BACKGROUND Considering the importance of an early diagnosis and proper decision-making in regards... more BACKGROUND Considering the importance of an early diagnosis and proper decision-making in regards to the treatment of pediatric distal radius and elbow fractures, this study examines emergency medicine specialists' accuracy in the diagnosis and treatment of these patients. METHODS From 2012 and 2013, children less than 14 years old who were referred to an academic hospital emergency department with elbow or distal radius fractures were enrolled. Initially, patients were examined by an emergency medicine specialist and then they were referred to an orthopedic surgeon. Type of fracture and the proposed treatment of two specialists were compared. RESULTS In total, there were 108 patients (54 patients in each group) with a mean age of 8.1±3.3 years. Identical diagnosis in 48 cases (88.9%) of distal radius and 36 cases (66.7%) of elbow trauma were observed. We found a difference between diagnosis of the two specialists in diagnosing lateral condyle of the humerus fracture in the elbo...
Journal of Bone and Joint Surgery-british Volume, 2013
Background The ability to kneel plays a crucial role in the daily events of nearly every individu... more Background The ability to kneel plays a crucial role in the daily events of nearly every individual9s life, affecting occupational and domestic activities, which are, at times, closely intertwined with cultural and religious customs. The lack of literature addressing the patients concerns regarding the capacity, to which they will be able to function post-operatively, motivated us to investigate this issue further, so as to be able to more comfortably and precisely convey the answer to this question pre-operatively. Material and Methods In this cross-sectional longitudinal study, all patients were evaluated for eligibility, with prerequisites including those having had total knee arthroplasty (TKA) secondary to a pre-operative diagnosis of osteoarthritis of the knee, from the years 2007–2010 at Poursina Trauma Center, Rasht, Iran. All procedures using a midline skin incision followed by medial parapatellar arthrotomy without re-surfacing of the patella. A PCL substituting prosthesis...
BACKGROUND Iran places sixth amongst high risk natural disaster countries and Guilan province of ... more BACKGROUND Iran places sixth amongst high risk natural disaster countries and Guilan province of Iran shoulders a large amount of socio-economic burden due to snow catastrophes. The more knowledge of circumstances we have, the more efficient our future encounters will be. METHODS In this retrospective study, of all of the patients admitted to Poursina Hospital due to snow and ice related trauma in the first two weeks of February 2014, 306 cases were found eligible for entry into the present study. RESULTS Of the 306 eligible patients (383 injuries), there were 175 men (57.2%) and 131 women (42.8%). Most patients suffered from orthopedic injuries (81%) and the most common fractures were distal radius fractures in the upper extremities and hip fractures in the lower extremities. Slipping was the most common and motor vehicle accidents had the rarest injury mechanisms. It was shown that the frequency of injuries were higher on icy days (67.6%) than snowy days (32.4%). CONCLUSIONS Snow ...
BACKGROUND Acute pain is common after arthroscopic surgeries and it is one of the most important ... more BACKGROUND Acute pain is common after arthroscopic surgeries and it is one of the most important causes of patient dissatisfaction, admission time and increased morbidity . Gabapentin with anti-hyperalgesic effects can play a critical role in pre-emptive analgesia methods. The aim of this study was to assess the efficacy of gabapentin in pain management after surgery and the rate of drug consumption in patients who are candidate for anterior cruciate ligament (ACL) reconstruction arthroscopic surgery. METHODS In this randomized, triple blind clinical trial, 114 patients who were candidate for arthroscopic ACL reconstruction were divided into two groups of gabapentin (G) and placebo (p), with 57 patients in each group. The intervention group received gabapentin 600 mg and a placebo was administered in control group. Patients received on-demand pethedine for pain management. The primary outcome was pain intensity according to the visual analogue scale (VAS) and the secondary outcome w...
