Advanced medical journal最新文献_第10页

Characteristic dermoscopic signs of Melasma among patients attending dermatology-teaching centre in Sulaymaniyah city 苏莱曼尼亚市皮肤科教学中心患者黄褐斑的特征性皮肤镜征象

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.160

Jawidan Kamal Alhasan, Mohammad Jaf

{"title":"Characteristic dermoscopic signs of Melasma among patients attending dermatology-teaching centre in Sulaymaniyah city","authors":"Jawidan Kamal Alhasan, Mohammad Jaf","doi":"10.56056/amj.2022.160","DOIUrl":"https://doi.org/10.56056/amj.2022.160","url":null,"abstract":"Background and objectives: Melasma is a common acquired pigmentary disorder which mainly involves sun exposed areas and characterized by the presence of single or multiple hyperpigmented patches distributed symmetrically over face and extending up to neck. Dermoscopy is a noninvasive technique has been tapped recently in various hyperpigmentary conditions like melasma. This research aims to determine the characteristic dermoscopic signs of melasma. Methods: A descriptive study of 100 patients with melasma were conducted over a period of 4 months, these patients were diagnosed clinically and digital images obtained first then dermoscopy examination done for different sites of face by: dermoscope device of 20X power of magnification, and Many digital images of dermoscopy findings obtained thorough attachment of the dermoscopic device to a smart phone. Results: Females constitute 79% of our patients while 21% were males. On dermoscopic examination: 69% of cases had pseudoreticular network sign, 41% had arcuate and annular sign, 21% had globules sign, 32% had sparing of perifollicular region sign and 51% had telangieactasia sign. The presence of telengiectasia in male patients was statistically significant 80.95%, Malar distribution was the most common pattern observed in 68%, more than one pattern was present in a number of patients. Conclusions: This study showed that the pseudoreticular network sign is the most common deromatoscopic signs among our patients. Telangiectasia is very common finding in our patients precisely in males.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121681027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Efficacy of Epley Maneuvers in the Management of Subjective Benign Paroxysmal Positional Vertigo in Sulaimany Governorate Epley手法治疗苏莱曼尼地区主观性良性阵发性位置性眩晕的疗效观察

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.169

Hemn Yaseen Mohammed, Yousif Ibrahim Al Chalabi

{"title":"The Efficacy of Epley Maneuvers in the Management of Subjective Benign Paroxysmal Positional Vertigo in Sulaimany Governorate","authors":"Hemn Yaseen Mohammed, Yousif Ibrahim Al Chalabi","doi":"10.56056/amj.2022.169","DOIUrl":"https://doi.org/10.56056/amj.2022.169","url":null,"abstract":"Background and objectives: Benign paroxysmal positional vertigo is vestibular disorder with most frequent episodes. It is mostly idiopathic. Epley maneuver gives good results in most patients. The aim of this study is to confirm the diagnoses of benign paroxysmal positional vertigo by Dix-Hall pike test. And to evaluate the effectiveness of Epley maneuver in treating patients with this disorder. Methods: A prospective study conducted on (100) patients with benign paroxysmal positional vertigo, in Sulaimany training Center for Otolaryngology-Head and Neck surgery, Kurdistan audiological centre from September 2018 to November 2019. Those with induced vertigo without nystagmus were included in the study. All patients had undergone complete ear nose and throat and audiological assessment, diagnoses were confirmed by Dix Hallpike test. The maneuver was performed weekly over 4 weeks and the results were recorded accordingly. Results: Twenty eight patients were males (28%), seventy two patients were females (72%). Age ranged between 18 and 72 years. Mean age (42.23). There was complete recovery in (82%), partial recovery in (13%), and resistance in (5%) these values were significant statistically. Conclusions: Epley maneuver gave good results in management of benign paroxysmal positional vertigo and is a safe procedure without complications. Dix hallpike test gave a definite diagnosis of benign paroxysmal positional vertigo particularly the posterior canal.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122233867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Over-the-Counter Medication among Pregnant Women in Duhok City 杜霍克市孕妇使用非处方药的情况

