Farzan M, Sobhani Eraghi A, Mazoochy H, Zeraati Z, Espandar R,
Volume 69, Issue 8 (6 2011)
Abstract
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Background: Syndactyly
is the most common congenital malformation of the hand, with an incidence of 1 in 2000-2500 live births. In this
study we evaluated the surgical outcomes and complications of patients with
syndactyly.
Methods : The surgical outcomes and complications of 42 patients, 27 male and 15, female, undergoing surgery
for syndactyly were evaluated. The study took place in Imam Khomeini Hospital,
in Tehran, Iran during 1996 to 2011. Having had the inclusion criteria, the patients were assessed for
function, cosmetic outcome, sensation and occurrence of complications. The
patients were followed-up for at least 3 years.
Results : The mean age of patients was 4.4 years. There was a positive familial history for the disease in 8 patients. 71.4%, 90.4% and 73.8% of the participants had good
results regarding cosmetic outcome, sensation and function, respectively.
Conclusion: The
overall results of surgery for syndactyly in this study were interpreted as
good in 78.5%, moderate in 12.5%
and fair in 8.4% of the patients. This study
confirmed better surgical outcomes in patients older than 18
months.
Sadegh Saberi Saberi , Amir Sobhani Eraghi , Mahmood Farzan , Hossein Safar-Ali Farkhani , Shirin Mardookhpour , Mahmood Mirzaaghapour ,
Volume 71, Issue 11 (February 2014)
Abstract
Background: Rotational deformity after intramedullary nailing is a well-known complication. Femoral malrotation is the most common form of mal::::union:::: but it is underrecognized in part because of the difficulty in accurately assessing rotation as well as the variation that exists in normal anatomy. The aim of this study was to evaluate femoral malrotation following intramedullary nailing of the femur.
Methods: We studied 70 patients who had referred to Imam Khomeini Hospital and had undergone antegrade intramedullary fixation for isolated femoral shaft fracture during 3-year period from 2008 to 2011. Inclusion criteria including isolated femoral shaft fracture that had undergone antegrade intramedullary nailing. Exclusion criteria including spontaneous ipsilateral tibial fracture or pelvic fracture, contralateral femoral fracture, femoral fracture that had fixed using plate or external fixator or retrograde intramedullary nailing. During operation, the patients were assessed clinically for rotational deformity and then in the postoperative follow-up period, degree of rotation was identified with CT scan. Postoperative computed tomography measurements of rotation were compared with the opposite side.
Results: There were 70 patients, 56 men and 14 women. The average age of the patients was 28.21±14.39 patients (55/7%) had external rotation and 31 patients (44/3%) had internal rotation. The mean of malrotation degree in physical examination was 4/67 and The mean of malrotation degree in CT scan was 7. Degree of malrotation deformity, less of 5º, 5 to 10º and 10 to 15º was less of 8.6%, 75.7% and 15.7% respectively. Degree of malrotation didn’t relate to age, sex, fracture location and activity of the patients (P> 0.05).
Conclusion: Rotational deformity in 28% of the patients was equal to more 15º. This complication didn’t relate to fracture location. The patients with external rotation deformity had more symptoms than the patients with internal rotational deformity but there isn’t significant relation in this study.
