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Re: Огнестрельный перелом бедра в аппарате
Tom DeCoster 05 Май 2002, 11:36
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I'm happy to provide moral support. I know for a fact that it is possible to obtain good healing with an intramedullary nail after external fixation as I've seen dozens of successful cases. So in this instance you should watch
and wait and if this patient has a problem with infection then treat it. If he doesn't, great for everyone. Intramedullary nailing is fundamentally an excellent technique (mechanically and physiologically) and will overcome many (but not all) technical and situational problems.
That doesn't mean that you should keep nailing them until you experience an unacceptable infection rate. Especially with HIV + etc.
TD
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