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.155

Kinar Khorsheed Saeed, B. Ali, R. H. Sanaan

{"title":"Use of Over-the-Counter Medication among Pregnant Women in Duhok City","authors":"Kinar Khorsheed Saeed, B. Ali, R. H. Sanaan","doi":"10.56056/amj.2022.155","DOIUrl":"https://doi.org/10.56056/amj.2022.155","url":null,"abstract":"Background and objective: The rates of use of over-the-counter medications are increasing across the world. The objective of this study was to explore the prevalence of over-the-counter products use and awareness among a sample of pregnant women. Methods: This cross-sectional study was conducted in 498 pregnant women in three primary health centers and one maternity hospital in Duhok city from 1st may 2019 to 31th December 2019. Results: The mean age of the patients was 29.01± 6.26 ranged 18-45 years old. The study found that 48.0% of the patients used over-the-counter drugs before or during pregnancy, despite most of them reported as non-safe drugs (91.6%). A small percentage (15.5%) experienced side effect. This study showed the mean age and getting more children were more among over counter user than non-user (29.7±6.42 vs., 28.32± 6.05 years and 2.88±1.45 vs. 2.33±1.28, respectively. Besides, the patients who received prenatal care were less likely to use over-the-counter (45.43%). The major percentage (89.74%) from OTC user among pregnant women considered it as a safe drug. Moreover, those who were recommended by pharmacies (97.10%), medical doctors (88.89%), and paramedics (94.32%) were more likely to use over-the-counter products, these results have statistical significance. Conclusions: This study showed that the patients who considered over-the-counter as safe products were more likely to use during and before pregnancy. The over-the-counter users were more likely to be older and have more children compared to non-user over-the-counter. The patients who received prenatal care were more likely to not use over-the-counter compared to non-users.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"18 22","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120823574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Inner Ear Anomalies among Cochlear Implant Candidates in Erbil City, Iraq 伊拉克埃尔比勒市人工耳蜗患者的内耳异常

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.162

Inas Duraid Nuradeen, S. N. Younis

{"title":"Inner Ear Anomalies among Cochlear Implant Candidates in Erbil City, Iraq","authors":"Inas Duraid Nuradeen, S. N. Younis","doi":"10.56056/amj.2022.162","DOIUrl":"https://doi.org/10.56056/amj.2022.162","url":null,"abstract":"Background and objective: To study the frequency of each type of inner ear abnormalities in cochlear implant candidates in Erbil city, Iraq. Methods: This is a case series study of high resolution computed tomography and magnetic resonance images of temporal bone in 111 candidates for cochlear implantation in Erbil city between June 2015 and December 2017; who had congenital bilateral profound hearing loss. Results: In total, 111 cases of congenital sensorineural hearing loss were included. Of these, 101 patients had a normal inner ear pattern. Ten patients identified to have inner ear anomalies (9%). unilateral anomaly seen in one child, so the total number of ears with inner ear anomalies was 19. Among these 19 abnormal ears, 7 were classified as incomplete partition type II (36.8%), 4 as incomplete partition type I (21.1%), 4 as a common cavity (21.1%), 2 as cochlear aplasia (10.5%), 1 as cochlear hypoplasia (5.3%) and 1 as Michel deformity (5.3%). Conclusions: The most common type of anomaly was incomplete partition type II “Mondini” deformity followed by common cavity and incomplete partition type I deformities. The incidence of congenital hearing loss with inner ear anomalies is similar to the results of such studies worldwide.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128546442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of serum thyroid hormones in female patients with melasma 女性黄褐斑患者血清甲状腺激素的测定

