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The trochanter stabilizing plate (TSP) the modular extension of the dynamic hip screw (DHS) for internal fixation of selected unstable intertrochanteric fractures / Mohammed Hussein Kamel Khashaba ; Supervised Ahmed Mahmoud Mohammed Atteya , Ali Mohammed Reda , Aymen Shahein

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Mohammed Hussein Kamel Khashaba , 2016Description: 176 P. : charts , facsimiles ; 25cmOther title:
  • دراسة عن استخدام الشريحة الداعمة للمدور الكبير في عظمة الفخذ المضافة إلى شريحة الفخذ الديناميكية في وجود كسور غير ثابتة مابين مدورى عظمة الفخذ [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery Summary: The fractures treated were classified according to Evan{u2019}s classification and there were 9 patients classified as Evan{u2019}s ЇЇЇ, 13 patients were Evan{u2019}s ЇV, and 5 patients were Evan{u2019}s V. Results: No lateralization of the greater trochanter resulting in a medialization of the femoral shaft was recorded. The mean fracture impaction was 9.5 +/- 2 mm, ranging from 5 mm to 15 mm, resulting in mean limb shortening was 6.7 +/- 2.2 mm, ranging from no shorting at all (0 mm) to 12 mm. Functional results in the study were excellent in 74% of cases, and good in 26% of the cases according to SALVATI AND WILSON ASSESSMENT SCORE. With 33% of the cases were walking unaided and 63 % were using stick after 6 months postoperative. In addition, the abduction power was good in all patients with Trendelenburg's negative test. Some complications happened like wound infection in four patients, three of them in superficial wound layers and one in in deep wound layer but superficial to fascia, also one patient got cut through of lag screw 2months postoperative and so revision hemiarthroplasty done for her.Conclusion: The combination of (DHS) and modular (TSP) is likely to be a better option in the management of intertrochanteric fractures as compared to (DHS) alone. As addition of a (TSP) over (DHS) creates a biomechanically stable construction, likely to improve the stability of fracture fixation, while at the same time permitting a controlled sliding collapse. Improved bony contact between proximal and distal fragments by stabilisation of the comminuted lateral wall is likely to improve the chances of union and maintenance of adequate lever arm
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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.2016.Mo.T (Browse shelf(Opens below)) Not for loan 01010110069902000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.25.Ph.D.2016.Mo.T (Browse shelf(Opens below)) 69902.CD Not for loan 01020110069902000

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

The fractures treated were classified according to Evan{u2019}s classification and there were 9 patients classified as Evan{u2019}s ЇЇЇ, 13 patients were Evan{u2019}s ЇV, and 5 patients were Evan{u2019}s V. Results: No lateralization of the greater trochanter resulting in a medialization of the femoral shaft was recorded. The mean fracture impaction was 9.5 +/- 2 mm, ranging from 5 mm to 15 mm, resulting in mean limb shortening was 6.7 +/- 2.2 mm, ranging from no shorting at all (0 mm) to 12 mm. Functional results in the study were excellent in 74% of cases, and good in 26% of the cases according to SALVATI AND WILSON ASSESSMENT SCORE. With 33% of the cases were walking unaided and 63 % were using stick after 6 months postoperative. In addition, the abduction power was good in all patients with Trendelenburg's negative test. Some complications happened like wound infection in four patients, three of them in superficial wound layers and one in in deep wound layer but superficial to fascia, also one patient got cut through of lag screw 2months postoperative and so revision hemiarthroplasty done for her.Conclusion: The combination of (DHS) and modular (TSP) is likely to be a better option in the management of intertrochanteric fractures as compared to (DHS) alone. As addition of a (TSP) over (DHS) creates a biomechanically stable construction, likely to improve the stability of fracture fixation, while at the same time permitting a controlled sliding collapse. Improved bony contact between proximal and distal fragments by stabilisation of the comminuted lateral wall is likely to improve the chances of union and maintenance of adequate lever arm

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