Background: One of the common operations for lower limb mal-alignment below 50 years of age is pr... more Background: One of the common operations for lower limb mal-alignment below 50 years of age is proximal tibial osteotomy. In the open wedge technique, the superficial medial collateral ligament (MCL) usually needs to be released. This study seeks to evaluate the results of open wedge high tibial osteotomy with or without releasing MCL. Methods: In a prospective clinical trial, 59 patients with symptomatic genu varum between 16-50 years of age who were candidates of tibial osteotomy were divided into open wedge surgery with (30 patients, 40 knees) or without MCL release (29 patients, 36 knees). The outcome was studied comparing the stability in valgus, pattelar height slope of tibial plateau, and also the knee score (KSS) in a 17.4 months (3-24 months) follow-up. Results: The patients from MCL preserving group, with mean age of 26.79 improved their scores of 53.515.2 to 81.913.4. The cases from MCL-releasing group with mean age of 25.58.4 improved the score of 52.414.6 to 65.4+1...
BACKGROUND Despite the importance of hamstring tendon autograft, one major disadvantage in applyi... more BACKGROUND Despite the importance of hamstring tendon autograft, one major disadvantage in applying this technique in the surgical reconstruction of anterior cruciate ligament is individual variability in the tendon diameter. Hence, the purpose of the present study was to use anthropometric parameters such as gender, height and body mass index to predict 4-strand (quadruple) hamstring tendons (gracilis and 2-strand semitendinosus tendons). METHODS This is a cross-sectional study conducted on all consecutive patients who underwent arthroscopic ACL reconstruction between 2013 and 2015. The anthropometric variables (age, gender, height, and body mass index) were recorded. The quadruple hamstring tendon (gracilis and semitendinosus) autografts were measured using sizing cylinders. The relationship between these parameters was statistically determined using the Pearson Spearman test and linear regression test. RESULTS The mean age of the 178 patients eligible for the study was 29.58±9.93...
ABSTRACT Objective: The aim of this study is to compare clinical results of ultrasound-guided cor... more ABSTRACT Objective: The aim of this study is to compare clinical results of ultrasound-guided corticosteroid injection, intra-sheath versus extra-sheath of the finger flexor tendon. Methods: A total of 166 patients with trigger finger were evaluated in a triple blind randomized clinical trial study. All the patients were injected with 1ml of 40mg/ml methyl prednisolone acetate, under the guidance of ultrasound. Half the patients were injected extra sheath, while the other half were injected intra sheath at the level of first annular pulley. Results: The two groups were comparable in baseline characteristics (age, gender, dominant hand, involved hand and finger, and the symptoms duration). No significant difference was observed in the two groups with regards to Quinnell grading. In the final visit, 94% of patients from each group were symptom free. Conclusion: Results of corticosteroid injection intra-sheath or extra-sheath of the finger flexor tendon under ultrasound guidance in patients with trigger finger are comparably alike. Extra-sheath injection at the level of A1 pulley is as effective as an Intra-sheath administration.
Acromioplasty has been one of the most common techniques amongst orthopedic surgeries in the past... more Acromioplasty has been one of the most common techniques amongst orthopedic surgeries in the past decade. However, its efficacy in arthroscopic surgeries of rotator cuff repair is still debatable. The purpose of this study is to compare the arthroscopic rotator cuff repair with or without acromioplasty in patients with complete rotator cuff tear. In this prospective cohort study, patients with complete rotator cuff tear (acromion type II or III Bigliani) and a history of failure to the conservative treatment for at least 6 months were evaluated for eligibility. Patients, based on the time interval, were placed in one of two groups: arthroscopic rotator cuff repair with (RCR-A group) and without acromioplasty (RCR group). Patients were assessed for two years in term of pain intensity by VAS criteria and shoulder functional status by Quick-DASH, Constant score and simple shoulder test criteria. In the baseline assessment, RCR-A group (34 patients) and RCR group (33 patients) were simi...
Primary hydatid cyst of the muscle is so rare that it would not usually be considered in the diff... more Primary hydatid cyst of the muscle is so rare that it would not usually be considered in the differential diagnosis of soft tissue tumor even in endemic regions. A 40 year old male presented with a swelling and increscent pain following a pressure mass in the right arm. Diagnosis is suspected according to clinical symptoms and pathognomic but rare imaging findings of hydatid disease including "water lily sign".
