Assessment results of patellar fracture treatment after tension band wiring

To assess the results of patellar fracture treatment by tension band wiring. This retrospective study was performed to evaluate clinical and radiological results of patellar fracture during past 6 years. Twenty four patients were participated in follow-up. Union was occurred in the mean time of 2.67 +/- 0.61 months. Falling down and direct trauma were the most common cause of fracture. Most common complications were thigh muscle atrophy and pin irritation. Excellent and good results in 87.5% and fair results in 12.5% of the patients were seen. Fixation of patellar fractures with tension band wiring was associated with a high rate of union

Treatment of displaced midshaft clavicular fractures: a comparison between smooth pin and LCDCP and reconstruction plate fixation

To compare the results of internal fixation of the clavicular fractures by pin and LCDCP and reconstruction plates in displaced fractures of middle third. Between April 2008 to December 2010 a total of 68 clavicular fractures were treated in Razi hospital of Jundishapur University of Medical Sciences in Ahvaz, Iran and the results of the operations were investigated and reviewed according to DASH score [Iranian version] and Oxford Shoulder score. Comparison of the results performed using K and Fisher exact tests and the data analyzed by SPSS software and the values less than 0.01 considered as a significant difference. Eighteen patients were excluded because 11 patients did not return for follow up and seven patients had other fractures in extremities that could interfere with the results and at the end of the study 50 patients completed the follow up program. There were 42 male and 8 female patients with mean age of 28 years [18-48 years], pin group had 25 and plate group also had 25 members. There were not any significant differences in the union time, malunion, infection and DASH and Oxford shoulder scores. Significant differences were seen between the operation time and bleeding that both were lesser in pin group. Eight patients in plate group complained of symptomatic hardware compared with pin group [no symptomatic hardware] with P value = 0.001. Although both the procedures have been used in clavicular fractures with high rates of success, but pin fixation has lesser morbidity and complications if it is used by experienced surgeons with close observation

Redislocation following operations to reduce hip or treating dysplasia in developmental dysplasia of the hip

To investigate the incidence and the causes of redislocation after different operative corrections of the developmental dysplasia of the hip and its relations to age of the patients. It was a prospective observational study during five year period between July 2000 to August 2005. Forty seven patients were admitted for corrective operation of the developmental dysptasia of the hip and a total of 59 hip surgeries have been done in our centre at Razi hospital, Ahwaz Jondishapour University of Medical Sciences, Iran. The rate and causes of redislocation in relation to the type of operation and age of these patients was recorded and analysis of the data was done by T-test and the P-values of less than 0.005 considered as a significant difference. Nine out of 59 operations redislocated after beginning of weight bearing. It included mostly in those who had adductor tenotomy, femoral shortening, derotation and Salter innominate osteotomy [P<0.05]. We conclude that if Salter innominate osteotomy is necessary after open reduction and femoral shortening in patients with developmental dysplasia of the hip, it is better not to perform femoral derotation