Discusión entre pares / operate or conserve

Indian-Orthopaedic Research-Group

Neeraj Choudhary

23 de mayo a la(s) 3:58

should i operate or conserve

Me gusta · 

• A 18 personas les gusta esto.
• 

  Pavneesh Lohan Operate

  23 de mayo a la(s) 4:07 · Me gusta
• 

  Somnath Chowdhury IM IL nail + Fibular osteotomy (must***)

  23 de mayo a la(s) 4:10 · Me gusta · 2
• 

  Vishal B Peshattiwar Fibula is intact. If you conserv it will go in non union.

  23 de mayo a la(s) 4:10 · Me gusta · 1
• 

  Praganesh KV go for fixation with I/L nail and back hammering to get compression.... single bone high chances of non union with conservative tmt..

  23 de mayo a la(s) 4:14 · Me gusta · 3
• 

  DrSubhankar Mukherjee Agreed with the house

  23 de mayo a la(s) 4:15 · Me gusta
• 

  Jayafar Kanarath Pls operate

  23 de mayo a la(s) 4:20 · Me gusta
• 

  Akhilesh Vanam Agree with the majority

  23 de mayo a la(s) 4:42 · Me gusta
• 

  Bassem Ezzat Short oblique fracture. No stable fracture. Go operative

  23 de mayo a la(s) 4:50 · Me gusta · 2
• 

  Ahmad Fayez OperAtive

  23 de mayo a la(s) 4:55 · Me gusta
• 

  Drmhreddy Moola operative

  23 de mayo a la(s) 4:58 · Me gusta
• 

  Naveen Chowdary Tummala Why the doubt in the first place?

  23 de mayo a la(s) 4:58 · Me gusta
• 

  Ghantod Kalyan Fibula will hinder union, fibular osteotomy + İLN

  23 de mayo a la(s) 4:59 · Me gusta
• 

  Santanu Mandal Obviously,operate.

  23 de mayo a la(s) 5:05 · Me gusta
• 

  Budha Prakash ILN

  23 de mayo a la(s) 5:06 · Me gusta
• 

  Kulvinder Gill Il plus fibular osteotomy. Is marrow enough for smallest dia nail?

  23 de mayo a la(s) 5:12 · Me gusta
• 

  Santosh Singh Fib ot and ilnail

  23 de mayo a la(s) 5:13 · Me gusta · 1
• 

  Surender Reddy Pendyala Do ILN

  23 de mayo a la(s) 5:16 · Me gusta
• 

  Neeraj Choudhary How many of the group always do fibular osteotomy in isolated tibia fractures?

  23 de mayo a la(s) 5:16 · Me gusta
• 

  Gajendra Kumar Sharma conservative

  23 de mayo a la(s) 5:28 · Me gusta
• 

  Widiyatmiko Arifin Putro Orif p/s

  23 de mayo a la(s) 5:36 · Me gusta
• 

  Amrut Vanechand Oswal Operate

  23 de mayo a la(s) 5:38 · Me gusta
• 

  Mahmoud Abu Aita isolated tibial fracture .. risk of non union .. need medullary nailing

  23 de mayo a la(s) 5:43 · Me gusta
• 

  Dr-Alaa Hasheesh ILN

  23 de mayo a la(s) 5:57 · Me gusta
• 

  Sameh Gamil Alshaar conserve

  23 de mayo a la(s) 6:07 · Me gusta
• 

  Modi Neerav nailing and fibular osteotomy

  23 de mayo a la(s) 6:14 · Me gusta
• 

  DrBahaa Yahya Imn or LCP

  23 de mayo a la(s) 6:19 · Me gusta
• 

  Vivian Roshan D Almeida Imil

  23 de mayo a la(s) 6:26 · Me gusta
• 

  Mohamed Wahed nail

  23 de mayo a la(s) 6:30 · Me gusta
• 

  Rahul Mhatre IKN With fibular osteotomy if possible

  23 de mayo a la(s) 6:44 · Me gusta
• 

  Mohamed Rafat Interlocking IM nail,,,early range of motion ankle and knee ,,partial weight bearing ,,to preserve muscle power ,,joints mobility ,,,and enhance fracture healing

  23 de mayo a la(s) 7:08 · Me gusta · 2
• 

  Bhavin Patel simply do CR IM nailing proximally only dynamic IL and distally regular 2 IL no conservative Rx at all, No fibulotomy required at all

  23 de mayo a la(s) 7:11 · Me gusta · 3
• 

  Mohit Gupta Conserve

  23 de mayo a la(s) 7:26 · Me gusta
• 

  Mohit Gupta More than 90 % contact on ap and lat. ptb after 4 weeks

  23 de mayo a la(s) 7:27 · Me gusta · 4
• 

  Mohamed Attia Abdou oblique fracture ,sliding , shearing force Must do internal fixation

  23 de mayo a la(s) 7:31 · Me gusta
• 

  Aldrich Fernandez Close IM nailing

  23 de mayo a la(s) 7:52 · Me gusta
• 

  Vinay H Siddappa Interlocking nail with only dynamic lock. Weight bearing as tolerated. Watch for 6 weeks, union delay? Segmental fibulectomy.

