In this clinical trial, 90 patients admitted to orthopedics ward, Shahid Mohammadi Hospital, Bandar Abbass with a long bone fracture, comminuted more than 30%, were randomly divided into two groups. In the first group...In this clinical trial, 90 patients admitted to orthopedics ward, Shahid Mohammadi Hospital, Bandar Abbass with a long bone fracture, comminuted more than 30%, were randomly divided into two groups. In the first group, after the completion of the operation, a single hemovaccum drain was inserted into the iliac crest wound, the site of cancellous bone removal, whereas the second group didn’t receive a drain. The two groups were followed for at least six months and the results were compared with Chi-Square and T-Tests. The two groups, at the end of the follow up period, had no statistically significant difference with regard to pain severity and need for dressing change (in the immediate postoperative period), hematoma formation and infection. So it seems that drain insertion in the wound of patients in whom cancellous bone is removed from the iliac crest, is not necessary.展开更多
Introduction: Since distal radius fractures are among the most common fractures encountered in orthopedics and one of their common complications is restriction of rotational movements of the wrist and forearm, iden-ti...Introduction: Since distal radius fractures are among the most common fractures encountered in orthopedics and one of their common complications is restriction of rotational movements of the wrist and forearm, iden-tification of factors affecting this loss of motion is of importance. This study was conducted to evaluate the relation between extraarticular distal radius fractures associated with fracture of ulnar styloid and the rota-tional movements of the wrist and forearm. Patients and methods: 47 patients with an extraarticular distal radius fracture were enrolled in a prospective case control study. The patients were visited in regular follow up intervals after treatment and at the final follow up the rotational movements of the forearm were measured. The findings were analyzed with Independent T and Chi-square tests. Findings: Ultimately 23 patients of the group 1 (intact ulnar styloid) and 24 of the group 2 (fractured ulnar styloid) completed the follow up period. At this time supination of the wrist and forearm in group 2 was significantly less than the group 1 (p< 0.001). Conclusion: It seems that the association of an extraarticular distal radius fracture with the fracture of ulnar styloid, at least in short term causes restriction of supination of the forearm, though the mechanism and clinical significance of this finding cannot be easily explained.展开更多
文摘In this clinical trial, 90 patients admitted to orthopedics ward, Shahid Mohammadi Hospital, Bandar Abbass with a long bone fracture, comminuted more than 30%, were randomly divided into two groups. In the first group, after the completion of the operation, a single hemovaccum drain was inserted into the iliac crest wound, the site of cancellous bone removal, whereas the second group didn’t receive a drain. The two groups were followed for at least six months and the results were compared with Chi-Square and T-Tests. The two groups, at the end of the follow up period, had no statistically significant difference with regard to pain severity and need for dressing change (in the immediate postoperative period), hematoma formation and infection. So it seems that drain insertion in the wound of patients in whom cancellous bone is removed from the iliac crest, is not necessary.
文摘Introduction: Since distal radius fractures are among the most common fractures encountered in orthopedics and one of their common complications is restriction of rotational movements of the wrist and forearm, iden-tification of factors affecting this loss of motion is of importance. This study was conducted to evaluate the relation between extraarticular distal radius fractures associated with fracture of ulnar styloid and the rota-tional movements of the wrist and forearm. Patients and methods: 47 patients with an extraarticular distal radius fracture were enrolled in a prospective case control study. The patients were visited in regular follow up intervals after treatment and at the final follow up the rotational movements of the forearm were measured. The findings were analyzed with Independent T and Chi-square tests. Findings: Ultimately 23 patients of the group 1 (intact ulnar styloid) and 24 of the group 2 (fractured ulnar styloid) completed the follow up period. At this time supination of the wrist and forearm in group 2 was significantly less than the group 1 (p< 0.001). Conclusion: It seems that the association of an extraarticular distal radius fracture with the fracture of ulnar styloid, at least in short term causes restriction of supination of the forearm, though the mechanism and clinical significance of this finding cannot be easily explained.
