000			03216cam a2200349 a 4500
003			EG-GiCUC
005			20250223032109.0
008			181101s2018 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.2018.Ah.C
100	0		_aAhmad Salah Muhammad Abutaleb
245	1	0	_aCombined latarjet and remplissage vs latarjet only in management of recurrent anterior shoulder dislocation with significant bipolar bony defects / _cAhmad Salah Muhammad Abu Taleb ; Supervised Khaled Abdelsalam Shohayeb , Waleed Reda , Ahmad Fouad Seif Eldin
246	1	5	_aمقارنه ما بين الجمع بين عمليه لاترجيه و ملئ الفراغ العظمى لعظمه العضد (هيل ساكس) و عمليه لاترجيه وحدها فى علاج خلع الكتف الأمامى المتكرر المصحوب بفقدان عظمى معتبر ثنائى القطبين
260			_aCairo : _bAhmad Salah Muhammad Abutaleb , _c2018
300			_a165 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery
520			_aThus, the concept of {u2018}bipolar bone loss{u2019} has emerged as critical in the surgical treatment of recurrent shoulder instability. Surgeons should adopt a treatment paradigm that focuses on the relationship between both osseous defects and incorporates a surgical tactic to appropriately address each lesion. Pathology related to glenohumeral instability is further described in terms of the tissue avulsed, the location of the avulsion and the pathoanatomic features of the associated osseous injuries.(3). Latarjet procedure has been performed with success in cases with glenoid bone loss to increase the articular arc resulting in decreased rates of recurrence from 67% to 4.9%.(4). Arthroscopic remplissage also prevented engagement when performed as a complementary step in arthroscopic Bankart repair associated with large hill-sachs defects.(5).The purpose of this study was to compare, in a randomized controlled trial, the short-term functional outcome and recurrence rates in patients with significant bipolar bony lesions. Two treatment plans were compared, combined arthroscopic remplissage and open Latarjet procedure versus Latarjet alone. The following were addressed and documented: Radiological assessment and quantification of anterior glenoid bone loss and Hill-Sachs defect using different methods. Postoperative range of motion (ROM) compared to preoperative values. Postoperative constant-Murley and Rowe instability scores compared to preoperative scores. Comparison of the above-mentioned items between both groups. Recurrence of shoulder dislocation in the 2 groups
530			_aIssued also as CD
653		4	_aCombined
653		4	_aLatarjet
653		4	_aOnly in management
700	0		_aAhmad Fouad Seif Eldin , _eSupervisor
700	0		_aKhaled Abdelsalam Shohayeb , _eSupervisor
700	0		_aWaleed Reda , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c68277 _d68277