Frequency of fall-related injuries of female patients referred to the trauma center in the city of Kashan from years 2005 to 2008 / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>Falls are one of the life events leading to injury and in serious cases cause high morbidity and mortality. This research was conducted to determine the fall incidence among female population of Kashan city from the years 2005 to 2008.</p><p><b>METHODS</b>This was a retrospective research using existing data from the data bank of trauma center of Kashan University of Medical Sciences. Records of all the female patients treated at local hospitals with complete hospitalisation kept at the center were examined for 4 consecutive years from 2005 to 2008.</p><p><b>RESULTS</b>A total of 2 094 female patients'records were examined. A significantly higher incidence of injuy occurred in 2008 compared to 2005 (P less than 0.0001). In addition, the highest frequency of injury occurred in age group above 65 years (31.9%) and in group with elementary education level (42.8%).</p><p><b>CONCLUSION</b>The results showed that fall incidences occurred in the old age group above 65 years. Fall injuries at this age may cause disability. Therefore, preventive measures should be taken, such as increasing the awareness of the aging population about the seriousness of fall incidence and encouraging the aged individuals to get involved in fitness program to remain physical fit and healthy.</p>

Combined anterolateral posterolateral rotary instability: Is posterolateral complex reconstruction necessary?

The treatment of combined anterolateral posterolateral rotary instability has been done by correcting knee alignment, anterior cruciate ligament [ACL] reconstruction plus repair or reconstruction of the posterolateral complex. Because of the technical difficulties encountered in these operations and the need for more than two stages, and considering the controversy among the role of posterolateral complex [PLC] in valgus knees, this study was designed to observe the results of treating this instability by ACL-reconstruction alone, after correction of varus, without reconstruction of the posterolateral complex or further extra-articular manipulation. This was a clinical trial performed on 29 patients [29 knees] with combined anterolateral posterolateral rotary in stability. Subjective and objective instability signs were recorded. Arthroscopy was then performed and a valgus osteotomy was done to correct alignment. Then in a second stage, an ACL-reconstruction was carried out. Results, after a mean of 23 months follow-up, were compared to the conditions before surgery. Fisher exact test, X2 and Wilcoxon tests were used to analyze the data. P<0.05 was considered to be meaningful. Pain was relieved in more than half and locking was improved in all of the patients. Giving way of the knee was diminished from 79.3% to 6.9%. Special instability tests showed a significant improvement after surgery [P<0.001]. Most of the patients returned to the preinjury level of work or sports. Based on the results of this study, ACL-reconstruction alone, after correction of varus, can be sufficient to address this combined knee instability without farther procedures on extra-articular structures and posterolateral complex, thus avoiding unnecessary complications and longer rehabilitation