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Re: Перелом "около пластинки"
послал Alexander Chelnokov 05 Январь 2004, 15:24
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MB> 1. How was the overall X-ray exposure as compared to that of a
MB> retrograde nail?
Never performed retrograde nailing for such a distal fracture so have nothing to compare with.
MB> 2. How did you reduce the distal fragment: open, mini-open, closed,
MB> joystick technique?
Closed, by a small wire external distractor.
MB> 3. How can you make sure there is no or a slight distal protrusion:
MB> only C-arm, C-arm and X-ray, mini-open?
C-arm only, and post-op X-rays, of course. Though as i mentioned before there were cases of the slight distal protrusion which didn't cause any troubles.
MB> 4. If there is a protrusion how can you make certain there is no damage
MB> to cartilage, PCL?
One can be definitely certain about damage of the cartilage only with direct vizualization (arthroscopic?) - in the case i certain only that the canal was prepared by awl and the nail was not pulled out to the position. PCL must be posterior to the nail - never thought about it.
MB> 5. There is an "exact" entry point for the retrograde nail, how can you
MB> control the "exit point"? (Blumensaat's line?)
Also with the intercondylar notch at some AP shots with different cranial deviation.
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