abstract the leg is a complex district with functions of weightbearing support, stability, and motility. the management of extensive and complex defects is more challenging and often results in leg amputation or shortening. leg amputation is a severe mutilation that alters the patient’s work and social life by limiting ambulation and self-sufficiency. during a 3 years period we treated four pat...

background:   iran places sixth amongst high risk natural disaster countries and guilan province of iran shoulders a large amount of socio-economic burden due to snow catastrophes. the more knowledge of circumstances we have, the more efficient our future encounters will be. methods: in this retrospective study, of all of the patients admitted to poursina hospital due to snow and ice related tr...

background fractures of the knee account for about 6% of all trauma admissions. while its management is mostly focused on fracture treatment, it is not the only factor that defines the final outcome. objectives this study aimed to study objective and subjective outcomes after proximal tibial versus distal femoral fractures in terms of knee instability and health-related quality of life. patient...

INTRODUCTION In the treatment of Gustilo Type 3B open tibial fractures, it is important to perform soft tissue reconstruction and bone reconstruction simultaneously. Gastrocnemius muscle and soleus muscle flaps are generally used as rotational flaps for the tibia. The distal third of the tibia can often not be covered with the gastrocnemius muscle and soleus muscle flaps. Treatment distal to th...

BACKGROUND The Anteromedial Reach Test is a performance-based outcome measure for evaluating dynamic knee stability in patients with anterior cruciate ligament injury. No previously published study has adequately evaluated intrarater or interrater reliability of the Anteromedial Reach Test, so the purpose of this study was to assess these measurement properties in healthy participants prior to ...

BACKGROUND Many studies have been reported on replantation of an upper extremity after traumatic amputation, but there are only a few case reports on replantation of the lower extremities rather than amputation surgery. This is due to preoperative factors, complications and the possibility of good prosthetic substitution.We describe here the dynamic evaluation necessary for a continuous rehabil...

Fractures of the distal tibia are usually high-energy injuries and are well known for their soft tissue complications after surgery. Various factors have been studied regarding the possibility of them reducing the incidence of such damage, including timing of surgery, staged surgery, fixation method, and surgical approach. Less invasive surgical techniques with vascularity preserving approaches...

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Handheld percussive therapy (PT) massage guns have seen a rapid rise in use and with-it increased attention within injury prevention sport performance settings. Early studies proposed beneficial effects upon range of motion (ROM), however the mechanism behind these increases remains unreported. This study aimed to determine influence minimal frequency PT dose ROM myotonometry outcomes. Twenty p...