1.Influence of Age, Weight, and Pirani Score on the Number of Castings in the Early Phase of Clubfoot Treatment using Ponseti Method
Mazlina Awang ; Abdul Razak Sulaiman ; Ismail Munajat ; Mohd Emil Fazliq
Malaysian Journal of Medical Sciences 2014;21(2):40-43
Background: The objectives of this study were to investigate whether severity of clubfoot, age, and weight of the patients at initial manipulation and casting influence the total number of castings required.
Methods: This prospective study was conducted on 38 idiopathic clubfoot patients undergoing weekly manipulation and casting using the method recommended by Ponseti. The patients’ age, weight, and foot Pirani score at the start of manipulation and casting were analysed against the total number of castings required to achieve correction to 60° abduction.
Results: Simple linear regression analysis on the influence of weight, age, and Pirani score at the time of cast initiation showed that the Pirani score was the only significant predictor for the total number of castings required.
Conclusion: The total number of castings required to treat clubfoot was determined by the severity of clubfoot but not by the weight and age of patients.
2.Periosteum: Functional Anatomy and Clinical Application
Azeez Omoniyi Adeoye ; Siti Nurma Hanim Hadie ; Ismail Munajat ; Nur Izni Mohd Zaharri ; Muhamad Syahrul Fitri Zawawi ; Sharifah Emilia Tuan Sharif ; Abdul Razak Sulaiman
Malaysian Journal of Medicine and Health Sciences 2023;19(No.3):362-374
Periosteum is a connective tissue that envelopes the outer surface of bones and is tightly bound to the underlying
bone by Sharpey’s fibers. It is composed of two layers, the outer fibrous layer and the inner cambium layer. The periosteum is densely vascularised and contains an osteoprogenitor niche that serves as a repository for bone-forming
cells, which makes it an essential bone-regenerating tissue and has immensely contributed to fracture healing. Due
to the high vascularity of inner cambium layer of the periosteum, periosteal transplantation has been widely used in
the management of bone defects and fracture by orthopedic surgeons. Nevertheless, the use of periosteal graft in the
management of bone defect is limited due to its contracted nature after being harvested. This review summarizes the
current state of knowledge about the structure of periosteum, and how periosteal transplantation have been used in
clinical practices, with special reference on its expansion.