Ortopedia Pediátrica. Traumatología y Reemplazos articulares
Traumatología y Reemplazos Articulares
Ortopedia Pediatrica
martes, 22 de abril de 2014
Discusión entre pares / 18 yrs Young male operated elsewhere
Indian-Orthopaedic Research-Group
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Shyamlal Mukhi
18 de abril a la(s) 8:16
18 yrs Young male operated elsewhere
Ismail Fathalla
Nice case. When was the injury/surgery?
18 de abril a la(s) 8:35
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Gopal Goel
Revise surgery
18 de abril a la(s) 8:41
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Gopal Goel
use sirus nail/ AFN
18 de abril a la(s) 8:42
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DrAnish Rao
Now. What's the pr
18 de abril a la(s) 8:42
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DrDilawar Khan Mahsud
#
NOF
not compressed
18 de abril a la(s) 8:45
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Pravin Kanabar
Likely to go for non union of neck fracture and for delayed or non union of shaft femur. Needs revision of neck femur and dynamiztion or revision for shaft. Sirus can be a good option if collapse can be acheived at both fracture site.
18 de abril a la(s) 8:47
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Vishal Garg
My Suggestion: Dynamize the nail 4-6 weeks after surgery;;;;; wait for neck femur to unite (unlikely): if it doesn't unite then go in for THR???
18 de abril a la(s) 9:22
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Pradeep Kumar Shetty
non union neck with shaft nonunion.....revision definitely issue here is how to tackle neck nonunion ....any method of fixation(recon /PFN/long DCS)... bone grafting for shaft+ strut fibula graft or mayer muscle pedicle graft for neck
18 de abril a la(s) 9:23
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DrAnish Rao
Revise the surgery. Remove nail. Freshen the fracture ends. But bone grafts then do retrograde nailing. Remove the. Cannulated screw. Put bone. Graft and. Fix. Necck with three cannulated screws in proper position wait for three mths if fracture neck doesn't unite do osteotomy and. Fix with plate
18 de abril a la(s) 9:29
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Mohamed Abdelhalim
Interesting case... dr when was the 1 st surgery done ? And inflammation profile good?
18 de abril a la(s) 9:37
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Shyamlal Mukhi
6 months old fracture
18 de abril a la(s) 11:44
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Shyamlal Mukhi
Pts age is 18 yrs @ Vishal Garg
18 de abril a la(s) 11:48
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Bansal Ajay
Osteotomy and long double angle plating
18 de abril a la(s) 12:02
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Nisarg Raninga Bhuro
#
neck
femur might be during entry with awl
18 de abril a la(s) 13:09
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Bipin Solanki
Nail is always mechanically better than a plate.. .. Let the nail be there, freshen bone ends and put cancelous graft at femur shaft# site, revise neck screws with sliding recon neck screw . this nail has recon options.. Dynamisation is good but little difficult, there is no space at dynamic hole of the nail distally.. But still can b done with other ways..
18 de abril a la(s) 15:08
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Sanjay Sharma
bone graft compression of neck of femur
19 de abril a la(s) 7:28
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Hafizur Rahman
Difficult tusk,still try to improve the Proximal fixations
20 de abril a la(s) 11:50
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