Pub Date : 2018-01-01DOI: 10.22259/2639-3654.0101002
Jorge de las Heras Romero, Ana Maria Lledo Alvarez
Hallux Valgus (HV) is a condition with high prevalence in the general population that can cause important consequences in terms of pain and limitation in activities of daily living. Besides, HV surgery is a frequent surgical procedure that impose significant surgical and medical costs including implants, hospital expenses, used drugs and period of sick leave, in addition to the increased overall costs that could involve its poor management. The management of this pathology is barely unified in the current literature whilst there are many and varied surgical techniques (more than 100 described), the indications of which overlaps in many cases, leaving unclear as to what is the best approach to the treatment of this problem globally. In addition, there is no level 1 evidence available to prove which is the best option for each particular patient. It is therefore necessary to create standard format to be adopted in each clinical scenario and set out the standards to guide that process. This article aims to propose a clinical practice guideline that covers all types of HV in the population as a whole and that can be used systematically in each case. A flow chart is detailed with the preference of the surgical technique on a case-by-case basis and a clinical pathway is drawn on the management of this condition including all professionals involved from the first assessment to the final discharge.
{"title":"Clinical Practice Guideline on the Diagnosis and Treatment of Hallux Valgus","authors":"Jorge de las Heras Romero, Ana Maria Lledo Alvarez","doi":"10.22259/2639-3654.0101002","DOIUrl":"https://doi.org/10.22259/2639-3654.0101002","url":null,"abstract":"Hallux Valgus (HV) is a condition with high prevalence in the general population that can cause important consequences in terms of pain and limitation in activities of daily living. Besides, HV surgery is a frequent surgical procedure that impose significant surgical and medical costs including implants, hospital expenses, used drugs and period of sick leave, in addition to the increased overall costs that could involve its poor management. The management of this pathology is barely unified in the current literature whilst there are many and varied surgical techniques (more than 100 described), the indications of which overlaps in many cases, leaving unclear as to what is the best approach to the treatment of this problem globally. In addition, there is no level 1 evidence available to prove which is the best option for each particular patient. It is therefore necessary to create standard format to be adopted in each clinical scenario and set out the standards to guide that process. This article aims to propose a clinical practice guideline that covers all types of HV in the population as a whole and that can be used systematically in each case. A flow chart is detailed with the preference of the surgical technique on a case-by-case basis and a clinical pathway is drawn on the management of this condition including all professionals involved from the first assessment to the final discharge.","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287774","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}
Pub Date : 2018-01-01DOI: 10.22259/2639-3654.0101005
Changliang Ou, Xincheng Tang, Yonggen Zou, Xuchao Luo
Children complex limb disconnection, most of them undergo amputation after evaluate MESS score and then mounting prosthesis. In this case,the mess score of right calf amputation is above 7, and we adopted short 10cm replantation. After the limb replantation survived smoothly, we performed bone lengthening by Ilizarov technique. After 4 years follow-up, satisfactory clinical results have been obtained.
{"title":"Lower Limb Bone Shortened by 10 Cm and Replantation Extension in Children","authors":"Changliang Ou, Xincheng Tang, Yonggen Zou, Xuchao Luo","doi":"10.22259/2639-3654.0101005","DOIUrl":"https://doi.org/10.22259/2639-3654.0101005","url":null,"abstract":"Children complex limb disconnection, most of them undergo amputation after evaluate MESS score and then mounting prosthesis. In this case,the mess score of right calf amputation is above 7, and we adopted short 10cm replantation. After the limb replantation survived smoothly, we performed bone lengthening by Ilizarov technique. After 4 years follow-up, satisfactory clinical results have been obtained.","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287836","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}
Pub Date : 2018-01-01DOI: 10.22259/2639-3654.0102001
