Background: Arthrogryposis Multiplex congenita is a
rare disorder, characterized by multiple joint deformities
i.e. multiple congenital contractures, with shapelessly
cylindrical limbs and absent skin creases.
Club foot can be the only obvious deformity of this
widespread disorder.
Objective: To assess the most frequent recurrent
deformity after extensive soft-tissue release operations for
arthrogrypotic club foot and its appropriate treatment
regarding combined tendon transfer and bony operations.
Methods: A retrospective study of 14 patients with
arthrogrypotic club foot (28 feet), had been operated on by
multiple soft tissue and bony operations and followed in a
period between January (1993) till February (1999).
Both clinical assessment including goniometer use to
measure the recurrent deformity, and radiological
assessment, was used in this study.
Results: In this series, 4 patients (7 feet) had recurrent
deformity, 3 patients
(5 feet) out of these 4 had recurrent forefoot adduction, 2
of them had bilateral affection. The 4th patient had
bilateral recurrent varus heel.
Conclusion: The main problem in arthrogrypotic club
foot is the liability for recurrence. The most frequent
recurrent deformity was forefoot adduction. Combined
tendon transfer and bony operations can correct the
deformity once performed at the same cession forefoot
adduction. All required 2nd operation, in the 1st 3 patient
combined Evan’s (calcaneocuboid wedge-excision) and
tibialis anterior transfer operations were performed.
Talectomy was performed on one foot in the 4th patient,
combined with capsulectomy of the calcaneocuboid joint,
while triple arthrodesis don on the other foot
Diabetic foot ulcer (DFU) or Lower limb ulcers are one of the major complications caused by diabetes mellitus especially when patients fail to maintain tight glycemic control. DFU is linked to multiple risk factors along with the genetic factors and ethnicity which play a significant role in the development of DFUs through their effects on multiple aspects of the pathophysiological process. This narrative review aimed to summarize all the previous studies within the last ten years associating gene polymorphism and DFU. Polymorphism associated with vascular endothelial growth factor (rs699947), the G894T polymorphism of the endothelial nitric oxide synthase gene, interleukin-6–174 G>C gene polymorphism, heat shock protein 70 gene polymorph
... Show More
(1)
(5)
In this research an analysis for improving the fatigue behavior (safety factor of fatigue) of non- articular prosthetic foot (SACH) in the region (Bolt Adapter).The laser peening was carried to the fatigue specimens to improving the fatigue properties of bolt’s material. The tests of mechanical properties and fatigue behavior were carried for material that the bolt manufacture from it, a region where the failure occur and inserted of these properties to the program of engineering analysis (Ansys) to calculate the safety factor of fatigue. The results showed that the safety factor after hardening by laser is increased by 42.8%.
(3)
Most below-knee prostheses are manufactured in Iraq without considering the fast progress in smart prostheses, which can offer movements in the desired directions according to the type of control system designed for this purpose. The proposed design appears to have the advantages of simplicity, affordability, better load distribution, suitability for subjects with transtibial amputation, and viability in countries with people having low socio-economic status. The designed prosthetics consisted of foot, ball, and socket joints, two stepper motors, a linkage system, and an EMG shield. All these materials were available in the local markets in Iraq. The experimental results showed t
... Show More
Objective: Assess type 2 diabetic patients’ knowledge regarding preventive measures of diabetic foot. Find out the relationship between of type 2 diabetic patients’ knowledge regarding preventive measures of diabetic foot with certain sociodemographic characteristics
Methodology: A descriptive study was carried out from (2nd January 2022 to 26th March 2022). A non –probability (purposive) sample of (60) adult patients who are diagnosed with type2 diabetes mellitus these patients have met the study criteria which was selected from Imam AL-Hussein Medical-City. The study instrument consist of two section: (Demographic Information Sheet, and Foot Care Outcome Expectation
... Show MoreDiabetic foot ulcer (DFU) is one of the chronic wound infection and leads to non-traumatic lower limb amputation. Advances in diabetes research are significant and much needed because diabetes is on the rise worldwide and is considered by some experts already to be at an epidemic level. Among diabetic patients 70% were males and 30% were females. Aerobic bacteria 104(82%) were the most frequently isolated than anaerobic bacteria 23(18%). Among aerobes Gram negative bacteria 67(64.4%) were more commonly isolated than Gram positive 37(35.5%). The three most frequently found that S. aureus 28(22%) followed by P. mirabilis 22(17.3%) then E. coli 14(11%). Among anaerobic bacteria Gram negative bacteria 16(69.5%) were predominantly isolated th
... Show MoreThe present study explored the possible role of adenosine deaminase and guanine deaminase in diabetic foot ulcers which is considered one of the main chronic complications of diabetes mellitus. Serum adenosine deaminase, guanine deaminase, and some biochemical parameters were investigated in 54 patients with diabetic foot ulcers and 40 healthy individuals. According to our findings, adenosine deaminase and guanine deaminase activities are much higher in diabetic foot ulcer patients than in healthy individuals. A strong positive correlation was found between adenosine deaminase and guanine deaminase activities. Adenosine deaminase and guanine deaminase had 100% sensitivity and specificity for diagnosing diabetic foot ulcers, and
... Show More
(1)
(1)
Background: Since the invention of laser in 1960, lasers have been developed and approved in many fields. Lasers can now be regarded as practical tools with unique properties that have been utilized effectively in several applications in fields of medical and biological sciences.Objectives: The aim of the current study was to preparation of vaccines (live attenuated and killed) by irradiation of the bacteria by the low level diode laser.Methods: six bacterial isolates were isolated from human samples of diabetic foot infections, which used for preparation of vaccines. The experiment was conducted on fifteen adult male rabbits; they were divided into three groups with 5 rabbits each. Blood samples were collected from the marginal ear vein
... Show MoreThis paper deals with calculate stresses in Knee-Ankle-Foot-Orthosis as a result of the effect vibration during gait cycle for patient wearing KAFO .Experimental part included measurement interface pressure between KAFO and leg due to action muscles and body weigh on Orthosis. also measurement acceleration result from motion of defected leg by accelerometer .Results of Experimental part used input in theoretical part so as to calculate stresses result from applying pressure and acceleration on KAFO by engineering analysis program ANSYS 14.Resultes show stresses values in upper KAFO greater than lower KAFO that is back to muscles more effective in thigh part lead to recoding pressure higher than pressure in shank part.
(1)
The tactical side in application of offensive plans in basketball did not take a large in scientific research because it always change because it related in mental ability of players and for the condition of the game and researchers notice that from their followed a lot of games for Duhok basketball club in Iraq league. There is a problem that connected in games results it clears in weakness in application of offensive plans in all kind (man to man & zone defense & side ball plans & under basketball and half court). The goal of study concentrate by designing a sheet for som offensive plans for study and analysis to Duhok club on Asian Championship 2011 at the base the sample contained (Iraq Duhok & application science Jordan & Lebanon sport
... Show More