[Ortho] crush distal ttibia

Marek orthoforum на weborto.net
Пт Ноя 7 01:40:07 YEKT 2008


This injuris is open Gustilo III A with wound on medial side of tibia, but the mechanism of the injury made a large contusion on anterolateraL  side of leg, especially over the fibula - its looks - Tscherne 3. Yes, I think traumatic woun, after exposure make offer possibilty for reduction, bu I,m affraid to make any Inernal fixation- this is 3 day witout tx - so possibility of deep infection is common...
tomorrow I will try debride this, realign and stabilize temporary by external fixator ( spanning ). I Wonder if stbilize fibula in 1st OR ? 
Marek 





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