Genu recurvatum associated with Osgood-Schlatter disease (OSD) has been reported in several studies. In this report, we describe a rare complication of case OSD flexion contracture (tfighat is the exact opposite knee deformity classically OSD) and increased posterior tibial slope. current article, report 14-year-old referred to our center fixed contracture. Radiographic evaluation revealed slope 25 degrees. There was no limb length discrepancy. Bracing that prescribed primary before...

Blood loss during and immediately after total knee arthroplasty (TKA) is among the most challenging concerns. It has been demonstrated that Tranexamic acid (TXA) can help to reduce perioperative blood loss. TXA be used as an oral, topical or intravenous injection. Many studies evaluated effectiveness of each route administration but few works on a comparison between them. The current study aimed compare injection versus use in reducing primary arthroplasty.Eighty-five patients who were...

Renal angiomyolipoma (also called renal hamartoma) is a benign Tumor, composed of adipose tissue, smooth muscle and blood vessels. Tumors more than 10 cm (referred to as "giant" AMLs) are infrequent very small number reported cases were measured 20 cm. Epithelioid (EAML), rare variant with malignant potential. There less huge EAML in English literature, that all associated recurrence complications.Here we report case 48-year-old male patient was not tuberous sclerosis. He admitted our...

Background: Proximal interphalangeal (PIP) joint pilon fractures are among the challenging hand injuries, which often associated with a wide range of complications. This study aimed to report clinical and radiological outcomes closed reduction percutaneous Kirschner wire (KW) insertion or without bone cement application (for fabrication an external fixator) in treatment PIP fractures. Methods: Twenty underwent KW fixation through modified technique. At end follow-up period, 3...

Medial Collateral Ligament (MCL) injury may require operative treatment. Marx et al. described the latest technique for reconstruction of MCL. While good results have been reported using technique, some issues observed. To address mentioned issues, a modification to has devised. Eleven patients were enrolled and their ligaments repaired by fixation allograft on proximal distal attachment footprints superficial For preventing loss knee ROM, MCL other reconstructed in 2 separate stages. At...

Kienböck's disease is the avascular necrosis of lunate bone. There no consensus on treatment strategy to avoid joint deterioration. This trial conducted compare functional and radiological outcomes radial shortening capitate techniques, in patients with lunate.

Background: A preferred surgical approach to distal femur intra-articular fractures is still controversial. Objectives: In the current study, we assessed outcome and complications of three different techniques, including screw fixation, Retrograde Intramedullary Nailing (RIN), Locking Compression Plate (LCP). Methods: total 63 patients with were included in this retrospective study. AO/OTA fracture dislocation classification was used categorize patients. Type B treated fixation type C using...

Background: Adequate treatment for all resectable early gastric cancers (EGCs) is gastrectomy with regional lymphadenectomy. The number of positive resected lymph nodes during lymphadenectomy can be a reliable predictor survival GC. Objectives: We aimed at assessing the prognostic significance dissected node count (DLNC), LNC (PLNC), and ratio (LNR) in patients EGC. Methods: In current retrospective cohort, 201 EGC were included. Demographic variables, clinicopathological characteristics...

The worldwide incidence of splenic hydatid cysts is 0.5-4% with Iran holding the distinction having most among cattle-rearing areas. About 30% spleen are asymptomatic and remain undiagnosed unless they rupture spontaneously. In general, rupture a cyst secondary to trauma very rare condition. Here, we presenting case of a19-year-old male diagnosis multiple due falling from height of 10 meters. current case, discuss surgical management presentation ruptured...

Focal hematopoietic hyperplasia (FHH) is an unusual benign lesion that can rarely involve the ribs. In general, FHHs a tumor-like expansion of ribs due to abnormal proliferation bone marrow. are mostly found incidentally at radiologic studies performed for other reasons. They characterized by gradually enlarging osteolytic masses rib.Here, we present case focal rib who arrived our institute with complaint severing back pain level T5-T6 vertebrae. The diagnosis FHH has been made based on...

Background: Varus osteotomy is a popular method for the operative treatment of Legg-Calvé-Perthes disease (LCPD). In this study, authors aimed to evaluate radiographic outcomes varus and its association with extent hip involvement. Methods: Twenty-one patients in early stages (stage I II LCPD, according modified Elizabethtown classification) who were treated studied. The outcome measures Caput Index epiphyseal quotient (EQ) that assessed before surgery 2 yr postoperatively. level involvement...

Introduction: Autogenous arteriovenous fistulas (AVFs) are the recommended type of vascular access for hemodialysis (HD). Nonetheless, precise outcome Proximal Radial Artery Arteriovenous (PRAAVF), as well its risk failure and complication, has yet to be determined. Methods: In current single-center, by retrospective analysis prospectively collected data, we compared Brachial AVF (BAAVF) (PRAAVF) in end-stage renal disease (ESRD) patients who were referred our center between 2010 2018. The...

Periprosthetic infection (PJI) is a serious complication of total knee arthroplasty (TKA). PJI due to Brucellosis very rare entity. In this report, we described the case joint loosening after TKA in 63-year-old female who arrived with complaints restricted range motion, stiffness, and pain. The diagnosis was made based on clinical, radiological, laboratory findings. She treated antibiotics two-stage revision surgery. We also reviewed all similar cases English literature from epidemiologic,...