вверх  отправить  поиск  админ  главная  Предыдущее	Re: Peri-prosthetic femoral fracture Mr Theophilus Asumu 22 Ноябрь 2006, 17:41 My preference would be to rigidly fix the fracture internally. I just feel that it may not be possible given the very porotic nature of the bone distal to the fracture (I am re-sending the lateral x-ray which really concerns me). I doubt if I could lock a nail (either antegrade or retrograde) distal to the fracture which extends virtually to the implant. I have similar concerns about plate fixation. Has anyone got a reasonable volume of experience with this type of fracture? I would be very nervous about infection with an external fixator close to the TKR. A spanning fixator is an idea but the knee will surely be incredibly stiff at the end of treatment. How easy is it for a lady in her 70s to mobilise in a spanning fixator? Many Thanks. Mr Theophilus Asumu FRCS (Tr & Orth) Consultant Orthopaedic Surgeon Oldham United Kingdom	Сообщения о Ортопедия и травматология Также Mr Theophilus Asumu Связаться с автором
	Ответить Re: Peri-prosthetic femoral fracture Lou Nunez 22 Ноябрь 2006, 17:45 I have seen a number of fractures of this type. I believe that due to fact that this fracture is mainly metaphyseal, excellent healing potential is present. I don't believe that a spanning exfix would be a good choice due to the fact that you might not get the motion that you want. I believe that a percutaneous Lis plate may be the way to go. You should be able to get some screws across the metaphysis and get decent alignment. I know that others have mentioned the Lis plate, but I don't think anyone has suggested a percutaneous approach. This approach would not disturb the callus which is probably already forming by now. This is not an easy problem! Good luck, Lou Nunez, MD, Fishkill, NY [ Ответить ] ( Ответить )

	Посетитель:

	"По форме правильно, а по существу - издевательство" В.И.Ленин
©2001-2019Orthoforum Coordinator.

[ Главная | Отправить сообщение | Поиск | Админ ]