000			03306cam a2200337 a 4500
003			EG-GiCUC
005			20250223032850.0
008			211122s2021 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.25.M.Sc.2021.Ab.O
100	0		_aAbdulrahman Mahmoud Abdelghani Alafandi
245	1	0	_aOutcome of internal fixation of intra-articular fractures of the distal radius using polyaxial volar plate / _cAbdulrahman Mahmoud Abdelghani Alafandi ; Supervised Nasser Osman Elkoussy , Ahmed Ali Afifi
246	1	5	_aنتائج التثبيت الداخلى لكسور أسفلعظمة الكعبرة الممتدة لسطح مفصل الرسغ بواسطة شريحة أمامية متعددة المحاور
260			_aCairo : _bAbdulrahman Mahmoud Abdelghani Alafandi , _c2021
300			_a117 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
520			_aBackground and aims Distal radius fractures are common injuries that have a considerable impact on health care systems.The advent of variable angle volar locking plates designed specifically for fractures of the distal radius has resulted in a major shift away from fixed angle plates, conventional plates and percutaneous fixation of these injuries. However, comparative studies have not always showed better outcomes than those less expensive techniques.Variable angle locking plates are biomechanically sound for the management of intra-articular fractures of the distal radius.They also minimize the risk of joint perforation. The primary research objective was to determine whether the use of volar distal radius variable angle locking compression plates improves functional outcome of intra-articular distal radial fractures in the short and medium term. The secondary objectives were to determine whether this plate also improves clinical and radiological measurable outcomes and the complication rate Methods A prospective case series recruiting 20 skeletally mature patients with isolated intra-articular distal radius fractures, and conducted in a tertiary care institute. Outcome assessments were conducted at 6 months post operative. The primary outcome measure was the QuickDASH score. Secondary outcomes included range of motion and grip strength measurements, modified Mayo wrist score and radiological parameter measurements. The 2.4mm distal radius variable angle locking compression plate was used Results At the end of the 6 month follow up period, the mean QuickDASH score was 15. 80% of palmar/dorsiflexion and 90% of supination/pronation ranges of the uninjured contralateral side were regained and80.5% of Grip strengthof the uninjured contralateral side was regained.Radiologically, all unions were within normal anatomical ranges.The complication rate was 25%
530			_aIssued also as CD
653		4	_aDistal radius
653		4	_aIntraarticular fracture
653		4	_aVariable angle
700	0		_aAhmed Ali Afifi , _eSupervisor
700	0		_aNasser Osman Elkoussy , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c83251 _d83251