Abdalla, M., M. Elsagheir, A. Ashry, M. Elbannan, O. Richards, A. Azzam, F. Sadek, and M. Abo-elsoud, "Is Simultaneous Bilateral Knee Replacement a Safe Approach for Patients with Bilateral Knee Osteoarthritis? A Prospective Case-control Study.", Ortopedia, traumatologia, rehabilitacja, vol. 25, issue 6, pp. 333-339, 2023. Abstract

BACKGROUND: Total knee arthroplasty (TKA) is the standard treatment for terminal knee osteoarthritis. Simultaneous bilateral total knee arthroplasty (STKA) can be a cost-effective and practical option for patients with degenerative joint disease affecting both knees. The purpose of this study was to assess complication rates and functional outcomes following simultaneous versus staged bilateral total knee replacement.

MATERIAL AND METHODS: Approximately 60 individuals who experienced debilitating knee osteoarthritis were enrolled in a prospective study with a randomized comparative design. Out of these, 30 patients underwent simultaneous total knee arthroplasty (STKA), while the remaining 30 individuals underwent two separate surgeries with a gap of 3-6 months between each procedure for both knees. After excluding 7 patients from both groups, a total of 53 patients were included in the study and followed up for at least 12 months.

RESULTS: Pre-operative demographic parameters were equated between both groups. The overall number of systemic complications was higher in the simultaneous group compared with the stagedone. Systemic complications were correlated with the elderly and high-risk populations. However, simultaneous procedures were safe in a low-risk group with shorter hospitalization and operative times.

CONCLUSIONS: 1. Simultaneous bilateral total knee arthroplasty (TKA) is considered safe and feasible mainly for younger individuals with ASA 1 or 2 health status. 2. Patients undergoing simultaneous bilateral TKA experience significantly reduced hospital stays. 3. The procedure may not be advisable for elderly patients at a higher risk of systemic complications.

Abo-elsoud, M., M. I. Awad, M. Abdelkarim, S. Khaled, and M. Abdelmoneim, "Internal fixator external fixator in the management of unstable pelvic ring injuries: A prospective comparative cohort study.", World journal of orthopedics, vol. 14, issue 7, pp. 562-571, 2023. Abstract

BACKGROUND: Reconstruction of the pelvic ring anatomy in unstable anterior pelvic ring injuries is a significant step to reduce the mortality rate associated with these injuries efficiently. There is a debate on using either an anterior subcutaneous pelvis internal fixator (INFIX) or an anterior supra-acetabular external fixator (EXFIX) to manage an unstable anterior pelvic ring fracture.

AIM: To compare the functional and radiological outcomes and complications of INFIX EXFIX in managing unstable pelvic ring injuries.

METHODS: A prospective cohort study included 54 patients with unstable pelvic ring fractures. The patients were divided into two groups; the INFIX group, in which 30 cases were fixed by INFIX, and the EXFIX group, in which 24 patients were treated by EXFIX. The average age in the EXFIX group was 31.17 years (16-57 years), while in the INFIX group, it was 34.5 years (17-53 years). The study included 20 (66.7%) males and 10 (33.3%) females in the INFIX group and 10 (41.7%) males and 14 (58.3%) females in the EXFIX group. The radiological outcomes were evaluated using Matta and Tornetta's score, and the functional outcomes using the Majeed score.

RESULTS: The results revealed a statistically significant difference between both groups ( = 0.013) regarding radiological outcomes, according to Matta and Tornetta's score in favor of the INFIX group. Sitting, standing, and walking abilities were measured at a 3-mo follow-up visit using Majeed score modules. It was significantly better among the INFIX group than the EXFIX group in all three modules. At the final follow-up, both groups had no statistically significant difference according to the Majeed score; 92.35 in the INFIX group and 90.99 in the EXFIX group ( = 0.513). A lower surgical site infection rate was noticed in the INFIX group ( = 0.007).

CONCLUSION: Anterior subcutaneous pelvis INFIX is associated with better radiological outcomes and a lower infection rate than anterior supra-acetabular EXFIX in managing patients with unstable anterior pelvic ring fractures.

Sadek, F., and M. Abo-elsoud, "Total hip arthroplasty for fused hips: clinical and radiological outcome", The Egyptian Orthopaedic Journal, vol. 52, issue 3: Medknow Publications, pp. 230, 2017. Abstract

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Sadek, F., and M. Abo-elsoud, "Marginal impaction as a determinant of functional outcome in acetabular fractures involving the posterior wall", The Egyptian Orthopaedic Journal, vol. 56, issue 1: Medknow Publications, pp. 24, 2021. Abstract

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Nassar, H., A. Hasanin, M. Sewilam, H. Ahmed, M. Abo-elsoud, O. Taalab, A. Rady, and H. A. Zoheir, "Transmuscular quadratus lumborum block versus suprainguinal fascia iliaca block for hip arthroplasty: a randomized, controlled pilot study", Local and Regional Anesthesia, vol. 14: Dove Press, pp. 67, 2021. Abstract

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Abo-elsoud, M., W. Sadek, M. Salah-Eldeen, and W. Abosenna, "Surgical hip dislocation for treatment of femoral head chondroblastoma: efficacy and safety", International Orthopaedics, vol. 46, issue 3: Springer, pp. 653 - 660, 2022. Abstract

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Abo-elsoud, M., M. El-Gebeily, and I. El-Desouky, "Combined acetabular and femoral neck fractures with intrapelvic femoral head dislocation: Successful staged management of a rare injury in two cases.", Joint Diseases and Related Surgery, vol. 33, issue 1, pp. 230 - 237, 2022. Abstract

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Abo-elsoud, M., and E. Kassem, "Fragment-specific fixation of posterior wall acetabular fractures", International Orthopaedics, vol. 45, issue 12: Springer, pp. 3193 - 3199, 2021. Abstract

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Abo-elsoud, M., S. Eldeeb, M. Gobba, and F. Z. Sadek, "Biplanar Posterior Pelvic Fixator for Unstable Sacral Fractures: A New Fixation Technique.", Journal of orthopaedic trauma, vol. 32, issue 5, pp. e185-e190, 2018. Abstract

Fixation of comminuted vertically unstable sacral fractures continues to be a surgical dilemma. Although triangular osteosynthesis is a good construct and resists vertical translation, complications still occur. Herein, we introduce a new biplanar fixation technique, using segmental spinal instrumentation as an alternative to triangular osteosynthesis. This technique is remarkably valuable in cases with sacral morphology and/or complex fracture patterns that preclude safe percutaneous iliosacral screw insertion.

Abo-elsoud, M., Y. A. Radwan, M. Gobba, and F. Sadek, " Short-segment fixation through a limited ilioinguinal approach for treating anterior acetabular fractures: a historical-control study", International Orthopedics, vol. 38, issue DOI 10.1007/s00264-014-2354-6, pp. 1469-1475, 2014. short_segment_fixation_paper.pdf
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