Background: Clubfoot is a relatively common congenital foot deformity. Ponseti demonstrated correction of clubfoot in infants using manipulation followed by application of well-molded, long-leg plaster casts. Objective: In the current study, we evaluated the efficacy and safety of percutaneous Achilles tenotomy as an office procedure during the Ponseti technique in the correction of CTEV deformity of the foot. Patients and Methods: This randomized clinical trial study was conducted in the Orthopedic Outpatient Clinic of Zagazig University Hospitals on 12 patients with idiopathic clubfoot managed with the Ponseti technique during the period from April 2020 to September 2020. Results: This study showed, 13 feet had a favorable outcome (8 cases (53.3%) excellent and 5 cases good 33.3%) and 2 feet had fair outcome (13.3); these 2 feet had a relapse (13.3%), one foot relapsed equinus deformity and one adducts foot deformity, The equinus deformity patient responded to repeated tendo-Achilles tenotomy and further Ponseti casting and adductus foot deformity responded to adductor tenotomy and cast. Both two cases obtained satisfactory outcomes after the completion of treatment. Conclusion: Achilles tenotomy as an out-patient procedure using topical and/or local anesthesia is a safe procedure and is an important step in the successful treatment of congenital clubfoot.
Background: When it comes to assessing the severity of an isolated clubfoot deformity and its response to therapy, the Dimeglio scoring system is universally accepted. Objective: The aim of the current work was to increase the knowledge about application of dimeglio scoring system during Ponseti correction of clubfoot. Patients and Methods: On the basis of a Randomized clinical research, at
Background: Proximal Femoral fractures are common in elderly. Their incidence had increased due to the increased life expectancy and osteoporosis. Objective: The aim of this study was to evaluate the use of locked dynamic hip screw plate (LDHS) as a treatment of intertrochanteric femoral fracture in elderly patients. Patients and Methods: This study was a non-randomized clinical trial including eighteen patients with intertrochanteric femoral fracture fixed with locked dynamic hip screw plate. They came to Orthopedic Department in Zagazig University Hospital and Orthopedic Department in Tripoli Central Hospital over 3 months from July 2020 until September 2020. Patients with sub-trochanteric extension were excluded. There was 10 cases group A1 and eight cases group A2 according to AO Orthopedic Trauma Association (OTA). Results: Clinical and radiological outcome assessments showed that 77.8% were excellent clinically, 11.1% were good and 11.1% were fair. Regard radiological assessment, 83.3% were excellent, 11.1% were good and 5.6% were fair. As regards complications, 4 cases had groin pain and 1 case had lag screw cut-out and overall complications were in 22.2%.
Conclusion:Locking DHS plate for trochanteric femur fractures is a good option in elderly patients.
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