The outcome of corticosteroid injection (CSI) and extracorporeal shock wave therapy (ESWT) as pri... more The outcome of corticosteroid injection (CSI) and extracorporeal shock wave therapy (ESWT) as primary treatment of acute plantar fasciitis has been debated. The purpose of the present study was to evaluate and compare the therapeutic effects of CSI and ESWT in patients with acute (<6-week duration) symptomatic plantar fasciitis. Of the 116 eligible patients, 68 were randomized to 2 equal groups of 34 patients, each undergoing either ESWT or CSI. The ESWT method included 2000 impulses with energy of 0.15 mJ/mm(2) and a total energy flux density of 900 mJ/mm(2) for 3 consecutive sessions at 1-week intervals. In the CSI group, 40 mg of methyl prednisolone acetate plus 1 mL of lidocaine 2% was injected into the maximal tenderness point at the inframedial calcaneal tuberosity. The success and recurrence rates and pain intensity measured using the visual analog scale, were recorded and compared at the 3-month follow-up visit. The pain intensity had reduced significantly in all patients undergoing either technique. However, the value and trend of pain reduction in the CSI group was significantly greater than those in the ESWT group (p < .0001). In the ESWT and CSI groups, 19 (55.9%) and 5 (14.7%) patients experienced treatment failure, respectively. Age, gender, body mass index, and recurrence rate were similar between the 2 groups (p > .05). Both ESWT and CSI can be used as the primary and/or initial treatment option for treating patients with acute plantar fasciitis; however, the CSI technique had better therapeutic outcomes.
Abstract Background and Aims: Scaphoid fractures are the most common fractures of the wrist. This... more Abstract Background and Aims: Scaphoid fractures are the most common fractures of the wrist. This study compared the outcomes of two surgical internal fixation techniques, using either Herbert screws (HS gr oup) or multiple pins (MP group), in the treatment of scaphoid fractures. Methods:This cross-sectional study was performed on 41 patients (23 in HS and 18 in MP groups) with unilateral scaphoid fractures from September 2009 to September 2011. All patients were followed-up two weeks post-surgery, every month for six months, andthen every year after one year. Degree of fracture healing, measured level of pain using Visual AnalogScale (VAS), range of motion, hand grip strength of affected limb vs. healthy limb, Quick DASH score (QD) and also Mayo Modified Wrist Score (MMWS) were recorded. In December 2012, all patients presented to the Orthopedic Clinic for their final follow-up visit where all data was recorded once more. Results:Mean patient follow-up time was 24.34 ± 8.70 months ...
Article abstract: Introduction: With rapidly growing literature in the medical sciences being pri... more Article abstract: Introduction: With rapidly growing literature in the medical sciences being printed internationally, as well as in Iran, the need for citing references accurately has increased in importance. Accurate documentation, not only helps the proficiency of the citing author in a certain subject, but also reveals both journal's and author’s credibility and knowledge. Objective: This study aims to assess the rate and severity of improper citation practices in articles published by The Journal of Guilan University of Medical Sciences Materials and Methods: In this cross-sectional study, 9153 references in 531 articles published in 42 issues from year 2000 to 2011 have been evaluated. From each research article, three randomly selected references (1593 references) were checked for citation errors. Results: Out of 531 research articles, 102 instances (19.2%) were found not to allude to the referenced citation, and 127 articles (23.9%) were not cited in the appropriate acce...
Aim: We evaluated the functional results and complications of total hip replacement with cemented... more Aim: We evaluated the functional results and complications of total hip replacement with cemented (96 patients) and cementless (113 patients) techniques in patients over 65 years. Methods: In this cross-sectional study, all osteoarthritic patients aged 65 years or older who had been hospitalized for total hip replacement were evaluated for eligibility. “Harris hip score” was used to assess the functional consequences. Early complications such as thrombophlebitis of lower limbs, dislocation, hematoma and infection) and late complications such as (aseptic loosening, dislocation, and revision) were also compared between the two groups. Results: The mean follow-up was 5 years and 2 months (range 51 to 82 months). The overall rate of early complications was 3.8% (8 cases) that five patients were in the cemented group (one with hematoma, one with infection, two with thrombophlebitis, and one with early dislocations) and three patients in cementless group (one with thrombophlebitis, and tw...
