Pub Date : 2023-08-11DOI: 10.21608/ijma.2023.167712.1524
Mohamed Arafa Shehata, M. Sharf, Ali El-komity, A. Abdelattif
Article information Background: Perioperative pain control largely affects postoperative recovery and surgical outcome. Post-operative pain after knee surgery may delay early ambulation and impair quality of recovery. Relieving postoperative pain provides functional recovery which leads to early rehabilitation. Aim of the work: To evaluate and compare postoperative analgesia and efficiency of IPACK in combination with ACB with IPACK alone using the visual analogue scale [VAS] for postoperative pain assessment after knee arthroscopic surgery as primary outcome. Also, hemodynamic changes, total opioid consumption and patient satisfaction as secondary outcomes. Patients and Methods: This prospective comparative randomized clinical trial included 60 patients, aged 21-60 years, who underwent elective knee arthroscopic surgery. They were divided into two groups; group I [control group]: a local anesthetic was injected between the popliteal artery and the knee joint capsule. This procedure is known as an IPACK block, and group II [ACB group] received IPACK block plus adductor canal block [ACB]. Results: Our study demonstrated that there was a statistically significant lower pain score assessed by VAS score after 16 hours among IPACK plus ACB group than IPACK alone group with p-value <0.001. Also, there was a statistically significant increased 1st time for request analgesia and increased patient satisfaction in IPACK+ ACB compared to IPACK alone with p-value <0.001. Also, there is a statistically significant higher MAP and HR at 16 hours with IPACK alone group compared to IPACK+ Adductor block group with p-value <0.05. Conclusion: Combination of IPACK and ACB after knee surgeries better than IPACK alone regarding reducing postoperative pain, 1 st time to rescue analgesia and patient satisfaction, with less effects on hemodynamics.
{"title":"Ultrasound Guided Infiltration of Popliteal Artery and Capsule of Knee [IPACK] versus IPACK with Adductor Canal Block [ACB] for Postoperative Knee Surgery Analgesia: A Comparative Study","authors":"Mohamed Arafa Shehata, M. Sharf, Ali El-komity, A. Abdelattif","doi":"10.21608/ijma.2023.167712.1524","DOIUrl":"https://doi.org/10.21608/ijma.2023.167712.1524","url":null,"abstract":"Article information Background: Perioperative pain control largely affects postoperative recovery and surgical outcome. Post-operative pain after knee surgery may delay early ambulation and impair quality of recovery. Relieving postoperative pain provides functional recovery which leads to early rehabilitation. Aim of the work: To evaluate and compare postoperative analgesia and efficiency of IPACK in combination with ACB with IPACK alone using the visual analogue scale [VAS] for postoperative pain assessment after knee arthroscopic surgery as primary outcome. Also, hemodynamic changes, total opioid consumption and patient satisfaction as secondary outcomes. Patients and Methods: This prospective comparative randomized clinical trial included 60 patients, aged 21-60 years, who underwent elective knee arthroscopic surgery. They were divided into two groups; group I [control group]: a local anesthetic was injected between the popliteal artery and the knee joint capsule. This procedure is known as an IPACK block, and group II [ACB group] received IPACK block plus adductor canal block [ACB]. Results: Our study demonstrated that there was a statistically significant lower pain score assessed by VAS score after 16 hours among IPACK plus ACB group than IPACK alone group with p-value <0.001. Also, there was a statistically significant increased 1st time for request analgesia and increased patient satisfaction in IPACK+ ACB compared to IPACK alone with p-value <0.001. Also, there is a statistically significant higher MAP and HR at 16 hours with IPACK alone group compared to IPACK+ Adductor block group with p-value <0.05. Conclusion: Combination of IPACK and ACB after knee surgeries better than IPACK alone regarding reducing postoperative pain, 1 st time to rescue analgesia and patient satisfaction, with less effects on hemodynamics.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68512932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-11DOI: 10.21608/ijma.2023.212954.1693
A. Marai
