000			03205cam a2200349 a 4500
003			EG-GiCUC
005			20250223032709.0
008			210228s2020 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.Ah.D
100	0		_aAhmed Hamdi Ali
245	1	0	_aDifferent methods of treatment of distal radius fracture including external fixator with kirschner wires augmentation and internal fixation / _cAhmed Hamdi Ali ; Supervised Nasser Othman Elkoussy , Ahmed Samir Barakat , Tarek Abdulkhalek
246	1	5	_aالطرق المختلفة لعلاج كسر أسفل عظمة الكعبرة باستخدام المثبت الخارجي والأسلاك المعدنية أو باستخدام التثبيت الداخلى
260			_aCairo : _bAhmed Hamdi Ali , _c2020
300			_a154 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery
520			_aDistal radius fractures are the most common fractures of the upper extremity, representing approximately one-sixth of all fractures treated in the emergency room. Falling on the out-stretched hand is the most common mode of trauma. Various classification systems are used to classify distal radius fractures; in this study, the AO classification system was used. There are different methods for treatment of this type of fractures including casting, percutaneous pinning, ORIF by plate and screws, external fixation with or without K-wires augmentation and a combination of the above methods. In this study, forty patients with intra-articular fracture distal radius were managed over 18 months , 20 patients were managed by ORIF with plating and the other 20 patients were managed by external fixator with K-wires augmentation , 34 patients were males and 6 were females with age ranging from 22 to 83 years with a mean of 39.8. Green & O{u2019}Brien and Sarmiento scoring systems were used in assessment of the patients. According to Green and O'Brien score, ORIF group had better functional outcomes when compared to external fixation group; 90% of the ORIF group had accepted functional outcomes as compared to 75% of external fixation group. The radiographic results in the ORIF group were more favorable than in the external fixation group according to Sarmiento score. The percentage of patients with acceptable radiological parameters in ORIF group was 95% while in the external fixation group it was 85 %. In addition, ORIF had an overall decreased incidence of complications compared with external fixation; 20% of patients in ORIF group developed complications, in comparison to 25% in external fixation group
530			_aIssued also as CD
653		4	_aInternal fixation
653		4	_aKirschner wires
653		4	_aTreatment of distal radius
700	0		_aAhmed Samir Barakat , _eSupervisor
700	0		_aNasser Othman Elkoussy , _eSupervisor
700	0		_aTarek Abdulkhalek , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c80039 _d80039