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Re: Fixion nails
послал Nuno Craveiro Lopes 13 Март 2006, 00:51
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> NL> - Fractures within 10 cm of the extremities,
> AC>What do you mean?
Diaphyseal fractures within 10 cm of the extermities
> AC> Is there any strong reason to have few systems of nailing instead of
> one which can cover all indications without these exclusions?
Our policy is to use the best implant for a particular type of fracture/lesion with a good cost/benefit balance, including direct and
indirect costs (patient benefit).
We found fixion superior to interlocking on those fractures where compression forces induced by weight bearing on the fracture site improve the general result, including precocious weight bearing, functional recovering and faster consolidation. By the other side operating time is
much less: we can almost do two fixion nails on the same time we do an interlocking one, which is important because we have limited operating
periods.
By the other side, we fount fixion a great implant to treat pseudarthrosis (reamed) and pathologic fractures (not reamed).
Of course it does not substitute interlocking at all!
Other inconvenience of Fixion: Patients cannot be cremated with it, with risk of explosion and destruction of crematory!
Best regards,
Nuno Craveiro Lopes
Head of Orthopedic and Trauma Department
Garcia de Orta Hospital
Almada, Portugal
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