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Duplex ultrasound surveillance for asymptomatic deep venous thrombosis after total knee joint replacement

Background: The prevalence of deep veins thrombosis, complicating total knee replacement in Asian countries, has not been fully appreciated in comparison to western countries as there are few studies on that. There is an important correlation between the evidence of deep veins thrombosis in the lower extremity and likelihood of   pulmonary embolism later one . Because of its noninvasive nature, duplex ultrasound has become one of the initial dependable modality for the cheek out of deep veins thrombosis after total knee replacement  . Therefore, this study was designed to evaluate the outcome of asymptomatic after total knee replacement by duplex ultrasound among Iraqi patients.

Methods: This prospective study was conducted at AL-Shaheed Gazi AL-Hariri specialized Surgical Hospital, Radiology department, Ultrasound unit form from October 2009 to October 2010. Duplex ultrasound surveillance for asymptomatic deep venous thrombosis was done on 30 patients (13 females and 17 males ) who had underwent total knee replacement at day 5-7 postoperatively to investigate  the evidence  of deep venous thrombosis after total knee joint replacement among  Iraqi patients.

Results: The percentage of deep veins thrombosis in this study was found to be 23.33%. Of these, 14% occurred in the popliteal and 86% occurred in the calf vein. Patients’ gender was not associated with significant higher incidence of deep veins thrombosis .Although the incidence of deep veins thrombosis  in patients aged more than 50 years was higher than in patients aged 30-50 years, it did not reach a statistically significant level. There was statistically significant relationship between obesity and the development of deep veins thrombosis. Patients with sedentary lifestyle showed higher incidence of deep veins thrombosis than patients with non-sedentary lifestyle and the difference reached a statistically significant level. The duration of the operation showed a significant correlation with  the incidence of deep veins thrombosis when the operation lasted more than 2 hours. In addition, there was higher incidence of deep veins thrombosis among smokers compered to non-smokers.

Conclusion: The evidence of deep veins thrombosis was 22.33% in spite of anticoagulation coverage.  Also, duplex ultrasonography is suggested after total knee replacement, especially in patients who have other risk factors.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Publication Date
Fri Dec 30 2016
Journal Name
Al-kindy College Medical Journal
Deep Vein Thrombosis Predisposing Factors Analysis Using Association Rules Mining

Background: DVT is a very common problem with a very serious complications like pulmonary embolism (PE) which carries a high mortality,and many other chronic and annoying complications ( like chronic DVT, post-phlebitic syndrome, and chronic venous insufficiency) ,and it has many risk factors that affect its course, severity ,and response to treatment. Objectives: Most of those risk factors are modifiable, and a better understanding of the relationships between them can be beneficial for better assessment for liable pfatients , prevention of disease, and the effectiveness of our treatment modalities. Male to female ratio was nearly equal , so we didn’t discuss the gender among other risk factors. Type of the study:A cross- secti

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Publication Date
Mon Sep 28 2020
Journal Name
Journal Of Physical Education
The Effect of Increasing Rehabilitation Program Using Electric Stimulation On Rehabilitating Knee Joint Working Muscles Due to ACL Tear In Athletes

The research aimed at designing a rehabilitation program using electric stimulation for rehabilitating knee joint working muscles as a result of ACL tear using an apparatus developed by the researchers that stimulate the muscle vibration and work as well as the ability to rehabilitate the join in shorter periods. In addition to that, it aimed at identifying the effect of this program on rehabilitating the knee joint working muscles. The researchers used the experimental method on Baghdad clubs’ players who suffer from complete knee joint ACL tear aged (19 – 24) years old. The results showed that the training program developed the working muscles significantly achieving normal levels of activity.

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Publication Date
Wed Jul 01 2015
Journal Name
Journal Of The Faculty Of The Medicine Baghdad
Do low back pain changes correlate with sagittal lumbar alignment changes after total hip replacement arthroplasty?

Abstract Background: The hip joint and lumbar spine are both anatomically and functionally closely related as had shown by many authors. So the abnormality in one area can affect the other e.g. hip joint osteoarthritis can cause lumbar sagittal malalignment and backache. Objectives: is to see if there is significant improvement in backache after total hip replacement? And which degree of backache improvement is associated with significant changes in lumbar lordosis? Methods and patients: a prospective open trial study was performed on 30 patients who had severe hip osteoarthritis and chronic low back pain. Total hip replacement was performed to all patients. Backache and lumbar lordosis were measured by visual analogue scale and Cobb’s a

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Publication Date
Wed Jan 05 2022
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Risk Factors of Knee Osteoarthritis in Patients attending Rheumatology Clinic in Mosul

Background: Osteoarthritis can be described as the last common pathway of processes that leads to joint failure. This illness also has a significant social and economic impact on all civilizations, and has become a growing burden on health-care systems in usually healthy economies with an aging population.

