001). The two sectionsof knee society knee score (knee and function section) averaged 90.7±6.5 and 69.6±8.8, respectively. All patientsreturned to their previous activities. Based on the visual analogue scale, the patients’ satisfaction and pain at final visitwere scored 8.1±1 and 1.5±1.2, respectively. No infection, thromboembolic events and loosening were observed.Conclusion: PTKA following a proximal tibial fracture in elderly patients with osteoporosis or knee degeneration can beconsidered as a safe alternative for open reduction and internal fixation. PTKA resulted in immediate weight-bearing,improved functional status and patients’ satisfaction. However, functional outcomes were dependent on the generalcondition of 24 the patient. Also, constrained knee prostheses were not necessary for a vast majority of the patients.
https://abjs.mums.ac.ir/article_8435_c464e16d59ef16f664ff333ee11f5902.pdf
2017-09-01
302
307
10.22038/abjs.2017.8435
Knee Osteoarthritis
Osteoporosis
Proximal tibial fracture
Total knee arthroplasty
Mohammad M.
Sarzaeem
mmsarzaeem@yahoo.com
1
Orthopaedic Surgeon, Imam Hossein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
AUTHOR
Mohammad M.
Omidian
omid_medicine@yahoo.com
2
Orthopaedic Surgeon, Imam Hossein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
LEAD_AUTHOR
Gholamhossein
kazemian
gh_kazemian@yahoo.com
3
Orthopaedic Surgeon, Imam Hossein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
AUTHOR
Aalireza
Manafi
drmanafi54@yahoo.com
4
Orthopaedic Surgeon, Imam Hossein Hospital, Shahid Beheshti University of Medical sciences, Tehran, Iran
AUTHOR
1. Hsu CJ, Chang WN, Wong CY. Surgical treatment of
1
tibial plateau fracture in elderly patients. Arch Orthop
2
Trauma Surg. 2001; 121(1-2):67-70.
3
2. Chin TY, Bardana D, Bailey M, Williamson OD, Miller
4
R, Edwards ER, et al. Functional outcome of tibial
5
plateau fractures treated with the fine-wire fixator.
6
Injury. 2005; 36(12):1467-75.
7
3. Rosen AL, Strauss E. Primary total knee arthroplasty
8
for complex distal femur fractures in elderly patients.
9
Clin Orthop Relat Res. 2004; (425):101-5.
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4. Subasi M, Kapukaya A, Arslan H, Ozkul E, Cebesoy O.
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Outcome of open comminuted tibial plateau fractures
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treated using an external fixator. J Orthop Sci. 2007;
13
12(4):347-53.
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5. Vermeire J, Scheerlinck T. Early primary total knee
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replacement for complex proximal tibia fractures in
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elderly and osteoarthritic patients. Acta Orthop Belg.
17
2010; 76(6):785-93.
18
6. Faldini C, Manca M, Pagkrati S, Leonetti D, Nanni M,
19
Grandi G, et al. Surgical treatment of complex tibial
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plateau fractures by closed reduction and external
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fixation. A review of 32 consecutive cases operated. J
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Orthopaed Traumatol. 2005; 6(4):188-193.
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7. Ma CH, Wu CH, Yu SW, Yen CY, Tu YK. Staged external
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and internal less280 invasive stabilisation system
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plating for open proximal tibial fractures. Injury.
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2010; 41(2):190-6.
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8. Singh S, Patel PR, Joshi AK, Naik RN, Nagaraj C, Kumar
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S. Biological approach to treatment of intra-articular
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proximal tibial fractures with double osteosynthesis.
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Int Orthop. 2009; 33(1):271-4.
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9. Zura RD, Browne JA, Black MD, Olson SA. Current
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management of high-energy tibial plateau fractures.
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Curr Orthopaed. 2007; 21(3):229-35.
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10. Civinini R, Carulli C, Matassi F, Villano M, Innocenti
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M. Total 264 knee arthroplasty after complex tibial
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plateau fractures. Chir Organi Mov. 2009; 93(3):143-7.
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11. Honkonen SE. Degenerative arthritis after tibial
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plateau fractures. J Orthop Trauma. 1995; 9(4):273-7.
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12. Wasserstein D, Henry P, Paterson JM, Kreder HJ,
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Jenkinson R. Risk of total knee arthroplasty after
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operatively treated tibial plateau fracture: a matchedpopulation-
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based cohort study. J Bone Joint Surg Am.
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2014; 96(2):144-50.
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13. Suzuki G, Saito S, Ishii T, Motojima S, Tokuhashi Y,
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Ryu J. Previous fracture surgery is a major risk factor
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of infection after total knee arthroplasty. Knee Surg
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Sports Traumatol Arthrosc. 2011; 19(12):2040-4.
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14. Weiss NG, Parvizi J, Trousdale RT, Bryce RD, Lewallen
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DG. Total knee arthroplasty in patients with a prior
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fracture of the tibial plateau. J Bone Joint Surg Am.
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2003; 85-A(2):218-21.
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15. Bansal MR, Bhagat SB, Shukla DD. Bovine cancellous
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xenograft in the treatment of tibial plateau fractures
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in elderly patients. Int Orthop. 2009; 33(3):779-84.
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16. Gerich T, Bosch U, Schmidt E, Lobenhoffer P, Krettek
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C. Knee joint prosthesis implantation after fractures
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of the head of the tibia. Intermediate term results of
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a cohort analysis. Unfallchirurg. 2001; 104(5):414-9.
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17. Malviya A, Reed MR, Partington PF. Acute primary
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total knee arthroplasty for peri-articular knee
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fractures in patients over 65 years of age. Injury. 2011;
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42(11):1368-71.
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18. Nau T, Pflegerl E, Erhart J, Vecsei V. Primary total
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knee 285 arthroplasty for periarticular fractures. J
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Arthroplasty. 2003; 18(8):968-71.
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19. Nourissat G, Hoffman E, Hémon C, Rillardon L, Guigui
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P, Sautet A. Total knee arthroplasty for recent severe
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fracture of the proximal tibial epiphysis in the elderly
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subject. Rev Chir Orthop Reparatrice Appar Mot.
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2006; 92(3):242-7.
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20. Roerdink WH, Oskam J, Vierhout PA. Arthroscopically
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assisted osteosynthesis of tibial plateau fractures
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in patients older than 55 years. Arthroscopy. 2001;
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17(8):826-31.
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21. Su EP, Westrich GH, Rana AJ, Kapoor K, Helfet DL.
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Operative 305 treatment of tibial plateau fractures in
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patients older than 55 years. Clin Orthop Relat Res.
