هادی مخملباف
دانشیار گروه ارتوپدی ، دانشگاه علوم پزشکی مشهد ، مشهد، ایران
[ 1 ] - بررسی فراوانی ده ساله انواع تومورهای خوشخیم استخوانی در بیماران بستری شده یک مرکز دانشگاهی
مقدمه بیشتر تومورهای خوش خیم استخوانی بدون علامتند. برخی از آنها مثل استئوکندروما و تومور باسلول ژانت، توانایی تبدیل شدن به تومور بدخیم را دارند. بنابراین با تشخیص سریع نوع تومور از عوارض فیزیکی منفی تومورهای بدخیم، جلوگیری می شود. روش کار این مطالعه توصیفی گذشته نگر در بیماران بستری شده با تشخیص بالینی تومور خوش خیم استخوانی در فاصله سالهای 1377-1378 در بیمارستان قائم مشهد انجام شد. عواملی م...
[ 2 ] - ارزیابی مقایسه ای نقش MRI و آرتروسکوپی در تشخیص ضایعات ترومای زانو
مقدمه زانو یکی از شایعترین مفاصل بدن است که دچار تروما می شود. تستهای کلینیکی در ارزیابی صدمات لیگامانی و منیسک در زانو به تنهایی دقت قابل اعتمادی ندارند. تصویر برداری با تشدید رزونانس مغناطیسی در حال حاضر دقت تشخیصی بسیاری از ضایعات زانو را بالا برده است و در مورد ضایعات تروماتیک زانو نیز غیر تهاجمی بودن آن مزیتی است که در مقایسه با آرتروسکوپی جلب توجه می کند . لذا هدف از این مطالعه بررسی نقش ...
[ 3 ] - Conservative Bone Cuts and Technical Hints Incruciate Retaining Total Knee Arthroplasty, a 20 Years Experience
Total knee arthroplasty (TKA) is one of the most successful procedures in modern orthopedic surgery, providing high patient satisfaction rate. As a result, the number of patients undergoing TKA is increasing in number every year and more patients would be inclined to have the operation in near future . The demand for TKA is expected to grow 673% between 2005 and 2030. Knee surgeons are using mo...
[ 4 ] - Medial Collateral Ligament Injury; A New Classification Based on MRI and Clinical Findings. A Guide for Patient Selection and Early Surgical Intervention
Medial collateral ligament (MCL)injury, is one of the most common ligament injuries of the knee,mostly results from a valgus force.Restoration of function and going back to the pre-injury level of function is the aim of treatment in ligament injuries of the knee. There are multiple soft tissue structures in medial side that play an important role in connection with each other to retain medial s...
[ 5 ] - Measurement of Posterior Tibial Slope Using Magnetic Resonance Imaging
Background: Posterior tibial slope (PTS) is an important factor in the knee joint biomechanics and one of the bone features, which leads to knee joint stability. Posterior tibial slope affects flexion gap, knee joint stability and posterior femoral rollback that are related to wide range of knee motion. During high tibial osteotomy and total knee arthroplasty (TKA) surgery, proper retaining the...
[ 6 ] - Analgesia Following Arthroscopy – a Comparison of Intraarticular Bupivacaine and/or Midazolam and or Fentanyl
Background: Arthroscopic intervention is very common for conducting orthopedic surgeries. After a knee arthroscopic surgery, different drugs are used through intra-articular administration to induce analgesia. The aim of this study was to evaluate analgesic effects of Bupivacaine (marcaine), Bupivacaine plus midazolam, and Bupivacaine plus fentanyl in reducing pain after knee arthroscopic sur...
[ 7 ] - Distal Femoral Osteotomy in Genovalgum: Internal Fixation with Blade Plate Versus Casting
Background: To compare the results of two different ways of distal femoral osteotomy stabilization in patients suffering from genuvalgum: internal fixation with plate, and casting. Methods: In a non-randomized prospective study, after distal femoral osteotomy with the zigzag method, patients were divided into two groups: long leg casting, and internal fixation with blade plate. For all pati...
[ 8 ] - Effect of Dexmedetomidine on Postoperative Pain in Knee Arthroscopic Surgery; a Randomized Controlled Clinical Trial
knee surgery. The purpose of this study was to assess the analgesic effects of intra-articular injection of a dexmedetomidine following knee arthroscopy. Methods: Forty six patients schadualed for arthroscopic knee surgery under general anaesthesia, were randomly devided into two groups. Intervention group received 1μg/kg dexmedetomidine (D) and isotonic saline. Control group received 25ml is...
[ 9 ] - The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) in Persian Speaking Patients with Knee Osteoarthritis
Background: Osteoarthritis of the knee is the most common chronic joint disease that involves middle aged and elderly persons. There are different clinical instruments to quantify the health status of patients with knee osteoarthritis and one example is the WOMAC score that has been translated and adapted into different languages. The purpose of this study was cultural adaptation, validation ...
[ 10 ] - Accuracy of Lachman and Anterior Drawer Tests for Anterior Cruciate Ligament Injuries
Background: The knee joint is prone to injury because of its complexity and weight-bearing function. Anterior cruciate ligament (ACL) ruptures happen in young and physically active population and can result in instability, meniscal tears, and articular cartilage damage. The aim of this study is to evaluate the accuracy of Lachman and anterior drawer test in ACL injury in compare with arthrosc...
[ 11 ] - Combined Femoral and Acetabular Osteotomy in Children of Walking Age for Treatment of DDH; A Five Years Follow-Up Report
Background: The prevalence of neglected developmental dysplasia of the hip (DDH) has been decreasing. Nowadays, the disease is rarely seen in walking age children. The purpose of this study is to assess the results of simultaneous osteotomy of femur and pelvic bones in such children.Method: We performed a retrospective study on 30 children aged 3.8±0.9 (range: 1.5-7) years old, with DDH who und...
[ 12 ] - Cross-Cultural Adaptation and Validation of the Persian Version of the Oxford Knee Score in Patients with Knee Osteoarthritis
Background: The Oxford Knee Score (OKS) is a short patient-reported outcome instrument that measures pain and physical activity related to knee osteoarthritis. The purpose of this study is to evaluate, construct validity and consistent reliability of the Persian version of the OKS.Methods: The case series consisted of 80 patients who were clinically diagnosed with having knee osteoarthritis. Al...
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