[Ortho] Prox humerus - перелом и вывых

[Alexander Chelnokov]

Dear Christian,

Wednesday, August 29, 2007 12:51:56 AM Christian wrote:

> I have never used that particular implant.

To my mind it was most suitable for this injury because of long shaft
extension. 

> Is there only a single screw in the head?

All 3 screws are in the head. The feature of the nail is that it has
four holes oriented not 45 degrees to frontal or sagittal planr, but
anatomically to the head and both tubercles. The holes in the nail are
threaded so angular stability is perfect, and contain a nylon bushing
preventing any screw rotation/back out.

> What was the status of the cuff?

I've seen only subscapularis - was in place.

> Did you do any sort of anterior capsular repair?

Just suture.

> Interesting idea regarding the Weber rotation.

Frankly speaking I am not sure about over-rotation. I requested the
patient to check these days if the shoulder feels comfortable. If not
we are able to remove the distal screw, change rotation and re-lock the
nail. 

> Please let me know how this patient does in 6 weeks/6 months.

ok.
THX for your input.

-- 
Best regards,
 Alexander N. Chelnokov
Ural Scientific Research Institute 
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia