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Correction of Genu Valgum Deformity by Temporary Hemiepiphysiodesis Using 8-Plate.
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Sherif Abdeltawab Abdelmoneim Elagamy
Staff Zu Site
Abstract In Staff Site
Journal:
ZAGAZIG UNIVERSITY MEDICAL GOURNAL ZAGAZIG UNIVERSITY MEDICAL GOURNAL
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
Sherif Abdeltawab Abdelmoneim Elagamy, "Can Sacropelvic Fixation Improve Outcome of Long-Segment Lumbar Spine Fusion in Patients with Degenerative Lumbar Spine diseases?", EGYPTIAN SPINE JOURNAL, 2020
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Sherif Abdeltawab Abdelmoneim Elagamy, "clinical and radiological outcomesof transforaminal lumbar interbody fusion in low grade spondylolithesis", journal of spine and neurosurgery, 2015
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Sherif Abdeltawab Abdelmoneim Elagamy, "posterior interbody fusion versus posterolateral fusion in treatment of segmental lumbar spinal instability", zagazig medical university journal, 2012
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Sherif Abdeltawab Abdelmoneim Elagamy, "Evaluation of Posterior -Only Approach Using Ponte and Fusion Mass Osteotomies in Management of Revision Spinal Deformities", EGYPTIAN SPINE JOURNAL, 2019
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Sherif Abdeltawab Abdelmoneim Elagamy, "Comparative study between closed and open reduction internal fixation of acutely displaced unstable lateral humeral condyle fracture in children", HEALTH, INCWOLTERS KLUWER, 2021
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Department Related Publications
Ahmed Hatem Farhan Imam, "Management of Osteochondral Defects in the Knee via Osteochondral Autograft Plug Transfer: An Assessment of the Short-term Results", Egyptian orthopaedic Journa, 2021
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Ahmed Hatem Farhan Imam, "Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study", Advances in Orthopedics, 2021
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Ahmed Hatem Farhan Imam, "Global posterior elbow approach versus dual lateral and medial elbow approaches in the management of terrible triad injury of the elbow", Egyptian orthopaedic Journa, 2022
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Ahmed Hatem Farhan Imam, "Satisfactory Functional Results and Complication Rates After Anterior Glenoid Bone Block Reconstruction in Recurrent Shoulder Dislocation: A Mean 4-Year Follow-up Comparative Study", Egyptian orthopaedic Journal, 2022
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Ahmed Hatem Farhan Imam, "Outcomes of different Surgical Methods in Fixation of Mid-Shaft Clavicle Fractures", Egyptian orthopaedic Journal:, 2022
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