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Articles
by
A. Sadeghpour |
Total Records (
2 ) for
A. Sadeghpour |
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S.K. Shakouri
,
F. Eslamian
,
B.K. Azari
,
H. Sadeghi-Bazargani
,
A. Sadeghpour
and
Y. Salekzamani
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To determine possible predictors of FIM scores in patients with hip fracture at discharge a prospective cohort study of 117 patients with either DHS or hip arthroplasty admitted to a rehabilitation service was done. They were classified into four subgroups of underweight (BMI < 18.5), normal (18.5 < BMI < 24.9), overweight (25 < BMI < 29.9) and obese (30 < BMI < 35). Functional evaluations using FIM score as well as sitting, standing, walking days and length of stay for each patient were assessed by a highly skilled therapist at rehabilitation admission; discharge and a post discharge follow up. Recovery was significant in terms of motor subscale. No significant correlation was evident between hospitalization and discharge time with respect to cognitive subscale. The study showed only the age and FIM score at hospitalization to be the independent predictors of total FIM score at discharge. Elevated BMI has not adverse effect on FIM gains in patients with hip fractures. Simple surgery methods such as DHS revealed earlier recovery time than complicated procedures. |
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A. Sadeghpour
,
A. Rouhani
,
M.A. Mohseni
,
O.A. Aghdam
and
M. Goldust
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Developmental Dysplasia of the Hip (DDH) is a common congenital
malformation. Avascular necrosis of femoral head is the major complication of
both close and open reduction of the dislocated joint. Aim of this study was
to determine the incidence and influencing factors in different types of a vascular
necrosis of femoral head, following surgical treatment of developmental dysplasia
of hip in 1-7 years patients. In this study, 120 patients aged from 1 to 7 years
old with DDH who had been undergone open surgery, entered to the study. All
of these patients followed up for at least 1 year. Surgery procedures divided
to 4 groups: open reduction, open reduction+salter osteotomy, open reduction+femur
shortening and open reduction+salter osteotomy+femur shortening. The presence
of Avascular Necrosis (AVN) had been appraised. 27.5% of surgeries performed
on male and 72.5 on female patients. 35.0% of DDH cases were unilateral and
remaining was bilateral. 36 patients (30%) shows radiologic findings of AVN,
although all of them placed at group I of Bucholz-Ogden classification. 40%
of group A patients, 25% of group B, 14.3% of group C and 36.4% of group D patients
developed this findings. Open reduction of DDH in older children is effective
in the management of DDH and if all of the contrivance considered in the surgery,
the rate of AVN would be low and mild (at least in short term follow ups). |
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