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Register a new userA Ccomparative Study of Oxytocin and Misoprostol in Preventing Postpartum Hemorrhage
المعالجة الجراحية لكسور الرضفة عند البالغين: النتائج الوظيفية
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شمل البحث الأشخاص المصابين بكسور الرضفة الذين تم قبولهم وعلاجهم جراحيا في مشفى الأسد الجامعي في جامعة تشرين في الفترة الواقعة بين عامي (2008 – 2013 ) حيث بلغ عدد الحالات المدروسة 30 حالة تراوحت فيها أعمار المصابين بين 16 – 70 سنة و كان متوسط المتابعة السريرية والشعاعية للحالات ستة أشهر . بلغ أصغر سن للإصابة 16 سنة و أكبر سن لها 70 سنة أي بعمر وسطي (30 – 40) سنة: 37.66 سنة . بلغ عدد الإصابات من الذكور ( 12 ) إصابة ومن الإناث ( 18 ) إصابة. اعتمدنا في تقييم النتائج على سلم ليشولم ذي المائة نقطة وتمت دراسة النتائج الوظيفية بعد مرور ستة أشهر في الثلاثين حالة واعتمادا على التقييم السابق حصلنا على نتائج ممتازة في 27% من الحالات ونتائج جيدة في 47% من الحالات
The study covered 30 cases of patellar fractures in persons who were accepted and treated surgically at Al-Assad University Hospital in Lattakia from 2008 to 2013.Ages of patients ranged between 16-70 years. Average load of clinical and radial continuation was six months. The smaller age of traumatism amounted 16 years and larger age 70 years; average load of age was 37.66 years. The number of traumatism in male was amounted 12 and female 18. In estimating the results, we depend on Lysholm scale scoring. Functional results were studied after 6 months and we had excellent result in 27% of cases and good results in 47% of other cases
Artificial intelligence review:
Research summary
تناول البحث دراسة النتائج الوظيفية للمعالجة الجراحية لكسور الرضفة عند البالغين. شملت الدراسة 30 حالة تم علاجها في مشفى الأسد الجامعي بجامعة تشرين بين عامي 2008 و2013. تراوحت أعمار المرضى بين 16 و70 سنة، وكان متوسط المتابعة السريرية والشعاعية ستة أشهر. تم تقييم النتائج باستخدام سلم ليشولم ذو المائة نقطة. حصلت 27% من الحالات على نتائج ممتازة و47% على نتائج جيدة. أشارت الدراسة إلى أن طريقة الشد الديناميكي الضاغط كانت الأكثر فعالية في تحقيق نتائج وظيفية جيدة، تليها طريقة استئصال القطب السفلي للرضفة. كما أظهرت الدراسة أن التزام المرضى بالعلاج الفيزيائي وتحسين الحركة بعد الجراحة كان له دور كبير في تحقيق نتائج إيجابية.
Critical review
تعتبر هذه الدراسة مهمة في مجال جراحة العظام، حيث تقدم معلومات قيمة حول طرق علاج كسور الرضفة ونتائجها الوظيفية. ومع ذلك، يمكن الإشارة إلى بعض النقاط التي قد تحتاج إلى تحسين. أولاً، حجم العينة صغير نسبياً (30 حالة فقط)، مما قد يؤثر على تعميم النتائج. ثانياً، لم تتناول الدراسة بشكل كافٍ العوامل النفسية والاجتماعية التي قد تؤثر على نتائج العلاج. ثالثاً، كان من الأفضل تضمين مقارنة مع طرق علاج غير جراحية لتقديم صورة شاملة عن الخيارات المتاحة. على الرغم من هذه النقاط، فإن الدراسة تقدم مساهمة قيمة في فهم كيفية تحسين النتائج الوظيفية لكسور الرضفة.
Questions related to the research
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ما هي الفئة العمرية الأكثر عرضة لكسور الرضفة وفقاً للدراسة؟
الفئة العمرية الأكثر عرضة لكسور الرضفة هي بين 30 و40 سنة، حيث بلغت نسبة الإصابات في هذه الفئة 60%.
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ما هي الطريقة الجراحية الأكثر فعالية وفقاً للدراسة؟
الطريقة الجراحية الأكثر فعالية وفقاً للدراسة هي طريقة الشد الديناميكي الضاغط، حيث حققت أفضل نسبة من النتائج الوظيفية الجيدة.
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ما هو دور العلاج الفيزيائي في تحسين النتائج الوظيفية لكسور الرضفة؟
العلاج الفيزيائي يلعب دوراً أساسياً وهاماً في تحسين النتائج الوظيفية لكسور الرضفة، حيث يساعد في تحسين حركة الركبة وتقليل الاختلاطات.
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ما هي نسبة الإصابات بين الذكور والإناث في الدراسة؟
بلغت نسبة الإصابات بين الإناث 60%، بينما كانت نسبة الإصابات بين الذكور 40%.
References used
Baumgaertner MR, Curtin SL, Lindskog DM, KeggiJM. The value of the tip-apex distance in predicting failure of fixation of patellar fractures. J Bone Joint Surg Am. 1995;77:1058-64
Baumgaertner MR, Solberg BD. Awareness of tipapex distance reduces failure of fixation of patellar fractures. J Bone Joint Surg Br. 1997;79:969-71
Kyle RF, Cabanela ME, Russell TA, SwiontkowskiMF, Winquist RA, Zuckerman JD, Schmidt AH, KovalKJ. Fractures of the patella. InstrCourse Lect. 1995;44:227-53
Kyle RF, Gustilo RB, Premer RF. Analysis of six hundred and twenty-two patellar fractures.J Bone Joint Surg Am. 1979;61:216-21
Knight WM, DeLee JC. Nonunion of patellar fractures : a case study and review [abstract]. Orthop Trans. 1982;6:438
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