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.151

Zhwan Amjad Kamal, A. M. D. Elethawi

{"title":"Evaluation of serum thyroid hormones in female patients with melasma","authors":"Zhwan Amjad Kamal, A. M. D. Elethawi","doi":"10.56056/amj.2022.151","DOIUrl":"https://doi.org/10.56056/amj.2022.151","url":null,"abstract":"Background & Objectives: Melasma is an acquired hyperpigmented patches dispersed symmetrically on body parts that are exposed to sun, mostly on face of female patients. The precise etiology is obscure, but it has numerous hazards such as; ultra violet exposure, genetic factors, hormonal imbalances like thyroid hormone abnormalities. In this study we aimed to evaluate serum thyroid hormones levels in melasma patients. Methods: A complete of 51 female patients with melasma were enrolled during this study over a period of six months. The cases were clinically diagnosed and examined by Wood’s light, then sent for thyroid hormone levels assessment and the finding were reported. Results: In the current study 51 females with melasma. Their ages ranged between (19-46) years, with (59.9%) between (28-38) years. The duration of melasma was from 6 months to 9 years. Thirty-eight of them were married and had pregnancy. Thyroid stimulating hormone levels were high in 22 of them (43.1%), 20 out of 22 cases that was had high levels of thyroid stimulating hormone had dermal type of melasma by Wood’s lamp examination and their p-value was significant (0.001). Conclusion: We found significantly high levels of thyroid stimulating hormone in cases of melasma mainly among those of dermal type.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131838345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and microbiological efficacy of hyaluronic acid gel compared to chlorhexidine in the treatment of gingivitis 透明质酸凝胶与氯己定治疗牙龈炎的临床及微生物学疗效比较

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.166

Ismael Ibrahim Mohammed, Ziwar Ahmad Saleh, Vian Muhammed Hussein

{"title":"Clinical and microbiological efficacy of hyaluronic acid gel compared to chlorhexidine in the treatment of gingivitis","authors":"Ismael Ibrahim Mohammed, Ziwar Ahmad Saleh, Vian Muhammed Hussein","doi":"10.56056/amj.2022.166","DOIUrl":"https://doi.org/10.56056/amj.2022.166","url":null,"abstract":"Background and objectives: Chemotherapeutic agents have the potential to inhibit plaque growth, reduce gingivitis and improve oral health beyond tooth brushing alone. The aim of this study is to compare the therapeutic effectiveness of 0.2% hyaluronic acid-containing gel (Gengigel) with a 0.2% chlorhexidine containing gel effect, in the treatment of plaque induced gingivitis. Methods: This cross-sectional analytical case control study involved 150 generally healthy patients, age ranging 20-40 years, with gingivitis. The patients were divided in two groups, after scaling and polishing, 75 patients in each. The first group was given 0.2% hyaluronic acid containing gel and the second group was given 0.2 % chlorhexidine containing gel. Clinical examination, which included bleeding on probing, plaque index at the baseline, after 7 days and after 21 days were calculated. Antimicrobial properties of both gels in the saliva were measured by agar diffusion method. Results: No significant difference was detected between the two groups regarding the mean ranks of the Plaque index difference after a week (chlorhexidine group = 0.81, hyaluronic acid group = 0.89) and after three weeks (0.58, 0.54 respectively). The mean of the difference in Bleeding index after one week in the chlorhexidine group (39.44) were significantly higher than those (32.87) of the group of hyaluronic acid, But the difference was not significant after three weeks (37.40 and 37.27 respectively). The chlorhexidine group inhibition zone (19.2) was significantly higher than the hyaluronic acid group (10.6) Conclusions: in this study, the adjunctive use of 0.2 percent hyaluronic acid gel is comparable to 0.2 percent chlorhexidine gel for gingivitis treatment.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134358123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can the recurrence rate of open pilonidal sinus surgery be reduced by preventing premature epithelialization 预防过早上皮化能否降低开放性毛窦手术的复发率