European Journal of Orthopaedic Surgery & Traumatology, 2012
Historically, performing a successful hip joint replacement in patients aged fewer than 30 years ... more Historically, performing a successful hip joint replacement in patients aged fewer than 30 years has been an orthopedic challenge. The newer generation of prostheses and surgical techniques has the potential to increase the longevity of implants. The purpose of this study was to evaluate the outcomes of cementless hip arthroplasty in patients aged fewer than 30 years. In this cross-sectional study, 41 patients (46 hips) were studied with a mean age of 24, 4 (from 17 to 30 years) of whom underwent cementless metal-polyethylene hip arthroplasty from 2004 to 2007. The Harris hip score (HHS) was used to assess the functional consequences. Patients were followed up in terms of early complications (thrombophlebitis of the lower limbs, dislocation, hematoma and infection) and late complications (aseptic loosening, dislocation and reoperation) at weeks 3 and 6, at 3 and 6 months, 1 year after surgery and annually thereafter. Patients were followed for an average of 5 years and 2 months (from 51 to 82 months). One early complication (symptomatic thrombophlebitis) and one late dislocation (2.2 %) were observed. There were no cases of aseptic loosening or osteolysis at the end of follow-up. The preoperative HHS was 59.6 (from 41 to 76), which rose to 82 and 83.5 after the 1-year and final follow-up, respectively, which was a significant increase. Hip arthroplasty using a new generation of cementless proximal porous prosthesis with resistant polyethylene to cover the joint surfaces in patients aged fewer than 30 years is satisfactory and is accompanied by low complications.
BACKGROUND Considering the importance of an early diagnosis and proper decision-making in regards... more BACKGROUND Considering the importance of an early diagnosis and proper decision-making in regards to the treatment of pediatric distal radius and elbow fractures, this study examines emergency medicine specialists' accuracy in the diagnosis and treatment of these patients. METHODS From 2012 and 2013, children less than 14 years old who were referred to an academic hospital emergency department with elbow or distal radius fractures were enrolled. Initially, patients were examined by an emergency medicine specialist and then they were referred to an orthopedic surgeon. Type of fracture and the proposed treatment of two specialists were compared. RESULTS In total, there were 108 patients (54 patients in each group) with a mean age of 8.1±3.3 years. Identical diagnosis in 48 cases (88.9%) of distal radius and 36 cases (66.7%) of elbow trauma were observed. We found a difference between diagnosis of the two specialists in diagnosing lateral condyle of the humerus fracture in the elbo...
Journal of Bone and Joint Surgery-british Volume, 2013
Background The ability to kneel plays a crucial role in the daily events of nearly every individu... more Background The ability to kneel plays a crucial role in the daily events of nearly every individual9s life, affecting occupational and domestic activities, which are, at times, closely intertwined with cultural and religious customs. The lack of literature addressing the patients concerns regarding the capacity, to which they will be able to function post-operatively, motivated us to investigate this issue further, so as to be able to more comfortably and precisely convey the answer to this question pre-operatively. Material and Methods In this cross-sectional longitudinal study, all patients were evaluated for eligibility, with prerequisites including those having had total knee arthroplasty (TKA) secondary to a pre-operative diagnosis of osteoarthritis of the knee, from the years 2007–2010 at Poursina Trauma Center, Rasht, Iran. All procedures using a midline skin incision followed by medial parapatellar arthrotomy without re-surfacing of the patella. A PCL substituting prosthesis...
