Ahmed A. Khalifa

South Valley University · Department of Orthopedic Surgery

Aims Which is the best extensile lateral (ELA) or sinus tarsi (STA) approach for osteosynthesis displaced intraarticular calcaneal fracture (DIACF) is still debatable. The current RCT’s primary objective was to compare the complications incidence after open reduction and internal fixation of DIACFs through STA vs. ELA. The secondary objectives were...

Background: The current review aims to shed light on some economic solutions that Egyptian arthroplasty surgeons employ to facilitate and mitigate the cost issues during primary and revision of total hip arthroplasties (THAs). Methods: A PubMed search was carried out till December 2022 using the following search terms ((arthroplasty) AND (Egypt[Aff...

Purpose: To describe the indications, outcomes, and incidence of complications after hardware removal from anterior approaches following acetabular fractures. Materials: Over ten years, 13 patients were included, complaining of pain due to late infection in nine (69.2%) and secondary osteoarthritis in four (30.8%). Fractures classification were T-t...

Background. Younger patients undergoing primary total hip arthroplasty (THA) have different indications and outcomes than elderly patients. Furthermore, studies reporting the results of THA in young patients are scarce in our area. The aim of the study is to report the early experience and clinical results after total hip arthroplasty in patients ≤...

Background: Small genicular vessel injuries during primary total knee arthroplasty could pass unnoticed during surgery and present late postoperatively. Case report: We present a female patient 65 years old, who presented three weeks after primary TKA with fresh bleeding from the lower end of the surgical wound, CT angiography showed a pseudoaneury...

Purpose Although many factors were suggested to affect acetabular cup positioning during primary total hip arthroplasty, the effect of surgeon handedness was rarely evaluated. We aimed primarily to assess the difference in cup positioning (inclination and anteversion) between the right and left sides during primary THA. Secondly, to check the diffe...

Purpose The aim was to investigate the effect of surgeon handedness on acetabular cup positioning, functional outcomes, and dislocation incidence during primary THA. Methods A systematic review was conducted according to the PRISMA guidelines. Studies published in English were searched in three databases (PubMed, Embase, and Scopus). A dominant si...

Objectives: To report our early results (functional outcomes and incidence of relapses) after applying a specified physical therapy program to pediatric and adolescent patients with spasmodic flat foot deformity (SFFD). Methods: A prospective case series was conducted between January 2021 and December 2022 at a specialized foot and ankle surgery un...

Purpose We aimed to report the union rate after only utilizing a locally obtained autologous bone graft while correcting the deformity and performing joint arthrodesis in patients with foot and ankle Charcot neuropathy (CN) and to report on the radiographic, functional, complications incidence outcomes at a minimum of two years of follow up. Metho...

Purpose: The primary objective was to investigate our early results of using vacuum-assisted closure (VAC) for wound management in patients with open IIIB tibial fractures and compare the results with a group subjected to conventional daily dressing. Methods: A prospective non-randomised clinical trial (NRCT) with a parallel design and allocation r...

A 9-year-old girl presented 3 weeks after an elbow injury that had initially been treated conservatively. Clinical evaluation revealed tenderness over the lateral aspect of the elbow and motion limitation. Imaging studies showed a radial neck fracture that was classified as Judet type IVb. Management comprised open surgery, fracture reduction, and...

Lateral humeral condyle fracture (LHCF) is one of the most common fractures of the elbow in children. We describe the case of a 10-year-old boy who presented with a neglected, nonunion LHCF 60 months after the initial trauma. He was treated by open reduction and internal fixation after reducing the lateral condyle to its anatomical location and fix...

Tibial Periprosthetic fractures (PPF) after primary total knee arthroplasty (TKA) are uncommon and mainly occur after trauma. Various management options have been proposed; however , the decision mainly relies on the location of the fracture and the tibial baseplate stability and ranges between conservative (non-operative), fracture fixation, and r...

