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Management of distal tibial fractures : A Comparative study between expert nail fixation And distal tibia locked plate fixation in fracture of distal tibia / Mohammed Adel Ali Ahmed ; Supervised Alaaeldin Mohyeldin Solyman , Sherif Hamdy Mohamed Zawam

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Mohammed Adel Ali Ahmed , 2021Description: 109 P . : charts , facsmilies ; 25cmOther title:
  • دراسة مقارنة في تثبيت كسور أقصى عظمة القصبة بين استخدام مسمار نخاعي وشريحة ذاتية الغلق [Added title page title]
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  • Issued also as CD
Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedics Surgery Summary: Background: Distal tibia shaft fractures accounts for approximately 37.8% of all tibial injuries. Fractures of the distal tibia affecting all ages. Treatment of distal tibial fractures in skeletally mature patients without articular extension is challenging because of its unique anatomical characteristics of subcutaneous location with week blood supply and proximity to the ankle joint. Aim: To compare Expert nail (ETN) versus Distal tibial locked plate for fixation of this fracture. Materials and methods: A prospective randomized study was conducted involving 60 patients divided into two groups. Patients were assessed clinically using Olerud and Molander scores ( OMAS) and American Orthopaedic Foot and Ankle Society (AOFAS) and radiologically at 6 months. Results: The mean age for the Locked plate group was 41.37 ± 11.17 years, while the mean age for the ETN group was 32.93 ± 10.24 years. The mean follow up period was 7.13 months with a minimum of 6 months for all patients included. No statistical significance was found when the two groups were compared except in time for union. Mean time for union in ETN 14 ± 2.8 weeks, while in Locked plate group 16.73 ± 3.61 weeks. This showing statically significant for ETN Conclusion: Both techniques can provide effective treatment and fixation for closed distal tibial extraarticular fractures. Nail showing lower infection rate and faster time to healing but with more mal-alignment reduction. While in Locked plate less mal-alignment reduction can achieved but with more infection problems and slower rate of union
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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.M.Sc.2021.Mo.M (Browse shelf(Opens below)) Not for loan 01010110085375000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.25.M.Sc.2021.Mo.M (Browse shelf(Opens below)) 85375.CD Not for loan 01020110085375000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedics Surgery

Background: Distal tibia shaft fractures accounts for approximately 37.8% of all tibial injuries. Fractures of the distal tibia affecting all ages. Treatment of distal tibial fractures in skeletally mature patients without articular extension is challenging because of its unique anatomical characteristics of subcutaneous location with week blood supply and proximity to the ankle joint. Aim: To compare Expert nail (ETN) versus Distal tibial locked plate for fixation of this fracture. Materials and methods: A prospective randomized study was conducted involving 60 patients divided into two groups. Patients were assessed clinically using Olerud and Molander scores ( OMAS) and American Orthopaedic Foot and Ankle Society (AOFAS) and radiologically at 6 months. Results: The mean age for the Locked plate group was 41.37 ± 11.17 years, while the mean age for the ETN group was 32.93 ± 10.24 years. The mean follow up period was 7.13 months with a minimum of 6 months for all patients included. No statistical significance was found when the two groups were compared except in time for union. Mean time for union in ETN 14 ± 2.8 weeks, while in Locked plate group 16.73 ± 3.61 weeks. This showing statically significant for ETN Conclusion: Both techniques can provide effective treatment and fixation for closed distal tibial extraarticular fractures. Nail showing lower infection rate and faster time to healing but with more mal-alignment reduction. While in Locked plate less mal-alignment reduction can achieved but with more infection problems and slower rate of union

Issued also as CD

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