Methods: A case-control study design conducted from the 1st, November 2020 to the 31st, May 2021 in Ibn-Sena and Al-Salam Teaching Hospitals in Mosul, Iraq. A total of 100 individuals diagnosed with knee Osteoarthritis represent

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Publication Date
Sun Apr 01 2018
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Factors associated with nonalcoholic fatty liver disease grades detected by ultrasound at a screening center in Klang Valley, Malaysia.

Background: Non-alcoholic fatty liver disease (NAFLD) is a very common liver disease in the world, particularly in Western and developed countries. It is rapidly growing in the Asia- Pacific region.
Objectives: This study was designed to determine the association between risk factors and non-alcoholic fatty liver disease grades among Malaysian adults.
Patients and Methods: A cross-sectional observational study design was prospectively carried out in this study. Consecutive 628 respondents who attended for a medical checkup at urban health center had been recruited for the study. All respondents had the physical examination, blood tests, clinical assessments, and abdominal ultrasoun

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Publication Date
Mon Aug 03 2020
Journal Name
Rawal Medical Journal
Functional outcomes of sandwich reconstruction technique for giant cell tumor around the knee joint

Objective: To evaluate the functional outcomes after extended curettage and reconstruction using a combination of bone graft and bone cement (sandwich). Methodology: In this prospective case series 16 skeletally mature patients with primary giant cell tumor around the knee were included. Patients with previous surgically treated, malignant transformation, degenerative knee changes and those presenting with pathological fracture were excluded. The tumor was excised with bone graft filling space beneath the articular cartilage and a block of gel foam was placed over the cortical surface of picked bone graft. Remaining cavity was filled with polymethylmethacrylate cement (sandwich) with or without internal fixation. The func tional evaluation

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Publication Date
Thu Sep 12 2019
Journal Name
Al-kindy College Medical Journal
Association of radiological osteoarthritis of the knee joint with locomotor disability

Background:  Knee osteoarthritis (KOA) is a common joint disorder leading to considerable pain and locomotor disability in lower limb function. Locomotor disability, which is difficulty in activities of daily living related to lower limb function, can be the consequence of KOA, so early diagnosis and management may improve quality of life.

Objective: To assess the contribution of radiological osteoarthritis of the knees to disability in the activities of daily living related to lower limb function.

 Methods: One hundred twenty Iraqi KOA patients (104 females and 16 males) who were attending to Rheumatology Unit, Full history was taken and complete clinical exami

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Publication Date
Tue Dec 05 2023
Journal Name
Baghdad Science Journal
Indoor/Outdoor Deep Learning Based Image Classification for Object Recognition Applications

With the rapid development of smart devices, people's lives have become easier, especially for visually disabled or special-needs people. The new achievements in the fields of machine learning and deep learning let people identify and recognise the surrounding environment. In this study, the efficiency and high performance of deep learning architecture are used to build an image classification system in both indoor and outdoor environments. The proposed methodology starts with collecting two datasets (indoor and outdoor) from different separate datasets. In the second step, the collected dataset is split into training, validation, and test sets. The pre-trained GoogleNet and MobileNet-V2 models are trained using the indoor and outdoor se

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Publication Date
Mon Jun 30 2014
Journal Name
Al-kindy College Medical Journal
Evaluation of D-Dimer in the diagnosis of suspected deep vein thrombosis

Background: Deep vein thrombosis is a multi causal disease and its one of most common venous disorder, but only one quarter of the patients who have signs and symptoms of a clot in the vein actually have thrombosis and need treatment .The disease can be difficult to diagnose. Venous ultrasound in combination with clinical finding is accurate for venous thromboembolism, its costly because a large number of patients with suspicious signs and symptoms. Venography still the gold standard for venous thromboembolism but it is invasive. The D-dimer increasingly is being seen as valuable tool rolling out venous thromboembolism and sparing low risk patients for further workup.Objectives: this study has designed the role of D-dimer to confirm diag

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Publication Date
Tue Jan 02 2018
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Transatrial approach for total tetralogy of Fallot TOF correction: analysis of 24 cases.

Background: Tetralogy of Fallot TOF is the most common cause of congenital cyanotic heart disease. It is the most common congenital lesion that is likely to result in survival to adulthood and encountered in adult after repair. Tetralogy of Fallot comprises around 7.5 % of all congenital heart diseases in Iraq.
Objective: The aim of this study is to analyse the transatrial strategy for total correction of tetralogy of Fallot TOF.
Methods: Cross-sectional study was done during the period between 2012-2014 for twenty-four patients that admitted to Ibn Al-Bitar hospital in Baghdad with amenable TOF pathology for transatrial repair.
Results: Twenty-four patients, 16 were males and 8 were females. Ages ranged from 2-31 years. There w

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