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.152

Izzat Bihnam Muttosh

{"title":"Can the recurrence rate of open pilonidal sinus surgery be reduced by preventing premature epithelialization","authors":"Izzat Bihnam Muttosh","doi":"10.56056/amj.2022.152","DOIUrl":"https://doi.org/10.56056/amj.2022.152","url":null,"abstract":"Background and objective: Many surgical options are known to treat chronic pilonidal sinus disease; the procedure that has the least recurrence rate is the open method. This study aimed to evaluate the effect of adding one step in management, on the recurrence rate of the same procedure. Methods: This is a prospective study, started at 1st Feb. 2018; the last data collection was at 31 Jan. 2020. Thirt-eight patients included in the study, all were suffering from chronic sacrococcygeal pilonidal sinus disease. Sinus excision and lying open the wound to heal by secondary intention is the procedure that is adopted.At time of follow up, frequent separation of wound edges and breaking of any premature bridging of skin at the excision site, were adopted, local anesthesia was needed in 7 patients. Results: The recurrence rate for lying open the wound to heal by secondary intention is significantly reduced from (8-21%) to (2.63%) by adding one step in management during the follow up period, this step involved the frequent separation of wound edges and breaking of any premature bridging of skin even if local anesthesia is needed. Conclusion: Preventing premature bridging of wound skin after surgical excision of pilonidal sinus can significantly reduce the recurrence rate of the procedure","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114066980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Percutaneous Nephrolithotomy with Retrograde Intrarenal Surgery Techniques in treatment of renal lower calyceal stones 经皮肾镜取石术与逆行肾内手术治疗肾下盏结石的比较

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.157

Muhammed Suhaib Almufti

{"title":"Comparison of Percutaneous Nephrolithotomy with Retrograde Intrarenal Surgery Techniques in treatment of renal lower calyceal stones","authors":"Muhammed Suhaib Almufti","doi":"10.56056/amj.2022.157","DOIUrl":"https://doi.org/10.56056/amj.2022.157","url":null,"abstract":"Background and objectives: The aim of this study is a random prospective comparison in the outcomes of patients treated with percutaneous nephrolithotomy and retrograde intrarenal surgery in management of renal stones regarding stone free rate, quality of life, complications, fluoroscopy use, analgesic requirements and duration of hospital stay. Methods: This study was conducted in Hawler / Paky hospital Urology department between January 2019 and June 2019 in a prospective study. A total of 50 patients ages between 18-65 years with renal lower calyceal stone; single or multiple and size between 1-2 cm were randomized into two groups of 25 patients; patients treated with percutaneous nephrolithotomy (n; 25) and patients treated with retrograde intrarenal surgery techniques (n; 25). Results: : There was no statistical significant difference between the 2 groups in regard to patients’ pre-operative stone size, stone skin distance, complete blood count, creatinine values, analgesia requirement and stone-free rates. There were significantly higher values in regard to hospital stay, amount of radiation, percentage of hematocrit decrease due to bleeding and complication status in percutaneous nephrolithotomy compared to retrograde intrarenal surgery. Preoperative stone sizes for patients with percutaneous nephrolithotomy and retrograde intrarenal surgery was 15.7 ± 2.5 mm, 13.6 ± 2.2 mm, respectively, statistically there was no significant difference. Conclusions: We deduced that both percutaneous nephrolithotomy and retrograde intrarenal surgery minimal invasive surgical techniques can be applied to treat renal lower calyceal stones. Both techniques do not differ in stone-free rate, but in case of complications, fluoroscopy use, bleeding and hospital stay were higher in percutaneous nephrolithotomy.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122383048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diabetic Dermopathy and Poor Glycemic Control among Diabetic Patients in Sulaimaniyah, Kurdistan, Iraq 伊拉克库尔德斯坦苏莱曼尼亚地区糖尿病患者的糖尿病皮肤病和血糖控制不良

