Does subtalar arthroereisis offer better functional and radiographic outcomes compared to lateral column lengthening in treatment of pediatric flexible flat foot? : A meta-analysis / by Abdallah Yousif Abdallah Emarah ; Supervised Prof. Dr. Yasser Abdelfattah Radwan, Dr Ahmad Salah Muhammad Abu Taleb.
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TextLanguage: English Summary language: English, Arabic Producer: 2025Description: 99 pages : illustrations ; 25 cm. + CDContent type: - text
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- هل المسمار الرافع لعظمة الثالوث يقدم نتائج وظيفية واستعدال أفضل من تطويل الجانب الخارجي للقدم في علاج تفلطح القدم المرن عند الأطفال؟ : دراسة تحليلية [Added title page title]
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| Item type | Current library | Home library | Call number | Status | Barcode | |
|---|---|---|---|---|---|---|
Thesis
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قاعة الرسائل الجامعية - الدور الاول | المكتبة المركزبة الجديدة - جامعة القاهرة | Cai01.11.25.M.Sc.2025.Ab.D (Browse shelf(Opens below)) | Not for loan | 01010110093101000 |
Thesis (M.Sc)-Cairo University, 2025.
Bibliography: pages 90-99.
Background: One of the most common complaints in pediatric orthopedic surgery is flatfoot. Most cases are asymptomatic and do not need any treatment. If being present, symptoms may be resolved by conservative therapy. If it fails, the surgical procedure will be indicated. Boys are generally affected two times more than girls.
Aim and objectives; to compare the functional and radiographic outcomes between lateral column lengthening and subtalararthroereisis in management of pediatric flexible flatfoot.
Subjects and methods;This was metanalysis included 24 articles reporting arthroereisis and/or lengthening. There were 19 studies assessed subtalararthroereisis including a total of 2051 feet of 1007 patients and 7 studiesassessed lateral column lengthening procedure, including a total of 190 feet of 135 patients.
Result;In the included 24 studies, 10 studies (269 arthroereisis, 175 lengthening) reproted on the AP Meary’s angle and 12 studies did not. A statistically signficant decrease was found in AP Meary’s angle following arthroereisis and lengthening. The unweighted MD was -10.62° (95% CI: -15.36°, -5.89°) and -14.78° (95% CI: -18.84°, -11.73°) for arthroereisis and lengthening, respectively. In the inlcuded 24 studies, 12 studies (466 arthroereisis, 118 lengthening) reproted on the AP talo-navicular angle and 12 studies did not. A statistically signficant decrease was found in the AP talo-navicular angle following arthroereisis and lengthening. The unweighted MD was -13.22° (95% CI: -16.96°, -9.49°) and -19.42° (95% CI: -23.97°, -14.87°) for arthroereisis and lengthening, respectively. In the included 24 studies, five studies reported on graft-related complication rate, including 149 feet. A random effect model was used for analysis as signficant heterogeneity was detected. the pooled implant-related complciation rate and 95% CI was 0.03 (0.01 to 0.08).
Conclusion; In conclusion; the current study showed that lateral column lengthening achieved better radiological correction and AOFAS scores when compared to subtalararthroereisis, albeit with more complications.
دراسة احصائية الغرض من هذه الدراسة الإحصائية هو مقارنة النتائج الوظيفية والتصوير الإشعاعي بين المسمار الرافع لعظمة الثالوث وتطويل الجانب الخارجي للقدم في علاج القدم المسطحة المرنة عند الأطفال.
تتضمن هذه الدراسة 24 مقالاً يتناول رفع عظمة الثالوث و/أو إطالته الجانب الخارجي للقدم. هناك 19 دراسة لتقييم المسمار الرافع لعظمة الثالوث، بإجمالي 2051 قدمًا لـ 1007 مريضًا و7 دراسات لتقييم إجراء إطالة الجانب الخارجي للقدم، بإجمالي 190 قدمًا لـ 135 مريضًا. من اهم نتائج الدراسه ان تطويل الجانب الخارجى للقدم يعطى نتائج وظيفيه وتصوير اشعاعى افضل الى حد ما مقارنة ب المسمار الرافع لعظمة الثالوث مع مضاعفات اكثر
Issues also as CD.
Text in English and abstract in Arabic & English.
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