  23 de mayo a la(s) 7:53 · Me gusta
• 

  د.ﺟﻌﻔﺮﺍﻟﻄﺎﺋﻲ ﺍﺑﻮﺍﺑﺮﺍﻫﻴﻢ Operate

  23 de mayo a la(s) 7:53 · Me gusta
• 

  Raviprakash Gupta Operate

  23 de mayo a la(s) 7:54 · Me gusta
• 

  Kurian Alappatt Conserve

  23 de mayo a la(s) 8:12 · Me gusta
• 

  Neeraj Malhotra nail daal ke chalta karo boss

  23 de mayo a la(s) 8:14 · Me gusta
• 

  Ram S. Suryawanshi Must operate. Isolated tibia. Will loose reduction in cast eventually. Do only dynamic locking proximally. Wt bearing as tolerated. Good luck!

  23 de mayo a la(s) 8:15 · Me gusta
• 

  Drmahesh Dama im nailing with dynamic locking and fibular osteotomy

  23 de mayo a la(s) 8:25 · Me gusta
• 

  Kalyan Kaushik Pls explain in which conditions fibula osteotomy required? ?

  23 de mayo a la(s) 8:46 · Me gusta
• 

  Ram S. Suryawanshi Fibular osteotomy is indicated if there is nonunion. Give the fracture a chance to heal itself. Why disturb a normal innocent bone. Only nailing will suffice Ingrid case, I think.

  23 de mayo a la(s) 8:50 · Me gusta · 2
• 

  Drgaurav Gupta Nailing... early physio

  23 de mayo a la(s) 8:50 · Me gusta
• 

  Dhiren Singh We have max crowd when Sarmiento speaks but least followers to propagate his ideas... Charge same as you charge fr nailing it can be managed by ptb at 4weeks

  23 de mayo a la(s) 8:52 · Me gusta · 2
• 

  Nageswara Rao Vutharkar Nail it.

  23 de mayo a la(s) 8:53 · Me gusta
• 

  Kalyan Kaushik So, in this case I ll do only IL nail & fallow up if there is non union then I ll plan for fibula osteotomy. Thank you Ram S. Suryawanshi

  23 de mayo a la(s) 8:54 · Me gusta
• 

  Lokesh Bhatia Ask yourself, have you operated in the past all cases having Isolated tibia #, If your answer is No treat conservatively, If answer is Yes, go ahead, but then if you operate then do fibular osteotomy as well, with proper Pt's Consent.If I were you, I'll explain Pros and Cons of both conservative and Operative, and let pt choose and document it in pt's records that pt choose so and so treatment. I mean both options here are valid. If pt wants early wt bearing doesn't wants to stay long 4-6 weeks NWB in A/k Cast ,then change to PTB cast. Then go ahead with operative treatment as mentioned earlier. Nailing / Plating I leave up to your choices and expertise. As per my choice I prefer to Nail all Diaphyseal #.

  23 de mayo a la(s) 8:54 · Me gusta · 8
• 

  Sanjaykumar Pal IM Nailing with fibular osteotomy

  23 de mayo a la(s) 9:40 · Me gusta
• 

  Freddy F Galvis Gomez Cinservative wuth !Sarmientos Funtional-cast-

  23 de mayo a la(s) 9:42 · Me gusta · 1
• 

  Sabah Chenow Operative,imn

  23 de mayo a la(s) 10:22 · Me gusta
• 

  Vimal Kumar reamed intramedullary nailing

  23 de mayo a la(s) 10:24 · Me gusta
• 

  Drj Manjunath No doubt operate ...imil nail with fibular oteotomy..

