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Re: proximal femoral nonunion
Alexander Chelnokov 15 Ноябрь 2005, 20:18
Just insert the new nail more medially, using either a Poller screw or K-wire(s) preventing its slidind to the old position.
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    Re: proximal femoral nonunion
    Johannes M. Gruenwald 15 Ноябрь 2005, 21:01
    Nice idea, but not really practical. The volume of the head of the nail does not leave enough space for a poller screw, the lag screw position is also predetermined.

    Going more medial could also disturb the circumflex artery threatening AVN

    Regards

    jmg
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    • Re: proximal femoral nonunion
      Отправитель: Alexander Chelnokov 15 Ноябрь 2005, 21:05
      GJM> Nice idea, but not really practical. The volume of the head
      GJM> of the nail does not leave enough space for a poller screw,

      It definitely provides enough space for Poller wires.

      GJM> the lag screw position is also predetermined.

      And it will be in place.

      GJM> Going more medial could also disturb the circumflex artery
      GJM> threatening AVN

      I don't mean so medial like piriformis or deeper, merely correct the existing too lateral and anterior point to the conventional one (tip of the trochanter).

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