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<DIV><FONT face=Arial size=2>After looking at the X-rays: Is it an idiopathic
necrosis or a trauma result?</FONT></DIV>
<DIV><FONT face="Arial (Hebrew)" size=2>A grave picture I would say and I would
doubt its only the AVN.</FONT></DIV>
<DIV><FONT face="Arial (Hebrew)" size=2>I would blame some additional
causes.</FONT></DIV>
<DIV><FONT face="Arial (Hebrew)" size=2>I would suggest a Total Ankle(depending
on the age and general condition) and consider a subtalar fusion in same
session-after proper investigation I feel that the subtalar joint will be
involved.</FONT></DIV>
<DIV><FONT face="Arial (Hebrew)" size=2>A pantalar fusion would be an
alternative.</FONT></DIV>
<DIV><FONT face="Arial (Hebrew)" size=2>The thrombosis should be defined well
and adressed.</FONT></DIV>
<DIV><FONT face="Arial (Hebrew)" size=2>Good Luck!</FONT></DIV>
<DIV><FONT face="Arial (Hebrew)" size=2>AL</FONT></DIV>
<BLOCKQUOTE
style="BORDER-LEFT: #000000 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
<DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV
style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
<A href="mailto:alex61@gmail.com" title=alex61@gmail.com>Alexander
Chelnokov</A> </DIV>
<DIV style="FONT: 10pt arial"><B>To:</B> <A href="mailto:ortho@weborto.net"
title=ortho@weborto.net>Orthoforum</A> </DIV>
<DIV style="FONT: 10pt arial"><B>Sent:</B> Monday, December 10, 2007 8:13
PM</DIV>
<DIV style="FONT: 10pt arial"><B>Subject:</B> Re: [Ortho] Как лечить
асептический некроз таранной кости?</DIV>
<DIV><BR></DIV>Dear colleagues<BR><BR>
<DIV><SPAN class=gmail_quote>10.12.07, <B class=gmail_sendername>Dr. A.
Liberson</B> <<A
href="mailto:cishaifa@netvision.net.il">cishaifa@netvision.net.il</A>>
написал(а):</SPAN>
<BLOCKQUOTE class=gmail_quote
style="BORDER-LEFT: rgb(204,204,204) 1px solid; MARGIN: 0pt 0pt 0pt 0.8ex; PADDING-LEFT: 1ex">Some
people regard it to be contraindicated, but I have seen a couple of these
successive.<BR>Is the talus as ruined?<BR></BLOCKQUOTE></DIV><BR>The comment
you replied to was from this thread: <A
href="http://weborto.net/forum/1175434365/">http://weborto.net/forum/1175434365/</A><BR
clear=all><BR><BR>-- <BR>Best regards,<BR>Alexander N. Chelnokov<BR>Ural
Scientific Research Institute <BR>of Traumatology and Orthopaedics<BR>7,
Bankovsky str. Ekaterinburg 620014 Russia
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