Background: In spine surgery postoperative closed suction drainage is used to decrease the potential risks of wound hematoma formation, and reduces the risk of infection, cord compression and neurologic deficit. Howev...Background: In spine surgery postoperative closed suction drainage is used to decrease the potential risks of wound hematoma formation, and reduces the risk of infection, cord compression and neurologic deficit. However, the efficacy of drains used for this purpose in adolescent idiopathic scoliosis is controversial. The purpose of this study is to evaluate outcomes of patients after posterior spinal fusion with instrumentation for adolescent idiopathic scoliosis without wound suction drainage. Methods: A total of 66 Patients who underwent posterior spinal fusion and instrumentation for the correction of Adolescent idiopathic scoliosis without the use of drain from January 2012 to January 2021 were included. Wound dehiscence, wound hematoma, infection, preoperative and postoperative hemoglobin levels and need for transfusion were described as frequency and mean values. Results: The average age was 15.06 years. Hospital stay was 2.2 days. Patients were followed-up over 50.21 months. There was no deep infection, wound hematoma. The difference between just postoperative and three days after operation hemoglobin levels was not significant and no need for transfusion. Only 3 (4.5%) cases with superficial skin infection and 4 (6%) cases with skin and Wound dehiscence were treated with dressing and antibiotics with full recovery. Conclusion: Without using drain for patients with idiopathic scoliosis who underwent posterior spinal fusion and instrumentation, no increase in blood loss, transfusion requirements, wound infection, skin dehiscence, and wound hematoma was observed.展开更多
Background: Frozen shoulder is a painful condition that can lead to long-term disability. The frequency of frozen shoulder among diabetic patients is about 10% to 39%. Diabetics have a higher prevalence of frozen shou...Background: Frozen shoulder is a painful condition that can lead to long-term disability. The frequency of frozen shoulder among diabetic patients is about 10% to 39%. Diabetics have a higher prevalence of frozen shoulder than the general population, and these individuals are less responsive to therapy and have a larger range of motion limitation. Aim: The aim of this thesis is to determine the prevalence of diabetes among patients with frozen shoulder and to compare them in terms of demographics, clinical and treatment features. Method: This study was performed on patients who had been diagnosed with frozen shoulder at an orthopedic center in Mashhad, Iran, from 2012 to October 2021. The frequencies and cross tabulations were used to analyze the data by SPSS to determine the significance of relationships. The chi-square and t-tests have been used with a p-value less than 0.05 as the alpha level of significance. Results: Among the patients, the average age was 56 years old. Among 310 patients with Frozen shoulder, 36% were diabetic. There was no statistically significant difference in gender and level of activity between patients with and without diabetes. In contrast, the side of the affected shoulder, duration of frozen shoulder, stage of frozen shoulder and treatment of frozen shoulder were statistically significantly different between the two groups (p p Conclusion: Based on this study, around one-third of frozen shoulder patients have diabetes. Although there was a statistically significant difference in the treatment of frozen shoulder between patients with and without diabetes groups, diabetic individuals have a more severe course of illness, and their treatment is less effective.展开更多
<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Coccydynia is a painful condition with tenderness and ache in sacrococc...<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Coccydynia is a painful condition with tenderness and ache in sacrococcygeal area which may radiate to the buttocks and lower back. Coccydynia is a multifactorial disorder</span><span></span><span></span><b><span><span></span><span></span> </span></b><span style="font-family:""><span style="font-family:Verdana;">and the most common cause of it is trauma. The initial treatment of the disease is conservative methods. One of the most common conservative treatments of chronic coccydynia is the local corticosteroid injection, which performed usually by palpation-guided method. This study was conducted to compare the effectiveness of local corticosteroid injection using palpation and needling method with palpation method alone. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">In this prospective study</span></span><span style="font-family:Verdana;">, 50</span><span style="font-family:Verdana;"> patients with the diagnosis</span><span style="font-family:Verdana;"> of coccydynia were enrolled between 2010 </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> 2017. All patients had chronic coccydynia which did not respond to conservative therapy for at least three months. Participants were divided into two groups and each group consisted of 25 individuals. Patients who underwent local corticosteroid injection using palpation guide technique alone were assigned as group A and others who underwent palpation guid</span><span style="font-family:Verdana;">ing</span><span style="font-family:""><span style="font-family:Verdana;"> injection with needling technique were considered as group B. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">There was a statistically significant difference between the mean VAS scores in preinjection and final follow up visit in each groups</span></span><span展开更多