Article information Background: Preterm birth affects 11% of pregnancies and can result in serious complications. Cervical insufficiency is a frequent reason for preterm birth and also can be treated with vaginal cervical cerclage using different types of sutures. Observational studies suggest that monofilament sutures may decrease pregnancy loss compared to braided sutures, but randomized controlled studies are needed to confirm this finding. Aim of the work: The research aims to assess the efficacy of monofilament versus braided sutures in preventing miscarriage for women undergoing vaginal cervical cerclage. Patients and Methods: This trial was done in Obstetrics and Gynecology Department, El-Hussein University Hospital, from January 2020 to November 2022. There were 201 participants in the study. Individuals were monitored in the obstetrics and gynecological clinics at El-Hussein University Hospital, Faculty of Medicine, Al-Azhar University. Females with a singleton pregnancy and a cervical cerclage indicator were split evenly amongst receiving a monofilament or braided suture. Pregnancy loss was the fundamental result; secondary outcomes included maternal and neonatal outcomes. Surgeons were permitted to employ any method they found most effective. Results: No significant variances were present in baseline characteristics, pregnancy and maternal outcomes, and neonatal outcomes between the two study groups. However, the Monofilament suture group had significantly more complications with cerclage removal. Conclusion: Both monofilament and braided sutures are effective and safe procedures with minimal side effects and complications. Although monofilament suture may cause more difficult removal and removal complications, it remains a viable option for treating cervical insufficiency.
{"title":"Comparing the Effect of Monofilament and Braided Suture on Pregnancy Loss Rates in Women Requiring Vaginal Cervical Cerclage","authors":"A. Marai","doi":"10.21608/ijma.2023.212954.1693","DOIUrl":"https://doi.org/10.21608/ijma.2023.212954.1693","url":null,"abstract":"Article information Background: Preterm birth affects 11% of pregnancies and can result in serious complications. Cervical insufficiency is a frequent reason for preterm birth and also can be treated with vaginal cervical cerclage using different types of sutures. Observational studies suggest that monofilament sutures may decrease pregnancy loss compared to braided sutures, but randomized controlled studies are needed to confirm this finding. Aim of the work: The research aims to assess the efficacy of monofilament versus braided sutures in preventing miscarriage for women undergoing vaginal cervical cerclage. Patients and Methods: This trial was done in Obstetrics and Gynecology Department, El-Hussein University Hospital, from January 2020 to November 2022. There were 201 participants in the study. Individuals were monitored in the obstetrics and gynecological clinics at El-Hussein University Hospital, Faculty of Medicine, Al-Azhar University. Females with a singleton pregnancy and a cervical cerclage indicator were split evenly amongst receiving a monofilament or braided suture. Pregnancy loss was the fundamental result; secondary outcomes included maternal and neonatal outcomes. Surgeons were permitted to employ any method they found most effective. Results: No significant variances were present in baseline characteristics, pregnancy and maternal outcomes, and neonatal outcomes between the two study groups. However, the Monofilament suture group had significantly more complications with cerclage removal. Conclusion: Both monofilament and braided sutures are effective and safe procedures with minimal side effects and complications. Although monofilament suture may cause more difficult removal and removal complications, it remains a viable option for treating cervical insufficiency.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47203387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-11DOI: 10.21608/ijma.2023.217901.1709
A. Gabr, H. Elkhatib, S. Rabei, Ahmed Ebraheem, Mohamad Sakr
Article information Background: Stroke is a big health issue all over the world and it can cause mental and physical problems that happen often and make it hard to live a normal life. Besides, there is proof that these after-effects slow down healing. Many people experience mental problems after having a stroke, both immediately and for a long time afterwards. Brain damage can be caused by problems with brain connections, blood flow, energy use, nerve damage, and pressure from bleeding in the skull. Aim of the work: This study aimed to identify mental disorders among in-hospital patients with acute ischemic stroke. Patients and Methods: This was a cross-sectional study. 69 Patients with a diagnosis of acute ischemic stroke admitted underwent neuropsychiatric evaluations. Results: We looked at 69 people for our study. 31% of them had mental health problems like Panic disorder, generalized anxiety, depressive episode, and psychotic disorders. Most of them were men and around 67 years old on average. The age of a person, their symptoms related to their nervous system, and where the area of damage is in their brain are related to possible mental health problems. Conclusion: Doctors need to check if stroke patients have mental health problems and treat them as part of their recovery.
