000			03523cam a2200349 a 4500
003			EG-GiCUC
005			20250223032530.0
008			200303s2019 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.2019.Ba.C
100	0		_aBasem Ali Ismail Mohammed
245	1	0	_aComparative study between multidirectional locked tibial intramedullary nail and ilizarov in management of extra-articular distal tibial fractures / _cBasem Ali Ismail Mohammed ; Supervised Mohammed Elzawahry , Ahmed Kholeif , Abobakr Zein Mohamed
246	1	5	_aدراسة مقارنة بين التثبيت من خلال المسمار النخاعي التشابكي متعدد الاتجاهات لعظمة الساق والمثبت الخارجي إليزاروف لكسور أسفل القصبة الغير ممتدة لسطح المفصل
260			_aCairo : _bBasem Ali Ismail Mohammed , _c2019
300			_a162 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery
520			_aBackground: The complex biomechanics of distal tibial fractures, lack of robust soft tissue coverage and a wide metaphysis makes their treatment a challenging prospect even for experienced surgeons. Methods: A total of 60 patients of distal tibia extra articular fracture were randomly treated with multidirectional intramedullary nailing and ILIZAROV. Fibula was fixed in selected cases either with nailing or a low profile plate. Outcome was measured with using subjective and objective criteria of Ovadia. Results: In this study 60 patients included 30 patients treated with multidirectional IM nail and 30 patients treated with ILIZAROV. Fractures were classified according to AO classification. In present study, Fibular fractures were present in all patients Fibular osteosynthesis was performed in twenty patients (23.3%). patients of nail group ,seven patients had an intramedullary K-wire due to soft tissue compromise.and in thirteen (43.3%) patients of Ilizarov group . seven patients had an intramedullary K-wire due to soft tissue compromise , six patient had one third tubular plate fixation . In the study all the fractures united except one ILIZAROV case. Mean time for union was 19 weeks. Time range for union was from 16-24 weeks. Nine patients of both groups had mal-alignment. One patient had superficial infection which was treated with oral antibiotics. in nail group there was twenty five cases(83.3%) of excellent results, three cases (10%) of good results, two cases (6.7%) of fair results.In Ilizarov groupthere was twenty two cases(73.3%) of excellent results, six cases (20%) of good results, one case (3.3%) of fair results. and one case (6.3%)of poor results in the current series. Conclusions:EXPERT nail and Ilizarov fixation technique yields good to excellent clinical outcomes with accepted functional outcome for management of the distal extra articular tibia fractures
530			_aIssued also as CD
653		4	_aDistal tibialextra articular fractures
653		4	_aILIZAROV
653		4	_aMultidirectional Intramedullary nailing,
700	0		_aAbobakr Zein Mohamed , _eSupervisor
700	0		_aAhmed Kholeif , _eSupervisor
700	0		_aMohammed Elzawahry , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c76852 _d76852