Search In this Thesis
   Search In this Thesis  
العنوان
Results of vascularized fibular graft in management of congenital pseudoarthrosis of the tibia /
المؤلف
Refai, Omar Ahmed.
هيئة الاعداد
باحث / عمر أحمد رفاعي
مشرف / محمد مصطفي الشرقاوي
مناقش / جلال الدين زكي
مناقش / طارق عبد الله الجمال
الموضوع
Orthopedic surgery.
تاريخ النشر
2017.
عدد الصفحات
130 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
الناشر
تاريخ الإجازة
27/3/2018
مكان الإجازة
جامعة أسيوط - كلية الطب - orthopedics and traumatology
الفهرس
Only 14 pages are availabe for public view

from 142

from 142

Abstract

Vascularized fibular transfer is excellent option for CPT.
• Stabilizing the distal tibiofibular of the donor side helps to reduce valgus deformity of the ankle.
• Age is not a limitation in treatment of CPT with free bone transfer.
• Sex, previous surgeries and type of pseudoarthrosis do not affect the results of treatment with vascularized fibula for CPT.
• The earlier the treatment starts the earlier the union and weight bearing occurs.
• Intramedullary wire is good tool to fix the fibular graft.
• Retrograde wire is easier but an antigrade wire has less drawbacks.
• Telescoping fibula is a good solution in case of shortening.
• Treatment of concomitant pseudoarthrosis of the fibula is as essential as the tibia.
• Pedicled periosteal flap for the fibular pseudoarthrosis could be a good solution.
• The best results are achieved when tibia and fibula are both healed.
• Even with primary union, none is immune against refracture.
• Not all refractures means recurrence.
• Cast could treat simple refractures.
• ORIF can be used for resistant refractures.
• Patients with CPT should be observed until maturity is reached.