BACKGROUND Iran places sixth amongst high risk natural disaster countries and Guilan province of ... more BACKGROUND Iran places sixth amongst high risk natural disaster countries and Guilan province of Iran shoulders a large amount of socio-economic burden due to snow catastrophes. The more knowledge of circumstances we have, the more efficient our future encounters will be. METHODS In this retrospective study, of all of the patients admitted to Poursina Hospital due to snow and ice related trauma in the first two weeks of February 2014, 306 cases were found eligible for entry into the present study. RESULTS Of the 306 eligible patients (383 injuries), there were 175 men (57.2%) and 131 women (42.8%). Most patients suffered from orthopedic injuries (81%) and the most common fractures were distal radius fractures in the upper extremities and hip fractures in the lower extremities. Slipping was the most common and motor vehicle accidents had the rarest injury mechanisms. It was shown that the frequency of injuries were higher on icy days (67.6%) than snowy days (32.4%). CONCLUSIONS Snow ...
BACKGROUND Acute pain is common after arthroscopic surgeries and it is one of the most important ... more BACKGROUND Acute pain is common after arthroscopic surgeries and it is one of the most important causes of patient dissatisfaction, admission time and increased morbidity . Gabapentin with anti-hyperalgesic effects can play a critical role in pre-emptive analgesia methods. The aim of this study was to assess the efficacy of gabapentin in pain management after surgery and the rate of drug consumption in patients who are candidate for anterior cruciate ligament (ACL) reconstruction arthroscopic surgery. METHODS In this randomized, triple blind clinical trial, 114 patients who were candidate for arthroscopic ACL reconstruction were divided into two groups of gabapentin (G) and placebo (p), with 57 patients in each group. The intervention group received gabapentin 600 mg and a placebo was administered in control group. Patients received on-demand pethedine for pain management. The primary outcome was pain intensity according to the visual analogue scale (VAS) and the secondary outcome w...
Background: One of the common operations for lower limb mal-alignment below 50 years of age is pr... more Background: One of the common operations for lower limb mal-alignment below 50 years of age is proximal tibial osteotomy. In the open wedge technique, the superficial medial collateral ligament (MCL) usually needs to be released. This study seeks to evaluate the results of open wedge high tibial osteotomy with or without releasing MCL. Methods: In a prospective clinical trial, 59 patients with symptomatic genu varum between 16-50 years of age who were candidates of tibial osteotomy were divided into open wedge surgery with (30 patients, 40 knees) or without MCL release (29 patients, 36 knees). The outcome was studied comparing the stability in valgus, pattelar height slope of tibial plateau, and also the knee score (KSS) in a 17.4 months (3-24 months) follow-up. Results: The patients from MCL preserving group, with mean age of 26.79 improved their scores of 53.515.2 to 81.913.4. The cases from MCL-releasing group with mean age of 25.58.4 improved the score of 52.414.6 to 65.4+1...
BACKGROUND Despite the importance of hamstring tendon autograft, one major disadvantage in applyi... more BACKGROUND Despite the importance of hamstring tendon autograft, one major disadvantage in applying this technique in the surgical reconstruction of anterior cruciate ligament is individual variability in the tendon diameter. Hence, the purpose of the present study was to use anthropometric parameters such as gender, height and body mass index to predict 4-strand (quadruple) hamstring tendons (gracilis and 2-strand semitendinosus tendons). METHODS This is a cross-sectional study conducted on all consecutive patients who underwent arthroscopic ACL reconstruction between 2013 and 2015. The anthropometric variables (age, gender, height, and body mass index) were recorded. The quadruple hamstring tendon (gracilis and semitendinosus) autografts were measured using sizing cylinders. The relationship between these parameters was statistically determined using the Pearson Spearman test and linear regression test. RESULTS The mean age of the 178 patients eligible for the study was 29.58±9.93...
