محمدرضا فراهانچی برادران

Arthroscopic reconstruction of the anterior cruciate ligament is one the most common orthopaedic surgeries. There are scattered reports about the beneficial effects of post operative cox2-inhibitors administration on knee motion. The purpose of the current study was to determine the effects of cox-2 inhibitor on pain range of motion and weight bearing after arthroscopic reconstruction of the anterior cruciate ligament. In this clinical trial 70 patients who underwent arthroscopic reconstruction of the anterior cruciate ligament were assessed in a teaching hospital in Tehran-Iran. They were divided into case (cox2-inhibitor) and control groups. Postoperatively pain inflammation range of motion and ability for full weight bearing were measured. The mean of pain at the postoperative day 3 was 5.3±1.04 (visual analogs scale of 0 to 10) in the control and 3.3±0.71 in the case group. 29.6% of the patients in the control group and 82.8% in the case group were able to flex the knee more than 90° one week postoperatively. In the first week all of the patients in the case group and only 28.6% in the control group were able to walk without any assistive device. The post operative knee circumstances were 2.73±0.59 and l.61±0.92 centimeters smaller respectively in case and control groups. Statistical analysis showed significant differences between the two groups in the above measurements. Cox-2 inhibitor is effective in relieving pain; reducing the inflammation and accelerating the rehabilitation program after arthroscopic reconstruction of the anterior cruciate ligament.

Hip fracture in older population is frequent and often costly. The patients however do not commonly regain their pre-fracture activity levels. We are reporting the outcome of surgery in intertrochanteric hip fractures during a ten-year period. This is a retrospective study of the intertrochanteric hip fractures treated from 1994 to 2004 in one teaching hospital of Tehran-Iran. The cases were called in for a full hip examination evaluation of their activity levels and also measurement of Harris Hip Scores (HHS) as well as radiographic assessment. 293 patients comprised of 194 males (66.2%) and 99 females (33.9%) with a mean age of 656.67 years were studied. The cases had a one-year of follow-up. 252 (86%) cases had obtained union. Acceptable ligament was observed in 158 (54%) cases. Harris Hip Scores over 60 points was seen in 222 (75.8%). Only 90 patients had returned to their pre-operative activity level. Patients with intertrochanteric hip fracture do not often return to pre-fracture activity of daily living.