Ali Reza Jamshidifard, Simin Najafgholian, Hamid Gerami,
Volume 4, Issue 3 (Autumn 2001)
Abstract
Introduction: Intracomparemental pressure were measured by the wick catheter technique in 32 compartments of 32 post traumatic patients who were clinically suspected of having acute compartment syndromes. A pressure of zero millimeters of mercury was used as an indication for normal compartment enough for being excluded in any subject.
Material and Method: Signs and symptoms were examined in subjects based on clinical definitions before measuring intracompartmental pressures. Paresthesia, tensness, pain in passive extension, pain in active extension, paralysis, pulselessness, capillary filling and pallor of each subject were marked to be used for comparison with the value of intraucompartmental pressure.
Results: Pain were present in all subjects as the most earliest sign while the skin pallor appeared to be the latest one.The lowest values of pressure were seen together with pain and paresthesia even below the 10 mmHg among the subjects.
In our cases when ever the pressure values of the affected compartment increased. The number of present signs and symptoms also increased.
Conclusion: Positive regression of the mentioned correlation (r=0.69) implies that the value of intracompartmental pressure could be indicative of the more complications associated with more sign and symptoms.
Since different signs and symptoms were present in our subjects even with the same value of pressure. The diagnosis and apporching to compartment syndromes may looks confusing so measuring intraucompartmental pressure by a wick cartheter seems to be the cheep. Available technique in diagnosis and management of the cases.
Saeed Babaei, Saeed Changizi Ashtiani, Hamid Gerami, Ali Reza Jamshidifard , Mohammad Rafiee,
Volume 6, Issue 3 (Autumn 2003)
Abstract
Introduction: At present, bone graft is unavoidable. In fact although among the all probable bone grafts, the autograft is the best choice, but because of some situations like two coincidence surgery upon one individual, size limitation of autografts (its impossible to get a big piece of graft from patient) increasing the bloodshed contingency, infection etc, made specialist to think about the possible substitution the allograft.
Materials and Methods: Seventeen Newzealandian rabbits were divided into four groups. The graft generator group consisted of one rabbit which was genetically different from other groups. The sham group composed of three rabbits which round autografts about 4 mm in diameter from their tibia were exchanged between rights and left tibias. These grafts were not deantigenized and a 4 mm vacant hole was created to see if it will repair spontaneously within three months. The control group consisted of three rabbits received a round 4 mm tibial autografts which double deantigenization process were done over them. The test group composed of 10 rabbits, received corticocancellous (intramembranous) allografts in left tibia and corticocancellous (endocondral). Allograft in right tibia all grafts were bearing the double deantigenization process.
Results: The rate of prosperity for CCl grafts was 80% and for CCE grafts was 60%.In sham group, healing process was extremely fast (in eight weeks).
In control group, healing process was done slower until six weeks but after 12 weeks it was compensated. The vacant holes were not repaired even after three months. Statistically, there was a meaningless difference between the rates of prosperity in both groups of grafts.
Conclusion: According to statistical assays, although the prosperous numbers of CCl were more than CCE grafts but this difference was meaningless. In the basis of histological assessments if the velocity of healing process is important, the CCI grafts are recommended