S. Bouomrani, M. Nefoussi
{"title":"Acute Febrile Polyarthritis Revealing very Late-Onset Behcet's Disease","authors":"S. Bouomrani, M. Nefoussi","doi":"10.22259/2639-3654.0102001","DOIUrl":"https://doi.org/10.22259/2639-3654.0102001","url":null,"abstract":"","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287889","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}
Pub Date : 2018-01-01DOI: 10.22259/2639-3654.0102002
Imtiyaz Ahmad Mir, G. Sofi, S. Mehfooz, Khadija Abdul Hafeez, Ghousia islam
{"title":"Drug Development in Unani System of Medicine: Reverse Pharmacological Approach","authors":"Imtiyaz Ahmad Mir, G. Sofi, S. Mehfooz, Khadija Abdul Hafeez, Ghousia islam","doi":"10.22259/2639-3654.0102002","DOIUrl":"https://doi.org/10.22259/2639-3654.0102002","url":null,"abstract":"","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287903","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}
Pub Date : 2018-01-01DOI: 10.22259/2639-3654.0102003
Bahaa Ali kornah Hesham, Mohamed safwat Mohamed, Abdelaziz Mohamed, Ibrahim abuelesoud Tharwat, A. Ghany, Nagy Saleem, Mohamed Abdel-AAl
{"title":"Minimally Invasive Spine Osteosynthesis (MISO) Technique Versus Traditional and Paraspinal Posterior Open Approaches for Treatment of Thoracolumbar Spine Fractures","authors":"Bahaa Ali kornah Hesham, Mohamed safwat Mohamed, Abdelaziz Mohamed, Ibrahim abuelesoud Tharwat, A. Ghany, Nagy Saleem, Mohamed Abdel-AAl","doi":"10.22259/2639-3654.0102003","DOIUrl":"https://doi.org/10.22259/2639-3654.0102003","url":null,"abstract":"","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287939","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}
Pub Date : 2018-01-01DOI: 10.22259/2639-3654.0101001
A. Mirzaei, S. Kolahi, Fatima Pashaei-Asl, S. Esmaeili
Objective: Rheumatoid arthritis (RA) is a common chronic inflammatory arthritis with many flare ups in some patients. New studies showed the importance of Mediterranean fever gene mutations in certain inflammatory conditions. We investigated molecular mutation in exon 10 of MEFV gene in patients with refractory RA and healthy individuals as a control group in North-West of Iran. Methods: We conducted thirty four patients with refractory RA and fifty healthy controls in this study. Their DNA samples were analyzed with specific primers, standard PCR and Sequencing techniques. We studied the most common exon 10 variations on MEFV gene which include; M680I, M694V, M694I and V726A. Results: The mean ages of patients with refractory RA were 43.8 ± 7.7 years and disease duration was 49.8 ± 7.36 months. The mean of DAS 28 (Disease Activity score) of patients with refractory RA was about 4.2 ± 0.51. The mean ages of healthy control cases were 45.4 ± 8.27 years. The result of DNA sequencing showed no mutations in common exon 10 variations of MEFV gene in both groups. Conclusion: According to the result, we found no association between severity of RA and common exon 10 MEFV gene mutations.
{"title":"Assesment of Common Exon 10 MEFV Gene Mutations in Patients with Refractory Rheumatoid Arthritis","authors":"A. Mirzaei, S. Kolahi, Fatima Pashaei-Asl, S. Esmaeili","doi":"10.22259/2639-3654.0101001","DOIUrl":"https://doi.org/10.22259/2639-3654.0101001","url":null,"abstract":"Objective: Rheumatoid arthritis (RA) is a common chronic inflammatory arthritis with many flare ups in some patients. New studies showed the importance of Mediterranean fever gene mutations in certain inflammatory conditions. We investigated molecular mutation in exon 10 of MEFV gene in patients with refractory RA and healthy individuals as a control group in North-West of Iran. Methods: We conducted thirty four patients with refractory RA and fifty healthy controls in this study. Their DNA samples were analyzed with specific primers, standard PCR and Sequencing techniques. We studied the most common exon 10 variations on MEFV gene which include; M680I, M694V, M694I and V726A. Results: The mean ages of patients with refractory RA were 43.8 ± 7.7 years and disease duration was 49.8 ± 7.36 months. The mean of DAS 28 (Disease Activity score) of patients with refractory RA was about 4.2 ± 0.51. The mean ages of healthy control cases were 45.4 ± 8.27 years. The result of DNA sequencing showed no mutations in common exon 10 variations of MEFV gene in both groups. Conclusion: According to the result, we found no association between severity of RA and common exon 10 MEFV gene mutations.","PeriodicalId":93165,"journal":{"name":"Archives of orthopedics and rheumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68287725","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：