[Ortho] Перелом бедра, через неделю после эндопротезир

Fuat BÝLGÝLÝ orthoforum на weborto.net
Вс Авг 19 21:22:33 YEKST 2007


I think this fracture is Vancouver type B2(prosthesis unstable). I
prefer you to remove the femoral stem with a cementless long stem
revision prosthesis, trochanteric grip, cerclage, distal femoral LISS
plate(from the femoral condyle to the tip of the stem). No need to the
cortical strut greft because there is no rotational
instability(oblique fracture). If there will be cortical bone defect,
you can use BMP and corticospongios greft. If I helped you, I will be
happy.       

  Op.Dr. Fuat BÝLGÝLÝ  Taksim Training Hospital
  Orthopedic and Traumatology  Istanbul/TURKEY 






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