[Ortho] Перипротезный перелом

[Alexander Chelnokov]

KE> 2. "Harder" Removal of prosthesis (has to be done if it is loose
KE> in remnant of intact proof proximal femur), and new long stem,
KE> porous coated prosthesis with new cup (pt is 59years old, probable

That would be really big surgery.
We will try to be ready to different scenarios according to intraop findings and estimation.

KE> 3. I can not imagine how any “custom” nail might work, introduced
KE> from the knee, as you have been suggesting   !!??

I heard from many european colleagues about anecdotal use of old
hollow Kuntscher nails for that purpose. Prof. R.Schnettler (Germany)
recently told about 57 cases. I have only 2 such cases done last
year, both on cementless stem. This approach is very attractive by
that we achieve the same goal - "new long stem" but much less
invasive.   

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