000 02833cam a2200349 a 4500
003 EG-GiCUC
005 20250223032258.0
008 190509s2018 ua h 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.Mo.S
100 0 _aMohamed Awwad Abdeltawab
245 1 0 _aSurgical correction of residual deformities after ponseti treatment of club feet in walking children /
_cMohamed Awwad Abdeltawab ; Supervised Mohamed Abdelmonem Elsobky , Mohamed Hegazi , Amr Arafa
246 1 5 _aالعلاج الجراحى للتشوهات المتبقيه بعد العلاج بطريقة بونستى للقدم المخلبيه للاطفال بعد عمر المشى
260 _aCairo :
_bMohamed Awwad Abdeltawab ,
_c2018
300 _a137 P. :
_bfacsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
520 _aClubfoot (congenital talipes equinovarus) is one of the most common birth deformities involving the musculoskeletal system. It consists of four components: fore-foot cavus, fore-foot adduction, hind-foot varus, and hind-foot equinus. There is almost a universal agreement on the good result of non-operative treatment of clubfoot deformity represented in Ponseti casting technique. Clubfoot relapses or residual deformities after ponseti treatment continue to be a problem in caring for the children with club feet especially in walking age. In our study 35 feet in 29 children with residual deformities of clubfoot previously treated by Ponseti serial casting underwent different selective surgical procedures (soft tissue and bony procedures) according to the residual deformity present, the age of the patient, and the rigidity of the deformity. Comparison between pre and post-operative values was done using paired t test. P values less than 0.05 was considered statistically significant. We used the Pirani score to classify the postoperative results to 4 categories; excellent result (Pirani score 0): 17 cases (48%), good results (Pirani score 0.5 --1): 10 cases (29%), fair result (Pirani score 1.5- 2): 7 cases (20%), poor result (Pirani score 2.5- 6): 1 case (3%). Finally, we concluded that combined ponseti technique and selective surgery is effective for management of the residual deformities of club foot in walking children
530 _aIssued also as CD
653 4 _aClub foot
653 4 _aPonseti treatment
653 4 _aResidual deformity
700 0 _aAmr Arafa ,
_eSupervisor
700 0 _aMohamed Abdelmonem Elsobky ,
_eSupervisor
700 0 _aMohamed Hegazi ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c71883
_d71883