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Re: Any thoughts?
Bruce Ziran 27 Ноябрь 2004, 12:16
It would seem that she has a limited life span. She has failed ORIF once. I beleive giving her one operation that will give her quality of remaining life would be quicker, easier and even safer. Prosthetic proximal femoral replacement with monopolar. No need to do the acetabulum. I have been doing immediate arthroplasty in the very elderly and it seems to work well. I think that there will be a bridging of the gap between the traumatologist and the recon surgeon in the near future.
Bruce Ziran
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    Re: Any thoughts?
    Andrew H. Schmidt 27 Ноябрь 2004, 12:19
    I agree with Bruce.

    A long cemented stem (with antibiotics) and a unipolar head is probably the quickest operation and would allow fairly early weight-bearing. I always offer the Cell-Saver and Epo; some Jehova's Witnesses will accept these measures and some won't.

    Of course, for pure palliation one could just do a resection arthroplasty.

    Andy Schmidt
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