Elalfy Mohamed , MD - Mansoura University - Dr

Elalfy Mohamed

MD

Mansoura University

Dr

Mansoura, Dakahlia | Egypt

Main Specialties: Adult Reconstructive Orthopaedics, Foot & Ankle Orthopaedics, Orthopaedic Sports Medicine, Orthopaedic Surgery of the Spine, Orthopaedic Trauma, Orthopaedics

Additional Specialties: Spine, footand ankle, upperlimb, Arthroplasty, pediatric surgeries

ORCID logohttps://orcid.org/0000-0003-2943-3048

Elalfy Mohamed , MD - Mansoura University - Dr

Elalfy Mohamed

MD

Education

Dec 2018
Faculty of medicine, Mansoura University, Egypt
Master degree of orthopedic surgery

Experience

Oct 2015
Clinical trials
NAMRU-3

Publications

4Publications

-Reads

99Profile Views

16PubMed Central Citations

Hip Joint: Embryology, Anatomy and Biomechanics

Ahmed Zaghloul, Elalfy M Mohamed. Hip Joint: Embryology, Anatomy and Biomechanics. Biomed J Sci & Tech Res 12(3)-2018. BJSTR. MS.ID.002267. DOI: 10.26717/ BJSTR.2018.12.002267.

Biomedical Journal of and the acetabular labrum is identifiable as a separate entity [1]. At 11 weeks the embryo is 50-mm long. The femoral head is spherical and 2mm in diameter. It i

Abstract

Introduction:  Hip joint is matchless developmentally, anatomically and physiologically. It  avails  both  mobility  and stability. As the structural linkage between  the  axial  skeleton and  lower  limbs, it plays  a pivotal  role in transmitting forces  from  the ground  up and carrying  forces  from  the trunk,  head, neck and upper limbs  down.  This  Article reviews the embryology, anatomy and biomechanics  of the hip to give a hand in diagnosis, evaluation and treatment of hip disorders. Discussion:  Exact  knowledge about  development, anatomy and biomechanics  of hip joint has been a topic of interest and debate in literature dating  back  to at  least  middle of 18th  century, as Hip joint is liable  for several  number of pediatric and adult  disorders.  The  proper acting  of the hip counts on the normal  development  and congruence of the articular  surfaces of the femoral  head (ball)  and the acetabulum  (socket). It  withstands enormous loads from muscular, gravitational and joint reaction forces inherent in weight bearing. Conclusion:  The  clinician must be familiar with the normal embryological, anatomical and biomechanical features  of  the hip  joint. For  early diagnosis, evaluation and proper treatment of hip disorders.

View Article
January 2019

4 Citations

Impact Factor 0.600

103 Reads

Unstable Metacarpal Fractures: A comparative study between Mini-plates and percutaneus K-wire fixation at Emergency Hospital, Mansoura University, Egypt

Orthopedics and Rheumatology Open Access Journal

Abstract

Introduction:  Management  of  metacarpal  shaft  fracture  is  dictated  by the stability  and personality of  the fracture. It may  be conservative  or surgical. Surgical management of Metacarpal fractures has different techniques and different instruments.

Methods:  The study included 40 patients  presented at  Emergency Hospital,  Faculty  of Medicine, Mansoura  University, with  48 fractured metacarpals  in  30  hands.  20  patients  were  fixed  by  open  reduction  and  internal  fixation  using  mini-plates,  the  other  20  patients  were  fixed  by percutanous K wires.

Results:  In  this  study,  it  was  found  that  after  6  weeks  of  follow  up,  group  A  showed  93.3  %  satisfactory  results,  while  group  B  showed  86.7 % satisfactory results, while after 3 months of follow up both groups showed satisfactory and good results in 93.3 % of cases.

Conclusion:  Mini-plates  fixation  in  oblique  and  spiral  fractures  provide  stable  and  rigid  internal  fixation  that  allows  early  active  range  of motion and early excellent results. Percutaneous K-wire fixation has the advantages of preserving the soft tissue.

View Article
November 2018

2 Citations

Impact Factor 0.800

67 Reads

Kienböck’s Disease: Diagnosis and the Different Ways of Management

Ortho & Rheum Open Access J

Kienböck’s disease is a condition of uncertain etiology that results  in  osteonecrosis  of  the  carpal  lunate.  It  usually  affects  the dominant wrist of men aged 20-40 years.

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November 2017

5 Citations

Impact Factor 0.800

66 Reads

Metacarpal Fractures: Current Concepts of Management

Elalfy M Mohamed. Metacarpal Fractures: Current Concepts of Management. Ortho & Rheum Open Access 2017;8(5): 555748. DOI: 10.19080/OROAJ.2017.08.555748.

Orthopedics and Rheumatology Open Access Journal ISSN: 2471-6804

OAJ.2017.08.555748 Ortho & Rheum Open Access J Copyright © All rights are reserved by Elalfy M Mohamed Metacarpal  Fractures: Current Concepts of Management *Elalfy M Mohamed Orthopedic Surgeon, Mansoura University Hospital, Egypt Submission:  September 29, 2017;   Published:  October 13, 2017 *Corresponding author:  Elalfy M Mohamed, Faculty of Medicine, Orthopaedic surgery resident at Mansoura University Hospitals, Egypt, Email: Introduction Epidemiology:  Metacarpal fractures comprise between 18–44 % of all hand fractures. Non-thumb metacarpals account for  around  88  %  of  all  metacarpal  fractures,  with  the  fifth  finger most commonly involved [1-3] (Figure 1). Figure 1: Non-thumb metacarpals account for around 88 % of all metacarpal fractures, with the fifth finger most commonly involved. Mechanism of Injury:  Most metacarpal fractures occur in the active and working population, particularly adolescents and young adults and usually result from a direct blow, crush, or  missile injury. Trauma to the hand is common, frequently resulting in metacarpal, fractures and dislocations head [3,4]. Symptoms and Examination  Findings:  Prominent swelling, decreased range of motion, and tenderness is found at the metacarpophalangeal (MCP) joint. Axial load to the MCP joint worsens pain (Figure 2). Figure 2: Axial load to the MCP joint. Treatment  Options Appropriate treatment includes adequate assessment, physical examination, and directed imaging. Such an approach should lead to a rational plan that focuses on the rehabilitation of all damaged components, including osseous, articular, and soft tissue structures [5,6]. Management of non-thumb metacarpal shaft fracture is depending on the stability and personality of the fracture.  Undisplaced  fracture  with  any  fracture  configuration can be managed by conservative method with a slab or a splint immobilizing  the  wrist  in  extension  and  MP  joint  in  flexion greater than 70° (Clam digger slab/cast), allowing early IP mobilization [7-11]. 0

View Article
October 2017

5 Citations

Impact Factor 0.800