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040 _aEG-GICUC
_beng
_cEG-GICUC
_dEG-GICUC
_erda
041 0 _aeng
_beng
_bara
049 _aDeposit
082 0 4 _a616.723
092 _a616.723
_221
097 _aM.Sc
099 _aCai01.11.25.M.Sc.2025.Ab.D
100 0 _aAbdallah Yousif Abdallah Emarah,
_epreparation.
245 1 0 _aDoes subtalar arthroereisis offer better functional and radiographic outcomes compared to lateral column lengthening in treatment of pediatric flexible flat foot? :
_bA meta-analysis /
_cby Abdallah Yousif Abdallah Emarah ; Supervised Prof. Dr. Yasser Abdelfattah Radwan, Dr Ahmad Salah Muhammad Abu Taleb.
246 1 5 _aهل المسمار الرافع لعظمة الثالوث يقدم نتائج وظيفية واستعدال أفضل من تطويل الجانب الخارجي للقدم في علاج تفلطح القدم المرن عند الأطفال؟ :
_bدراسة تحليلية
264 0 _c2025.
300 _a99 pages :
_billustrations ;
_c25 cm. +
_eCD.
336 _atext
_2rda content
337 _aUnmediated
_2rdamedia
338 _avolume
_2rdacarrier
502 _aThesis (M.Sc)-Cairo University, 2025.
504 _aBibliography: pages 90-99.
520 3 _aBackground: 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.
520 3 _aدراسة 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
530 _aIssues also as CD.
546 _aText in English and abstract in Arabic & English.
650 0 _aOrthopedics
650 0 _aطب العظام
653 1 _aSubtalar Arthroereisis
_aLateral Column Lengthening (LCL)
_aflexible flat foot(FFF)
_aلعظمة الثالوث يقدم نتائج وظيفية
_aتطويل الجانب الخارجي للقدم في علاج تفلطح القدم
700 0 _aYasser Abdelfattah Radwan
_ethesis advisor.
700 0 _aAhmad Salah Muhammad Abu Taleb
_ethesis advisor.
900 _b01-01-2025
_cYasser Abdelfattah Radwan
_cAhmad Salah Muhammad Abu Taleb
_UCairo University
_FFaculty of Medicine
_DDepartment of Orthopedic
905 _aShimaa
_eEman Ghareb
942 _2ddc
_cTH
_e21
_n0
999 _c177554