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Article
Calcaneal decompression as part of painful heel syndrome

Author: Saad Mubarak Rasheed
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2014 Volume: 13 Issue: 2 Pages: 66-70
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Many modalities of surgical treatment are available for painfulheel syndrome like: release of half of planter fascia, excision of spur, drillingof calcaneum, and calcaneal osteotomy, without agreement on the mosteffective one.Aim: to evaluate the effect of calcaneal bone drilling in addition to planterfascia release and calcaneal spur removal for patients with painful heelsyndrome.Patients and methods: between 2007‐2011 at Al‐Yarmouk Teaching hospital,a retrospective comparative study of (44) feet of (38) patients (M=11 andF=27) with persistent painful heel syndrome divided into 2 groups: first group(24) feet of (18) patients were treated by calcaneal drilling with thetraditional surgery (release of planter fascia + calcaneal spur excision), andthe second group (20) feet of (20) patients were treated with traditionalsurgery only (control group). Evaluation of patient's pain and satisfactionwas based on VAS (visual analogue pain scale) system for local pressuretenderness and rest pain.Results: The mean pre‐operative rest pain and local pressure tendernesswere 8.38±0.99 and 8.95±1.21 for group I respectively and 8.50±0.81and8.80±0.81for group II respectively.There was significant decrease in rest heelpain in group I in comparison with group II after 6 months (from 4.40±0.97for group II to 0.88±1.05 for group I), and after 2 years follow‐up (from2.25±1.47 for group II to 0.25±0.66 for group I) with p<0.05. There wassignificant decrease in local pressure tenderness in group I in comparisonwith group II after 6 months follow‐up (from 5.85±1.01 for group II to1.92±1.58 for group I), and after 2 years follow‐up (from 3.85±1.56 for groupII to 0.33±0.75 for group I) with p<0.05. Complications were post‐operativeinfection (9.1%), heel paresthesia (13.6%), and persistent pain (2.3%).Conclusions: calcaneal drilling is one of significantly effective modality oftreatment for recurrent heel pain syndrome when combined with ordinaryrelease of planter fascia and spur excision.


Article
Effect of Hemodialysis & Dialyzer Biocompatibility on Erythrocyte Glutathione &Related Enzymes on Uremic Patients

Authors: Adnan F. Al-najjar --- Abdul Hameed Al- Qaseer
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2014 Volume: 13 Issue: 2 Pages: 75-83
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Twenty five healthy control and forty two end stage renal disease (ESRD) patients on regular hemodialysis treatment were enrolled in this study. Blood samples Were drown immediately before and after hemodialysis, and erythrocyte glutathione peroxidase (GSH-Px), glutathione reductase (GSSG-RD) activities, as well as reduced glutathione (GSH) concentration were measured. To study the effect of a single hemodialysis session on glutathione defense system and oxidative stress, the patients were then divided into two groups according to the dialyzer type used in the session (cuprophane, n=23 patients and polysulfone, n=19 patients). GSH-Px activity, as well as GSH concentration was significantly decreased in ESRD patients as compared with controls. GSSG-RD activity was significantly elevated in ESRD patients as compared with controls. A single hemodialysis session, regardless to the type of dialyzer used, did not induce any significant effect on any of the parameters measured. Cuprophane dialyzer did not result in any significant changes among glutathione defense system parameters. Polysulfone dialyzer exerted a significant correction on glutathione system parameters. The findings conclude that the Glutathione defense system may serve as a good index for monitoring oxidative stress and dialyzers biocompatibility in ESRD patients on regular hemodialysis treatment and the use of polysulfone rather than cuprophane dialyzers in hemodialysis procedure is recommended.


Article
INTERFERON ALPHA-2B IN PLANTAR FASCIITIS
التهاب اللفافة الاخمصي

Author: Adnan A.Anoze عدنان عبد عنوز
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2008 Volume: 6 Issue: 1 Pages: 128-131
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Plantar fasciitis is the most common cause of heel pain but treatment remains empirical.Objective: To investigate the effect of interferon alpha 2b on pain, morning stiffness and tenderness of heels in patient with plantar fasciitis.Methods: Three hundred seventy six patients with plantar fasciitis enrolled in this study. The patients divided into two groups: Group one received interferon alpha 2b 3MIUevery 3 days and group two treated with diclofenac. 50 mg two times daily with heel pads. The study conducted for 12 week. Results: 92% of group one patients who received interferon alpha 2b became completely asymptomatic at week 6. At week 12 96.8% became completely free of symptoms.Conclusion: Treatment with interferon alpha 2b in patients who had plantar fasciitis seems to be effective bringing complete cure.

خلفية الدراسة: التهاب لفافة أخمص القدم من أكثر أسباب الآم كعب القدم ولكن العلاج بقي غير وافي وتجريبي.هدف الدراسة: لغرض فحص تأثير وفائدة العقار انترفيرون الفاتوبي على الآم كعب القدم وتيبس القدم الصباحي لدى مرضى التهاب لفافة اخمص القدم.طريقة العمل: 376 مريضاً يعانون من التهاب لفافة أخمص القدم ادخلوا في هذه الدراسة تم تقسيم المرضى إلى مجموعتين المجموعة الأولى تناولت انترفيرون الفاتوبي ثلاثة ملايين وحدة كل ثلاثة أيام والمجموعة الثانية تناولت دايكلوفيناك 50 ملغم مرتين في اليوم مع استعمال وسادة للكعب الدراسة استمرت لمدة 12 أسبوع .النتائــج: 92% من المجموعة الأولى التي تناولت انترفيرون الفاتوبي اظهروا تحسناً ملموساً وقد اختفت كافة أعراض المرض بعد مرور 6 أسابيع في نهاية الأسبوع الثاني عشر 96.8% من مرضى المجموعة الأولى بدون أعراض مرضية.الاستنتاجات: علاج مرضى التهاب لفافة أخمص القدم بعقار انترفيرون الفاتوبي اظهر جدوى وفعالية عالية في شفاء المرضى واختفاء أعراض المرض.

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