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Re: Несросшийся перелом шейки бедра
Edward Harvey 28 Март 2002, 00:29
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> reccomend Valgus osteotmy as reported by Marti et al JBJS Br 1989
>
> AVN was not necessarily related to a poor functional outcome
>
>
> At 09:19 AM 3/27/02 +0500, you wrote:
I agree with Marc- this is what I have been doing. There is the option of a free vascularized fibular graft. There has been at least one report by the Duke group (not published yet) of 20 patients with femoral neck nonunion that have been treated with success in this manner. It doesn't change the mechanics of the hip or gait and allows for easier revision to Total hip
arthroplasty.
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Edward J Harvey MDCM FRCSC
McGill University
Department of Orthopaedic Surgery
Hand and Microvascular/ Trauma
Medical Director Fracture/Bone Metabolism
Jo Miller Research Laboratories
Montreal General Hospital
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