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2004; (421):240-8.
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22. Frattini M, Vaienti E, Soncini G, Pogliacomi F. Tibial
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plateau fractures in elderly patients. Chir Organi Mov.
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2009; 93(3):109-14.
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Grün OA, Krettek C. Distal femoral fractures and LISS
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stabilization. Injury. 2001; 32(Suppl 3):SC55-63.
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24. Shah A, Asirvatham R, Sudlow RA. Primary resection
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Orthop. 1993; 26(5):463-7.
89
ORIGINAL_ARTICLE
Interobserver Variability of Radiographic Assessment using a Mobile Messaging Application as a Teleconsultation Tool
Background: To examine whether interobserver reliability, decision-making, and confidence in decision-making in thetreatment of distal radius fractures changes if radiographs are viewed on a messenger application on a mobile phonecompared to a standard DICOM viewer.Methods: Radiographs of distal radius fractures were presented to surgeons on either a smart phone using a mobilemessenger application or a laptop using a DICOM viewer application. Twenty observers participated: 10 (50%) wererandomly assigned to the DICOM viewer group and 10 (50%) to the mobile messenger group. Each observer was askedto evaluate the cases and (1) classify the fracture type according to the AO classification, (2) recommend operative orconservative treatment and (3) rate their confidence about this decision.Results: There was no significant difference in interobserver reliability for AO classification and recommendation forsurgery for distal radius fractures in both groups. The percentage of recommendation for surgery was significantlyhigher in the messenger application group compared to the DICOM viewer group (89% versus 78%, P=0.019) and theconfidence for treatment decision was significantly higher in the mobile messenger group compared to the DICOM viewergroup (8.9 versus 7.9, P=0.026).Conclusion: Messenger applications on mobile phones could facilitate remote decision-making for patients with distalradius fractures, but should be used with caution.
https://abjs.mums.ac.ir/article_7954_5c98092af228ac1da0883cbd2e1fac3f.pdf
2017-09-01
308
314
10.22038/abjs.2016.7954
Decision-making
Distal radius
Interobserver agreement
Messaging application
Teleconsultation
Sezai
Ozkan
sozkan@mgh.harvard.edu
1
Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA, Yawkey Center, USA
AUTHOR
Jos J.
Mellema
josjmellema@gmail.com
2
Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA, Yawkey Center, USA
AUTHOR
David
Ring
david.ring@austin.utexas.edu
3
Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, Texas, USA
LEAD_AUTHOR
Neal C.
Chen
nchen1@mgh.harvard.edu
4
Hand and Upper Extremity Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA, Yawkey Center, USA
AUTHOR
1. Franko OI, Tirrell TF. Smartphone app use among
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medical providers in ACGME training programs. J Med
2
Syst. 2012; 36(5):3135-9.
3
2. Consulting VW. mHealth for development: the
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opportunity of mobile technology for healthcare in the
5
developing world. Washington DC and Berkshire, UK:
6
UN Foundation-Vodafone Foundation Partnership;
7
3. Wani SA, Rabah SM, Alfadil S, Dewanjee N, Najmi Y.
8
Efficacy of communication amongst staff members
9
at plastic and reconstructive surgery section using
10
smartphone and mobile WhatsApp. Indian J Plast
11
Surg. 2013; 46(3):502-5.
12
4. Molina CS, Callan AK, Burgos EJ, Mir HR. On-call
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communication in orthopaedic trauma: “a picture is
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worth a thousand words”--a survey of OTA members.
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J Orthop Trauma. 2015; 29(5):e194-7.
16
5. Reponen J, Ilkko E, Jyrkinen L, Tervonen O, Niinimaki
17
J, Karhula V, et al. Initial experience with a wireless
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personal digital assistant as a teleradiology terminal
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for reporting emergency computerized tomography
20
scans. J Telemed Telecare. 2000; 6(1):45-9.
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6. Kondo Y. Medical image transfer for emergency care
22
utilizing internet and mobile phone. Nihon Hoshasen
23
Gijutsu Gakkai Zasshi. 2002; 58(10):1393-401.
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7. Johnston WK 3rd, Patel BN, Low RK, Das S. Wireless
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teleradiology for renal colic and renal trauma. J
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Endourol. 2005; 19(1):32-6.
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8. Yaghmai V, Kuppuswami S, Berlin JW, Salehi SA.
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Evaluation of personal digital assistants as an
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interpretation medium for computed tomography of
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patients with intracranial injury. Emerg Radiol. 2003;
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10(2):87-9.
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9. Yamamoto LG, Williams DR. A demonstration of instant
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pocket wireless CT teleradiology to facilitate stat
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neurosurgical consultation and future telemedicine
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implications. Am J Emerg Med. 2000; 18(4):423-6.
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10. Schwartz AB, Siddiqui G, Barbieri JS, Akhtar AL, Kim
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W, Littman-Quinn R, et al. The accuracy of mobile
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teleradiology in the evaluation of chest X-rays. J
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Telemed Telecare. 2014; 20(8):460-3.
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11. Toomey RJ, Ryan JT, McEntee MF, Evanoff MG,
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Chakraborty DP, McNulty JP, et al. Diagnostic efficacy of
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handheld devices for emergency radiologic consultation.
43
AJR Am J Roentgenol. 2010; 194(2):469-74.
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12. Mobasheri MH, Johnston M, Syed UM, King D, Darzi
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A. The uses of smartphones and tablet devices in
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surgery: a systematic review of the literature. Surgery.
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2015; 158(5):1352-71.
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13. Giordano V, Koch HA, Mendes CH, Bergamin A, de
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Souza FS, do Amaral NP. WhatsApp messenger is useful
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and reproducible in the assessment of tibial plateau
51
fractures: inter- and intra-observer agreement study.
52
Int J Med Inform. 2015; 84(2):141-8.
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14. Ranschaert ER, van Ooijen PM, Lee S, Ratib O, Parizel
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PM. Social media for radiologists: an introduction.
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Insights Imaging. 2015; 6(6):741-52.
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15. Wiggelinkhuizen M, Tilanus ME, Bollen CW, Houwen
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RH. Increasement in the use of WhatsApp messenger
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among medical specialists. Med Contact. 2015;
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48(1):2310-11.
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16. Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche
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PC, Devereaux PJ, et al. CONSORT 2010 explanation
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and elaboration: updated guidelines for reporting
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parallel group randomised trials. BMJ. 2010;
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340(1):c869.
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17. Sim J, Wright CC. The kappa statistic in reliability
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studies: use, interpretation, and sample size
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requirements. Phys Ther. 2005; 85(3):257-68.