  23 de mayo a la(s) 10:42 · Me gusta · 1
• 

  Freddy F Galvis Gomez fibular us intanct i insist un ealy weith with Sarmientos Funcional-cast system,

  23 de mayo a la(s) 10:54 · Editado · Me gusta · 2
• 

  Hafizur Rahman ORIF Tibia, Divide and over lap fibula

  23 de mayo a la(s) 11:36 · Me gusta
• 

  Shrikant Dalal Must fix

  23 de mayo a la(s) 12:08 · Me gusta
• 

  Manjeet Singh ILN with dynamic locking n early wt. bearing

  23 de mayo a la(s) 12:10 · Me gusta · 1
• 

  Shrikrishna Dhone play safe break fibula..ILN

  23 de mayo a la(s) 12:26 · Me gusta
• 

  Emil R. Rofaeil interlocking nail tibia sure

  23 de mayo a la(s) 12:32 · Me gusta
• 

  Vijay Kumar S N Intelocking with dynamic locking

  23 de mayo a la(s) 12:51 · Me gusta
• 

  Mah Di Ormu both op or non op u can

  23 de mayo a la(s) 12:58 · Me gusta
• 

  Utkarsh Shahi IMIL tibia with intact fibula. Early weight bearing

  23 de mayo a la(s) 13:23 · Me gusta · 1
• 

  Bibek Rai Operate as fibula is intact so chances of nonunion is high.

  23 de mayo a la(s) 14:33 · Me gusta
• 

  Freddy F Galvis Gomez if fibular osteotomy practic neeed imn if not sarmientos castand full weitgh.

  23 de mayo a la(s) 14:35 · Editado · Me gusta · 1
• 

  Needhirajan Thenmozhi Sarmiento plaster and weight bear early. Remember not all these go for non union. I have seen patient losing leg because of infection secondary to unnecessary nailing. If non union happens deal with that later.

  23 de mayo a la(s) 14:51 · Me gusta · 1
• 

  Freddy F Galvis Gomez ideM IMPRESION.

  23 de mayo a la(s) 14:52 · Me gusta
• 

  Tabu Muri Consevative

  23 de mayo a la(s) 19:30 · Me gusta · 1
• 

  Praganesh KV Those who want to go for conservative in this fracture are either in a very busy government setup or saying because of academic guidelines or are working at a place where c-arm facility not present.. i dont think any surgeon working in efficient setup will advice conservative treatment.. i am talking about competition.. if u wont someone else will do it. Pt windoshop for treatment now a days. Moreover plaster treatment in such cases prolongs the treatment and results in loss of livelihood. And if nonunion occurs then the life of patient is miserable.. the surgeon might lose one patient. Pardon my business minded philosophy..

  23 de mayo a la(s) 20:30 · Editado · Me gusta · 1
• 

  Siddu Patil operate with inter lockingnail +osteotomy of fibulla

  23 de mayo a la(s) 21:10 · Me gusta
• 

  Arjun Dumre IMIL nail and fibular osteotomy for early joint mobilization.

  23 de mayo a la(s) 22:05 · Me gusta
• 

  Mukesh Gupta Gupta dr pragnesh you think treament depends on thesetup not your indication and requirment of patient,just selling things in a mall

  24 de mayo a la(s) 0:03 · Me gusta · 2
• 

  Yadagiri Aerpula ILN Tibia

  24 de mayo a la(s) 0:53 · Me gusta
• 

  Praganesh KV @mukesh gupta sir, i wish i could also treat patient in classical ways but out own colleagues have made treatment a business..

  24 de mayo a la(s) 1:32 · Me gusta · 1
• 

  Eleti Amruth Ram Reddy This might be the result if treated conservatively....this pt treated elsewhere Conservatively came to me....sorry for bad quality photograph

  

  24 de mayo a la(s) 3:47 · Me gusta
• 

  Sayed Farooq Jalal Fib is intact, tibia will not unit better to go for ILN

  24 de mayo a la(s) 8:30 · Me gusta
• 

  Maajid Shabeer Conserve with regular followups..It should unite..

  24 de mayo a la(s) 10:15 · Me gusta
• 

  Mukesh Gupta Gupta dr eleti amruth their are thousends of case of interlocking nails also gives such a bed x ray ,and infection

  24 de mayo a la(s) 22:46 · Me gusta
• 

  Needhirajan Thenmozhi 85% of them unite. Go for conservative.

  Ayer a las 0:05 · Me gusta · 1
• 

  Santosh Singh I have not seen any of them united in my practice

  2 horas · Me gusta
• 

  Mohit Gupta Give ptb it will unite

  2 horas · Me gusta
• 

  Santosh Mahapatra If the patient can efford 3 month of cast including PTB then go for conservative otherwise ILN...

  28 min · Me gusta