вверх  отправить  поиск  админ  главная  Предыдущее  Весь тред	Re: APC III pelvis advice Sam Agnew 01 Октябрь 2006, 19:55 Jeff You certainly had a lot of confusing-confounding information to deal with while trying to devise this surgical tactic. I have almost always found it more logical and anatomically easier to perform the reduction beginning with the exit point of the injury-in this case the force started in the R ilium and progressed to and thru the (L) SI-to my assessment from the available history and radiographs, therefore empirically I would have reduced and stabilized the (L) side first and proceed to the point of impact (R) side in a sequential manner. I am still confused by your logic espousing dual plating as you offer more evidence to the contrary then in support of it. Can you comment on the surgical dissection required to place two orthogonal plates and the gestalt as to how this could be good? thanks again for the case Samuel G. Agnew MD FACS Orthopaedic Trauma	Сообщения о Ортопедия и травматология Также Sam Agnew Связаться с автором
	Ответить Re: APC III pelvis advice Jeff Brooks 01 Октябрь 2006, 20:23 Thank you Sam, for your comments. I'm grateful for this forum and exchange of ideas. What did people do before the internet, digital x rays, and email?!? Interesting point about order of fixation. Thought-provoking. Indeed there seems to be more evidence to the contrary re-dual plating, but in my opinion the limited anterior dissection isn't that much more (if at all), as I had already placed the pelvic reduction clamp anteriorly on 2 screws, and just placed the plate in those screw holes then added 1 more screw on either side. And, to my knowledge (which I admit is limited as I'm not as experienced as many who take care of these injuries), there is little or no harm to adding a second plate anteriorly. Jeff [ Ответить ] ( Ответить )

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