patients and methods sixty elderly patients with intertrochanteric fractures were randomized for treatment with either skeletal traction (group a) or an external fixation (group b). in this study patients at least 60 years of age, with ao/ota a1 or a2 type fracture and intertrochanteric fracture as a result of minor trauma, were enrolled. results acceptable reduction was achieved in eight and 2...

according to limitations in blood product resources and to prevent unnecessary transfusions and afterwards complications in perioperative period of total hip arthroplasty, authors administered fibrinogen concentrate in a pilot randomized clinical trial to evaluate bleeding and need to blood transfusion in preoperative period. thirty patients (3-75 years old) with asa physical status class i or ...

background: the aim of this study was to investigate muscle damage indicators and electromyography activities of quadriceps muscles at 25° of hip flexion in untrained healthy females after an eccentric exercise induced muscle fiber damage.   methods : a total of 14 healthy females participated in this pre-experimental study. the subjects performed maximal eccentric quadriceps contractions at 25...

background: legg-calve´-perthes disease is a juvenile idiopathic osteonecrosis in which the blood supply of femoral head is not sufficient and the bone dies provisionally. the aim of this study is to evaluate outcome of femoral osteotomy in children with lcpd in our university hospital.   methods: in a descriptive analytic study, between 2008 and 2013, patients with the diagnosis of legg-calve’...

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 depar...

BACKGROUND Poor neuromuscular control during sports activities is associated with non-contact lower extremity injuries. This study evaluated the efficacy of progressive resistance, whole body, long-axis rotational training to improve lower extremity neuromuscular control during a single leg lateral drop landing and stabilization. METHODS Thirty-six healthy subjects were randomly assigned to e...

OBJECTIVE To prove the accuracy of a customized guide developed according to our method. METHODS This customized guide was developed from a three-dimensional model of proximal femur reconstructed using computed tomography data. Based on the new technique, the position of the guide pin insertion was selected and adjusted using the reference of the anatomical femoral neck axis. The customized g...

OBJECTIVES Normal sagittal spine-pelvis-lower extremity alignment is crucial in humans for maintaining an ergonomic upright standing posture, and pathogenesis in any segment leads to poor balance. The present study aimed to investigate how this sagittal alignment can be affected by severe knee osteoarthritis (KOA), and whether associated changes corresponded with symptoms of lower back pain (LB...

BACKGROUND Model-based Roentgen Stereophotogrammetric Analysis (MBRSA) allows the accurate in vivo measurement of the relative motion between an implant and the surrounding bone (migration), using pose-estimation algorithms and three dimensional geometric surface models of the implant. The goal of this study was thus to investigate the effect of surface model resolution on the accuracy of the M...

The existing methods of assessing limb lengthening during total hip arthroplasty (THA) are prone to error because the measurements are not parallel to the limb lengthening axis. In order to address this, we designed a caliper to estimate limb lengthening during THA and evaluated its accuracy compared with our previous device, the straight caliper. Limb lengths were measured in 100 patients. The...