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العنوان
A comparative study between proximal tibial osteotomy alone versus proximal tibial osteotomy with fibular osteotomy in management of genu varum in children /
الناشر
Ramy Mohammed Abdelfattah Mohammed ,
المؤلف
Ramy Mohammed Abdelfattah Mohammed
هيئة الاعداد
باحث / Ramy Mohammed Abd-Elfattah Mohammed
مشرف / Yehia Nour Eldeen Tarraf
مشرف / Hassan Magdy Mohammed Al Barbary
مشرف / Amr Said Arafa
تاريخ النشر
2021
عدد الصفحات
129 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
14/11/2020
مكان الإجازة
جامعة القاهرة - كلية الطب - Orthopedic Surgery
الفهرس
Only 14 pages are availabe for public view

from 164

from 164

Abstract

Background: Pediatric bow knee (genu-varum) is a very common orthopedic presentation, different types of surgical procedures have been described for correction of pathological type of this presentation. In this study we have compared between two of these methods (proximal tibial osteotomy alone versus proximal tibial osteotomy with fibular osteotomy). Methods: This is a randomized controlled comparative study aiming to evaluate and compare the efficacy (clinical and radiological) and safety of both techniques in correction of angular knee deformities in skeletally immature patients. 20 patients for each method with total 75 deformed limbs, proximal tibial osteotomy alone group named (group I) and proximal tibial osteotomy with fibular osteotomy group named (group II). Results: Both groups showed significant radiological improvement in I.C distance, mLDFA, MPTA and mechanical axis deviation post-operative, but (group I) showed less correction of mechanical axis by increasing the age or the severity of the deformity. Conclusions: The two surgical procedures are reliable methods of correction of genu-varum deformity in children before maturity with some precautions to reduce rate of complications reported with each method