000			04752namaa22004451i 4500
003			OSt
005			20251005121935.0
008			250928s2025 ua a|||frm||| 000 0 eng d
040			_aEG-GICUC _beng _cEG-GICUC _dEG-GICUC _erda
041	0		_aeng _beng _bara
049			_aDeposit
082	0	4	_a617.582
092			_a617.582 _221
097			_aPh.D
099			_aCai01.11.25.Ph.D.2024.Ho.Q
100	0		_aHossam Shehata Abd El Rahman Ali, _epreparation.
245	1	0	_aQuadriceps vs. hamstring tendon auto graft in ACL reconstruction. compare clinical and functional / _cby Hossam Shehata Abd El Rahman Ali ; Supervision Prof.Dr. Alaa El-din Mohy El-din Solyman, Prof. Ahmed Rizk Mohamed Sayed, Prof. Ahmed Mahmoud Mohamed Gad.
246	1	5	_aدراسه مقارنه لنتائج اعاده بناء الرباط الصليبي الامامي للركبه باستخدام رقعه ذاتيه من اوتار العضله الخلفيه او العضله الاماميه للفخذ
264		0	_c2025.
300			_a139 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (Ph.D)-Cairo University, 2025.
504			_aBibliography: pages 130-139.
520		3	_aObjective: the aim of this prospective study is to compare functional and clinical outcomes for using either hamstring (HT) or quadriceps (QT) as an auto graft for anterior cruciate ligament reconstruction (ACLR) using press fit technique. Method: 40 patients were divided into 2 groups (20 patients for each group) with at least 6-month post-operative follow up. The same surgical technique for all patients was performed using press fit technique for graft fixation. Pre- and post-operative clinical assessment using subjective IKDC, IKDC examination form and lysholm scores for all patients to assess post-operative improvement regarding ROM and knee stability. Pre-operative MRI was done for all study members to confirm ACL injury and to address any associated ligamentous or meniscal injuries. 6-month post-operative CT scan was performed for all members of study to confirm bone plug healing into tunnel. Results: it was found that QT auto graft has slightly higher clinical and functional outcomes as HT auto graft according to post-operative IKDC subjective form (87 ±9.9) for HT group vs. (87.9±6.6) for QT group. According to post-operative lysholm score it was (93 ±7) for HT group vs. (93 ±8) for QT group. Clinically about 100 % of HT group had post-operative nearly normal knee examination vs. 95% of QT group. Conclusion: using QT auto graft for primary ACLR give similar clinical and functional outcome as HT auto graft. Also, it was found that press fit technique for graft fixation is a good reliable technique with low cost and more biological than hardware using techniques.
520		3	_aوقد تمت هذه الدراسة على عينه من المرضي تبلغ 40 مريضا مقسمين الى مجموعتين يبلغ عدد كل مجموعه منهما 20 مريضا بعد اجراء الاختبارات و الفحوصات اللازمة و طبقا لمعايير محددة مسبقا لاختيار المرضى . خضعت المجموعة الاولى لإعادة بناء الرباط الصليبي باستخدام اوتار العضلة الخلفية للفخذ وخضعت الأخرى لنفس الجراحة باستخدام جزء من وتر العضلة الأمامية للفخذ مع جزء من عظمه الرضفة باستخدام طريقه حشر الرقعة العظمية الذاتية لتثبيت الرباط البديل. وتمت مقارنه نتائج المجموعتين قبل وبعد الجراحة من خلال مجموعه من الاستقصاءات و الاختبارات المعدة لتقييم حالات اصابات مفصل الركبة والتي تم استخدامها قبل وبعد الجراحة .
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		0	_aAnterior cruciate ligament
650		0	_aالرباط الصليبي
653		1	_aAnterior Cruciate ligament _ahamstring-quadriceps _areconstruction _apress fit
700	0		_aAlaa El-din Mohy El-din Solyman _ethesis advisor.
700	0		_aAhmed Rizk Mohamed Sayed _ethesis advisor.
700	0		_aAhmed Mahmoud Mohamed Gad _ethesis advisor.
900			_b01-01-2025 _cAlaa El-din Mohy El-din Solyman _cAhmed Rizk Mohamed Sayed _cAhmed Mahmoud Mohamed Gad _UCairo University _FFaculty of Medicine _DDepartment of Orthopedic surgery
905			_aShimaa _eEman Ghareb
942			_2ddc _cTH _e21 _n0
999			_c174312