International Medical Journal

Journal ID : IMJ-17-05-2020-468

Total View : 2

Title : MPFL Reconstruction Using a Distally Based Superficial Quadriceps Tendon Graft for Patello-femoral Instability

Abstract :

Reconstruction of the medial patellofemoral ligament (MPFL) is the most common treatment for patellar instability. Use of the ipsilateral quadriceps’ tendon was described for reconstruction of the MPFL. The present study aimed to evaluate the clinical outcome of MPFL reconstruction using a quadriceps tendon for patellofemoral instability. This prospective study was conducted on 25 patients with patellar dislocation, patellofemoral subluxation or failed previous procedure for treatment of patellar instability. Preoperatively diagnostic arthroscopy was performed to rule out intra-articular injuries. The operative procedure was performed as previously described. Postoperatively, patients were gradually allowed to full weight bearing and were submitted to physiotherapy. At the intervals of 6 months 1 years and 2 years, patients were assessed for operative outcome using Lysholm knee score. Comparing the operative outcome at various follow up points showed significant improvement of Lysholm knee score from 6 months postoperatively onwards. The most frequently reported complications included anterior knee pain (40.0 %), haematoma (20.0 %), redislocation (4.0 %) and Sudeck's atrophy (4.0 %). In conclusion, MPFL reconstruction using a quadriceps tendon for patellofemoral instability is effective procedure with excellent safety profile.

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International Medical Journal

Journal ID : IMJ-16-05-2020-466

Total View : 366

Title : CURRENT CONCEPT MANAGEMENT OF PEDIATRIC FEMORAL NECK FRACTURE

Abstract : Femoral neck fracture is an injury that rarely occurs in children, usually occurs due to high energy trauma or violence in children. This pediatric femoral neck fracture has a high rate of complications despite proper diagnosis and management of therapy. This is partly due to differences in the anatomical structure and blood supply of mature adults. Delbet's classification classifies these fractures into 4 types, and links each type of fracture to the potential for complications of Avascular Necrosis. Other complications include physeal arrest, coxa vara, and nonunion. The wide selection of therapeutic methods, the lack of standard treatment protocols, and the high risk of complications resulting in this fracture is one of the extraordinary challenges an orthopedic surgeon must face in the past, the use of casting has always been the first choice in the treatment of these fractures, but with the high rate of complications occurring the treatment method began to change with immediate surgery. Various fracture fixation methods have been used in the goal of being able to realize anatomic reduction with stable fixation, so that we can get maximum results and minimize complications.
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International Medical Journal

Journal ID : IMJ-15-05-2020-465

Total View : 252

Title : ACTIVITY OF MIXED ETHANOL EXTRACT SELECTED BLACK TEA (Camelia sinensis L.) AND STEVIA (Stevia rebaudiana B.) AS AN ALTERNATIVE ANTI DIABETES HERBAL MEDICINE

Abstract : Metabolic syndrome is a syndrome that has the highest risk that can cause death. People who have metabolic syndrome are more prone to Diabetes mellitus (DM) type 2. In an effort to look for alternative low-risk prevention, some plant extracts have been tested for antidiabetic activity, one of which is black tea leaf (Camellia sinensis L.) which is often consumed by people especially in Indonesia. Black tea contains several chemical compounds such as alkaloids, steroids, saponins, flavonoids, tannins, and polyphenols (Sudaryat, 2016). This research was conducted with the aim of finding out the activity of a mixture of ethanol extracts of the selected formula of black tea and stevia as an alternative antidiabetic herbal medicine. The results showed that ethanol extracts of black tea and stevia have antidepressant activity in white mice. Giving ethanol extract of black tea and ethanol extract of stevia in diabetic mice dose I containing ethanol extract of black tea 50 mg/kg BW and stevia 300 mg/kg BW, dose II containing black tea extract 100 mg/kg BW and stevia 200 mg /kg BW and dose III contain 150 mg/kg BW and stevia black tea extract 300 mg/kg BW and dose I had the highest antidiabetic activity compared to other doses with a decrease in blood glucose levels of 69.75 mg/dL.
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International Medical Journal

Journal ID : IMJ-14-05-2020-464

Total View : 264

Title : The Recurrence rate of Odontogenic Keratocyst after Enucleation with Peripheral Ostectomy

Abstract : Odontogenic keratocyst OKC is a benign cyst of odontogenic origin. It accounts about 10% of all odontogenic cysts. It is characterized by a high rate of cell proliferation; relapse and locally aggressive growth guiding the type of surgical treatment choice and, consequently, the prognosis.The aim of this study is to determine the recurrence rate of odontogenic keratocyst after enucleation with peripheral ostectomy. A cross sectional study was conducted from Feb. 2015 to Jan. 2020. The patients included in this study were12 (4 females and 8 males), aged from 22 to 38 years old. Ten lesions were in the mandible and two in the maxilla. The distribution of the lesions as follow: 8 in the posterior mandible region, 2 in the anterior mandible, and one for each anterior maxilla and posterior maxilla. The size of OKCs lesions ranged from 1*1.5cm to 3*4 cm. The follow up after the surgery with enucleation and peripheral ostectomy with surgical round bur was from 6 months to 4 years. From all of the 12 OKCs, only one cyst recurred which was sized 1.5*2 cm in the anterior mandible region. The recured lesion managed by curettage only with curette under general anesthesia. Peripheral ostectomy is less invasive procedure for management of OKSc in comparison with resection, and associated with lower recurrence rate when compared with other maneuvers such as enucleation with or without carnoy's solution or liquid nitrogen and mursupialization alone or followed with enucleation.
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International Medical Journal

Journal ID : IMJ-14-05-2020-463

Total View : 249

Title : Molecular characterization of verotoxigenic E. coli isolated from diarrheal patients and its antibacterial susceptibility pattern in Wassit province of Iraq

Abstract : Diarrheal disease is considered a significant health problem, principally in developing countries as it is one of the leading causes of morbidity and mortality especially in infants. Studies found that STEC strains are among the most predominant causative agents in acute diarrhea. The current study aimed to investigate the presence of certain virulence factors and antibacterial susceptibility profile of STEC originating from diarrheal patients of Iraq. A total of 161 human of different ages suffering from diarrhea between August 2019 to February 2019 were registered in this study. Standard bacterial cultural and biochemical methods were used to isolate E. coli species while, PCR was applied to distinguish some virulence genes (stx1, stx2) of STEC isolates. A total of 19 (12 %) isolates were identified as STEC bacterium, and 142(88 %) isolates were non-STEC. Nine isolates of the STEC serotypes were O157. Susceptibilities of 19 STEC isolates were determined for 16 antibacterial drugs. STEC O157 strains and STEC Non-O157 exhibited highest resistance to ampicillin (100%), and (63%) resistance to Cephalosporin group and low resistance (5.6 %) to gentamicin and Amikacin. Also results showed that STEC were the major causes of diarrhea that showed resistant to commonly used antibacterial agents.
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023