Purpose We aimed to report the early results of performing acute ankle arthrodesis using a modified retrograde femoral intramedullary locking IMN concomitant with plating at the same setting for managing diabetic patients' acute ankle fractures. Methods We prospectively included patients who presented acutely with ankle fractures, where hemoglobin...

Purpose The results after acetabular fracture are primarily related to the quality of articular reduction. Using the AO large femoral distractor, incarcerated fragments can be easily removed, and marginally impacted fragments can be elevated under direct visualization without further re-dislocating the joint. The current study aimed to evaluate our...

Purpose The study aims to evaluate PubMed publications on ChatGPT or artificial intelligence (AI) involvement in scientific or medical writing and investigate whether ChatGPT or AI was used to create these articles or listed as authors. Design/methodology/approach This scoping review was conducted according to Preferred Reporting Items for Systema...

Objectives The primary objective was to evaluate the ECG trace paper evaluation current knowledge level in a group of Orthopaedic surgeons divided into juniors and seniors according to M.D. degree possession. Methods A cross sectional study through self-administered questionnaires at a university hospital Orthopaedic and Trauma Surgery Department....

Purpose The current study aimed to report on the safety and efficacy of utilizing a modified WALANT (mWALANT) technique during open surgical carpal tunnel release (CTR), where we used undiluted epinephrine compared to the originally described WALANT technique. Methods From January 2015 till the end of June 2021, 200 patients (175 (87.5%) were fema...

Restoring elbow joint motion is paramount for upper extremity optimum function. In end-stage elbow disease and stiffness, total elbow arthroplasty is the recommended option for older patients; however, for younger, highly demanding patients, interposition arthroplasty (IPA) is the management option of choice. We report a case of an 16-year-old fema...

Scientific writing is a mandatory skill for most researchers, and orthoapedic surgeons are no exception. However, improvement of the writing quality could be achieved using some assistive tools. The most recent ones involve using artificial intelligence (AI), specifically ChatGPT. Although it seems appealing for improving scientific writing and ass...

Objectives The primary objective of the current study is to assess which is better for obtaining the proper femoral rotation during IMN of femoral fractures, the radiological or clinical method. The secondary objectives were to document malrotation's incidence and its effect on the hip and knee functional outcomes. Methods Thirty-three patients wi...

Resumo Objetivo Diversas modalidades têm sido sugeridas para o tratamento de fraturas em martelo; no entanto, o tratamento inadequado pode causar retardo de extensão, deformidade em pescoço de cisne ou artrite da articulação interfalangiana distal (AIFD). Este estudo teve como objetivo avaliar os desfechos (funcionais, radiológicos e complicações)...

Purpose We aimed to report early results of performing joint-preserving surgeries for managing spasmodic flatfoot deformity (SFFD) in adolescents. Methods A prospective case series study including 24 patients (27 feet) diagnosed with idiopathic SFFD not responding to conservative management. After reassessment under anesthesia, surgical procedures...

Introduction Osteogenesis imperfecta (OI) is a disease caused by a genetic defect in collagen formation, leading to defective bone structure with osteopenia and repeated fractures. Case presentation: A male patient, 17 years old, diagnosed with OI type I, presented after falling downstairs with a right acetabulum fracture classified as an anterior...

Purpose: To report an early experience after converting HTO to TKA by reporting the incidence of functional, radiological, and complications in a single surgeon case series from a North African specialized arthroplasty unit. Methods: Between 2010 and 2020, 33 knees in 31 patients (two bilateral) were operated upon, 24 females and seven males, ha...

Purpose: The primary objective was to compare the re-fracture incidence of both radius and ulna fracture in 2 groups treated using intramedullary Kirschner wires (K-wires) where the wires were exposed in group I and buried in group II. The secondary objective was to compare the final functional outcomes and complications incidence. Methods: Betwee...

Background: The primary objective was to report our early results after a one-stage procedure [open reduction (OR), Dega pelvic osteotomy (DPO), and femoral osteotomy (FO) when needed] for surgical management of a cohort of patients with developmental dysplasia of the hip (DDH). The secondary objective was to compare the functional, radiological,...