文摘Background: In spine surgery postoperative closed suction drainage is used to decrease the potential risks of wound hematoma formation, and reduces the risk of infection, cord compression and neurologic deficit. However, the efficacy of drains used for this purpose in adolescent idiopathic scoliosis is controversial. The purpose of this study is to evaluate outcomes of patients after posterior spinal fusion with instrumentation for adolescent idiopathic scoliosis without wound suction drainage. Methods: A total of 66 Patients who underwent posterior spinal fusion and instrumentation for the correction of Adolescent idiopathic scoliosis without the use of drain from January 2012 to January 2021 were included. Wound dehiscence, wound hematoma, infection, preoperative and postoperative hemoglobin levels and need for transfusion were described as frequency and mean values. Results: The average age was 15.06 years. Hospital stay was 2.2 days. Patients were followed-up over 50.21 months. There was no deep infection, wound hematoma. The difference between just postoperative and three days after operation hemoglobin levels was not significant and no need for transfusion. Only 3 (4.5%) cases with superficial skin infection and 4 (6%) cases with skin and Wound dehiscence were treated with dressing and antibiotics with full recovery. Conclusion: Without using drain for patients with idiopathic scoliosis who underwent posterior spinal fusion and instrumentation, no increase in blood loss, transfusion requirements, wound infection, skin dehiscence, and wound hematoma was observed.
文摘Background: Frozen shoulder is a painful condition that can lead to long-term disability. The frequency of frozen shoulder among diabetic patients is about 10% to 39%. Diabetics have a higher prevalence of frozen shoulder than the general population, and these individuals are less responsive to therapy and have a larger range of motion limitation. Aim: The aim of this thesis is to determine the prevalence of diabetes among patients with frozen shoulder and to compare them in terms of demographics, clinical and treatment features. Method: This study was performed on patients who had been diagnosed with frozen shoulder at an orthopedic center in Mashhad, Iran, from 2012 to October 2021. The frequencies and cross tabulations were used to analyze the data by SPSS to determine the significance of relationships. The chi-square and t-tests have been used with a p-value less than 0.05 as the alpha level of significance. Results: Among the patients, the average age was 56 years old. Among 310 patients with Frozen shoulder, 36% were diabetic. There was no statistically significant difference in gender and level of activity between patients with and without diabetes. In contrast, the side of the affected shoulder, duration of frozen shoulder, stage of frozen shoulder and treatment of frozen shoulder were statistically significantly different between the two groups (p p Conclusion: Based on this study, around one-third of frozen shoulder patients have diabetes. Although there was a statistically significant difference in the treatment of frozen shoulder between patients with and without diabetes groups, diabetic individuals have a more severe course of illness, and their treatment is less effective.
文摘<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Coccydynia is a painful condition with tenderness and ache in sacrococcygeal area which may radiate to the buttocks and lower back. Coccydynia is a multifactorial disorder</span><span></span><span></span><b><span><span></span><span></span> </span></b><span style="font-family:""><span style="font-family:Verdana;">and the most common cause of it is trauma. The initial treatment of the disease is conservative methods. One of the most common conservative treatments of chronic coccydynia is the local corticosteroid injection, which performed usually by palpation-guided method. This study was conducted to compare the effectiveness of local corticosteroid injection using palpation and needling method with palpation method alone. </span><b><span style="font-family:Verdana;">Patients and Methods: </span></b><span style="font-family:Verdana;">In this prospective study</span></span><span style="font-family:Verdana;">, 50</span><span style="font-family:Verdana;"> patients with the diagnosis</span><span style="font-family:Verdana;"> of coccydynia were enrolled between 2010 </span><span style="font-family:Verdana;">and</span><span style="font-family:Verdana;"> 2017. All patients had chronic coccydynia which did not respond to conservative therapy for at least three months. Participants were divided into two groups and each group consisted of 25 individuals. Patients who underwent local corticosteroid injection using palpation guide technique alone were assigned as group A and others who underwent palpation guid</span><span style="font-family:Verdana;">ing</span><span style="font-family:""><span style="font-family:Verdana;"> injection with needling technique were considered as group B. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">There was a statistically significant difference between the mean VAS scores in preinjection and final follow up visit in each groups</span></span><span