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18. Walter SD, Eliasziw M, Donner A. Sample size and
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optimal designs for reliability studies. Stat Med. 1998;
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17(1):101-10.
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19. Boissin C, Fleming J, Wallis L, Hasselberg M, Laflamme
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L. Can we trust the use of smartphone cameras in
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clinical practice? Laypeople assessment of their image
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quality. Telemed J E Health. 2015; 21(11):887-92.
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20. Guitton TG, Ring D, Science of Variation Group.
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Interobserver reliability of radial head fracture
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classification: two-dimensional compared with
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three-dimensional CT. J Bone Joint Surg Am. 2011;
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93(21):2015-21.
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agreement for categorical data. Biometrics. 1977;
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33(1):159-74.
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23. Wu R, Rossos P, Quan S, Reeves S, Lo V, Wong B, et al. An
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evaluation of the use of smartphones to communicate
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between clinicians: a mixed-methods study. J Med
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24. Hsieh CH, Jeng SF, Chen CY, Yin JW, Yang JC, Tsai HH, et
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al. Teleconsultation with the mobile camera-phone in
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remote evaluation of replantation potential. J Trauma.
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2005; 58(6):1208-12.
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25. Eze N, Lo S, Bray D, Toma AG. The use of camera
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mobile phone to assess emergency ENT radiological
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investigations. Clin Otolaryngol. 2005; 30(3):230-3.
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26. Ploegmakers JJ, Mader K, Pennig D, Verheyen CC. Four
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distal radial fracture classification systems tested
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amongst a large panel of Dutch trauma surgeons.
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Injury. 2007; 38(11):1268-72.
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27. Neuhaus V, Bot AG, Guitton TG, Ring DC. Influence of
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surgeon, patient and radiographic factors on distal
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radius fracture treatment. J Hand Surg Eur Vol. 2015;
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40(8):796-804.
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28. Blaivas M, Lyon M, Duggal S. Ultrasound image
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transmission via camera phones for overreading. Am
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J Emerg Med. 2005; 23(4):433-8.
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29. Most popular mobile messaging apps worldwide as of
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April 2016, based on number of monthly active users
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(in millions). The Statistics portal. Available at: URL:
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global-mobile-messenger-apps; 2016.
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30. Scherschel FA. Keeping tabs on whatsapp’s encryption.
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http://www.heise.de/ct/artikel/Keeping-Tabs-on-
116
WhatsApp-s-Encryption-2630361.html; 2015.
117
ORIGINAL_ARTICLE
Blood Glucose Levels in Diabetic Patients Following Corticosteroid Injections into the Subacromial Space of the Shoulder
Background: Corticosteroid injections are used to treat a variety of orthopedic conditions with the goal of decreasingpain and inflammation. Administration of systemic or local corticosteroids risks temporarily increasing blood glucoselevels, especially diabetic patients. The purpose of this study is to quantify the effects of corticosteroid injections onblood glucose levels in diabetic patients with shoulder pathology.Methods: Diabetic patients who regularly monitored their blood glucose levels and were indicated for a subacromialcorticosteroid injection were included in this prospective investigation. The typical normal morning fasting glucoseand most recent hemoglobin A1c level was recorded for each patient. After injection, patients were contacted daily toconfirm their fasting morning glucose level for 10 days post-injection.Results: Seventeen consecutive patients were enrolled. Patients with hemoglobin A1c of <7% had an average risein blood glucose of 38 mg/dL compared to 98 mg/dL in the poorly controlled group after injection (P<0.001). Wellcontrolledpatients’ glucose levels returned to near baseline levels around post-injection day 8, while poorly controlledpatients levels remained elevated. Similarly, insulin-dependent diabetic patients had an average increase in fastingglucose level of 99 mg/dL versus 50 mg/dL in non-insulin-dependent diabetic patients (P<0.001).Conclusion: After corticosteroid injection, patients with well-controlled diabetes experience smaller elevations andfaster return to baseline glucose levels than patients with poor control. Insulin dependent diabetics experienced similarfindings as patients with poor control. Future studies are needed to evaluate dosing to optimize the risks of bloodglucose elevation while maintaining therapeutic benefit.
https://abjs.mums.ac.ir/article_8600_95e2398dfea094e263ff918e09f09bed.pdf
2017-09-01
315
321
10.22038/abjs.2017.21412.1549
Corticosteroid injection
Diabetic response to corticosteroid injection
Glucose response to corticosteroid
Pain relief with steroid injection
Shoulder injection
Shoulder pain
Alexander w.
Aleem
alexanderaleem@gmail.com
1
Washington University in St. Louis School of Medicine Department of Orthopaedic Surgery, St. Louis, MO, USA
LEAD_AUTHOR
Usman Ali M.
Syed
usyed11@gmail.com
2
The Rothman Institute at Thomas Jefferson University, Philadelphia PA, USA
AUTHOR
Thema
Nicholson
thema.nicholson@rothmaninstitute.com
3
The Rothman Institute at Thomas Jefferson University, Philadelphia PA, USA
AUTHOR
Charles L.
Getz
charlie.getz@rothmaninstitute.com
4
The Rothman Institute at Thomas Jefferson University, Philadelphia PA, USA
AUTHOR
Surena
Namdari
surena.namdari@rothmaninstitute.com
5
The Rothman Institute at Thomas Jefferson University, Philadelphia PA, USA
AUTHOR
Pedro K.
Beredjiklian
pedro.beredjiklian@rothmaninstitute.com
6
The Rothman Institute at Thomas Jefferson University, Philadelphia PA, USA
AUTHOR
Joseph A.
Abboud
abboudj@gmail.com
7
The Rothman Institute at Thomas Jefferson University, Philadelphia PA, USA
AUTHOR
1. Arslan S, Celiker R. Comparison of the efficacy of
1
local corticosteroid injection and physical therapy for
2
the treatment of adhesive capsulitis. Rheumatol Int.
3
2001; 21(1):20-3.
4
2. Cole BF, Peters KS, Hackett L, Murrell GA. Ultrasoundguided
5
versus blind subacromial corticosteroid
6
injections for subacromial impingement syndrome:
7
a randomized, double-blind clinical trial. Am J Sports
8
Med. 2016; 44(3):702-7.
9
3. Hart L. Corticosteroid and other injections in the
10
management of tendinopathies: a review. Clin J Sport
11
Med. 2011; 21(6):540-1.