{"title":"Psychiatric Disorders in Patients with Acute Ischemic Stroke","authors":"A. Gabr, H. Elkhatib, S. Rabei, Ahmed Ebraheem, Mohamad Sakr","doi":"10.21608/ijma.2023.217901.1709","DOIUrl":"https://doi.org/10.21608/ijma.2023.217901.1709","url":null,"abstract":"Article information Background: Stroke is a big health issue all over the world and it can cause mental and physical problems that happen often and make it hard to live a normal life. Besides, there is proof that these after-effects slow down healing. Many people experience mental problems after having a stroke, both immediately and for a long time afterwards. Brain damage can be caused by problems with brain connections, blood flow, energy use, nerve damage, and pressure from bleeding in the skull. Aim of the work: This study aimed to identify mental disorders among in-hospital patients with acute ischemic stroke. Patients and Methods: This was a cross-sectional study. 69 Patients with a diagnosis of acute ischemic stroke admitted underwent neuropsychiatric evaluations. Results: We looked at 69 people for our study. 31% of them had mental health problems like Panic disorder, generalized anxiety, depressive episode, and psychotic disorders. Most of them were men and around 67 years old on average. The age of a person, their symptoms related to their nervous system, and where the area of damage is in their brain are related to possible mental health problems. Conclusion: Doctors need to check if stroke patients have mental health problems and treat them as part of their recovery.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45460309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-02DOI: 10.21608/ijma.2023.310782.1734
El Sayed Elbanna, M. Negm, A. Hammoda
{"title":"Growth Preservation Surgery for Correction of Early Onset Scoliosis","authors":"El Sayed Elbanna, M. Negm, A. Hammoda","doi":"10.21608/ijma.2023.310782.1734","DOIUrl":"https://doi.org/10.21608/ijma.2023.310782.1734","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41753510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-01DOI: 10.21608/ijma.2023.171453.1536
A. Shawqy Elbialy, Ali Mahrous, Wael Ismaiel
ABSTRACT
{"title":"The Outcome of Canal Wall Up versus Canal Wall Down Mastoidectomy in Cholesteatoma","authors":"A. Shawqy Elbialy, Ali Mahrous, Wael Ismaiel","doi":"10.21608/ijma.2023.171453.1536","DOIUrl":"https://doi.org/10.21608/ijma.2023.171453.1536","url":null,"abstract":"ABSTRACT","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135052475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-01DOI: 10.21608/ijma.2023.227855.1767
Esam Eshaweirf, Abdesalam Sougei
Article information Background: Recent studies have revealed that the utilization of shorter dental implants generally represents the optimal approach for addressing the majority of instances involving bone loss in the posterior region of the oral cavity. Short implants have superior performance and exhibit a reduced incidence of complications compared to lengthier implants. Aim of the work: The aim of this study is to conduct a comparative analysis of smaller dental implants and standard dental implants specifically employed in the posterior region of the oral cavity. Patients and Methods: A research study was conducted at an affiliated dental clinic, focusing on adult patients. The study utilized Biomimetic Ocean implants with internal hex connections manufactured by Avinent Implant System, Spain. Two sizes of implants were used, regular implants measuring 10 mm and short implants measuring 7 mm. The sample size was 60 Patients. A total of 29 standard implants and 17 short implants were put. The methods involved comprehensive ethical considerations, obtaining informed consent from participants, and thorough examinations at multiple time points. Surgical and prosthetic procedures were performed, and clinical examinations, radiographic measurements, and stability assessments were conducted. Statistical analysis was employed to analyze the collected data. Results: The results indicate that all of the implants in both groups were effective. Following the surgical procedure, it was observed that the Standard Implants Group exhibited a comparatively higher mean initial stability quotient [ISQ] score of 77.1 ± 65, whereas the Short Implants Group displayed a mean ISQ score of 71.7 ± 81. This discrepancy in ISQ values between the two groups during the visit is noteworthy. Both groups had comparable mean ISQ values during the subsequent surgical procedure. Conclusion: The findings of this study indicate that shorter implants demonstrate
