000			02974cam a2200349 a 4500
003			EG-GiCUC
005			20250223032858.0
008			211211s2021 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.Ah.I
100	0		_aAhmed Ibrahim Helmy
245	1	0	_aIntramedullary fixation vs arthroplasty management of trochanteric fractures in elderly patients : _bA systematic review and meta-analysis study / _cAhmed Ibrahim Helmy ; Supervised Mohamed Abdelhalim Kaddah , Mohamed Samir Gobba , Elsayed Mohamed Kassem
246	1	5	_aدراسة المراجعة المنهجية والتحليل التلوى فى مقارنة النتائج بين إستخدام المسمار النخاعى الفخذى وعمليات إستبدال وتقويم مفصل الفخذ لكسور الفخذ ما بين المدورين فى المرضى الذين تزيد اعمارهم عن ٦٠ عاماً
260			_aCairo : _bAhmed Ibrahim Helmy , _c2021
300			_a136 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
520			_aIntertrochanteric fractures of the femur are very common in elderly people. Their incidence has increased due to the increased life expectancy and osteoporosis; fall is the main cause of injuries.¹ Most of the classification systems for intertrochanteric fractures have poor reliability and reproducibility. Intertrochanteric fractures are considered unstable in the presence of a comminuted posteromedial cortex, reverse obliquity, and subtrochanteric extension.² Early operation within 12 hours to 48 hours is mandatory in the relatively fit patients.The surgical goal is to achieve a painless and stable lower limb with early return of function, with the lowest rates of mortality and morbidity.³ As restoration of the preoperative ambulatory level correlated with survival rate after 1 year⁴ and elderly patients are often unable to cooperate with partial weight bearing, the primary stability of the device is crucial to allow early mobilization to prevent cardio-pulmonary complications and thrombosis.5 The mainstay of treatment of intertrochanteric hip fractures is internal fixation. Arthroplasty may be considered as a primary treatment in patients with highly unstable factures with poor bone quality, ipsilateral hip arthritis, or other conditions with a higher risk for early failure.⁵
530			_aIssued also as CD
653		4	_aHip Arthroplasty
653		4	_aIntertrochanteric
653		4	_aIntramedullary Fixation
700	0		_aElsayed Mohamed Kassem , _eSupervisor
700	0		_aMohamed Abdelhalim Kaddah , _eSupervisor
700	0		_aMohamed Samir Gobba , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c83492 _d83492