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Re: Еще несращение distal tibia
M. Bryan Neal, MD 16 Апрель 2005, 10:03
Hello:

Assume odd and/or unusual bacterial infection with distal tib fib nonunion in elderly patient with poor soft tisseu sleeve: I suggest BKA.

--
Sincerely and respectfully,



M. Bryan Neal, MD
Arlington Orthopedics and Hand Surgery Specialists, Ltd.
1100 W. Central Road, Suite 304
Arlington Heights, Illinois 60005
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    Re: Еще несращение distal tibia
    Alexander Chelnokov 16 Апрель 2005, 10:57
    AFAIK the option had been discussed at the peak of problems and if it was refused when persistent wound/infection were obious, i see no sense to return to the offer of amputation now in much more calm conditions. Even if option of high quality prosthesis would be available.
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    • Re: Еще несращение distal tibia
      Отправитель: Zeev Glozman 17 Апрель 2005, 12:12
      Probably it is not the place for me to talk being the most junior guy (not even a full MD yet), but I would like to ask a few questions:
      1. Whats her currenty ankle condition ?
      2. Is there any ROM in it ?
      3. Would arthordesis be an option ?
      If it is, why can not this be done with a retrograde nail such as a versa nail, for tripple
      arthrodesis? some bone graft may be some resection and shortening?

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