Mohamed Nabil Nessib Bücher

Focusing on the biomechanical factors contributing to upper femoral epiphysiolysis, this study analyzes cases from the Tunis Children's Hospital over seven years. It identifies obesity as a significant factor, affecting 58% of cases, particularly in those with an adiposo-genital morphotype. The research evaluates clinical outcomes through the PMA score and assesses stability post-surgery via residual tilt angle measurements. The findings emphasize the importance of understanding biomechanical factors during screw placement to ensure stable osteosynthesis.

The study evaluates the effectiveness of the EVANS technique for calcaneal lengthening in treating idiopathic flatfoot in children. Conducted at a Tunisian children's hospital, it involved 12 patients with a follow-up of at least one year. Results showed significant improvement in AOFAS scores, with 11 feet rated excellent post-surgery and 4 good. Radiological assessments indicated near-normal values, and all patients achieved bone consolidation. The findings suggest that using a peroneal graft can reduce morbidity compared to traditional iliac grafts.