{"title":"Short Dental Implants versus Standard Dental Implants Placed in The Posterior Jaws","authors":"Esam Eshaweirf, Abdesalam Sougei","doi":"10.21608/ijma.2023.227855.1767","DOIUrl":"https://doi.org/10.21608/ijma.2023.227855.1767","url":null,"abstract":"Article information Background: Recent studies have revealed that the utilization of shorter dental implants generally represents the optimal approach for addressing the majority of instances involving bone loss in the posterior region of the oral cavity. Short implants have superior performance and exhibit a reduced incidence of complications compared to lengthier implants. Aim of the work: The aim of this study is to conduct a comparative analysis of smaller dental implants and standard dental implants specifically employed in the posterior region of the oral cavity. Patients and Methods: A research study was conducted at an affiliated dental clinic, focusing on adult patients. The study utilized Biomimetic Ocean implants with internal hex connections manufactured by Avinent Implant System, Spain. Two sizes of implants were used, regular implants measuring 10 mm and short implants measuring 7 mm. The sample size was 60 Patients. A total of 29 standard implants and 17 short implants were put. The methods involved comprehensive ethical considerations, obtaining informed consent from participants, and thorough examinations at multiple time points. Surgical and prosthetic procedures were performed, and clinical examinations, radiographic measurements, and stability assessments were conducted. Statistical analysis was employed to analyze the collected data. Results: The results indicate that all of the implants in both groups were effective. Following the surgical procedure, it was observed that the Standard Implants Group exhibited a comparatively higher mean initial stability quotient [ISQ] score of 77.1 ± 65, whereas the Short Implants Group displayed a mean ISQ score of 71.7 ± 81. This discrepancy in ISQ values between the two groups during the visit is noteworthy. Both groups had comparable mean ISQ values during the subsequent surgical procedure. Conclusion: The findings of this study indicate that shorter implants demonstrate","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135052473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of Atropine in Attenuating the Side Effects of Propofol in Procedural Sedation in Anterior Shoulder Dislocation Reduction: A Randomized Controlled Trial","authors":"Wafaa Abdelsalam, Mohamed Elbahnasawy, Basma Ghoniem, Mahmoud Elsharkawy, Gamal Shams","doi":"10.21608/ijma.2023.226369.1751","DOIUrl":"https://doi.org/10.21608/ijma.2023.226369.1751","url":null,"abstract":"ABSTRACT","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135052480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-01DOI: 10.21608/ijma.2023.210043.1683
Muhamed Abdelmoaty, Mohamed Mohamed
Article information Background: Accreta, increta and percreta are all examples of morbidly adherent placenta. This new score, the placenta previa with attached placenta [PPAP] score, was developed from ultrasound and magnetic resonance imaging [MRI] data for pregnant women who had both placenta previa and an adhering placenta. Aim of the work: The purpose of this future research was to assess the effectiveness of a novel scoring system for identifying placenta previa with an attached placenta. Patients and Methods: This prospective cohort study included 100 cases. It was conducted at Faculty of Medicine, of Al-Azhar University. The duration of the study was from December 2020 to December 2022. There were also MRI and ultrasound tests performed at this time. Two things go into determining your PPAP score: [1] any prior uterine surgery [including a cesarean section, a surgical abortion, or uterine reconstruction], and [2] the findings of an ultrasound [US] or [MRI]. Results: PPAP score in detection of having adherent placenta reported a sensitivity of 88.24% and specificity of 91.57%. Conclusion: PPAP scoring system is effective and reliable system for diagnosis of adherent placenta in females with placenta previa.
