ВХОД ДЛЯ ПАЦИЕНТОВ
вверх
поиск
админ
главная
исходное
последующие
|
Re: Огнестрельный перелом луча
послал Alexander Chelnokov 19 Март 2004, 15:41
|
TAC> Although one could argue for intramedullary fixation on a theoretical basis,
TAC> plates work very well on the radius shaft in both practice and theory.
Recent years we nail without site opening all shaft forearm fractures by individually customized titanium nails.
TAC> Restoring length, rotation and stability immediately
By a quite invasive open mobilization and reduction...
So it seems reasonable to restore length and axis gradually.
A distractor was applied, anв the x-ray is performed after strong manual traction.
TAC> and obtaining ultimate bone healing will greatly enhance the
TAC> potential for soft tissue recovery. (in contrast to accepting a
TAC> chronic nonunion around some kind of small intramedullary
Proper alignment and good stability is reachable by a closed nail, at least of that sort we use. Anyway final result will mostly depend on hand function/sensitivity rather than radial (non)union. Which itself didn't bother the patient.
TAC> To me, there is a good treatment option available with reasonably
TAC> good chance of success and no need to try something innovative.
If the the stable aligned radius can be reached without excessive incision and open mobilization why neglect the option?
|
Послать ответ |
Обратите внимание: Поля с жирными названиями обязательны.
Старайтесь отвечать в рамках обсуждаемой темы, а не начинать новые обсуждения.
Указывайте адекватную тему сообщения, чтобы было ясно, о чем оно.
Не послайте сообщений не по теме (оффтопик), раздраженных, грубых или обидных комментариев. Здесь это неуместно.
|