вверх  отправить  поиск  админ  главная  Предыдущее  Весь тред	Re: Огнестрельный перелом луча Bryan Neal 16 Март 2004, 17:26 Thanks for the note. Plating, I think, would give a more rigid contruct than IM nail. Plating also allows for nerve exploration and bone grafting, all at the same time. IM nailing certainly would allow closed treatment but it is possible that one is not able to obtain intramedullary placement of a rod without actually opening. Sometimes I have placed a IM rod in the radius shaft and found the contour actual distracted the fracture site. IM rod is an option although I would not use it. The BMP (Bone Morphogenic Protein) is a synthetic growth factor to stimulate bone growth. Very expensive, $5,000 for small amount. very new. I have used only twice. Good luck.	Сообщения о Ортопедия и травматология Также Bryan Neal Связаться с автором
	Ответить Re: Огнестрельный перелом луча Evgueny Tchekashkine 17 Март 2004, 08:28 Hello Bryan, BMP is attractive but too expensive option. . Have you got any data proving clinical advantage of using BMP vs autologous cancellous bone graft.(besides the obvious donor site pain problem)? I will appreciate if you could share it at ORTHOFORUM. Some of the surgeons prefer straight forward tendons transfer to long standing expectation of motor and sensory recovery after nerve repair or grafting. I wonder what do you think about such approach and whether there are any established regulations for such kind of cases in your healthcare system. Kind regards, Evgueny Tchekashkine orth.dept., WCH, Windhoek, Namibia [ Ответить ] ( Ответить )

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