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Re: Ятрогенный перелом
Alexander Chelnokov 18 Июнь 2003, 20:47
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DTIG> use an awl and find your way with oscillating movements
Yes.
DTIG> making the entry hole got extended during the nail entry with the
DTIG> nail impacting on the posterior cortex.
Hmmm... I didn't think of that. The nail was inserted manually for first 10-12 cm., and only further a hammer was used.
DTIG> oblique screws or even a small plate could be considered. I feel
DTIG> any of these fixations may not be adequate to mobilse the knee
I suppose combination of external and minimal internal fixation would allow to mobilize the knee as well as partial WB.
DTIG> Do let us know what you have done.Best of luck.
I applied a simple Ilizarov frame, and after reduction inserted a locking screw into a 45 degree hole and two AP screws "miss a nail".
X-rays attached.
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