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Re: Перелом предплечья
John Ruth 14 Август 2005, 10:46
Current standard in US is ORIF with compression plate and screws.
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    Re: Перелом предплечья
    Alexander Chelnokov 14 Август 2005, 16:13
    Don't you excpect the current state is to be changed? What advantage do we have with ORIF and plates comparatively for example to Smith&Nephew's Foresight locked nails inserted without fx site opening?

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    • Re: Перелом предплечья
      Отправитель: John Ruth 15 Август 2005, 02:01
      We have a history with plates and they work in the forearm. Do rods work as well? Just because they are less invasive doesn't necessarily make them better. Are you familiar with a prospective study doing a head to head comparison of compression plates vs. locked IM rods in the forearm?

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      • Re: Перелом предплечья
        Отправитель: Alexander Chelnokov 15 Август 2005, 02:14
        R> Do rods work as well? Just because they are less invasive doesn't
        JR> necessarily make them better.

        Why? Some benefits of less invasive technique are self-evident.

        JR> Are you familiar with a prospective study doing a head to head

        It is obvious that closed nailing is very promising technique for the forearm so IMHO at this period studies are necessary how to refine and stadartize technique of forearm nailing. Otherwise good plating would be compared with bad nailing.

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