The current systematic review aimed to document published cases of femoral head avascular necrosis (FHAVN) post-COVID-19, to report the COVID-19 disease characteristics and management patients received, and to evaluate how the FHAVN were diagnosed and treated among various reports. A systematic literature review was performed per the Preferred Repo...

Objective: To report the early results of using the Ilizarov technique in performing medial wedge opening high tibial osteotomy (MWOHTO) combined with gradual tensioning of the posterolateral corner in adult patients presenting with genu varum (GV) and lateral thrust. Methods: A prospective case series study included 12 adult patients with a mea...

Segmental tibial bone defects (STBD) represent a dilemma for the trauma surgeon; these defects could result from trauma, after debridement for infection, or after tumor resection. We aimed in this review to shed some light on the various reconstruction options without the need to use a circular fixator. Reconstruction options rely on various factor...

Purpose: To assess the evolution of surgical hip dislocation (SHD) utilization over the past 20 years, concentrating mainly on the patients' population (adults vs. paediatric), the hip conditions treated using this approach, and reporting on complications of this procedure. Methods: This scoping review was conducted according to Preferred Report...

Purpose To assess the evolution of surgical hip dislocation (SHD) utilization over the past 20 years, concentrating mainly on the patients' population (adults vs. paediatric), the hip conditions treated using this approach, and reporting on complications of this procedure. Methods This scoping review was conducted according to Preferred Reporting I...

Hip firearm injuries are rare injuries that could lead to serious complications such as posttraumatic hip arthritis and coloarticular fistula. We report a case of a 25-year-old male who got pelvic injury by a single bullet which led to a bilateral acetabular fracture, concomitant with a colon injury treated on an emergency basis by a diverting colo...

Introduction and importance: Pelvis reconstruction after tumor resection poses a challenge, especially in younger patients where preserving the patient's function and mobility is paramount. Case presentation: A 16 years old female presented in March 2019 with vague right iliac area pain, diagnosed as pelvic Ewing's sarcoma after imaging studies...

Segmental tibial bone defects (STBD) represent a dilemma for the trauma surgeon; these defects could result from trauma, after debridement for infection, or after tumor resection. We aimed in this review to shed some light on the various reconstruction options without the need to use a circular fixator. Reconstruction options rely on various factor...

Aims: Inappropriate presentation or reporting of the authors' affiliation may deprive their institution of the research credit for the published work. Results: For the included 77 articles, there were 59 (76.6%) articles with authors from only one department, 9 (11.7%) with two, 4 (5.2%) with three, and 5 (6.5%) with four. The contribution of all d...

Purpose: Total hip and knee arthroplasty periprosthetic joint infection (PJI) poses a management dilemma owing to the emergence of resistant organisms. A promising option is Bacteriophage therapy (BT) was used as an adjuvant for PJI management, aiming at treating resistant infections, decreasing morbidity, and mortality. The current review aimed t...

Background Persistent pain after total hip arthroplasty (THA) is a real concern for the surgeon and is a significant cause of patient dissatisfaction; periprosthetic joint infection (PJI), aseptic loosening, and instability are among the common causes of painful THA. However, few rare causes have been reported in the literature; the complex regiona...

Purpose: We aimed to report the results of performing lateral column lengthening (LCL) using a rectangular shaped graft to correct the flat foot deformity. Methods: A total of 28 feet of 19 patients (10 males, 9 females) having an average age of 10 ± 3.2 years who were unresponsive to conservative management underwent flat foot deformity correction...

Up to 25% of revision total hip arthroplasty (RTHA) requires acetabular cup only revision, during which the femoral stem is left in place. The metal retractors and instruments used to obtain the required exposure during revision surgery with the femoral stem in place could damage the trunnion, which could lead to further failure due to trunnionosis...

