for elimination of bias secendary to doctor or patients and result evaluator knowe, the type of treatment and its probable effect on the study result , the study done as double blind. according to that fact, the placebo and methylprednisolone are in same shaped box and are seald it is predictable that doctor and patient dont know which patient receive which type of drug.
It is from both the doctor and the patient
Patients are operated on by 4 assistants in year 3. Standard surgery is performed for all patients and before surgery 1 gr acetaminophen is injected for all patients and after surgery 1 gr acetaminophen is injected as BD and Pregabalin 75 mg as QHS for pain control. All patients receive prophylactic AB before surgery, and all patients receive cephalexin 500 mg TDS oral antibiotic for 7 days after surgery. After surgery for low molecular weight patients, heparin is injected for prophylaxis for 2 to 4 weeks for DVT prophylaxis.
After 24-48 hours of surgery, if the general condition is good and proper, patients are discharged from the hospital and are visited at the clinic at intervals of 2 weeks, 6 weeks, 12 weeks and 24 weeks. In all patient visits, X-rays are performed in 2 directions and the graphs are checked by the senior orthopedic assistant in the direction of union. Patients are also examined at all times by an orthopedic assistant for R / O infection.
The definition of union in radiography is the establishment of cortical continuity between two parts and the absence of pain is clinical. Multiple trauma patients with fractures in different areas, patients who are candidates for standard surgery. Patients with a history of renal, hepatic, gastric ulcer, pregnancy, lactating women, history of corticosteroids, patients under 18 years of age, patients taking corticosteroids or opioids, diabetic neuropathy and patients with heart failure, patients with poor control Diabetes mellitus (Poor control DM)
As well as patients with poor blood pressure control (Poor control high blood pressure)
They are excluded from the study.
All diabetic patients admitted to the study undergo endocrine counseling to control blood sugar before and after surgery.
In the text of the informed consent, the complications and benefits of entering the plan, and the methods of controlling possible complications, will be explained in a clear and understandable manner.
The current standard procedure for patients undergoing arthroplasty is early initiation of the patient
After surgery and the use of analgesics with intravenous acetaminophen to reduce pain,
The use of physiotherapy is the currency of the operation to strengthen the abductors.