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Re: Hip Case
послал Castro Siffarini 05 Февраль 2004, 20:19
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Ja budu pisat' i po russki latinskim shtrefom i po Angliskii!
Tak, mene kazitsa, chto ito "klassicheski" sluchai, kogda metodeka Ilizarova ni ispolzuetsa pravelno, ito ni defect metoda, a chelovecheskogo ego komponenta! Zdes' Doctoru hotilos' sdelat' kak luche i poluchilos'.... Dumaio, chto on pitalsa sdelat' operasio Shansa_Ilizarova, s odnoveremennim udleneniem bedrennoi kosty. Osnovnjia oshebka bilo v vibore mesto osteomomii, s nipravelnim viborom komponovke apparata dla itoi sely, I vozmozno, ni dostatochny srok fixasii! I Tak Mi imeem dela s Jatrogennim oslozneniem.
Mi imeem skromny opit' lechenjia takih bolnih s ispolzovaniem dvoenuio osteotomio bedra: Odna podvertelnjia, a drugia nadmishelkovjia: Tak , mene kazitsa, chto komponovka apparata toze imeet reshaioshoe znachenii v dannoi sytuasii.
Doskonalnjia opesanjia metoda poka ni mozem predstavit, no ito proezedet ochen' skoro I Vi smozete ego posomotrit' na www.Ilizarovjordan.com.
Na dannuio stuasio niskolko pohoze na sluchai, kotory nami publikovan po addressu http://www.ilizarovjordan.com/case5.html
Takim obrazom, ja schitaio, chto v dannom sluchai niobhodimo povtornoe nalozenjia apparata Ilizarova, s ispolzovaniem sharnirov dla korreksii deformasii, i zakretjia vneshnjia fixasii hybrednim apparatom v distraksionno-compressionom rezeme!
Luchie pozelanjia vsem!
Kastro
Zarqa
English Text:
By my opinion, this is a classic iatrogenic complication! It's a very serious complication, but NOT because, that Ilizarov method is a bad one, but because there where wrong technique during performing Shanz-Ilizarov procedure. The main mistake was the chouse of the osteotomy level.
Of course we use such method for hip reconstruction, because proximal femur osteotomies still an effective method for treatment of early stages of hip dysplastic osteoarthritis. This procedure has one negative feature - it can not completely eliminate femor bone length discrepancy. We report a method of simultaneous double femoral osteotomy, with limb lengthening as a part of complex Hip OA treatment. We cannot tell you now all the details of our technique, BECAUSE you can see it> As soon as possible> at www.ilizarovjordan.com .
In this case, I think, the treatment plane well be by using Ilizarov technique, by application of Ilizarov frame with special hinges for deformity correction of this nonunion, and fracture site distraction-compression osteosythysis! See http://www.ilizarovjordan.com/case5.html
Best regards,
Dr. Castro
Zarqa
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