research centers


Search results: Found 2

Listing 1 - 2 of 2
Sort by

Article
Evaluation of Risk Factors For Acute Periprosthetic Infection Post Total Knee Replacement Iraqi Patients

Authors: Mahmood Shihab --- Hazim A. Aljumily --- Belal Salman --- Anmar Hamid
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 2 Pages: 549-555
Publisher: Babylon University جامعة بابل

Loading...
Loading...
Abstract

Periprosthetic joint infection (PJI) is one of the most challenging complications after total joint arthroplasty,with an incidence of 1% to 4% after primary TKA. This complication poses challenges on many aspects, one ofwhich is the difficulty in reaching a diagnosis.Although variation exists, the majority of them rely on the results of joint aspiration or deep tissue culture;serologic tests, namely erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP); and theappearance of the joint during surgery (with regard to presence of purulence); presence or absenceof a sinus tract; and the result of histologic analysis of tissue obtained during surgery (frozen section).Taken together, these findings suggest incorporating synovial WBC and PMN% results into a set of diagnosticcriteria may improve the strength of those criteria for diagnosing PJI.The Objective is To evaluate the risk factors for peri-prosthetic infection post total knee replacement for Iraqipatients.This prospective study consists of 264 patients (51 males and 213 females) ages ranged from 49-75 years(mean 62 years) had been performed unilateral primary total knee replacement between January 2012 toSeptember 2013 in the Nursing Home Hospital arthroplasty Department, in Baghdad, that are divided into threegroups according to the primary pathology, Group I are 207 patients had primary osteoarthritis, GroupII are 42 patients had rheumatoid arthritis, and Group III are 15 post-traumatic arthritis.264 patients with 51 (19.3 %) males and 213 (80.6 %) females’ patients had primary OA 207 case (74.8%),Rheumatoid arthritis 42 case (15.9%) and posttraumatic 15 cases (5.6%). These patients were allocated into 3groups according to their primary pathology:In Group I, 182 patients (non-diabetic), 4 patients had deep infection, whereas 3 of 25 diabetic patients developeddeep infection. In Group II, 34 non diabetic patients, and 8 diabetic patients one and 2 patients had deep infectionrespectively. Group III, 12 non-diabetic and 3 diabetic patients had one patient each with documented deep woundinfection. As a total number of documented acute deep infections during 6 weeks of TKR is 12 cases (4.5%).We conclude that: Diabetic patients are more risk in early postoperative infection than non-diabetic patients.Rheumatoid arthritis adds more incidence of infection to diabetic patients in the TKR. posttraumatic arthritispatients considered as a risk for early postoperative deep infection.


Article
TOTAL KNEE REPLACEMENT OVERVIEW OF 40 CASES IN NURSING HOME HOSPITAL IS IT ENCOURAGING SURGEERY?

Author: Dr. Mahmood. Shahab, F.I.C.M.S (ORTHO), NURSING HOME HOSPITAL
Journal: KUFA MEDICAL JOURNAL مجلة الكوفة الطبية ISSN: 1993517X Year: 2011 Volume: 14 Issue: 1 Pages: 197-208
Publisher: University of Kufa جامعة الكوفة

Loading...
Loading...
Abstract

Total knee replacement is challenging issue for long time under multiple indications and different designs of prosthesis used for improving range of motions in flexion and cancellation or decreasing pain aiming to change of quality of life in better progress.Objective of our study to evaluate the introduction of TKR (fixed bearing) in osteoarthritis and rheumatoid arthritis and post traumatic cases with correlation its effectiveness for cancellation of the pain and increase range of motion with few technical highlighting this procedure for orthopedic surgeon and postgraduate student in Iraq. Two models of TKR design were used (PS&CR).Our observation demonstrate significant decrease in the pain in selected cases and significant improving in the range of he motion in flexion and extension with no significant difference in the type of the prostheses used. This study showed that TKR is encouraging and gratifying surgery for selected cases for he future in the Iraq.

إن عملية تبديل مفصل الركبة الصناعي كان ولزمن طويل موضع تحد من ناحية الضرورات السريرية لهذه العملية وناحية اختيار الجهاز المناسب لكل مريض وذلك لتحسين معدل حركة مفصل الركبة مع تقليل أو إزالة الألم من المريض مما يؤدي إلى تحسين نوعية حياة المريض.الهدف من دراستنا هو لتقييم حالة المريض من ناحية زيادة معدل الحركة لمفصل الركبة وإزالة أو تقليل الألم للمريض وقد أجريت هذه الدراسة على ثلاثة أنواع من المرضى انقسم والى مرضى المصابين بالتهاب الرثوي المزمن لمفصل الركبة والمجموعة الثانية المرضى المصابين بسوفان متقدم لمفصل الركبة والمجموعة الثالثة المصابين بتدمر مفصل الركبة الناتج عن حوادث.لقد استخدمنا في هذه الدراسة نوعين من مفصل الركبة الصناعي:الأول: مفصل يحافظ على الرباط الصليبي الخلفي.الثاني: مفصل يعوض الرباط الصليبي الخلفي.من متابعتنا للمرضى وعلى امتداد سنة لاحظنا تحسن معدل الحركة وزوال الألم من المرضى ولا يوجد اختلاف بين نتائج المرضى المستخدم لهم النوع الأول أو الثاني لمفصل الركبة الصناعي.

Listing 1 - 2 of 2
Sort by
Narrow your search

Resource type

article (2)


Language

English (2)


Year
From To Submit

2016 (1)

2011 (1)