Ortopedia Pediátrica. Traumatología y Reemplazos articulares: Discusión entre pares / operate or conserve

lunes, 26 de mayo de 2014

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

should i operate or conserve

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

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