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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Archives of Bone and Joint Surgery
- نوع مقاله: Journal Article
- کلمات کلیدی: Plain radiography,Ankle fracture,CT scanning,Syndesmosis
- چکیده:
- چکیده انگلیسی:
Background: Ankle fractures, especially those resulting from external rotation mechanisms are associated with injury to
the distal tibiofibular syndesmosis. Some authors have recommended performing CT scanning after open ankle surgery to evaluate the reduction of syndesmosis. In this current study, we aimed to investigate the sensitivity of plain radiography in diagnosing syndesmosis malreduction after open reduction and internal fixation (ORIF) in patients with ankle fractures.
Methods:
Thirty patients with ankle fractures participated in this prospective study. ORIFs were performed with respect to all of the technical guidelines shown in orthopedic literature for exact syndesmosis reduction, such as fibular length and proper settings. In the operating room, plain radiography was performed in anteroposterior, mortise and lateral views to assess whether syndesmosis was malreduced. If malreduction was detected, the patient was revised. As the gold standard, patients underwent postoperative bilateral CT scanning to investigate the syndesmosis reduction which was then compared to the healthy side. Finally, the sensitivity of plain radiography in the diagnosis of syndesmosis malreduction was determined by comparing this method to CT scanning.
Results:
In both of the methods we did not find any patient with syndesmosis malreduction. Hence, the sensitivity of plain radiography was determined 100%.
Conclusion:
Based on our findings, there is no need to perform CT scanning to evaluate syndesmosis reduction after ankle ORIF in patients with ankle fractures. Plain radiography is sufficient and has satisfactory sensitivity in these patients.- انتشار مقاله: 25-04-1392
- نویسندگان: Alireza Manafi Rasi,Gholamhossein Kazemian,Mohamad M Omidian,Ali Nemati
- مشاهده
- جایگاه : پژوهشی
- مجله: Archives of Bone and Joint Surgery
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,knee,Hip,Arthroplasty,Registry national
- چکیده:
- چکیده انگلیسی:
Periodic evaluation and monitoring the health and economic outcome of joint replacement surgery is a common and popular process under the territory of joint registries in many countries. In this article we introduce the methodology used for the foundation of the National Iranian Joint Registry (IJR) with a joint collaboration of the Social Security Organization (SSO) and academic research departments considering the requirements of the Iran’s Ministry of Health and Education.
- انتشار مقاله: 14-11-1394
- نویسندگان: Hamidreza Aslani,Seyed Taghi Nourbakhsh,Farivar A Lahiji,Keykavoos Heydarian,Mahmood Jabalameli,Mohammad Taghi Ghazavi,Mahmoud Reza Fayyaz,Mohammad Ali Sazegari,Maziar Mohaddes,Mojtaba Rajabpour,Mohammad Emami,Seyyed Mohammad Jazayeri,Firooz Madadi,Hossein Farahini,Fardin Mirzatoloee,Mohammad Gharahdaghi,Mohammad Hossein Ebrahimzadeh,Mohammadreza Ebrahimian,Hossein Mirvakili,Kaveh Bashti,Mohtasham Almasizadeh,Mansour Abolghasemian,Afshin Taheriazam,Mehdi Motififard,Hamidreza Yazdi,Mahmood Karimi Mobarakeh,Masoud Shayestehazar,Mehdi Moghtadae,Babak Siavashi,Mohammadreza M Sajjadi,Alireza Manafi Rasi,Seyyed Kazem Chabok,Zohreh Zafarani,Shahin Salehi,Monireh Ahmadi,Amin Mohammadi,Mohammad Ebrahim Shahsavand
- مشاهده