12
4. Lorbach O, Kieb M, Scherf C, Seil R, Kohn D, Pape D.
13
Good results after fluoroscopic-guided intra-articular
14
injections in the treatment of adhesive capsulitis of
15
the shoulder. Knee Surg Sports Traumatol Arthrosc.
16
2010; 18(10):1435-41.
17
5. Warner JJ. Frozen shoulder: diagnosis and management.
18
J Am Acad Orthop Surg. 1997; 5(3):130-40.
19
6. Ranalletta M, Rossi LA, Bongiovanni SL, Tanoira I,
20
Elizondo CM, Maignon GD. Corticosteroid injections
21
accelerate pain relief and recovery of function
22
compared with oral NSAIDs in patients with adhesive
23
capsulitis: a randomized controlled trial. Am J Sports
24
Med. 2016; 44(2):474-81.
25
7. Habib GS, Miari W. The effect of intra-articular
26
triamcinolone preparations on blood glucose levels in
27
diabetic patients: a controlled study. J Clin Rheumatol.
28
2011; 17(6):302-5.
29
8. Stepan JG, London DA, Boyer MI, Calfee RP. Blood glucose
30
levels in diabetic patients following corticosteroid
31
injections into the hand and wrist. J Hand Surg Am.
32
2014; 39(4):706-12.
33
9. Even JL, Crosby CG, Song Y, McGirt MJ, Devin CJ. Effects
34
of epidural steroid injections on blood glucose levels
35
in patients with diabetes mellitus. Spine (Phila Pa
36
1976). 2012; 37(1):E46-50.
37
10. Kim N, Schroeder J, Hoffler CE, Matzon JL, Lutsky
38
KF, Beredjiklian PK. Elevated hemoglobin A1C levels
39
correlate with blood glucose elevation in diabetic
40
patients following local corticosteroid injection in the
41
hand: a prospective study. Plast Reconstr Surg. 2015;
42
136(4):474e-9e.
43
11. Habib GS, Abu-Ahmad R. Lack of effect of corticosteroid
44
injection at the shoulder joint on blood
45
glucose levels in diabetic patients. Clin Rheumatol.
46
2007; 26(4):566-8.
47
12. Lasker RD. The diabetes control and complications
48
trial. Implications for policy and practice. N Engl J
49
Med. 1993; 329(14):1035-6.
50
13. Stratton IM, Adler AI, Neil HA, Matthews DR, Manley
51
SE, Cull CA, et al. Association of glycaemia with
52
macrovascular and microvascular complications of
53
type 2 diabetes (UKPDS 35): prospective observational
54
study. BMJ. 2000; 321(7258):405-12.
55
14. Ahmed N. Advanced glycation endproducts--role in
56
pathology of diabetic complications. Diabetes Res Clin
57
Pract. 2005; 67(1):3-21.
58
15. Giori NJ, Ellerbe LS, Bowe T, Gupta S, Harris AH.
59
Many diabetic total joint arthroplasty candidates
60
are unable to achieve a preoperative hemoglobin
61
A1c goal of 7% or less. J Bone Joint Surg Am. 2014;
62
96(6):500-4.
63
ORIGINAL_ARTICLE
Single Cut Distal Femoral Varus Osteotomy (SCFO): A Preliminary Study
Background: Genu valgum usually originates from a deformity of distal femur that is often corrected by distal femoralvarus osteotomy. The osteotomy includes both components of angulationcorrection and translation because the siteof osteotomy is not commonly at the apex of deformity. Improvement of patellar tracking not only depends on valguscorrection, but also it may be partially due to centralization of the trochlear groove under the femoral anatomical axis(FAA).We asked whether we could accurately correct the deformities based on our preoperative goals for the correction ofthe mechanical axis and centralization of the trochlear groove under the FAA by using a single bone cut.This study describes a new lateral single cut distal femoral osteotomy (SCFO) that enables concurrent correction ofangulation and translation.Methods: This study was done on 12 young adult patients with femoral juxta-articular genu valgum deformityusing SCFO. The average age at operation was 21 years (range: 16-25). SCFO is a type of closing-openingdistal femoral osteotomy that corrects the valgus deformity of the distal femur while the translation of the distalfragment is done using one oblique cut. It centralizes the trochlear groove under the FAA. We compared the preand postoperative radiographic and clinical variables including mechanical tibiofemoral angle, knee range of motion(ROM), International knee documentation committee (IKDC) score and the time to union. Mean follow-up of thepatients was 24 months.Results: The average mechanical tibiofemoral angle improved from 16 degrees (10-23) to 1 degrees (-2 to +2). IKDCsubjective score slightly improved from preoperative (65) to 2-year follow-up (71). Centralization of the trochlea wasachieved in all patients.Conclusion: SCFO can be a reasonable alternative for correction of the distal femur genu valgum deformity. It cancentralize the patellar groove under the FAA with satisfactory clinical outcomes.
https://abjs.mums.ac.ir/article_8995_ec6d00e5a0ccc21a6fc3de489f55780b.pdf
2017-09-01
322
327
10.22038/abjs.2017.23007.1610
Femoral osteotomy
Genu valgum
SCFO
Single cut
Valgus
Reza
Abdi
reza1352abdi@gmail.com
1
Birjand University of Medical Sciences, Birjand, Iran
AUTHOR
Ramin
Hajzargarbashi
ramin1352hajzargarbashi@gmail.com
2
Pediatrics Center of Excellence, Tehran University of Medical Sciences,Tehran, Iran.
LEAD_AUTHOR
Mohammad H.
Ebrahimzadeh
ebrahimzadehmh@mums.ac.ir
3
Orthopedic Research Center Department of Orthopedic Surgery, Qhaem Hospital, Mashad University of Medical Sciences, Mashad, Iran
AUTHOR
1. Saithna A, Kundra R, Modi CS, Getgood A, Spalding
1
T. Distal femoral varus osteotomy for lateral
2
compartment osteoarthritis in the valgus knee. A
3
systematic review of the literature. Open Orthop J.
4
2012; 6(2):313-9.
5
2. Omidi-Kashani F, Hasankhani IG, Mazlumi M,
6
Ebrahimzadeh MH. Varus distal femoral osteotomy
7
in young adults with valgus knee. J Orthop Surg Res.
8
2009; (4):15.
9
3. Paccola CA. Pre-operative planning and surgical
10
technique of the open wedge supracondylar osteotomy
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for correction of valgus knee and fixation with a fixedangle
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implant. Rev Bras Ortop . 2015; 45(6):627-35.
