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Biomedical subjects

H Zahiri

Publications and source records attributed to H Zahiri.

6 recordsLinked to original sources

Limb salvage in advanced chronic osteomyelitis in children.

Chronic osteomyelitis of the entire tibial shaft was treated in 9 children by medical and surgical management in 3 stages. In stage 1, the involved shaft was excised with debridement of the periosteum. Stage 2 consisted of continuous suction-irrigation of the periosteal space with local and systemic antibiotics. In stage 3, the ipsilateral fibular shaft was transferred into the tibial periosteal envelope with the muscles of the middle third and its blood supply. After 18 months, the transferred fibula grew into a new tibia in every case so that the children were able to carry out all their activities of daily living. This method remains the best way of salvaging the limb when the entire tibia is involved.

Child

Anterior shoulder dislocation reduction technique--revisited.

Acute anterior shoulder dislocations are extremely painful conditions that force patients to present to emergency rooms or physicians' offices immediately. The diagnosis usually is established through a careful history and examination, and may be confirmed by appropriate radiography. The immediate treatment objective is to achieve reduction as early as possible, preferably through a closed reduction method with the least discomfort. Current methods of reduction are based on either traction or leverage maneuvers, with each having its own merits and disadvantages. This article, however, revisits the subject by a comprehensive literature review. It addresses obstacles to reduction and reports a closed reduction technique for the acute anterior dislocations of the shoulder that uses both traction and leverage maneuvers simultaneously. In addition, the technique eliminates failing factors of current reduction methods such as the surgeons' weakening or slippery grip when using traction methods. It is expected, by virtue of the method, that it would reduce the chances for complications such as humeral shaft fractures as can occur in leverage maneuvers. This method addresses all potential anatomical and pathological features of acute anterior dislocations of the shoulder to facilitate an earlier and more comfortable reduction.

Adolescent

Arthroscopy language.

The authors have devised an "arthroscopy language" to make orthopaedic surgeons' intraoperative communication clear, comprehensive, and concise. This language specifically eliminates surgeons' "freestyle" conversation at the most crucial moments of their procedure, when concentration and the coordinated work of two surgeons are essential. The language uses current arthroscopic terminology and new words that have been adapted by the authors to describe all the basic maneuvers that are used during any arthroscopic procedure. The authors believe the language brings the necessary scientific sophistication into arthroscopic surgeons' speech in the operating theater.

Arthroscopes

Torsional tibia vara.

Infantile tibial torsion and tibia vara are common childhood deformities with controversial methods of measurement and treatment. The authors believe that the two deformities are different manifestations of the same entity for which the term "torsional tibia vara" is adopted. A practical method of measurement and a decisive method of conservative treatment are presented for this disorder. The concept as well as the methods of measurement and treatment have been successfully practiced by the senior author (H.Z.) for the past 20 years.

Bone Diseases, Developmental

Minor articular fractures of the knee: an update.

Early management of minor articular fractures of the knee results in the best possible prognosis with the least period of disability. The authors stress the need for early arthroscopic examination when history, physical examination and x-ray suggest possibility of minor intra-articular fracture.

Arthroscopy