000 03095cam a2200349 a 4500
003 EG-GiCUC
005 20250223032610.0
008 201010s2020 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.25.Ph.D.2020.Mo.L
100 0 _aMohamed Hegazy Mostafa Elsharkasy
245 1 0 _aLateral column lengthening by plate fixation in flexible flatfoot /
_cMohamed Hegazy Mostafa Elsharkasy ; Supervised Abdelaziz Mohamed Elsingergy , Ali Mohamed Reda Mansour , Ahmed Mohamed Khedr
246 1 5 _aإطالة الجانب الخارجى بتثبيت شريحة فى القدم المسطحة المرنة
260 _aCairo :
_bMohamed Hegazy Mostafa Elsharkasy ,
_c2020
300 _a112 P. :
_bcharts , facsimile ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
520 _aIntroduction: Symptomatic flatfoot patients should be early and properly managed to improve the functional outcome throughout their lives.The aim of the current study is to evaluate the functional and radiographic results of the lateral column lengthening by plate fixation without bone graft in the management of the symptomatic flexible flatfoot. Patients and Methods: The current study included 30 feet (27patients) underwent lateral column lengthening by plate fixation without bone graft. Radiographic evaluation included calcaneal pitch angle, lateral talo-1st metatarsal angle, lateral talo-calcaneal angle, antero-posterior (AP) talo-1stmetatarsal angle, and talar coverage angle. The functional assessment was done using the American Orthopeadic Foot and Ankle Society (AOFAS) score. Results: The mean follow-up was 16.5 ± 3.027 months. There was marked improvement and statistically significant difference between pre and one year post-operative functional scoresand radiological angles. The mean AOFAS score was improved from 51.6 ±6.75 to 92.2 ±6.21. The mean AP Talo-1st M angle was improved from 25.3 ± 8.31 to 3.4 ± 5.10. The mean AP talo-navicular coverage wasimproved from 22.10 ±4.28 to 2.3 ± 3.46. The mean Lat. Talo-1st M angle wasimproved from 18.6 ± 4.79to 3.3 ± 3.16. The Calc. pitch angle wasimproved from 9.6 ± 4.14 to 15.1 ± 4.43. The mean lateral Talo-Calc. angle wasimproved from 45.7 ± 3.77 to 37.5 ± 3.47.Regarding the complications,superficial skin infection occurred in 3 cases, Symptomatic hardware in 4 cases, Lateral column pain occurred in 2 cases at the calcaneocuboid joint. Fracture of middle facet intraoperatively occurred in one case
530 _aIssued also as CD
653 4 _aEvans osteotomy and plate fixation
653 4 _aFlexible flatfoot
653 4 _alateral column lengthening
700 0 _aAbdelaziz Mohamed Elsingergy ,
_eSupervisor
700 0 _aAhmed Mohamed Khedr ,
_eSupervisor
700 0 _aAli Mohamed Reda Mansour ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c78147
_d78147