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Re: Fixion nails
послал Alexander Chelnokov 12 Март 2006, 18:31
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EK> mainly AO type 1 and 2 fractures; it may not provide
EK> enough stability in type 3 fractures and fractures
EK> distal to the isthmus.
Looks very reasonable.
EK> I may list the advantages chronically as follows:
EK> Minimal incision can be used in femur fractures.
What specific is in this for Fixion nails? Skin incision in interlocking nailing can be limited to nail diameter - it depends on the insertion handle design not a nail itself.
EK> preoperative radiographs carefully because
EK> a missed fissure can turn out to be a spiral fracture when nail is
EK> inflated. Axially unstable fractures are not suitable for fixion
EK> nails because it cannot provide enough stability, it can separate
EK> fracture fragments when inflated, may result in limb shortening.
THX, it is what i mainly was interested to confirm.
EK> theory because we do not yet have evidence based
EK> trials of these nails.
Many of your statements about the nails looks self-evident so RCT hardly ever are necessary to confirm that the missed fissure can expand
with inflating or that subisthmal fractures are less sable for this sort of nails.
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