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Re: Перелом "около пластинки"
послал Alexander Chelnokov 05 Январь 2004, 23:19
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TAC> does come back after a few months just like or better than other knee
TAC> operations (e.g., ACL reconstruction).
It would be interesting to compare long-term follow up of both techniques.
TAC> Hip motion (that you didn't mention) returns to normal faster
TAC> and more completely with retrograde nailing than antegrade.
Really i didn't check limits of abduction/rotation. But it seems that fnctionally significant range of hip motions is not strongly affected.
TAC> Hence the concept of "entry site problems are probably equivalent."
Yes, i agree in general - cases of abductor weakness show that there is no ideal here.
TAC> fixation because it is typically placed under direct control
Pls add some more details about the direct control.
TAC> screws (3 or more) can be placed obliquely in several planes with nail mounted
Not available here yet. Though tibial nails can be used as retrograde femoral - it has 45 degrees holes except trasverse.
TAC> better than the co-linear screws, (which were designed for and work great for
TAC> rotation and length control of mid-diaphyseal fractures).
Why the holes are not threaded? It would provide greatest angular stability.
TAC> using a nail with very distal locking screws, as you mentioned and illustrated.
TAC> That's what makes this case an interesting discussion.
THX for your as usual very interesting comments.
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