13
4. Gupta V, Kamra G, Singh D, Pandey K, Arora S.
14
Wedgeless ‘V’ shaped distal femoral osteotomy with
15
internal fixation for genu valgum in adolescents and
16
young adults. Acta Orthop Belg. 2014; 80(2):234-40.
17
5. Luna-Pizarro D, Moreno-Delgado F, De la Fuente-
18
Zuno JC, Meraz-Lares G. Distal femoral dome varus
19
osteotomy: surgical technique with minimal dissection
20
and external fixation. Knee. 2012; 19(2):99-102.
21
6. Puddu G, Cipolla M, Cerullo G, Franco V, Gianni E.
22
Which osteotomy for a valgus knee? Int Orthop. 2010;
23
34(2):239-47.
24
7. Dhar SA, Butt MF, Mir MR, Dar TA, Sultan A. A
25
reciprocating ledge technique in closing wedge
26
osteotomy for genu valgum in adolescents. J Orthop
27
Surg (Hong Kong) . 2009; 17(3):313-6.
28
8. Paley D, Tetsworth K. Mechanical axis deviation of
29
the lower limbs: preoperative planning of uniapical
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angular deformities of the tibia or femur. Clinical
31
orthopaedics and related research. 1992; (280):48-64.
32
9. Mathews J, Cobb AG, Richardson S, Bentley G. Distal
33
femoral osteotomy for lateral compartment osteoarthritis
34
of the knee. Orthopedics. 1998; 21(4):437-40.
35
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varus supracondylar osteotomy. Oper Tech Sports
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12. Puddu G, Cipolla M, Cerullo G, Franco V, Gianni E.
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Osteotomies: the surgical treatment of the valgus
43
knee. Sports Med Arthrosc. 2007; 15(1):15-22.
44
13. Dugdale TW, Noyes FR, Styer D. Preoperative Planning
45
for High Tibial Osteotomy: The Effect of Lateral
46
Tibiofemoral Separation and Tibiofemoral Length.
47
Clin Orthop Relat Res. 1992; 274:248-64.
48
14. Stevens PM, Maguire M, Dales MD, Robins AJ. Physeal
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stapling for idiopathic genu valgum. J Pediatr Orthop .
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1999; 19(5):645-9
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15. Brinkman JM. Fixation stability and new surgical
52
concepts of osteotomies around the knee.[ Doctoral
53
dissertation]. Utrecht: Utrecht University; 2013.
54
16. Hinterwimmer S, Minzlaff P, Saier T, Niemeyer P,
55
Imhoff AB, Feucht MJ. Biplanar supracondylar femoral
56
derotation osteotomy for patellofemoral malalignment:
57
the anterior closed-wedge technique. Knee Surg Sports
58
Traumatol Arthrosc. 2014; 22(10):2518-21.
59
17. Andrade MAPd, Gomes DC, Portugal AL, Silva
60
GM. Osteotomia femoral distal de varização para
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osteoartrose no joelho valgo: seguimento em longo
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prazo. Rev Bras Ortop. 2009; 44(4):346-50.
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18. Postel M, Langlais F. Osteotomies du genou pour
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gonarthrose. Encyclopédie médico-chirurgicale:
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techniques chirurgicales, orthopédie Paris: Editions
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Techniques; 1977. P. 1-17.
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19. Thein R, Bronak S, Thein R, Haviv B. Distal femoral
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osteotomy for valgus arthritic knees. J Orthop Sci.
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2012; 17(6):745-9.
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20. Gugenheim JJ Jr., Brinker MR. Bone realignment with
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use of temporary external fixation for distal femoral
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valgus and varus deformities. J Bone Joint Surg Am.
73
2003; 85-A(7):1229-37.
74
21. Seah KT, Shafi R, Fragomen AT, Rozbruch SR. Distal
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femoral osteotomy: is internal fixation better than
76
external? Clin Orthop Relat Res. 2011; 469(7):2003-11.
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22. Omidi-Kashani F, Hasankhani IG, Mazlumi M,
78
Ebrahimzadeh MH. Varus distal femoral osteotomy
79
in young adults with valgus knee. J Orthop Surg Res.
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2009; 13: 4:15.
81
23. Cameron JI, McCauley JC, Kermanshahi AY, Bugbee WD.
82
Lateral Opening-wedge Distal Femoral Osteotomy: Pain
83
Relief, Functional Improvement, and Survivorship at 5
84
Years. Clin Orthop Relat Res. 2015; 473(6):2009-15.
85
24. Chahla J, Mitchell JJ, Liechti DJ, Moatshe G, Menge TJ,
86
Dean CS, LaPrade RF. Opening- and Closing-Wedge Distal
87
Femoral Osteotomy: A Systematic Review of Outcomes
88
for Isolated Lateral Compartment Osteoarthritis. Orthop
89
J Sports Med. 2016; 6:4(6):2325967116649901.
90
ORIGINAL_ARTICLE
Clinical Results of Platelet-Rich Plasma for Partial Thickness Rotator Cuff Tears: A Case Series
Partial thickness rotator cuff tears (PTRCTs) are a common pathology among shoulder disorders in people over 50 years.Treatment of PTRCTs remains controversial. Most studies on the treatment of PTRCTs have explained surgical techniquesor outcomes; few studies have centralized on the conservative and new management of PTRCTs, like treatmentwith Platelet-rich plasma (PRP). These case series study have been conducted on Platelet-rich plasma (PRP) injection,as a concentrated source of autologous platelets in blood plasma, contains several different growth factors and othercytokines that can stimulate healing of soft tissue.PRP injection showed positive effect on improving PTRCTs complains. This method improved pain, function, DASH scoreand shoulder joint range motion in. Because of PRP products are safe and easy to prepare and apply, and also accordingto improving patient’s condition, this method can be used to treat PTRCTs.
https://abjs.mums.ac.ir/article_9294_403c5a8396b06cf8bca634f69c3f454a.pdf
2017-09-01
328
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10.22038/abjs.2017.25189.1662
Partial thickness rotator cuff tears
Platelet-rich plasma
PRP injection
Zohreh
Zafarani
zzafarani@yahoo.com
1
Knee and Sport Medicine Research and Education Center, Milad Hospital, Tehran, Iran
AUTHOR
Fateme
Mirzaee
mirzaee.to@gmail.com
2
Knee and Sport Medicine Research and Education Center, Milad Hospital, Tehran, Iran
AUTHOR
Mohamadreza
Guity
m_guity@sina.tums.ac.ir
3
Tehran University of Medical Sciences, Tehran, Iran
AUTHOR
Hamid Reza
Aslani
hraslani1342@gmail.om
4
Knee and Sport Medicine Research and Education Center, Milad Hospital, Tehran, Iran
LEAD_AUTHOR
1. Barber FA, Hrnack SA, Snyder SJ, Hapa O. Rotator
1
cuff repair healing influenced by platelet-rich
2
plasma construct augmentation. Arthroscopy. 2011;
3
27(8):1029-35.
