Publications by authors named "Wael M T Koptan"
Introduction: Pathology of the long head of the biceps (LHB) may be the cause of anterior shoulder pain after hemiarthroplasty for treatment of fractures of the proximal humerus. The currently available literature lacks adequate randomised trials examining whether tenodesis of the LHB improves results. The purpose of this study was to evaluate the effects of tenodesis of the LHB on the clinical outcome following hemiarthroplasty for fractures of the proximal humerus.
View Article and Find Full Text PDFIntroduction: Four-part fracture dislocations of the proximal humerus occurring in young age are extremely difficult fractures with a high incidence of complications. The risk of avascular necrosis is high; hence, prosthetic replacement is the treatment of choice in older patients with these complex fractures; on the other hand, the longevity of the prosthesis is the main concern in young age. Thus, every effort should be made to fix these fractures in the young.
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- The study compares two surgical techniques, pedicle subtraction osteotomy (PSO) and anterior corpectomy and plating (ACP), in treating post-traumatic kyphosis from thoracolumbar fractures in 43 patients.
- Results showed PSO achieved a mean kyphotic angle correction of 29.8°, significantly better than ACP's 22°, as well as superior improvements in patient-reported pain and disability scores.
- While both procedures have associated complications, PSO was found to be more effective and equally safe, with higher patient satisfaction and functional outcomes at the 2-year follow-up.
Background Context: Although spondylolysis is found in 6% of idiopathic scoliosis patients, very little was reported on management of pars defects in this group. These patients with painful spondylolysis are most eligible for direct repair of the defect rather than lumbosacral fusion in an attempt to save motion segments.
Purpose: The aim of this work was to analyze the clinical and radiologic outcome of pars repair in a group of adolescents who presented after surgical correction of their idiopathic scoliosis.
Background Context: Scheuermann's kyphosis has long been treated by a two-staged fusion and instrumentation with a hybrid construct using hooks, pedicle screws, and sublaminar wires. Recent interest in all pedicle screw constructs led to its use in the treatment of Scheuermann's kyphosis. Evaluation of this newly described application is needed.
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