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Clinical and radiological outcomes of percutaneous minimally invasive technique using monolateral fixator in management of rotational and angular deformities / by Mohamed Mostafa Othman Helal ; supervisors prof. Dr. Mohamed Youness Ali Badawy ,Dr. Hazem Abd El Hameed , Dr. Karim Ibrahim Okasha Abdallah

By: Contributor(s): Material type: TextTextLanguage: English Summary language: English, Arabic Producer: 2023Description: 130 pages : illustrations ; 25 cm. + CDContent type:
  • text
Media type:
  • Unmediated
Carrier type:
  • volume
Other title:
  • /ما هي النتائج الاكلينيكية والشعاعية لحالات التشوهات الزواية والدورانية عن طريق تركيب مثبت احادى الجانب بجراحة طفيفة التوغل [Added title page title]
Subject(s): DDC classification:
  • 617.47
Available additional physical forms:
  • Issues also as CD.
Dissertation note: Thesis (M.Sc.)-Cairo University, 2023. Summary: Background: Complex pediatric lower limbs deformities represent a challenging situation to manage; starting from different etiologies, preoperative planning & surgical corrections with possible complications and relapses. We hypothesized that simple monolateral fixator can effectively correct lower limb deformities that doesn’t involve limb length discrepancy. Aim: To evaluate the use of monolateral fixator in correction of multiplanar deformities regarding radiological correction, clinical progression and possible complications. Methods: An interventional clinical trial was done in Abu Elreesh children’s hospitals on 25 patients with 39 limbs that were operated on. Patients were divided into 4 main groups representing pattern of deformity presentation/convenience. Group I (Genu varum with internal rotation), Group II (Genu valgum with external rotation), Group III (Neglected hemiepiphysiodesis) & Group IV (Other combinations). The outcomes were evaluated using long lower limbs standing radiographs preoperatively and at the final assessment. The variables of interest were MAD, mLDFA, MPTA, LDTA, SMAA, PDFA, PPTA, tibial torsion& femoral version. Results: The median age of the studied group was 13 years, males and females were almost the same 12(40%), 13(52%) respectively. We operated upon 41 limbs involving 69 segments. Superficial pin tract infection affected (23) 56% of the limbs. The median pre-op MAD was 6.3cm and post-op 0.4cm. Pre-op SMAA median was -10º and post-op 0º, and the median of the tibial torsion degree changed from pre-op 40º to post-op 18º. Conclusion: The simple monolateral fixator can be an effective system for correction of multiplanar lower limb deformities without limb length discrepancySummary: الجانب تجعله خيارًا جذابًا لتصحيح تشوه الأطراف السفلية المعقدة فقط في حالة عدم وجود تباين في طول الطرف. إنه سريع وأكثر تحملاً وأقل إيلامًا من نظام إليزاروف و TSF ، ويمكن إجراؤه في عظم الفخذ الثنائي دون إزعاج كبير للمرضى على عكس مثبتات الحلقة ومزايا الاستشفاء القصير ، ووقت قصير للشفاء ، ومضاعفات أقل ، وأرخص بكثير ، ومتوفر بسهولة و مع منحنى تعلم أسرع بكثير من Ilizarov أو TSFومع ذلك ، لا يمكن تطبيقه في حالة التشوه المعقد مع اختلاف طول الأطراف.
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Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.25.M.Sc.2023.Mo.C (Browse shelf(Opens below)) Not for loan 01010110088581000

Thesis (M.Sc.)-Cairo University, 2023.

Bibliography: pages 123-130.

Background: Complex pediatric lower limbs deformities represent a challenging
situation to manage; starting from different etiologies, preoperative planning &
surgical corrections with possible complications and relapses. We hypothesized
that simple monolateral fixator can effectively correct lower limb deformities that
doesn’t involve limb length discrepancy.
Aim: To evaluate the use of monolateral fixator in correction of multiplanar
deformities regarding radiological correction, clinical progression and possible
complications.
Methods: An interventional clinical trial was done in Abu Elreesh children’s
hospitals on 25 patients with 39 limbs that were operated on. Patients were divided
into 4 main groups representing pattern of deformity presentation/convenience.
Group I (Genu varum with internal rotation), Group II (Genu valgum with external
rotation), Group III (Neglected hemiepiphysiodesis) & Group IV (Other
combinations). The outcomes were evaluated using long lower limbs standing
radiographs preoperatively and at the final assessment. The variables of interest
were MAD, mLDFA, MPTA, LDTA, SMAA, PDFA, PPTA, tibial torsion&
femoral version.
Results: The median age of the studied group was 13 years, males and females
were almost the same 12(40%), 13(52%) respectively. We operated upon 41 limbs
involving 69 segments. Superficial pin tract infection affected (23) 56% of the
limbs. The median pre-op MAD was 6.3cm and post-op 0.4cm. Pre-op SMAA
median was -10º and post-op 0º, and the median of the tibial torsion degree
changed from pre-op 40º to post-op 18º.
Conclusion: The simple monolateral fixator can be an effective system for
correction of multiplanar lower limb deformities without limb length discrepancy

الجانب تجعله خيارًا جذابًا لتصحيح تشوه الأطراف السفلية المعقدة فقط في حالة عدم وجود تباين في طول الطرف. إنه سريع وأكثر تحملاً وأقل إيلامًا من نظام إليزاروف و TSF ، ويمكن إجراؤه في عظم الفخذ الثنائي دون إزعاج كبير للمرضى على عكس مثبتات الحلقة ومزايا الاستشفاء القصير ، ووقت قصير للشفاء ، ومضاعفات أقل ، وأرخص بكثير ، ومتوفر بسهولة و مع منحنى تعلم أسرع بكثير من Ilizarov أو TSFومع ذلك ، لا يمكن تطبيقه في حالة التشوه المعقد مع اختلاف طول الأطراف.

Issues also as CD.

Text in English and abstract in Arabic & English.

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