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Correction of Genu Valgum Deformity by Temporary Hemiepiphysiodesis using
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohammed Khalid Saleh Mohammed
Staff Zu Site
Abstract In Staff Site
Journal:
Zagazig UNIVERSITY MEDICAL Journal Zagazig UNIVERSITY MEDICAL Journal
Volume:
Keywords :
Correction , Genu Valgum Deformity , Temporary Hemiepiphysiodesis
Abstract:
The rationale behind temporary hemiepiphysiodesis is to tether growth on the convex side of the deformity to allow the concave side of the physis to continue growth leading to deformity correction. Tension band plating in the form of 8-plate had been introduced by Stevens in 2007 to allow for temporary hemiepiphysiodesis. It is an easy, minimal invasive procedure that allows for early weight bearing Patients and Methods: This study included 38 patients. Genu Valgum deformity was bilateral in 24 patients (a total of 62 knees). 25 females (65.8%) and 13 males (34.2%). The cause of deformity was idiopathic in 29 patients (76.3%), post-traumatic in 5 patients (13%) and chronic renal failure in 4 patients (10.7%). Mechanical axis deviation MAD, lateral distal femoral angle LDFA and medial proximal tibial angle MPTA were recorded for all patients at presentation and on follow up for monitoring of deformity correction. Results: Mechanical axis deviation MAD corrected from lateral to medial from (Mean ± SD) 34.3 ± 14.3mm to 7.9 ± 5.3 mm. Lateral distal femoral angle LDFA corrected from (Mean ± SD) 77.9 ± 3.18 °to 90.5 ± 2.55 degrees. This was found to be statistically significant. P value <0.001. Medial proximal tibial angle MPTA was corrected from (Mean ± SD) 91.2 ± 3.64 ° to 88.7 ± 1.56°. This was found to be statistically insignificant. P value is 0.34. Conclusion: The procedure is minimal invasive approach, with easy application and extraction, continued growth after plate removal and early postoperative mobilization.
Author Related Publications
Mohammed Khalid Saleh Mohammed, "Sublaminar Decompression and Fusion in the Management of Stenotic Lumbar Degenerative Disorders", Egy Spine J, 2018
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Mohammed Khalid Saleh Mohammed, "Can Sacropelvic Fixation Improve Outcome of Long-Segment Lumbar Spine Fusion in Patients with Degenerative Lumbar Spine Disease?", EgySpineJ, 2020
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Mohammed Khalid Saleh Mohammed, "Sublaminar decompression and fusion versus transforaminal lumbar interbody fusion in management of lumbar degenerative disorders: a retrospective cohort study", Current Orthopaedic Practice, 2020
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Mohammed Khalid Saleh Mohammed, "Comparative study between closed and open reduction internal fixation of acutely displaced unstable lateral humeral condyle fracture in children", Zagazig UNIVERSITY MEDICAL Journal, 2020
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Mohammed Khalid Saleh Mohammed, "Please check your proof carefully and mark all corrections at the appropriate place in the proof (e.g., by using on-screen annotation in the PDF file) or compile them in a separate list. Note: if you opt to annotate the file with software other than Adobe Reader then please also highlight the appropriate place in the PDF file. To ensure fast publication of your paper please return your corrections within 48 hours.", ORTHTR, 2020
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Department Related Publications
Mohamed Anwar Abdel Haleem, "التهاب العصبى للعصب ما فوق عظمة اللوح نتيجة لاختناق العصب من مجراة ", لايوجد, 1900
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Mohamed Anwar Abdel Haleem, "التصوير المغناطيسي من رسم مفصل الركبة في حالات اصابة الغضروف الهلالي ", لايوجد, 1900
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Abdelsalam Eid Abdelsalam, "Dorsal closing wedge osteotomy for the treatment of Freiberg's infarction. The short term results of 11 patients.", Faculty of Medicine, Zagazig University, Egypt, 2005
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Abdelsalam Eid Abdelsalam, "A peculiar periprosthetic humeral fracture managed in a simple but effective way", Medknow publications, WKH, 2012
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Ahmed Altonsy Abdulsamie, "Anterior Cruciat ligament Reconstruction Using Hamstring Tendons With Femoral Cross-Pin And tibial Screw/Sheath Fixation", The Egyptian Orthopedic Journal –, 2009
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