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The use of LRS Mono-lateral external fixator for the treatment of comminuted femoral fracture with bone loss / Waleed Fayez Fahmy Mohammed ; Supervised Hassan Elbarbary , Sheriff Abdullatif , Ahmed Samy Mohammed

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Waleed Fayez Fahmy Mohammed , 2021Description: 102 P. : charts , facsimiles ; 25cmOther title:
  • العلاج الجراحى لكسور عظمة الفخذ المفتتة مع وجود فقد عظمى بواسطة المثبت الخارجى أحادى الجانب [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery Summary: Background: Comminuted fracture femur with bone loss is a high energy injury with variable clinical and radiological scenarios; therefore, management has been a challenge to Orthopaedic surgeons because of associated complications and absence of standard guidelines to organize the different treatment options. The aim of the work is to assess radiological and functional results of managing comminuted fracture femur with bone loss by mono lateral external fixator, study the technique of application and related complication. Methods: This retrospective case series study was done in May 2010 to December 2016 with mean follow up period 1.5 years and included 21 patients who were divided into two main groups, group (I) included 11 patients managed by acute shortening and distraction, and the group (II) included 10 patients managed by bone transport technique. Outcome in both groups was compared regarding time to union (external fixator time), length gained, healing index (external fixator time/length gained), bone results and functional results according to Paley. Complications in both groups have been compared and classified according to Paley into 3 categories: problems, obstacles, and sequelae. Results: The mean EFI was lower in group II (mean: 52.8 days/cm; range: 32.3{u2013}70) than in group I (mean 60.8 days/cm; range: 45{u2013}76.5) (p = 0.118) (Table 4). The mean EFT was shorter in group I (mean: 7.7 months; range: 5{u2013}9 months) than in group II (mean: 10 months; range: 7{u2013}18 months) (p = 0.017). With respect to the bone and functional results, no difference was observed in Paley scores between the groups (p = 0.96 for bone and p = 0.18 for functional scores)
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.25.Ph.D.2021.Wa.U (Browse shelf(Opens below)) Not for loan 01010110084739000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.25.Ph.D.2021.Wa.U (Browse shelf(Opens below)) 84739.CD Not for loan 01020110084739000

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery

Background: Comminuted fracture femur with bone loss is a high energy injury with variable clinical and radiological scenarios; therefore, management has been a challenge to Orthopaedic surgeons because of associated complications and absence of standard guidelines to organize the different treatment options. The aim of the work is to assess radiological and functional results of managing comminuted fracture femur with bone loss by mono lateral external fixator, study the technique of application and related complication. Methods: This retrospective case series study was done in May 2010 to December 2016 with mean follow up period 1.5 years and included 21 patients who were divided into two main groups, group (I) included 11 patients managed by acute shortening and distraction, and the group (II) included 10 patients managed by bone transport technique. Outcome in both groups was compared regarding time to union (external fixator time), length gained, healing index (external fixator time/length gained), bone results and functional results according to Paley. Complications in both groups have been compared and classified according to Paley into 3 categories: problems, obstacles, and sequelae. Results: The mean EFI was lower in group II (mean: 52.8 days/cm; range: 32.3{u2013}70) than in group I (mean 60.8 days/cm; range: 45{u2013}76.5) (p = 0.118) (Table 4). The mean EFT was shorter in group I (mean: 7.7 months; range: 5{u2013}9 months) than in group II (mean: 10 months; range: 7{u2013}18 months) (p = 0.017). With respect to the bone and functional results, no difference was observed in Paley scores between the groups (p = 0.96 for bone and p = 0.18 for functional scores)

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