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العنوان
Comparative Study between Short Toothed Plate and Locked T-Plate on Medial Wedge Opening High Tibial Osteotomy /
المؤلف
Gergis, Ibraam Alkes Antonios Alkomos.
هيئة الاعداد
باحث / ابرام القس انطونيوس القمص
مشرف / ماھر عبدالسلام العسال
مناقش / هشام عبد الرحيم القاضي
مناقش / احمد عبد العزيز محمد
الموضوع
Traumatology.
تاريخ النشر
2015.
عدد الصفحات
69 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
الناشر
تاريخ الإجازة
28/6/2015
مكان الإجازة
جامعة أسيوط - كلية الطب - Orthopaedic Surgery and Traumatology
الفهرس
Only 14 pages are availabe for public view

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Abstract

High tibial osteotomy is effective for managing a variety of knee conditions including gonarthrosis with varus malalignment.
Prospective comparative study between locked T-plate and short toothed plate on medial wedge opening high tibial osteotomy , Our study is performed on 100 patients ,all have gonarthrosis with varus malalignment of the knee , In 50 patients in our study fixation is done by short toothed plate and in the other 50 patients T-locked plate is used. The final end results have been assessed according to the knee society score .Mean age is 45.7 and 43.9 years old for T-locked and short toothed plate respectively . Mean anatomical axis is 3.3 and 3.4 degree pre-operative for T-locked and short toothed plate respectively .
Significant improvement in knee society score is better with T-locked plate ,Overcorrection is more common with locked plate 10 %, Undercorrection is more common with short toothed plate 21% , HTO can be done for patient more than 55 years old with significant improvement in knee society score .complication rate is more with short toothed plate 20 % (intra-operative tibial plateau fracture 20 % , non-union 2% ) compared with 8 % with T-locked plate ,so it may need to be well skillfull to avoid fracture of the lateral cortex.