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Mid-term results of sub-trochanteric valgus osteotomy for symptomatic late stages Legg-Calvé-Perthes disease

World Journal of Orthopedics 2023年第5期14卷 328-339页

作者： Khaled M Emara Ramy Ahmed Diab Ahmed K Emara Mohamed Eissa Mostafa Gemeah shady abdelghaffar mahmoud Department of Orthopedic Surgery Ain Shams UniversityCairo 11591Egypt Department of Orthopedic Surgery Cleveland Clinic FoundationClevelandOH 9500United States Health Care Innovation Program Arizona State UniversityTempeAZ 85287United States

BACKGROUND The treatment of late stages of Legg-Calvé-Perthes disease(LCPD)is *** the concept of femoral head containment is a well-established technique of treatment,its use remains debatable in the late stages of the disease,as it does not improve symptoms in terms of limb length discrepancy and *** To assess the results of subtrochanteric valgus osteotomy in symptomatic patients with late-stage Perthes *** From 2000 to 2007,36 symptomatic patients with late stage of Perthes disease were surgically treated with subtrochanteric valgus osteotomy and followed-up for 8 to 11 years using the IOWA score and range of motion(ROM)*** Mose classification was also assessed at the last follow-up to reflect possible *** patients were 8 years old or older at the time of surgery,in the post-fragmentation stage,and complaining of pain,limited ROM,Trendelenburg gait,and/or abductor *** The preoperative IOWA score(average:53.3)markedly improved at the 1-year post follow-up period(average:85.41)and then slightly improved at the last follow-up(average:89.4)(P value<0.05).ROM improved,with internal rotation increased on average by 22°(from 10°preoperatively to 32°postoperatively)and abduction increased on average by 15.9°(from 25°preoperatively to 41°postoperatively).The mean Mose deviation of femoral heads was 4.1 mm at the end of the follow-up *** tests used were the paired t-test and Pearson correlation test,where the level of significance was a P value less than *** Subtrochanteric valgus osteotomy can be a good option for symptomatic relief in patients with late-stage of LCPD.

关键词： Legg-Calvé-Perthes disease Femoral head avascular necrosis Valgus osteotomy Deformity correction Post fragmentation stage Late stage Perthes

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Virtual orthopedic assessment:Main principles and specific regions

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World Journal of Orthopedics 2021年第9期12卷 672-684页

作者： Khaled M Emara Ramy Ahmed Diab Mohamed Amr shady abdelghaffar mahmoud Mohamed Nour Ahmed Abdelsalam mahmoud Ahmed Elshobaky Mona Farhan Mostafa Gemeah Ahmed K Emara Orthopedic Surgery Department Ain Shams UniversityCairo 11566Egypt Orthopedic Surgery Department Bank Ahly HospitalCairo 11566Egypt Department of Health Care Innovation Arizona State UniversityArizonaAZ 85287United States Department of Orthopedic Surgery Cleveland ClinicOhioNY 44195United States

Telemedicine was originally created as a way to treat patients who were located in remote places far away from local health facilities or in areas with shortages of medical *** is still used today to address those problems,and is increasingly becoming a tool for convenient medical *** the emergence of pandemics,telemedicine became almost a mandatory and valuable option for continuing to provide medical care in various *** the threat of pandemic progress has continued for months and may continue for years,it is essential to validate existing tools to maintain clinical assessment and patient treatment to avoid negative consequences of the lack of medical ***,the establishment of a virtual assessment technique that can be conducted effectively is of outmost importance as a way of adapting to the current *** study evaluated the role of telemedicine in the assessment of various orthopedic pathologies by means of a systematic virtual evaluation.

关键词： Telemedicine Virtual assessment Orthopedics Epidemic diseases

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