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Introduction: Considering the high incidence of hip fractures in the elderly, anesthetisis and orthopedic surgeons are frequently encountered with these fractures. Timely fixation of hip fractures decreass morbidity and mortality. Surgical bleeding and the resulting hemodynamic compromise, decrease in vital organ perasion and complications of blood transfusion are important problems in this age group. The ability to decrease Surgical rise; in these patients.
Material and Methods: In a semi-experimental and prospective study 40 victims of hip fracture (50-90 y/o) were selected. The goal was to clarify the relation between anesthesia technique and surgical bleeding 22 patients received spinal (group A) and 18 patients received general (group B) anesthesia.
Results: According to recorded data surgical bleeding was greater in group B (general anesthesia) Than group A, and these data was statistically significant.
Conclusion: In this study %60 of group A and %61.2 of group B were males and %40 of group A and %38.8 of group B were females. During the operation, blood loss was measured and recorded for each patient.

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Introduction: Radius end fracture is one of the most common fractures of the upper limb, the treatment of which is controversial, and improper treatment can have significant side effects. In this study, we intend to examine the results of treatment with an external fixative method.
method: It was easy to study without control and sampling. The study was performed on 30 fractures (26 patients) for one year, based on radiographs of the fracture site of type 4 universal 5. Surgery with standard techniques was performed under general or regional anesthesia, and patients were followed up for up to one year after surgery and examined for shortness of breath, joint surface angle, range of motion, and pain.
Results: Twenty-four men and two women with a mean age of 5.28 years were examined. In all patients, clinical and radiographic effusion occurred. There were two cases of mild infection at the site of the pin, which were treated with medication. In one case, there was a slight sensation in the sensory branch of the radial nerve, which disappeared after a while, and in no case was there a tendon lesion. The mean deviation to the palm was 6.6.5.5 and the ulnar deviation was 4.5 to 12.5.
There were 4 cases of pain during strenuous activity, 2 cases of mild movement restriction and one case of severe movement restriction.
Conclusion: Compared to other studies, the results of this study are much better in many cases and it is recommended to use this treatment in the treatment of unstable fractures of the lower end of the radius and especially if it develops into the radiocarpal joint.

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Background:Anterior interosseous branch of median nerve injury is the most common nerve injury in displaced humerus supracondylar fractures but it is rare in undisplaced ones. This study reports a case of undisplaced humerus supra condylar fracture with median motor nerve injury. Case: The patient was a 4.5 year-old child with elbow pain and swallowing due to trauma to his right elbow. The examination of distal of humerus showed significant tenderness and limitation in range of motion. Flection and pulp to pulp test of first and second fingers were abnormal and all other sensory but motor examinations of wrist and fingers were normal. Radiographic study of humerus showed an undisplaced extension fracture in the distal of humerus. Complete :::union::: of fracture site was seen after treatment by splint for 3 weeks and nerve injury was fully resolved after physiotherapy. Conclusion: Although nerve injury in undisplaced fracture of humerus is rare, despite pain and emotional condition of child and his/her parents, accurate sensory and motor nerve examination is very important.

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Background: The distal radius’ fracture is one of the most prevalent fractures in menopause women. Because of no delisery of an exact dosage by inhalation calcitonin, the effect of a systemic form such as parenteral on healing up of this area was investigated.

Materials and Methods: This study was a prospective cohort on 44 women 60 years-old with distal radius’ fracture divided into 2 equal groups of control and treatment (parenteral calcitonin, just after operation, 100 I.U/day during 10 days consecutive of each month for 3 months). The rate of improvement, hand ability and stiffness of joints of hand fingers and wrist according with physical examination, time of cortex healing up, level of alkaline phosphatase, calcium and phosphor serum levels and rate of osteoporosis accord to radiography indexes.

Results: The rate of osteoporosis and pain was less tham that of control group. Prevention of osteoporosiss and the cortex healirg was significaltly more than that of control group. The hard activity (Mayo Wrist index) and ability of ceetching of objects was better in calcitonin group. There were not any significant effects of calcitonin on level of alkalire phosphatose, calcium and phosphor us serum levels.

Conclusion: Calcitonin especially with calcium supplements can accelerate the improvement of distal radius’ fracture. Then patients will tolerate fewer problems at convalescence period.

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Background and Aim: The most concern about children with head and face trauma is the effects of the trauma and the treatment on their growth considering the possibility that the teeth in different stages of evolution that are adjacent to the fracture line, have different prognosis in growth and deformity. The present study examines the situation of the teeth around fracture lines in order to check the effects of the trauma on the mentioned teeth.
Methods and Materials: Complete information of 28 under 12 years old patients with jaw fracture that were admitted in the Bahonar hospital from 2010 until 2016, was extracted from files and Teeth adjacent to fracture line were clinically evaluated. Panoramic graphs that were taken instantly after the surgery and in the next 6 to 24 months period were inspected. The information examined in the panoramic graphs contained the level of internal and external erosion pathological lesion, and growth rate of teeth adjacent to the fracture line.
Ethical Considerations: This article was ethically approved by ethical committee of Kerman University of Medical Sciences (ethical code: IR.KMU.REC.1396.1398).
Result: 60/7 percent of the fractures were occurred in the lower jaw which in 67/9 percent of the times were treated by internal fixation and 10/7 were treated by Open Fracture Reduction. 89/3 percent of cases were free of pathological lesion. In 78/6 percent of cases change in color and in 71/4 percent of cases dental necrosis was not observed. 82/1 percent of the teeth had reached full growth. 
Conclusion: Most of the teeth adjacent to the fracture line had reached full growth and lacked pathological, color change, root deformation and loose teeth problems and there was no Difference in Open Fracture Reduction and internal fixation.