{"title":"Does Spine Surgery in Patients with a History of Bariatric Gastrectomy Increase the Risk of Delayed Pulmonary Embolism?","authors":"M. Zarei, M. Rostami, Furqan Mohammed Yaseen Khan","doi":"10.18502/jost.v7i4.8864","DOIUrl":"https://doi.org/10.18502/jost.v7i4.8864","url":null,"abstract":"Background: This is a novel observation report on patients undergoing spine surgery with a history of bariatric procedures. Acknowledgment of aggregated complications in such patients can prevent catastrophic outcomes. \u0000Case Report: We report three patients with spinal disorders and a history of bariatric surgery who developed pulmonary embolism following spine surgery. None of the patients had a history of venous thromboembolism or deep vein thrombosis (DVT) before this event. All patients were given thromboprophylaxis after both bariatric and spine surgery, including intra- and post-operative mechanical and pharmacological thromboprophylaxis upon discharge. \u0000Conclusion: Patients undergoing spine surgery with a history of bariatric procedures are at increased risk of developing venous thromboembolic complications, including pulmonary embolism. We recommend extensive venous thromboembolic evaluation and treating these patients as high-risk individuals even in the absence of active thromboembolic disease.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48775547","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}
A. Ebrahimpour, M. Chehrassan, Amir Human Hoveidaei, M. Jafari Kafiabadi, M. Sadighi, Alireza Manafi Rasi, Morteza Sanei Taheri, A. Fatemi, S. Mortazavi
{"title":"Surgical Management of Extremity Fractures in COVID-19 Patients","authors":"A. Ebrahimpour, M. Chehrassan, Amir Human Hoveidaei, M. Jafari Kafiabadi, M. Sadighi, Alireza Manafi Rasi, Morteza Sanei Taheri, A. Fatemi, S. Mortazavi","doi":"10.18502/jost.v7i4.8858","DOIUrl":"https://doi.org/10.18502/jost.v7i4.8858","url":null,"abstract":"Background: COVID-19 is spreading rapidly and potentially affects every person, including fracture patients. This study was conducted with the aim to evaluate our primary months’ experience of surgical treatment of fractures in COVID-19 infected patients in order to assist in better decision-making in the next waves of the infection. \u0000Methods: In this cross-sectional study, 15 patients with orthopedic trauma and COVID-19 infection were included from 2 trauma centers during February and March 2020 \u0000Results: Most of the patients were younger than 40 year of age. The most common COVID-19 related symptom at presentation was malaise, and a hypoxia rate of 85.7% was detected among the patients. Two-thirds of the fractures were in the lower extremities. One patient expired, but all others were discharged with no follow-up complications. \u0000Conclusion: Surgical management of fractures in COVID-19 patients is inevitable. To achieve this, sensitive screening techniques and standard protection measures are essential.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47299518","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}
{"title":"Pelvic Osteochondroma as a Differential Diagnosis for Abdominal Mass: A Case Report","authors":"A. Najafi, Dorsa Hadavi, P. Jalalpour","doi":"10.18502/jost.v7i4.8865","DOIUrl":"https://doi.org/10.18502/jost.v7i4.8865","url":null,"abstract":"Background: Osteochondroma is the most common benign tumor of the bone. \u0000Case Report: In this case, we present a young patient complaining of sensation of a mass in her abdomen since a few weeks ago and abdominal pain, which caused her visit to the clinic. Imaging studies revealed a well-defined lobulated lesion, and pathological examination was correlated with osteochondroma of the iliac bone \u0000Conclusion: This site for osteochondroma is very rare, and this case was the solitary type.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49255789","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}
{"title":"Investigating the Etiology and Diagnosis of Sacroiliac Joint Pain","authors":"Mohammad Hossein Abotalebi, S. Shafiei","doi":"10.18502/jost.v7i3.8106","DOIUrl":"https://doi.org/10.18502/jost.v7i3.8106","url":null,"abstract":"The sacroiliac (SI) joint is often characterized as a large, auricular-shaped, and diarthrodial synovial joint. The SI ligamentous structure is more extensive in the dorsal part due to the absence of the posterior capsule, which functions as a connecting band between the sacrum and ilium. In addition, a network of muscles supports the SI joint that helps deliver regional muscular forces to the pelvic bones. The third and fourth decades of life promote senescent changes manifested by surface irregularities, crevice formation, fibrillation, and clumping of chondrocytes.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44926839","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}
A. Najafi, Pouria Basiri, Salman Azarsina, M. Mirhoseini, E. Seif
