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Re: Humeral pseudoarthrosis
Jeffrey Anglen 06 Июль 2005, 00:29
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My vote would be for re-plating with a longer plate - about 10 holes. Of course, you only need to put 2-3 screws on each side. I would also re-bone graft or use recombinant BMP, and I also use implantable bone stimulators in patients, particularly on their third nonunion operation. If there are any systemic factors (tobacco, malnutrition, diabetes), try to correct or optimize those first. Try to get her to limit her lifting, carrying, etc. post-op until it is healed - I would allow exercise under the supervision or instruction of a therapist.
Jeff Anglen, MD
Professor and Chairman, Department of Orthopaedics
Indiana University School of Medicine
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