4
2. Randelli PS, Arrigoni P, Cabitza P, Volpi P, Maffulli N.
5
Autologous platelet rich plasma for arthroscopic
6
rotator cuff repair. A pilot study. Disabil Rehabil. 2008;
7
30(20-22):1584-9.
8
3. Cheung EV, Silverio L, Yao J. Delivered growth factor
9
therapy to improve healing after rotator cuff repair.
10
Stem Cells Cloning. 2010; 3(1):135-44.
11
4. Maniscalco P, Gambera D, Lunati A, Vox G, Fossombroni
12
V, Beretta R, et al. The “Cascade” membrane: a new
13
PRP device for tendon ruptures. Description and case
14
report on rotator cuff tendon. Acta Biomed. 2008;
15
79(3):223-6.
16
5. Fu CJ, Sun JB, Bi ZG, Wang XM, Yang CL. Evaluation
17
of platelet-rich plasma and fibrin matrix to assist
18
in healing and repair of rotator cuff injuries: a
19
systematic review and meta-analysis. Clin Rehabil.
20
2017; 31(2):158-72.
21
6. Lorbach O, Baums MH, Kostuj T, Pauly S, Scheibel
22
M, Carr A, et al. Advances in biology and mechanics
23
of rotator cuff repair. Knee Surg Sports Traumatol
24
Arthrosc. 2015; 23(2):530-41.
25
7. Jo CH, Shin JS, Shin WH, Lee SY, Yoon KS, Shin S. Plateletrich
26
plasma for arthroscopic repair of medium to
27
large rotator cuff tears: a randomized controlled trial.
28
Am J Sports Med. 2015; 43(9):2102-10.
29
8. Zhang JY, Fabricant PD, Ishmael CR, Wang JC,
30
Petrigliano FA, Jones KJ. Utilization of platelet-rich
31
plasma for musculoskeletal injuries: an analysis of
32
current treatment trends in the United States. Orthop
33
J Sports Med. 2016; 4(12):2325967116676241.
34
9. Zhao JG, Zhao L, Jiang YX, Wang ZL, Wang J, Zhang
35
P. Platelet-rich plasma in arthroscopic rotator cuff
36
repair: a meta-analysis of randomized controlled
37
trials. Arthroscopy. 2015; 31(1):125-35.
38
10. Wang A, McCann P, Colliver J, Koh E, Ackland T, Joss B,
39
et al. Do postoperative platelet-rich plasma injections
40
accelerate early tendon healing and functional
41
recovery after arthroscopic supraspinatus repair? A
42
randomized controlled trial. Am J Sports Med. 2015;
43
43(6):1430-7.
44
11. Carr A, Cooper C, Murphy R, Watkins B, Wheway
45
K, Rombach I, et al. PARot--assessing platelet-rich
46
plasma plus arthroscopic subacromial decompression
47
in the treatment of rotator cuff tendinopathy: study
48
protocol for a randomized controlled trial. Trials.
49
2013; 14(1):167.
50
12. Antuna S, Barco R, Martinez Diez JM, Sanchez Marquez
51
JM. Platelet-rich fibrin in arthroscopic repair of
52
massive rotator cuff tears: a prospective randomized
53
pilot clinical trial. Acta Orthop Belg. 2013; 79(1):25-30.
54
13. Sheth U, Simunovic N, Klein G, Fu F, Einhorn TA,
55
Schemitsch E, et al. Efficacy of autologous platelet-rich
56
plasma use for orthopaedic indications: a meta-analysis.
57
J Bone Joint Surg Am. 2012; 94(4):298-307.
58
14. Anitua E. Plasma rich in growth factors: preliminary
59
results of use in the preparation of future sites
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for implants. Int J Oral Maxillofac Implants. 1999;
61
14(4):529-35.
62
15. Nourissat G, Mainard D, Kelberine F. Current concept
63
for the use of PRP in arthroscopic surgery. Orthop
64
Traumatol Surg Res. 2013; 99(8 Suppl):S407-10.
65
16. Nixon AJ, Watts AE, Schnabel LV. Cell- and gene-based
66
approaches to tendon regeneration. J Shoulder Elbow
67
Surg. 2012; 21(2):278-94.
68
17. Weeks KD 3rd, Dines JS, Rodeo SA, Bedi A. The basic
69
science behind biologic augmentation of tendon-bone
70
healing: a scientific review. Instr Course Lect. 2014;
71
63(1):443-50.
72
18. Taylor DW, Petrera M, Hendry M, Theodoropoulos JS.
73
A systematic review of the use of platelet-rich plasma
74
in sports medicine as a new treatment for tendon and
75
ligament injuries. Clin J Sport Med. 2011; 21(4):344-52.
76
19. Hall MP, Band PA, Meislin RJ, Jazrawi LM, Cardone DA.
77
Platelet-rich plasma: current concepts and application
78
in sports medicine. J Am Acad Orthop Surg. 2009;
79
17(10):602-8.
80
20. Cheung EV, Silverio L, Sperling JW. Strategies in
81
biologic augmentation of rotator cuff repair: a review.
82
Clin Orthop Relat Res. 2010; 468(6):1476-84.
83
21. Bava ED, Barber FA. Platelet-rich plasma products in
84
sports medicine. Phys Sportsmed. 2011; 39(3):94-9.
85
22. Ellman H. Diagnosis and treatment of incomplete
86
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(254):64-74.
88
23. Beck J, Evans D, Tonino PM, Yong S, Callaci JJ. The
89
biomechanical and histologic effects of platelet-rich
90
plasma on rat rotator cuff repairs. Am J Sports Med.
91
2012; 40(9):2037-44.
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24. Maffulli N, Longo UG, Loppini M, Berton A, Spiezia F,
93
Denaro V. Tissue engineering for rotator cuff repair:
94
an evidence-based systematic review. Stem Cells Int.
95
2012; 2012(10):418086.
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25. Moraes VY, Lenza M, Tamaoki MJ, Faloppa F, Belloti
97
JC. Platelet-rich therapies for musculoskeletal soft
98
tissue injuries. Cochrane Database Syst Rev. 2014;
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29(4):CD010071.
