Ortopedia Pediátrica. Traumatología y Reemplazos articulares: Discusión entre pares/Unstable IT # fixed with Ender nails and compression screw. Post op XRay at the end of 5 weeks. any comments ?

Indian-Orthopaedic Research-Group

Ratnakaran Nambiar

Unstable IT # fixed with Ender nails and compression screw.
Post op XRay at the end of 5 weeks.
any comments ?

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Bonesmith Ligu Looks good. Commendable to be able to do that with enders nail. But is result reproducible?

Ayer a las 9:07 · Me gusta · 1
Ratnakaran Nambiar thanks. This type of result is reproduced regularly as its my routine procedure for IT #s. The technique is simple, takes only 15-20 minutes and requires no special skill. Full wt bearing is allowed at end of 3wks in stable #s and 5 wks in unstable #s

Ayer a las 9:39 · Me gusta · 2
Ahmed Soliman Very good method of fixation .. Plz sir would u post more results and more details .. The screw by the way seems to be loosing compression

Ayer a las 9:57 · Editado · Me gusta · 1
Ratnakaran Nambiar Screw head slides back little when the # collapses while uniting. Main purpose of the screw is to prevent rotation and to stabilize

Ayer a las 10:53 · Me gusta
Drmahesh Dama Sir. R passing enders. First. Or screw.

Ayer a las 11:12 · Me gusta · 1
Bonesmith Ligu Definitely a very cheap option if result is reproducible in ones hand. But i would still opt for pfn.

Ayer a las 11:22 · Me gusta · 1
Ratnakaran Nambiar We introduce the nails first and then compress with the Screw

Ayer a las 11:23 · Me gusta
Ali Öner Result is perfect in 5 weeks!

Ayer a las 11:36 · Me gusta · 1
Bansal Ajay Dhs

hace 23 horas · Me gusta
Vanteru Kishore Chandra Reddy Why not DHS?

hace 23 horas · Me gusta
Yasser Elsharawey Poor,unsuitable fixation

hace 23 horas · Me gusta · 1
Ahmed Saad Reversed obliquity inter trochantric frx unstable frx revision by DCS or angled plate 95 degree for stability

hace 23 horas · Me gusta
Adarsh Thammaiah DHS OR PFN .....always a better option

hace 23 horas · Me gusta
M Bukhsh Shahwani Zarurat ehjad ke maa hai

hace 22 horas · Me gusta
M Bukhsh Shahwani I cant do it technically difficult

hace 22 horas · Me gusta
Karthikeyan Mani I don't think DHS IS THAT COSTLY IMPLANT for such adventures which none of standard texts or operating manuals mention

hace 12 horas · Me gusta · 3
Girish Dang Cheap and effective.Nice job.

hace 12 horas · Me gusta · 2
Sharma Pervaind gud job ,wy dis alternative method whn u have standard implnts r thr

hace 12 horas · Me gusta · 1
DrDhiren Faldu better to do what standerdisation is.............

10 horas · Me gusta
Santosh Mahapatra Why not DHS... ???

10 horas · Me gusta · 1
V V Prasad Ortho i have never seen such a fixation...... if the fracture unites then no comments....

9 horas · Me gusta · 1
Ashraf Mousa Orabi this type of fixation was used before but distal fractures could be done and delayed weight bearing is another issues ,for stable IT fractures DHS is the golden choice ....for unstable fractures (DHS ,PFN OR intramedullary fixation is option plus calcar replacement hemi arthroplasty in severe osteoprotic unstable fractures )

5 horas · Me gusta
Harish Govindaraju Mr Ratnakaran Nambiar ...u hv done a gud job wit dis implant..my questions are-
1- any specific indication for dis sort of fixation..lik surgically unfit pts
2 - Is it done under local anaesthesia r spinal...

5 horas · Me gusta · 1
Ashutosh Chaudhari hmm ,i think pragnesh kv says it all ,i remember my boss told me there are 4 different ways to go from dadar to churchgate,so long as you reach hardly makes a difference which you took ,now regarding literature the cambell i read for my MS did mention this as an option ,now intertrochs do heal on their own as well ,now regarding is it some thing that the rest of us should do i don't think so ,a pfn or dhs based on personal preference ,now regarding time yes time i believe is an achievement but i don't think it should be the goal of any surgery,i don't think if in place of 30 min one were to take 1 hour it makes no difference to any one whatsoever (with the probable exception of a busy anaesthetist),i really don't think a patient is going to say thanks doc for doing my surgery in 20 min ,lastly if it works for you continue to do it ,but in case of a complication people may not necessarily agree with your fixation

4 horas · Me gusta · 1
Mukesh Gupta Gupta ye to enders nail k sath jadyda hi ho gya,ha ha ha

3 horas · Me gusta
Bansal Ajay let us do critical analysis....pt ka totel kitna kharch huaa?

3 horas · Me gusta
Bansal Ajay excellent comment from dr ashtosh chaudhary

3 horas · Me gusta
Ratnakaran Nambiar Dr Harish, thanks for the compliment. I usually do this techniq in very elderly,osteoporotic and high risk cases. done under spinal or femoral block . Of course time matters a lot in such cases especially for the surgeon. In younger age group we prefer pfn/ dhs. Shall mail the video of this procedure if any body is interested.

48 min · Editado · Me gusta · 2
Jagadish Nenavath good

42 min · Me gusta
Ratnakaran Nambiar Dr Bukhsh , take it from me- its not technically difficult. rather its easier than any other technique.

34 min · Me gusta
Bonesmith Ligu Sir do post the video. Lets not be tubular. It never harms to learn new things. M sure implant will cost less thn 1000 Bucks

32 min · Me gusta · 1
Harish Govindaraju Post op protocol...?
Do u use derotation boot....?
Mr Ratnakaran Nambiar

29 min · Me gusta
Ratnakaran Nambiar OK dr Bonesmith. Please send your mail ID. Regarding cost- nails and CCscrews together less than Rs1000. Expense considerably reduced due to minimal medications, no blood needed and reduced hospital stay(3or4days)

18 min · Me gusta