{"title":"A Novel Case of Neglected Monteggia Fracture Dislocation","authors":"A. Najafi, Pouria Basiri, Salman Azarsina, M. Mirhoseini, E. Seif","doi":"10.18502/jost.v7i3.8113","DOIUrl":"https://doi.org/10.18502/jost.v7i3.8113","url":null,"abstract":"\u0000 \u0000 \u0000 \u0000Background: The Monteggia fracture-dislocation is a rare condition among children, and its treatment is still controversial. The treatment can become quite complicated when the diagnosis is delayed. There is a broad range of surgical treatments with various complications like subluxations, degenerative changes, and radial head deformity. The present case was reported as a novel surgical treatment choice for neglected Monteggia fracture-dislocation. \u0000Case Report: A 16 year-old boy presented with left elbow severe range of motion (ROM) limitation and pain who was diagnosed with neglected Monteggia fracture-dislocation. The patient went through open reduction beside internal fixation of the ulnar shaft via Limited Contact Dynamic Compression Plate (LC-DCP) and radio-capitellar joint reduction and provisional fixation by a pin. The patient recovered after three months with a significant increase in elbow ROM without any complications. \u0000Conclusion: This method could be an appropriate treatment of choice for neglected Monteggia fractures which indeed had excellent outcomes without complication. \u0000 \u0000 \u0000 \u0000","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44925013","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}
{"title":"Subungual Glomus Tumor: A Review of 15 Cases Treated with Partial Nail Plate Excision Technique","authors":"M. Farzan, Mahdi Neshan, A. Farhoud, Abbas Abdoli","doi":"10.18502/jost.v7i3.8102","DOIUrl":"https://doi.org/10.18502/jost.v7i3.8102","url":null,"abstract":"Background: Although there are various surgical methods for subungual glomus tumor treatment, there is no consensus on the optimal surgical approach. \u0000Methods: We analyzed the outcomes of 15 patients treated with partial nail plate excision technique. The medial or lateral section of the nail plate was excised longitudinally based on the tumor location. After incision of the nail bed and tumor removal, the matrix was repaired carefully. \u0000Results: In this study, 15 people, including 11 men and four women, were studied. The mean onset of symptoms until diagnosis was 88 months. In the postoperative evaluation, the mean follow-up was 20 months. Two patients had recurrent tumors, and one had postoperative nail deformity. \u0000Conclusion: Meticulous nail bed repair and complete tumor excision are key treatment points needed to prevent nail deformity and recurrence. \u0000 ","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46195517","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}
Z. Imani, N. Milan, Hossein Nematian, L. Aghaghazvini, M. Sedaghat, Mohammad Bagher Ahadpour Sefidan, A. Mirbagheri, M. Nabian
{"title":"Evaluation of Intra-Articular Injection of Bevacizumab on the Prevention of Physeal Bar Formation in Type 4 Salter Harris Model in Rats: A Pilot Study","authors":"Z. Imani, N. Milan, Hossein Nematian, L. Aghaghazvini, M. Sedaghat, Mohammad Bagher Ahadpour Sefidan, A. Mirbagheri, M. Nabian","doi":"10.18502/jost.v7i3.8103","DOIUrl":"https://doi.org/10.18502/jost.v7i3.8103","url":null,"abstract":"Background: This study was designed to achieve a new method as a preventive treatment for complications of growth plate fractures. In this study, we investigate the effect of intra-articular injection of anti-vascular endothelial growth factor (anti-VEGF) antibody bevacizumab on the repair process of articular cartilage in a type 4 Salter Harris injury model. \u0000Methods: A Salter Harris injury was created on the proximal tibial growth plate of 14 rats by a 1.8 mm drill. The rats were randomly classified into two groups: group LD, administration of high-dose intra-articular injection of bevacizumab (250 μg), and group HD, administration of low-dose intra-articular injection of bevacizumab (50 μg) after injury. The rats were killed 2 months postoperatively and their tibia underwent micro-computed tomography (CT) analysis, histological assessment, and measurement of tibial bone length. \u0000Results: Bony bar formation was observed in 71% of the samples in the high-dose group and in 100% of the low-dose group. Relative increase in physeal cartilage thickness (P = 0.007) and decrease in bony bar formation (P = 0.029) were observed significantly in the high dose group. There was no significant difference in tibia length between the two groups (P = 0.150). \u0000Conclusion: Intra-articular administration of bevacizumab demonstrated positive restorative effects. We suggest this method of treatment due to its potential of improving cartilage repair and capability to be used as a main or adjacent treatment in osteochondral defects.","PeriodicalId":34870,"journal":{"name":"Journal of Orthopedic and Spine Trauma","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46082356","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}