вверх
отправить
поиск
админ
главная
Предыдущее
|
Re: proximal femoral nonunion
Johannes M. Gruenwald 15 Ноябрь 2005, 20:11
|
I would like to see an ap of both hips, it looks like there is a significant amount of varus that should be corrected.
With this huge implant CT generates enough artifacts, the assessment of “minimal bridging bone” is probably wrong.
Re-nailing maintains the same axial alignment; she probably needs axial correction and a classic blade-plate, with compression and ICBG. Save the money and do not buy BMP’s…
Jmg
|
|
|
Ответить
|
Re: proximal femoral nonunion
Alexander Chelnokov 15 Ноябрь 2005, 20:12
|
GJM> Re-nailing maintains the same axial alignment; she probably
Just insert the new nail more medially, using either a Poller screw or K-wire(s) preventing its slidind to the old position.
|
[
Ответить ]
|
Re: proximal femoral nonunion
Отправитель: 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.
|
[
Ответить ]
|
Re: proximal femoral nonunion
Отправитель: 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
|
[
Ответить ]
|
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).
|
[
Ответить ]
|
|
( Ответить )
|
|
