ABSTRACT
Knee infection after arthroscopic surgeries is rare but devastating complication. A serial knee joint infection occurred in our hospital after the contamination of arthroscopic equipments set with an unknown microorganism. Herein we describe the natural course of these patients and suggest a treatment protocol according to the experiment gained from management of these patients
ABSTRACT
Recurrent dislocation of patella may occur in patients with ligament laxity. Method of treatment in this condition is controversial but patellofemoral ligament reconstruction is the most accepted method. We present a patient with Rubinstein-Taybi syndrome and recurrent patellar dislocation who managed successfully by patellofemoral ligament reconstruction
ABSTRACT
During a cross-sectional study, patients who were admitted to the orthopedic department of the Urmia University of Medical Sciences were asked about opium/opioid abuse. Demographic characteristics, the pattern of consumption, the substance, the duration of the use, the duration of hospital stay and the cause of their injuries were recorded. Among 2,867 patients, 74 [2.5%] patients [71 men and 3 women] with the mean age of 38 were opium/opioid users. Most of the patients used opium through inhalation. The mean duration of the substance use was 7.4 years. The mean duration of hospital stay between the regular orthopedic patients and the opium/opioid abuser orthopedic patients was statistically significant [P=000]. Among four Hepatitis C Virus [HCV] infected patients, three subjects were injection users and Human Immunodeficiency Virus [HIV] also infected two of them. Road traffic accidents [37.8%], and work related injuries [17.5%] were the two most common reasons for the patient's injuries
Subject(s)
Humans , Female , Male , Adult , Middle Aged , Aged , Aged, 80 and over , Opium , Cross-Sectional Studies , Orthopedics , Inpatients , Analgesics, OpioidABSTRACT
Post-operative sensory disturbances following anterior cruciate ligament [ACL] reconstruction using the quadruple hamstring tendon is a prevalent complication. This study evaluates the impact of exploration and salvage of superficial branches of the saphe-nous nerve on the incidence of post-operative sensory loss. In a prospective descriptive study, 98 out of 120 patients with ACL reconstruction operated by the transfix method were followed 2 weeks and 6 months post-surgery. Hamstring tendon autograft was harvested through a 2-3 cm anteromedial oblique incision just over the pes anserinus. Meticulous dissection was done to find and save the superficial sensory branches of the saphenous nerve through the incision. Sensory changes were evaluated by physical examination for light touch; patients were requested to complete a specific diagram to evaluate sensory loss. In 44 patients at least one nerve was located and saved. The rate of hypoesthesia in this group of patients was 20.5%. In 54 patients we were unable to locate the nerve. The rate of hyposthesia in this group was 72%, which was statistically significant [P < 0.005]. The overall rate of sensory disturbance in 98 patients was 48.9%. A total of 10 patients developed hyposthesia over the anteromedial part of the Mid-leg. Exploration and salvage of the sensory branches of the saphenous nerve has a tremendous effect on the rate of sensory deficit