[Ortho] crush distal ttibia

[Dr. A. Liberson]

Ex Fix!!!!!!!!! The soft tissue is the important bit.
AL

----- Original Message ----- 
From: "Marek Kolasniewski" <orthoforum на weborto.net>
To: <ortho на weborto.net>
Sent: Thursday, November 06, 2008 9:46 AM
Subject: [Ortho] crush distal ttibia


Dear
Could You give us an advice ?
48 yo male, crush injury (esp. Gustilo IIIA ) of distal tibia managed 
nonoperatively ( cast ! ABX) for 2 days, was transferred to us.

There,s no signs of infection but condition of skin is bad ( large 
contusion, Tscherne 3 ) What kind of treatment: definitivly or staged ? 
Internal fixation (plate) or maybe nail + screws ? Ilizarov is an option... 
<br>

Best regards
Marek Kolasniewski
Orthopedic Trauma Unit
Military Hospital
Poznan
Poland
Marek Kolasniewski



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