{"title":"Evaluating PPAP Scoring System for Predicting Adherent Placenta in Women with Placenta Previa","authors":"Muhamed Abdelmoaty, Mohamed Mohamed","doi":"10.21608/ijma.2023.210043.1683","DOIUrl":"https://doi.org/10.21608/ijma.2023.210043.1683","url":null,"abstract":"Article information Background: Accreta, increta and percreta are all examples of morbidly adherent placenta. This new score, the placenta previa with attached placenta [PPAP] score, was developed from ultrasound and magnetic resonance imaging [MRI] data for pregnant women who had both placenta previa and an adhering placenta. Aim of the work: The purpose of this future research was to assess the effectiveness of a novel scoring system for identifying placenta previa with an attached placenta. Patients and Methods: This prospective cohort study included 100 cases. It was conducted at Faculty of Medicine, of Al-Azhar University. The duration of the study was from December 2020 to December 2022. There were also MRI and ultrasound tests performed at this time. Two things go into determining your PPAP score: [1] any prior uterine surgery [including a cesarean section, a surgical abortion, or uterine reconstruction], and [2] the findings of an ultrasound [US] or [MRI]. Results: PPAP score in detection of having adherent placenta reported a sensitivity of 88.24% and specificity of 91.57%. Conclusion: PPAP scoring system is effective and reliable system for diagnosis of adherent placenta in females with placenta previa.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135052479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-26DOI: 10.21608/ijma.2023.203632.1660
Bassem Elfeky, S. El-Shoura, O. Mohamed, M. Hassan
Article information Background: The Taylor Spatial Frame [TSF] is a circular external fixation system that attaches through screws and uses the same principles of correction as the Ilizarov device. Aim of the work: To assess the Ilizarov-Taylor Spatial Frame in the correction of the Proximal tibial Deformities. Patients and Methods: The present study comprised a sample of 15 patients, with a total of 20 tibiae, who underwent surgical tibial osteotomy for the purpose of correcting proximal tibial deformities by using the TSF. According to the treatment goal, patients were grouped into: group 1; mechanical axis deviation [MAD] center within 5 mm medial or lateral, group 2; MAD overcorrection from 6 mm to 12 mm medial or lateral, and group 3; MAD improvement with femoral origin residual deformity. Results: For patients with a goal of a MAD central [group 1], tibial origin varus deformity with preoperative average MAD of 48 mm medial to the midline, this improved to a range of 5 mm medial and 5 mm lateral to midline. For patient with tibial and femoral origins varus deformity and with preoperative MAD 104 mm medial to midline, this improved to 2 mm medial to midline. Statistical analysis for all proximal tibial angles and MAD showed significant improvement with P value < 0.05. The most common complication encountered was pin site infection. Six patients [30%] complained from superficial wire site infection that improved with wire removal in the outpatient clinic. Conclusion
{"title":"Correction of Proximal Tibial Deformities using Ilizarov-Taylor Spatial Frame","authors":"Bassem Elfeky, S. El-Shoura, O. Mohamed, M. Hassan","doi":"10.21608/ijma.2023.203632.1660","DOIUrl":"https://doi.org/10.21608/ijma.2023.203632.1660","url":null,"abstract":"Article information Background: The Taylor Spatial Frame [TSF] is a circular external fixation system that attaches through screws and uses the same principles of correction as the Ilizarov device. Aim of the work: To assess the Ilizarov-Taylor Spatial Frame in the correction of the Proximal tibial Deformities. Patients and Methods: The present study comprised a sample of 15 patients, with a total of 20 tibiae, who underwent surgical tibial osteotomy for the purpose of correcting proximal tibial deformities by using the TSF. According to the treatment goal, patients were grouped into: group 1; mechanical axis deviation [MAD] center within 5 mm medial or lateral, group 2; MAD overcorrection from 6 mm to 12 mm medial or lateral, and group 3; MAD improvement with femoral origin residual deformity. Results: For patients with a goal of a MAD central [group 1], tibial origin varus deformity with preoperative