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.168

A. M. D. Elethawi

{"title":"Diabetic Dermopathy and Poor Glycemic Control among Diabetic Patients in Sulaimaniyah, Kurdistan, Iraq","authors":"A. M. D. Elethawi","doi":"10.56056/amj.2022.168","DOIUrl":"https://doi.org/10.56056/amj.2022.168","url":null,"abstract":"Background and objectives: Diabetes mellitus is the commonest endocrine disorder among the general population. Shin spots or diabetic dermopathy is the foremost common cutaneous sign of diabetes mellitus. Sporadic shin spots may occur in non-diabetic people. However, 4 or more spots are highly specific of microangiopathy in diabetics and may indicate a poor glycaemic control. This study was done to evaluate prevalence of diabetic dermopathy among a group of Iraqi diabetic patients living in Sulaimaniyah, region of Kurdistan and its correlation with the state of diabetic control. Methodology: This is a cross sectional study included 500 diabetics whom were diagnosed according to standard diagnostic criteria. Demographic and clinical features were obtained such as age and sex besides duration and treatment of the disease as well as cutaneous manifestations of diabetic dermopathy. Results: In regard to the state of glycemic control, 208 patients (41.6%) were poorly-controlled, while 292 (58.4%) were well-controlled. Overall, diabetic dermopathy was observed in 109 (21.8%) patients (males, n=70; 64.2%, females, n=39; 35.8%). In the poorly-controlled group, 98 (89.9%) patients had diabetic dermopathy while only 11 (10.1%) patients of well-controlled diabetics had DD. This difference was statistically significant. Conclusion: diabetic dermopathy was more prevalent among poorly-controlled diabetics. Although diabetic dermopathy is a subtle clinical sign, it could be used as a marker of poor glycaemic control and hence a clue to the possible existence of serious microangiopathic changes","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114814882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of subvastus and medial parapatellar approaches in primary total knee arthroplasty in term of clinical outcome 股下入路与内侧髌旁入路在初次全膝关节置换术中的临床效果比较

Advanced medical journal Pub Date : 2022-06-09 DOI: 10.56056/amj.2022.148

Soran Ibrahim Abdalrahman, Ali Abdalnabi Alwan Al-Tamimi, A. Saeed

{"title":"Comparison of subvastus and medial parapatellar approaches in primary total knee arthroplasty in term of clinical outcome","authors":"Soran Ibrahim Abdalrahman, Ali Abdalnabi Alwan Al-Tamimi, A. Saeed","doi":"10.56056/amj.2022.148","DOIUrl":"https://doi.org/10.56056/amj.2022.148","url":null,"abstract":"Background & objectives: The purpose of this study was to determine differences in clinical outcome between subvastus and medial parapatellar approach in primary total knee arthroplasty. Methods: This is a prospective randomized study; we compared the clinical results of primary total knee arthroplasty using Subvastus and medial Parapatellar approaches in 34 patients. The standard medial Parapatellar approach used in 19 patients and Subvastus approach used in 15 patients. Clinical outcome assessed using knee society score, time to return quadriceps function and visual analogue scale for pain. Results: The mean follow-up time was 3 months. Pain improved significantly overtime in both groups. However, when comparing groups together, patients in subvastus group had better numerical visual analogue scale score at 3rd day postoperatively, nevertheless, no significant differences found at other follow up times (8.11, 6.05, 4.26, 2.32, 1.47 for medial parapatellar group and 8.20, 4.47, 4.0, 1.67, 1.07 for subvastus group at preoperative, 3rd day, 2, 6 and 12 weeks postoperative respectively for both groups). Subvastus group had earlier return of quadriceps function by 1.9 days which was significant statistically. Knee society score improved significantly overtime without any significant differences when comparing both groups together at any time of the follow up periods (, 66.42, 105.21, 137.63, 155.53 for medial parapatellar group and, 62.53, 107.53, 137.6, 155.81 for subvastus group at preoperative, 2, 6 and 12 weeks postoperative respectively for both groups). Conclusions: Subvastus approach allowed earlier return of quadriceps function and less pain in the early postoperative day. In term of physical and functional outcome, none of two surgical approaches showed advantage over the other","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114659294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0