000			02963cam a2200349 a 4500
003			EG-GiCUC
005			20250223032623.0
008			201104s2020 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.2020.Mo.S
100	0		_aMohammed Elsayed Eltohamy
245	1	0	_aSingle bundle A.C.L. reconstruction in partial Injuries of A.C.L. / _cMohammed Elsayed Eltohamy ; Supervised Alaa Mohie Eldin , Hisham Misbah , Hazem Ahmed Farouk
246	1	5	_aالعلاج الجراحى للقطع الجزئى للرباط الصليبى الامامى
260			_aCairo : _bMohammed Elsayed Eltohamy , _c2020
300			_a131 P . : _bcharts , facsmilies ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery
520			_aBackground: A partial rupture is likely secondary to the fact that the two bundles of the ACL have a synergistic yet distinctly different biomechanical function at different knee flexion angles. Recent interest focused on establishing pre and intraoperative ways of assessing the different types of symptomatic one bundle tears in order to perform an individual ACL augmentation. Treatment of partial ACL tears depends entirely on making an accurate diagnosis and determining degree of impairment. For some patients with partial tears, little morbidity is associated with the injury, and knee stability may be adequate for participation in sports and for all activities of daily living. Treatment in this scenario is largely supportive recommending that the patient take the time to recover from the initial injury and, after rehabilitation, to make a gradual return to sport. Operative intervention is needed in other cases, but such a decision should be taken while considering various factors, this includes: age, activity level, degree of laxity on physical examination, associated injuries, and symptomatic instability. Most clinicians would agree that symptomatic and debilitating instability require a more aggressive approach, likely in the form of operative intervention. The ACL augmentation is performed similar to a (traditional) single bundle technique while sparing the intact ACL fibers. This may support mechanical strength of the reconstruction, especially in the early postoperative period, and may maintain mechanoreceptors, neural elements and blood vessels to allow better proprioception, vascularization and an accelerated rehabilitation with faster return to sports
530			_aIssued also as CD
653		4	_aBundle
653		4	_aInjuries
653		4	_aReconstruction
700	0		_aAlaa Mohie Eldin , _eSupervisor
700	0		_aHazem Ahmed Farouk , _eSupervisor
700	0		_aHisham Misbah , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aAmira _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c78566 _d78566