average MAD of 48 mm medial to the midline, this improved to a range of 5 mm medial and 5 mm lateral to midline. For patient with tibial and femoral origins varus deformity and with preoperative MAD 104 mm medial to midline, this improved to 2 mm medial to midline. Statistical analysis for all proximal tibial angles and MAD showed significant improvement with P value < 0.05. The most common complication encountered was pin site infection. Six patients [30%] complained from superficial wire site infection that improved with wire removal in the outpatient clinic. Conclusion","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48729200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-17DOI: 10.21608/ijma.2023.187933.1602
Saber Younis, Ahmed Hassan, Y. Helmy
Article information Background: The coverage of the distal third of the leg and foot was still a challenge for reconstructive surgery due to its limited distensibility and mobility, low blood supply, and lack of muscle tissue interposition between noble structures and the integument. These features make randomized grafts and flaps unsuitable for wounds in this region. Aim of the work: To assess the potentiality of [two stages] versus [one stage] distally based reverse sural flap for distal third of leg and foot reconstruction. Patients and Methods: This meta-analysis included the recent updates as we retrieved 77 references to studies. After examination of the titles and abstracts of these references, we eliminated all of those which did not match our inclusion criteria and those which were clearly ineligible from the review. We obtained full text copies of the remaining seven potentially eligible trials for further evaluation. Results: Seven studies assessing rate of Partial necrosis among two groups showing that there were insignificant differences. seven studies assessing rate of complete flap necrosis among two groups showing that there were insignificant differences. seven studies assessing rate of secondary procedures among two groups showing that there were insignificant differences. three studies assessing rate of hospital-staydays among two groups showing significant longer stay among single staged group. Conclusion: The distally based reverse sural flap is a versatile flap for the reconstruction of soft tissue defects of the lower leg and heel.
{"title":"One Stage versus Two Stages Distally Based Reverse Sural Flap for Leg and Foot Reconstruction: A Meta-Analysis Study","authors":"Saber Younis, Ahmed Hassan, Y. Helmy","doi":"10.21608/ijma.2023.187933.1602","DOIUrl":"https://doi.org/10.21608/ijma.2023.187933.1602","url":null,"abstract":"Article information Background: The coverage of the distal third of the leg and foot was still a challenge for reconstructive surgery due to its limited distensibility and mobility, low blood supply, and lack of muscle tissue interposition between noble structures and the integument. These features make randomized grafts and flaps unsuitable for wounds in this region. Aim of the work: To assess the potentiality of [two stages] versus [one stage] distally based reverse sural flap for distal third of leg and foot reconstruction. Patients and Methods: This meta-analysis included the recent updates as we retrieved 77 references to studies. After examination of the titles and abstracts of these references, we eliminated all of those which did not match our inclusion criteria and those which were clearly ineligible from the review. We obtained full text copies of the remaining seven potentially eligible trials for further evaluation. Results: Seven studies assessing rate of Partial necrosis among two groups showing that there were insignificant differences. seven studies assessing rate of complete flap necrosis among two groups showing that there were insignificant differences. seven studies assessing rate of secondary procedures among two groups showing that there were insignificant differences. three studies assessing rate of hospital-staydays among two groups showing significant longer stay among single staged group. Conclusion: The distally based reverse sural flap is a versatile flap for the reconstruction of soft tissue defects of the lower leg and heel.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48955315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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