Objectives The primary objective was to compare refracture incidence of both radius and ulna fracture in two groups treated using intramedullary k-wires where the wires were buried in group I and left exposed in group II. The secondary objective was to compare the final functional outcomes and complications incidence. Methods Between March 2019 an...

Purpose The results after acetabular fracture are primarily related to the quality of articular reduction. Using the AO large femoral distractor, incarcerated fragments can be easily removed, and elevation of marginally impacted fragments can be done under direct visualization without further re-dislocating the joint. The current study aimed to eva...

Musculoskeletal complications following COVID-19 infection or because of its medications had been reported in the literature. Here, we report on seven hips in four patients who presented with osteonecrosis of the femoral head (ONFH) after having COVID-19 infection, and their treatment regimen included glucocorticoid. Four patients presented to us c...

Periprosthetic distal femoral fractures after primary total knee arthroplasty (TKA) are considered rare; however, they pose a challenge for the treating surgeon, and the management options are mostly surgical (open reduction and internal fixation or revision surgery). We present two female patients who developed atraumatic lateral femoral condyle f...

Background Total hip and knee arthroplasty periprosthetic joint infection (PJI) poses a management dilemma owing to the emergence of resistant organisms. Bacteriophage therapy (BT) was introduced as a promising management option for PJI. The current review aimed to demonstrate the role and safety of using BT as an adjuvant to treat PJIs. Methods A...

Resumo As fraturas acetabulares podem ser acompanhadas por lesões de impacto articular, afetando os desfechos se não vistas ou tratadas de modo incompleto. A impactação marginal detectada em estudos de imagem pré- ou intraoperatórios deve ser reduzida anatomicamente usando a cabeça femoral como modelo e aumentando o defeito com enxerto ósseo, se ne...

Introduction Less-than-optimum positioning of femoral and tibial components and improper soft tissue tension, with abnormal loads and reduced range of motion, may cause lower patient satisfaction rates. To reduce surgeon-related variables during TKA, technology-assisted TKA was introduced, including computer navigation and robotic-assisted surgery...

Purpose We aimed to report our early experience treating paediatric pelvic fractures (PPF) surgically, reporting on indications, outcomes, and complications. Methods Patients aged 0–15 with PPF treated surgically at a level I trauma centre were included prospectively between 2016 and 2018. Fractures were classified according to AO/OTA classificati...

Abstract Objectives: The current study aimed to detect the BOS prevalence and determinants among residents working during the second wave of the COVID-19 pandemic in an Egyptian tertiary university referral hospital. Methods: A crosssectional study evaluating the working period from June to November 2020 during the COVID-19 pandemic second wave, th...

Introduction Acetabular bone defect encountered during complex primary or revision total hip arthroplasty (THA) could be reconstructed using various options Case presentation We present a male patient, 36 years old, presented with an iatrogenic acetabular defect, Paprosky type 2C; reconstructed using metal mesh, femoral head bulk allograft, and a...

Femoral head fractures (FHFs) are considered a relatively uncommon injury; however, they carry a challenge to the trauma surgeon. Choosing the appropriate management option, either conservatively or surgically, if the latter was chosen, should it be open reduction and internal fixation or simple excision of the fragment, or acute total hip arthropl...

Introduction: The development of vaccination against COVID-19 infection was a promising step during the battle against this pandemic; however, some vaccines were associated with some complications starting with just flu-like symptoms up to anaphylaxis; joint pain is among the reported complications. Here, we report a case who developed reactive art...

Background This study aimed to evaluate the Middle East (ME) countries' contribution to the Journal of Arthroplasty (JOA)’s publications in the past 20 years. Methods All articles published in JOA from 2000 to 2020 were evaluated for the contribution prevalence of ME countries’ authors, which were divided into category I, if all the authors were a...

Background Ochronotic arthropathy affecting the hip and knee joints is one of the musculoskeletal manifestations of alkaptonuria which results from a tyrosine amino acid metabolism disorder. The condition has no definitive management; however, end-stage joint arthritis is well treated by total joint replacement. Case presentation We present a case...