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26. Randelli P, Randelli F, Ragone V, Menon A, D’Ambrosi R,
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Cucchi D, et al. Regenerative medicine in rotator cuff
102
injuries. Biomed Res Int. 2014; 2014(12):129515.
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27. Andia I, Maffulli N. Muscle and tendon injuries: the role
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of biological interventions to promote and assist healing
105
and recovery. Arthroscopy. 2015; 31(5):999-1015.
106
28. LaPrade RF, Geeslin AG, Murray IR, Musahl V,
107
Zlotnicki JP, Petrigliano F, et al. Biologic treatments
108
for sports injuries II think tank-current concepts,
109
future research, and barriers to advancement, part 1:
110
biologics overview, ligament injury, tendinopathy. Am
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J Ports Med. 2016; 44(12):3270-83.
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29. Malavolta EA, Assuncao JH, Gracitelli ME, Ferreira
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Neto AA. Comments on: evaluation of platelet-rich
114
plasma and fibrin matrix to assist in healing and
115
repair of rotator cuff injuries: a systematic review and
116
meta-analysis. Clin Rehabil. 2016; 30(7):726-7.
117
30. Zumstein MA, Rumian A, Thelu CE, Lesbats V, O’Shea
118
K, Schaer M, et al. SECEC Research Grant 2008 II: use
119
of platelet- and leucocyte-rich fibrin (L-PRF) does not
120
affect late rotator cuff tendon healing: a prospective
121
randomized controlled study. J Shoulder Elbow Surg.
122
2016; 25(1):2-11.
123
31. Gobbi A, Fishman M. Platelet-rich plasma and bone
124
marrow-derived mesenchymal stem cells in sports
125
medicine. Sports Med Arthrosc. 2016; 24(2):69-73.
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32. Greenspoon JA, Moulton SG, Millett PJ, Petri M.
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The role of platelet rich plasma (PRP) and other
128
biologics for rotator cuff repair. Open Orthop J. 2016;
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10(1):309-14.
130
33. Gwinner C, Gerhardt C, Haneveld H, Scheibel M. Twostaged
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application of PRP in arthroscopic rotator cuff
132
repair: a matched-pair analysis. Arch Orthop Trauma
133
Surg. 2016; 136(8):1165-71.
134
34. Ebrahimzadeh MH, Birjandinejad A, Golhasani F,
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Moradi A, Vahedi E, Kachooei AR. Cross-cultural
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adaptation, validation, and reliability testing of the
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Shoulder Pain and Disability Index in the Persian
138
population with shoulder problems. Int J Rehabil Res.
139
2015; 38(1):84-7.
140
ORIGINAL_ARTICLE
Unusual Complete Isolated Scaphoid Dislocation, Report of a Case
Isolated scaphoid dislocations are extremely rare injuries and are commonly associated with significant ligamentousdisruptions. A dorsiflexion-supination force upon the hand is considered as the most common mechanism of injury.Different treatment options have been proposed for the management of this uncommon entity, ranging from conservativetreatment with closed reduction and casting to a wide range of open or percutaneous surgical techniques. In thisarticle, we reported ona case of this rare injury managed with open reduction and pinning along with ligamentousreconstruction.
https://abjs.mums.ac.ir/article_8425_5aca77b880f19c069fb66280b7d5e496.pdf
2017-09-01
332
336
10.22038/abjs.2017.8425
Carpal scaphoid
Complete
Dislocation
Isolated
Efstathios G.
Ballas
efstathios.ballas@gmail.com
1
Department of Upper Limb and Hand Surgery and Microsurgery, KAT Hospital, Athens, Greece First Orthopaedic Department, University of Athens, Attikon Hospital, Athens, Greece
LEAD_AUTHOR
Konstantinos
Raptis
kraptis1981@hotmail.gr
2
Department of Upper Limb and Hand Surgery and Microsurgery, KAT Hospital, Athens, Greece
AUTHOR
Ioannis P.
Stathopoulos
ipstathopoulos@gmail.com
3
Department of Upper Limb and Hand Surgery and Microsurgery, KAT Hospital, Athens, Greece 2Third Orthopaedic Department, University of Athens, KAT Hospital, Athens.Greece
AUTHOR
Nikolaos A.
Stavropoulos
nikstavropoulos@gmail.com
4
Third Orthopaedic Department, University of Athens, KAT Hospital, Athens, Greece
AUTHOR
Sarantis-Petros G.
Spyridonos
spyridonoss@yahoo.gr
5
First Orthopaedic Department, University of Athens, Attikon Hospital, Athens, Greece
AUTHOR
1. Higgs SL. Two cases of dislocation of carpal scaphoid.
1
Proc Roy Soc Med. 1930; 23:1337–9.
2
2. Inoue G, Maeda N. Isolated dorsal dislocation of the
3
scaphoid. J Hand Surg Br. 1990; 15(3):368-9.
4
3. Milankov M, Somer T, Jovanoviη A, Brankov M. Isolated
5
dislocation of the carpal scaphoid: two case reports. J
6
Trauma. 1994; 36(5):752-4.
7
4. Leung YF, Wai YL, Kam WL, Ip PS. Solitary dislocationof
8
the scaphoid. From case report to literature review. J
9
Hand Surg Br. 1998; 23(1):88–92.
10
5. Ritchie DA, Gibson PH. Isolated dislocation of the
11
scaphoid. Injury. 1988; 19(6):405–6.
12
6. Chloros GD, Themistocleous GS, Zagoreos NP, Korres DS,
13
Efstathopoulos DG, Soucacos PN. Isolated dislocation
14
of the scaphoid. Arch Orthop Trauma Surg. 2006;
15
126(3):197-203.
16
7. Connell MC, Dyson RP. Dislocation of the carpal
17
scaphoid.Report of a case. J Bone Joint Surg Br. 1955;
18
37-B(2):252–3.
19
8. Szabo RM, Newland CC, Johnson PG, Steinberg DR,
20
Tortosa R. Spectrum of injury and treatment options
21
for isolated dislocation of the scaphoid. A report of
22
three cases. J Bone Joint Surg Am. 1995; 77(4):608–15.
23
9. McNamara MG, Corley FG. Dislocation of the carpal
24
scaphoid: an 8-year follow-up. J Hand Surg Am. 1992;
25
17:496–8.
