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Re: Огнестрельный перелом бедра в аппарате
послал Alexander Chelnokov 03 Май 2002, 13:02
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What sort of nailing was performed in these cases? Were nails solid or cannulated? Reamed or unreamed? What kind of infection was occured?
When? What measures it required and what it was resulted with?
All our femoral exchanges were either before 3 weeks since ex-fix application or unintenionally later than 1 month after fixator removal.
But recent months i performed 4 similar ex-fix to IM nail exchanges in tibial fractures, and two of them (with prior fixation 2 and 4 months) were done immediately on the table, and pins/wires were being removed one by one while nail was inserted. In two other cases (2 and 11 months of prior exernal fixation) fixator was removed 5 and 10 days before the surgery because of some drainage (not pus clinically) from pin sites. Unreamed solid nails (UTN) were used in all cases. All 4 proceed to uneventful healing with 4-5 days of oral ciprofloxacin. Now i think either it was incredible luck, or staphyllococci at your side are much more angry, if also solid unreamed nails were used.
Any suggestions? THX in advance.
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