ABSTRACT Objective: The aim of this study is to compare clinical results of ultrasound-guided cor... more ABSTRACT Objective: The aim of this study is to compare clinical results of ultrasound-guided corticosteroid injection, intra-sheath versus extra-sheath of the finger flexor tendon. Methods: A total of 166 patients with trigger finger were evaluated in a triple blind randomized clinical trial study. All the patients were injected with 1ml of 40mg/ml methyl prednisolone acetate, under the guidance of ultrasound. Half the patients were injected extra sheath, while the other half were injected intra sheath at the level of first annular pulley. Results: The two groups were comparable in baseline characteristics (age, gender, dominant hand, involved hand and finger, and the symptoms duration). No significant difference was observed in the two groups with regards to Quinnell grading. In the final visit, 94% of patients from each group were symptom free. Conclusion: Results of corticosteroid injection intra-sheath or extra-sheath of the finger flexor tendon under ultrasound guidance in patients with trigger finger are comparably alike. Extra-sheath injection at the level of A1 pulley is as effective as an Intra-sheath administration.
Acromioplasty has been one of the most common techniques amongst orthopedic surgeries in the past... more Acromioplasty has been one of the most common techniques amongst orthopedic surgeries in the past decade. However, its efficacy in arthroscopic surgeries of rotator cuff repair is still debatable. The purpose of this study is to compare the arthroscopic rotator cuff repair with or without acromioplasty in patients with complete rotator cuff tear. In this prospective cohort study, patients with complete rotator cuff tear (acromion type II or III Bigliani) and a history of failure to the conservative treatment for at least 6 months were evaluated for eligibility. Patients, based on the time interval, were placed in one of two groups: arthroscopic rotator cuff repair with (RCR-A group) and without acromioplasty (RCR group). Patients were assessed for two years in term of pain intensity by VAS criteria and shoulder functional status by Quick-DASH, Constant score and simple shoulder test criteria. In the baseline assessment, RCR-A group (34 patients) and RCR group (33 patients) were simi...
Primary hydatid cyst of the muscle is so rare that it would not usually be considered in the diff... more Primary hydatid cyst of the muscle is so rare that it would not usually be considered in the differential diagnosis of soft tissue tumor even in endemic regions. A 40 year old male presented with a swelling and increscent pain following a pressure mass in the right arm. Diagnosis is suspected according to clinical symptoms and pathognomic but rare imaging findings of hydatid disease including "water lily sign".
The outcome of corticosteroid injection (CSI) and extracorporeal shock wave therapy (ESWT) as pri... more The outcome of corticosteroid injection (CSI) and extracorporeal shock wave therapy (ESWT) as primary treatment of acute plantar fasciitis has been debated. The purpose of the present study was to evaluate and compare the therapeutic effects of CSI and ESWT in patients with acute (<6-week duration) symptomatic plantar fasciitis. Of the 116 eligible patients, 68 were randomized to 2 equal groups of 34 patients, each undergoing either ESWT or CSI. The ESWT method included 2000 impulses with energy of 0.15 mJ/mm(2) and a total energy flux density of 900 mJ/mm(2) for 3 consecutive sessions at 1-week intervals. In the CSI group, 40 mg of methyl prednisolone acetate plus 1 mL of lidocaine 2% was injected into the maximal tenderness point at the inframedial calcaneal tuberosity. The success and recurrence rates and pain intensity measured using the visual analog scale, were recorded and compared at the 3-month follow-up visit. The pain intensity had reduced significantly in all patients undergoing either technique. However, the value and trend of pain reduction in the CSI group was significantly greater than those in the ESWT group (p < .0001). In the ESWT and CSI groups, 19 (55.9%) and 5 (14.7%) patients experienced treatment failure, respectively. Age, gender, body mass index, and recurrence rate were similar between the 2 groups (p > .05). Both ESWT and CSI can be used as the primary and/or initial treatment option for treating patients with acute plantar fasciitis; however, the CSI technique had better therapeutic outcomes.
