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ВХОД ДЛЯ ПАЦИЕНТОВ вверх поиск админ главная
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из 16 yr old boy, high energy motorcycle trauma trauma in July 2005 with: - hip dislocation + acetabular fracture L - distal femoral fracture L - tibial shaft fracture L - metatarsal fractures L
july 05: LISS femur, LCP plate tibia, double recon. plate post. acetabulum oct 05: cancellous bone graft femur aug 06: blade plate + bone graft nov 06: revision blade plate feb 07: retrograde nail + bone graft + BMP may 07: dynamisation nail sept 07: locking screw removal (max. dynamisation reached) nov 07: persistant non-union distal femur; other fractures healed uneventfully. All with gradual/partial weightbearing etc. Currently 50-100% weight bearing, no pain. Soft tissues are intact. No smoking or diabetes. CRP <2 What would you do? Kind regards, Carel Goslings Trauma Unit AMC Amsterdam, NL
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