000			03656cam a2200349 a 4500
003			EG-GiCUC
005			20250223032702.0
008			210206s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.25.M.Sc.2020.Ma.C
100	0		_aMahmoud Abdelhamid Madbouly Omar
245	1	0	_aComparative study between external fixator and below elbow cast as a supplement to K-wires in fixation of type A and type C1 distal radius fracture with no volar metaphyseal comminution in AO/OTA Classification / _cMahmoud Abdelhamid Madbouly Omar ; Supervised Nasser Osman Elkoussy , Ayman Mahmoud Mansour , Ayman Abdelsamee Shaheen
246	1	5	_aدراسه مقارنة بين استخدام الجبس مع الاسلاك المعدنيه و استخدام المثبت الخارجى مع الاسلاك المعدنيه فى تثبيت الكسور أسفل عظمه الكعبره الممتده وغير الممتده الي سطح مفصل الرسغ
260			_aCairo : _bMahmoud Abdelhamid Madbouly Omar , _c2020
300			_a142 P. : _bcharts , facimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopaedics
520			_aBackground: There is no consensus on the optimal operative treatment of distal radius fractures as every technique is associated with advantages and shortcomings. Objective: This study aim to compare functional and radiological outcome of below elbow cast immobilization versus external fixator as a supplement to k-wires in fixation of type A and type C1 with no volar metaphyseal comminution in AO/OTA Classification. Patients and methods: This study included 30 patients (15 males and 15 females). With an average age of 36 years who presented at Emergency Hospital of Kasr-ALAiny. Patients were allocated randomly into 2 groups(block randomization(sealed envelops)) according to fixation methods; Group (A) 15 patients: were fixed with K-wires and below elbow cast Group (B) 15 patients: were fixed with K-wires and external fixator. All the fractures were evaluated both functionally using quick DASH and modified Mayo wrist score and radiologically by measuring radial height, radial inclination and volar tilt. The follow up period ranged from 4 to 6 months with mean value 6 months. Results: Radiological assessment: After 3 months post-operative1-Radial height:is significantly higher with group (B) than group (A).(p value 0.003),2- Radial inclination : is statistically insignificant between the two groups.(p value 0.116),3- Volar tilt:is significantly higher with group (B) than group (A).(p value P=0.017) Functional assessment: After 6 months post-operative1. Modified mayo wrist score:, is statistically insignificant between the two groups(p value 0.118). 2. Quick DASH score: isstatistically insignificant between the two groups.(p value 0.059) 3. Supination: is statistically insignificant between the two groups.(p value 0.071) 4. pronation : is significantly higherwith group (B) than group (A).(p value 0.050) Complications:In group A : two patients had superficial pin tract infection(13.3%), In group B:one patient had CRPS(6.6%)
530			_aIssued also as CD
653		4	_aDistal radius fractures
653		4	_aK-wires
653		4	_aWrist
700	0		_aAyman Abdelsamee Shaheen , _eSupervisor
700	0		_aAyman Mahmoud Mansour , _eSupervisor
700	0		_aNasser Osman Elkoussy , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c79798 _d79798