The Journal of Middle East and North Africa Sciences

Number 8, 2016

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The Results of Posterior Cruciate Ligament Sparing Type Total Knee Arthroplasty in Elderly Patients

Authors: Mustafa Gozu; Ahmet Arik; Nazim Karalezli

Abstract

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Number of views: 469

Purpose: The main purpose of this study was to report the 12 to 36 months’ results of posterior cruciate ligament sparing type total knee arthroplasty in elderly patients. Methods: A retrospective evaluation was made of a total of 75 patients with advanced stage tibio - femoral arthrosis with the pain of a degree that would limit daily activities, and which had not responded to conservative treatment, and who then underwent total knee arthroplasty between April 2013 and May 2015. Results: The mean age of the patients was 71.7 years, and the mean follow-up time was 21 months (range, 12- 36 month). Body Mass Index (BMI) was calculated as >30 kg/m2 in 15 (20%) patients, 25-30 kg/m2 in 41 (54,6%), and 20-25 kg/m2 in 19 (25,3%) patients. The mean operating time was 61.06 min (range, 50-90 min). Preoperatively, the knees of all the patients were evaluated as varus. The angles shown in the AP radiographs for placement of the components were determined as alpha angle mean 96.2° (range, 89°-103°), beta angle mean 88.7° (80°-92°). Preoperative and postoperative mean knee and functional scores of the knees, according to the KSS was evaluated at 28.6°, 40.1°, 79.6°, and 78.1° respectively. The mean range of movement at the last follow-up was 96° (85-120). Conclusion: In conclusion, the results of this study showed good results were obtained with total knee arthroplasty in the treatment of knee arthrosis occurring at an advanced age, although an increase in postoperative complications was determined with increased BMI, which is consistent with other studies in the literature.

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Depression in Pregnancy: A Psychiatric Dilemma

Authors: Hassaan Tohid; Aisha Ashraf

Abstract

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Number of views: 413

Objective: To highlight the clinical problem of antenatal depression. Method: A brief literature search was done to write a short review. The search was conducted in the databases like PubMed for the articles discussing the association of pregnancy with major depression. The search for this short review was conducted from January 2015 to February 2015, in California, USA with an intention to highlight the already established association of major depression with pregnancy. Result: Pregnancy is associated with various psychiatric problems. Major depression is the most common of all the psychiatric problems seen in pregnancy. Conclusion: Because many symptoms during pregnancy are easily confused with major depression. It is very easy to misdiagnose. The wrong diagnosis or a missed diagnosis of depression are equally harmful to the maternal and fetal health. Therefore, it is recommended that appropriate measures like assessment and screening tools plus education should be taken by the hospitals in order to help gynecologists to be able to differentiate major depression from the normal symptoms of pregnancy.

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Large Posterior Ascending Aortic Pseudoaneurysm 10 Years After Cardiac Surgery

Authors: Marzia Cottini; Francesco Terrieri; G. Piffaretti; C. Beghi

Abstract

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Number of views: 445

Ascending Aortic Pseudoaneurysm (AscAP) is a late and rare complication after cardiac surgery. This may occur 0.02-0.2% of after cardiac surgery procedures and the hospital mortality rate could be 6.9-15.4%. Multidetector computed tomography can provide accurate diagnoses as to the exact location and size of AscAP for surgical planning and follow-up. According to the scientific literature, the gold standard treatment is surgery but many case reports describe conservative therapy. Authors presented a case of giant posterior aortic pseudoaneurysm originating from the left side of the previous aortotomy.