[Bilateral simultaneous posterior elbow fracture / dislocation: a case report]

Elbow dislocation, though not a rare injury has been only occasionally reported to occur bilaterally. An extremely rare case of upper extremity trauma is reported in which bilateral simultaneous posterior elbow dislocation associated with bilateral radial neck fractures had occurred. To the best of our knowledge, this hasn't been reported previously. Although radial head excision has been reported to be associated with good outcome in cases of elbow dislocations with fracture of radial neck, the trend has been toward preservation of the head and it seems that this is a more logical approach

[ efficacy of suction drainage in surgical operations of long bone fractures in orthopedics]

In this experimental trial, 133 patients with single long bone fracture requiring surgery, admitted in Shahid Mohammadi hospital [Bandar Abbas/Iran] from June 2002 to April 2003, were randomly divided into 2 groups. In the first group [72 individuals], after the completion of the operation a single hemovac drain was inserted, while in the second group [61 patients] no drain was used. The 2 groups had no statistically significant difference in regard to age, sex and antibiotic use before and after the operation [P>0.05]. At the end of the 6-month follow up period the difference between the 2 groups in regard to analgesic demand in the 1st post-operative 48 hours, the need for dressing change in the 1st post-operative 24 hours because, of wetness, hematoma formation and post-operative infection was not statistically significant [P>0.05]. According to these results it seems that hemovac drain is not effective in these aspects

[ case report of floating metatarsal: Concomitant dislocation of the tarsometatarsal and metatarsophalangeal joints of the second toe]

An extremely rare case of floating second metatarsal is reported. The reported case is a young man with simultaneous dislocation of tarsometatarsal and metatarsophalangeal joints of the second metatars following a car accident. Because of patient's discontent for open surgery, blind percutaneus pinning was performed that was not completely successful and in follow up radiography, 18 months later, degenerative joint disease [DJD] signs were observed. In examining patients with injuries of the tarsometatarsal joint, the physician must pay attention to the whole foot as the forces acting on it which are axial and compressive can injure the metatarsophalangeal joint [in the same or the adjacent ray] as well. After reporting the case, we will discuss the probable mechanism and different aspects of this rare traumatic injury

[ efficacy of suction drainage in surgical operations of long bone fractures in orthopedics]

In this experimental trial, 133 patients with single long bone fracture requiring surgery, admitted in Shahid Mohammadi Hospital [Bandar Abbas/Iran] from June 2002 to April 2003, were randomly divided into two groups. In the first group [72 individuals], after the completion of the operation a single hemovac drain was inserted, while in the second group [61 patients] no drain was used. The two groups had no statistically significant difference in regard to age, sex and antibiotic use before and after the operation [P>0.05]. At the end of the 6-month follow up period the difference between the two groups in regard to analgesic demand in the first postoperative 48 hours, the need for dressing change in the first postoperative 24 hours because, of wetness, hematoma formation and postoperative infection was not statistically significant [P> 0.05].According to these results it seems that hemovac drain is not effective in these aspects