26
ORIGINAL_ARTICLE
Open Anterior Hip Dislocation in A Child: A Rare Mechanism of Injury
Traumatic anterior dislocation of the hip is an extremely rare condition in children and open dislocation is even rarer. Thisisusually caused by high-energy trauma. In the current study, we present a case of an eight-year-old child suffering froman open anterior–inferior dislocation of the right hip concomitant with pelvic ring disruption and an ipsilateral open distalfemoral fracture (Salter-Harris type 4, Gustilo type IIIA) caused by a traffic accident. The patient underwent successfulemergent open reduction due to the buttonholed femoral head after appropriate irrigation and debridement. Successfulrecovery was achieved and the patient was discharged after two weeks. After nine months of follow-up, the X-ray imagesshowed slight changes related to the osteonecrosis of the femoral head. Long-term follow-up over a period of six yearsshowed sufficient range of motion. The patient’s gait was normal and he was satisfied with the outcome. In addition, slightnon-progressive osteonecrotic changes were obvious in the right hip.
https://abjs.mums.ac.ir/article_8426_1e7300e1eebfa8ca25ff50c74aea95a2.pdf
2017-09-01
337
341
10.22038/abjs.2017.8426
Dislocation
Hip
Open fracture
Ali A.
Esmailiejah
yoosofjafari@yahoo.com
1
Bone Joint and Related Tissues Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Mohammadreza
Abbasian
mohammadreza.abbasian@gmail.com
2
Bone Joint and Related Tissues Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Farshad
Safdari
f.safdari.to@gmail.com
3
Bone Joint and Related Tissues Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
1. Matsubara T. Traumatic dislocation of the hip joint,
1
analysis of the therapeutic methods from the stand point
2
of clinical features and results of the treatment. Nihon
3
Seikeigeka Gakkai Zasshi. 1970; 44(11):995-1013.
4
2. Funk FJ. Traumatic dislocation of the hip in children:
5
factors influencing prognosis and treatment. J Bone
6
Joint Surg. 1962; 44(6):1135-45.
7
3. Stewart MJ, Milford LW. Fracture-dislocation of the
8
hip; an end-result study. J Bone Joint Surg Am. 1954;
9
36(A:2):315-42.
10
4. Schwartz DL, Haller JA Jr. Open anterior hip dislocation
11
with femoral vessel transection in a child. J Trauma.
12
1974; 14(12):1054-9.
13
5. Renato L. Open anterior dislocation of the hip in a
14
child. Acta Orthop Scand. 1987; 58(6):669-70.
15
6. Rafai M, Ourab M, Largab A, Guerch A, Rahmi M,
16
Trafeh M. Open post traumatic anterior luxation of
17
hip in children: apophysis of a case and review of
18
literature. Rev Chir Orthop Reparatrice Appar Mot.
19
1995; 81(2):178-81.
20
7. Khan SA, Sadiq SA, Abbas A, Asif N, Gogi N. Open
21
anterior dislocation of the hip in a child. J Trauma.
22
2001; 51(4):773-6.
23
8. Garcia MS, Hidalgo Ovejero A, Martinez Grande M.
24
Open anterior dislocation of the hip in a child. J
25
Pediatr Orthop B. 1998; 7(3):232-4.
26
9. Macfarlane I, King D. Traumatic dislocation of the hip
27
joint in children. Aust N Z J Surg. 1976; 46(3):227-31.
28
10. Ayadi K, Trigui M, Gdoura F, Elleuch B, Zribi M, Keskes
29
H. Traumatic hip dislocations in children. Rev Chir
30
Orthop Reparatrice Appar Mot. 2008; 94(1):19-25.
31
11. Sadhoo UK, Tucker GS, Maheshwari AV, Kaul A. Open
32
anterior fracture dislocation of the hip: a case report
33
and review of literature. Arch Orthop Trauma Surg.
34
2005; 125(8):550-4.
35
12. Lamberti PM, Rabin SI. Open anterior-inferior hip
36
dislocation. J Orthop Trauma. 2003; 17(1):65-6.
37
13. Rieger H, Pennig D, Klein V, Grünert J. Traumatic
38
dislocation of the hip in young children. Arch Ortho
39
Trauma Surg. 1991; 110(2):114-7.
40
14. Mehlman CT, Hubbard GW, Crawford AH, Roy DR, Wall
41
EJ. Traumatic hip dislocation in children.Long-term
42
follow up of 42 patients. Clin Orthop Relat Res. 2000;
43
376(1):68-79.
44
15. Glass A, Powell HD. Traumatic dislocation of the hip
45
in children an analysis of forty-seven patients. Bone
46
Joint J. 1961; 43(1):29-37.
47
ORIGINAL_ARTICLE
Brucella Arthritis Following Total Knee Arthroplasty in a Patient with Hemophilia: A Case Report
Total knee arthroplasty (TKA) is a rewarding procedure in patients with hemophilia and end stage knee hemophilicarthropathy. However, this procedure might be associated with complications such as infection. There periprostheticjoint infection in patients with hemophilia is very well known, though we are not aware of any previous report on Brucellainfection in this group of patients. Here, we reported a 28-year old man with Brucella infection of total knee replacementwho initially underwent a conservative treatment followed bya two-stage revision. We believe that this report will alertphysicians who work in endemic area for brucellosis to consider this in differential diagnosis and do the right interventionat the right time.
https://abjs.mums.ac.ir/article_8561_ef13d026b0c48c4e07c3464c5e384d93.pdf
2017-09-01
342
346
10.22038/abjs.2017.21696.1559
Arthritis
Brucella
Hemophilia
Total knee arthroplasty
Seyed Mohammad J.
Mortazavi
husen.karagunlu@gmail.com
1
Department of Orthopedic Surgery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Mohammad R.
Sobhan
sobhanardakani@gmail.com
2
Department of Orthopedic Surgery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
Hamed
Mazoochy
fnajafi.ssu@gmail.com
3
Department of Orthopedic Surgery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
AUTHOR
1. Cataldo MA, Petrosillo N, Cipriani M, Cauda R,
1
Tacconelli E. Prosthetic joint infection: recent
2
developments in diagnosis and management. J Infect.
3
2010; 61(6):443-8.
4
2. Tahmasebi MN, Bashti K, Ghorbani G, Sobhan MR.
5
Intraarticular administration of tranexamic acid
6
following total knee arthroplasty: a case-control
7
study. Arch Bone Jt Surg. 2014; 2(3):141-5.
8
3. Powell DL, Whitener CJ, Dye CE, Ballard JO, Shaffer ML,
9
Eyster ME. Knee and hip arthroplasty infection rates
10
in persons with haemophilia: a 27 year single center
11
experience during the HIV epidemic. Haemophilia.
12
2005; 11(3):233-9.
13
4. Cerit ET, Aydin M, Azap A. A case of brucellar
14
monoarthritis and review of the literature. Rheumatol
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