الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 120 |  |  |
| | | from | 120 | | |
Abstract
Summary
he aim of this work is to provide cumulative data about the efficacy and safety of different surgical reconstruction techniques for distal tibial deformities secondary to post-
traumatic physeal arrest.
Meta-analysis study was done on 4 studies which described Ilizarov technique for distal tibial deformities secondary to post-traumatic physeal arrest; with overall number of patients (N=42).
Systematic review and Meta-analysis study was done on 4 studies which described Epiphysiodesis technique for distal tibial deformities secondary to post-traumatic physeal arrest; with overall number of patients (N=142).
Systematic review and Meta-analysis study was done on 5 studies which described supramalleolar osteotomy technique for distal tibial deformities secondary to post- traumatic physeal arrest; with overall number of patients (N=57).
Meta-analysis results:
The pooling analysis reported that mLDAT was 96.910 degree. The pooling analysis reported that MDA was 4.34.
Summary
89
The estimated elongation was 2.547 cm. there were no deformity recurrence after Ilizarov technique.
Regarding outcome after supramalleolar osteotomy, The pooling analysis revealed a significant elongation (2.91 mm), improvement of AOFAS and LDAT (102.27 degree). There were no wound infection after supramalleolar osteotomy techniques. The incidence of delayed union after supramalleolar osteotomy techniques was 0.11.
After epiphysiodesis techniques, the estimated LDTA was
88.8 degree. The pooling analysis revealed increasing in LDTA by 9.142. The rate of correction per month was 0.467 degree. Incidence of fibular station improvement was 0.214 after epiphysiodesis techniques. There were no hardware failure, infection, premature physeal closure and no needing for osteotomy. The estimated incidence of screw loosening or migration was 0.059 after epiphysiodesis techniques.
It is concluded that, Supramalleolar osteotomy techniques for corrections of post-traumatic physeal arrest ankle deformities showed more post-operative LDTA and elongation rate compared with epiphysiodesis and Ilizarov techniques but may cause delayed union. Ilizarov technique showed better efficacy and safety profiles, compared to
Summary
90
Epiphysiodesis. Which also, showed relatively good efficacy and safety especially in children with post-traumatic physeal arrest ankle deformities.