Medicine
Khosro Kolahdouzan; Behrooz Nazari
Abstract
Ankle arthroplasty and total ankle arthroplasty are two important treatments for end-stage degenerative ball. Its results on the biomechanics of the medial foot are not sufficient to determine which is better. This study compared the biomechanical parameters of feet treated with ankle arthrodesis, feet ...
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Ankle arthroplasty and total ankle arthroplasty are two important treatments for end-stage degenerative ball. Its results on the biomechanics of the medial foot are not sufficient to determine which is better. This study compared the biomechanical parameters of feet treated with ankle arthrodesis, feet treated with total ankle arthroplasty, and healthy feet using statistical analysis. A validated tripod finite element model was designed to simulate the stance phase of gait. The results showed that total ankle arthroplasty provides more stable plantar pressure distribution than ankle arthrodesis. Among all replacements, the mean scaphoid joint had the highest contact pressure of 3.17 MPa. Surgery does not result in deep subscalar fusion. In both surgical models, an increase was achieved in the maximum metatarsals, especially in the second and third metatarsals. This study allows us to look at the internal biomechanics of foot defects and feet treated with total ankle arthroplasty and ankle arthrodesis during walking.
Medicine
Khosro Kolahdouzan; Behrooz Nazari
Abstract
Objective: Postoperative chronic pain (CPSP) is a common complication in musculoskeletal surgery. Physiotherapists usually treat patients with pain complaints before and after musculoskeletal surgery. The purpose of this article is (1) to identify the nature, process and importance of CPSPs; (2) expresses ...
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Objective: Postoperative chronic pain (CPSP) is a common complication in musculoskeletal surgery. Physiotherapists usually treat patients with pain complaints before and after musculoskeletal surgery. The purpose of this article is (1) to identify the nature, process and importance of CPSPs; (2) expresses the need to understand and solve the group's difficulties. We use a full collaborative transformation model to analyze pain processes and pain management strategies. Method and materials: This study is a systematic review. Results: Physicians who understand how inflammation alters the function of the immune system can select pain targets for their patients. Clinicians should not assume that patients on multidrug therapy have a medical problem. Instead, the current approach is to manage pain using preventive strategies to reduce the severity of postoperative pain and minimize the development of CPSP. Conclusion: The role of biological, surgical, psychological, and patient factors in the transition to chronic pain requires further research to better understand their relationship to pain. Serious illness and drug use. Appropriate assessment and management of risk factors for CPSP requires a team discussion to describe the patient's experience of postoperative pain and to assess the pain that occurs during surgery.