Background: COVID-19 is relatively a new condition, the long-term effects of which have not been thoroughly studied yet. Musculoskeletal complications following COVID-19 infection or because of its medications used had been reported in the literature. Here, we report on seven hips in four patients who presented with osteonecrosis of the femoral hea...

Background: Dislocation after total hip arthroplasty (THA) partly under the surgeon's control, by appropriate placement of the components. We aimed in this study to determine the accuracy of using intra-operative smartphone applications (Apps) to place the acetabular cup within the safe abduction angle by less experienced surgeons during THA surge...

Although rare, long bones fracture non-union in pediatric and adolescent patients is still being reported. It poses a challenge for the trauma surgeons, although principles for adult patient management apply to pediatrics and adolescents; however, there is no standard protocol to deal with such situations. We report two male adolescent patients, 11...

Purpose This study aimed to report the early experience (radiographic, functional, and complications outcomes) from an Egyptian (North African) level one trauma centre after utilizing the modified Stoppa and the pararectus approaches to manage anterior-associated types of acetabular fractures. Patients and methods Between January 2014 and April 201...

Background: Osteochondromas are a benign outgrowth of bone and cartilage and one of the most common bone tumors that usually occur in long bones, with only 1-4% being located in the spine, more frequently in the cervical and upper dorsal region, and rarely the lumbar spine. Here, we report a case of lumbar spine (L5) osteochondroma arising from the...

Background Authorship trends in medical journals were studied in many disciplines, mostly in western countries' journals. We aimed at studying the authorship trends in the Egyptian Orthopaedic Journal as an example of a specialized Egyptian medical journal. Results A total of 397 articles were eligible for analysis. The mean number of authors per...

Background The joy and pride felt by a young researcher of being listed as an author in a published article could turn into sadness and disappointment if the work, he/she significantly contributed to was published without being listed among the authors or the order among the authors’ list was changed. If a young researcher is not oriented by the au...

Background Osteochondromas are a benign outgrowth of bone and cartilage and one of the most common bone tumors that usually occur in long bones, with only 1–4% being located in the spine, more frequently in the cervical and upper dorsal region, and rarely the lumbar spine. Here, we report a case of lumbar spine (L5) osteochondroma arising from the...

Total hip arthroplasty (THA) is one of the most successful surgical procedures. It entails replacement of the damaged or diseased joint surface with artificial materials. Various materials had been developed and used to achieve optimal outcomes, including longer survivorship and minimal complications. The primary materials used in the manufacture o...

Introduction Femoral head fractures considered to be rare injuries. Surgical intervention is indicated for major fragment displacement or in the presence of instability. Surgical management can be achieved through either Anterior, posterior, and trans-trochanteric surgical approaches. Surgical hip dislocation (SHD) has been advocated by many author...

Background: The purpose of this study was to report early results in managing intertrochanteric fractures (ITF) in an elderly patient cohort using a cement augmented dynamic hip screw (DHS) by a relatively easy technique with cheap instruments available in any operative room. Methods: In this prospective study, 25 patients aged 70 yr or more who...

Background: Implant positioning and knee alignment are two primary goals of successful unicompartmental Knee Arthroplasty (UKA), as malalignment is correlated with aseptic loosening. This study aimed to evaluate the incidence and relation between inherent coronal tibial bowing and post-operative tibial plate orientation in patients who underwent mo...

Background: Dislocation after THA ranges between 0% and 5%. Optimum cup inclination could expand the longevity of THA and reducing the dislocation rate. Modern techniques for optimum cup placement including computer-assisted surgery and handheld navigation system. Objective: To investigate the efficacy and usefulness of using intraoperative smartph...

Introduction: Proper implant positioning determines good long-term outcomes in THA. Pelvis position change after patient positioning was suggested as a cause of cup misplacement. This experiment aims at explaining how unattended lateral pelvic tilt) will affect the cup inclination angle during THA. Methods: Using a pelvis saw bone model fixed to op...