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Re: Перелом "около пластинки"
John T. Ruth 25 Декабрь 2003, 08:06
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Many options for this. Would favor peri-locking plate if available, second choice blade plate, and last would be retrograde rod. Low fracture line and osteopenia makes retrograde rod last choice due to poor fixation of locking screws. Don't know answers to other questions.
Certainly important though.
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Re: Перелом "около пластинки"
Alexander Chelnokov 27 Декабрь 2003, 13:48
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JTR> Many options for this. Would favor peri-locking plate if available,
JTR> second choice blade plate, and last would be retrograde rod.
Why antegrade nail is not mentioned?
JTR> Low fracture line and osteopenia makes retrograde rod last
JTR> choice due to poor fixation of locking screws.
I inserted 3 locking screws. Locking plates are still not available in our settings. Is there any comprartive study of locked plates vs nails in distal femoral fractures?
JTR> Don't know answers to other questions. Certainly important
Noted.
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Re: Перелом "около пластинки"
Отправитель: Bill Burman 27 Декабрь 2003, 13:57
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>Is there any comparative study of locked plates vs nails
>in distal femoral fractures?
Biomechanical Evaluation of the Less Invasive Stabilization System (LISS), Angled Blade Plate, and Retrograde Intramedullary Nail for the Fixation of Distal Femur Fractures: An Osteoporotic Cadaveric Model
http://www.hwbf.org/ota/am/ota02/otapa/OTA02855.htm
Comparison of the LISS and a Retrograde Inserted Supracondylar Intramedullary Nail for Fixation of a Periprosthetic Distal Femur Fracture Proximal to a Total Knee Arthroplasty
http://www.hwbf.org/ota/am/ota02/otapo/OTP02007.htm
Bill Burman, MD
HWB Foundation
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