| 5 | Virtual orthopedic assessment:Main principles and specific regions显示文摘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 professionals.Telemedicine is still used today to address those problems,and is increasingly becoming a tool for convenient medical care.With the emergence of pandemics,telemedicine became almost a mandatory and valuable option for continuing to provide medical care in various specialties.As 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 follow-up.Therefore,the establishment of a virtual assessment technique that can be conducted effectively is of outmost importance as a way of adapting to the current situation.This study evaluated the role of telemedicine in the assessment of various orthopedic pathologies by means of a systematic virtual evaluation. | 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 | 2021 | World Journal of Orthopedics2021，12，9： | 0 |
| 6 | Mid-term results of sub-trochanteric valgus osteotomy for symptomatic late stages Legg-Calvé-Perthes disease显示文摘BACKGROUND The treatment of late stages of Legg-Calvé-Perthes disease(LCPD)is controversial.Although 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 gait.AIM To assess the results of subtrochanteric valgus osteotomy in symptomatic patients with late-stage Perthes disease.METHODS 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)variables.The Mose classification was also assessed at the last follow-up to reflect possible remodeling.The 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 weakness.RESULTS 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 period.The tests used were the paired t-test and Pearson correlation test,where the level of significance was a P value less than 0.05.CONCLUSION Subtrochanteric valgus osteotomy can be a good option for symptomatic relief in patients with late-stage of LCPD. | Khaled M Emara Ramy Ahmed Diab Ahmed K Emara Mohamed Eissa Mostafa Gemeah Shady Abdelghaffar Mahmoud | 2023 | World Journal of Orthopedics2023，14，5： | 0 |
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