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Re: Перипротезный перелом
Alexander Chelnokov 19 Декабрь 2008, 05:14


Female, rheumatoid, THA in 2003, car accident in 2006, failed plating. Nailing in Oct 2007. The nail is solid with hollow proximal part where the stem is docked. Last images are in 1 year after
nailing.




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    Re: Перипротезный перелом
    Milton L. Routt 19 Декабрь 2008, 05:21
    Wow.

    That construct is like something we’d use to patch cracked or bent fence posts on our ranch when I was a kid...but fence posts don’t walk and bleed.

    I have refreshed respect for the mighty femur and it’s incredible/remarkable ability to unite, regardless of what we do to it.

    Thanks for showing those films--

    Chip
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    • Re: Перипротезный перелом
      Отправитель: Alexander Chelnokov 21 Декабрь 2008, 05:57
      Dear Milton.

      You wrote:

      > That construct is like something we'd use to patch cracked or bent
      > fence posts on our ranch when I was a kid...


      Any orthopaedic fixation device is based at mechanical principles known before...

      > but fence posts don't walk and bleed.

      The lady walks fine and doesn't bleed ;-)

      > I have refreshed respect for the mighty femur and it's
      > incredible/remarkable ability to unite, regardless of what we do to it.


      The femur responded by failure to Mennen plating (DePuy Bridge plate). So i would add that the ability to unite is realized in mechanically and biologically sound conditions.

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      • Re: Перипротезный перелом
        Отправитель: Milton L. Routt 21 Декабрь 2008, 11:38
        You are so right...brilliantly said and done.

        milton


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    Re: Перипротезный перелом
    James DeBritz 19 Декабрь 2008, 05:23
    Impressive. Thanks.

    JND
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