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Re: Acetabular Fx Surgical Approach
Chip Routt 16 Июль 2006, 09:38
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> It seems that there are a lot of strong opinions on this matter. Just to stir
> it up a bit more, I will propose that using a Jackson table, lateral position,
> with traction, and using the peroneal post with the vertical height adjustment
Simple as this, 99.99% of surgeons can't safely work and clamp through the notch with the patient positioned laterally...it's just not anatomically possible... and it's all about the reduction... we know that.
Imaging is so easy with a prone patient on a radiolucent table, and it's so troublesome with a laterally positioned patient on a fracture table...we know this too.
Fracture tables with perineal posts and sustained traction (to maintain an approximate and "soft tissue tensioned" based reduction) cause complications that we're all very familiar with... if you are too young, ask those who remember the history and evolution of femoral nailing...it's written.
This is not dogma, it's just reality...it is what it is...you know what you know, but you don't know what you don't know.
These details only matter to the patients and those that you try to teach.
That's enough from me-
Chip
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