Abstract Background and Aims: Scaphoid fractures are the most common fractures of the wrist. This... more Abstract Background and Aims: Scaphoid fractures are the most common fractures of the wrist. This study compared the outcomes of two surgical internal fixation techniques, using either Herbert screws (HS gr oup) or multiple pins (MP group), in the treatment of scaphoid fractures. Methods:This cross-sectional study was performed on 41 patients (23 in HS and 18 in MP groups) with unilateral scaphoid fractures from September 2009 to September 2011. All patients were followed-up two weeks post-surgery, every month for six months, andthen every year after one year. Degree of fracture healing, measured level of pain using Visual AnalogScale (VAS), range of motion, hand grip strength of affected limb vs. healthy limb, Quick DASH score (QD) and also Mayo Modified Wrist Score (MMWS) were recorded. In December 2012, all patients presented to the Orthopedic Clinic for their final follow-up visit where all data was recorded once more. Results:Mean patient follow-up time was 24.34 ± 8.70 months ...
Article abstract: Introduction: With rapidly growing literature in the medical sciences being pri... more Article abstract: Introduction: With rapidly growing literature in the medical sciences being printed internationally, as well as in Iran, the need for citing references accurately has increased in importance. Accurate documentation, not only helps the proficiency of the citing author in a certain subject, but also reveals both journal's and author’s credibility and knowledge. Objective: This study aims to assess the rate and severity of improper citation practices in articles published by The Journal of Guilan University of Medical Sciences Materials and Methods: In this cross-sectional study, 9153 references in 531 articles published in 42 issues from year 2000 to 2011 have been evaluated. From each research article, three randomly selected references (1593 references) were checked for citation errors. Results: Out of 531 research articles, 102 instances (19.2%) were found not to allude to the referenced citation, and 127 articles (23.9%) were not cited in the appropriate acce...
Aim: We evaluated the functional results and complications of total hip replacement with cemented... more Aim: We evaluated the functional results and complications of total hip replacement with cemented (96 patients) and cementless (113 patients) techniques in patients over 65 years. Methods: In this cross-sectional study, all osteoarthritic patients aged 65 years or older who had been hospitalized for total hip replacement were evaluated for eligibility. “Harris hip score” was used to assess the functional consequences. Early complications such as thrombophlebitis of lower limbs, dislocation, hematoma and infection) and late complications such as (aseptic loosening, dislocation, and revision) were also compared between the two groups. Results: The mean follow-up was 5 years and 2 months (range 51 to 82 months). The overall rate of early complications was 3.8% (8 cases) that five patients were in the cemented group (one with hematoma, one with infection, two with thrombophlebitis, and one with early dislocations) and three patients in cementless group (one with thrombophlebitis, and tw...
European Journal of Orthopaedic Surgery & Traumatology, 2012
Historically, performing a successful hip joint replacement in patients aged fewer than 30 years ... more Historically, performing a successful hip joint replacement in patients aged fewer than 30 years has been an orthopedic challenge. The newer generation of prostheses and surgical techniques has the potential to increase the longevity of implants. The purpose of this study was to evaluate the outcomes of cementless hip arthroplasty in patients aged fewer than 30 years. In this cross-sectional study, 41 patients (46 hips) were studied with a mean age of 24, 4 (from 17 to 30 years) of whom underwent cementless metal-polyethylene hip arthroplasty from 2004 to 2007. The Harris hip score (HHS) was used to assess the functional consequences. Patients were followed up in terms of early complications (thrombophlebitis of the lower limbs, dislocation, hematoma and infection) and late complications (aseptic loosening, dislocation and reoperation) at weeks 3 and 6, at 3 and 6 months, 1 year after surgery and annually thereafter. Patients were followed for an average of 5 years and 2 months (from 51 to 82 months). One early complication (symptomatic thrombophlebitis) and one late dislocation (2.2 %) were observed. There were no cases of aseptic loosening or osteolysis at the end of follow-up. The preoperative HHS was 59.6 (from 41 to 76), which rose to 82 and 83.5 after the 1-year and final follow-up, respectively, which was a significant increase. Hip arthroplasty using a new generation of cementless proximal porous prosthesis with resistant polyethylene to cover the joint surfaces in patients aged fewer than 30 years is satisfactory and is accompanied by low complications.
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Papers by Khashayar Saheb Ekhtiari