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Re: comminuted crescent fx
Chip Routt 25 Сентябрь 2007, 22:58
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It's a comminuted iliac fracture involving the GS notch and all that
implies...use the lateral interval of an ilioinguinal, sequentially reduce,
and fix...if you want to, you can attach the dominant unstable fragment to
both the stable posterior iliac fragment and also to the anterolateral portion of the sacrum using plates...if you choose to anchor to both, the implants get congested on the iliac side of the SI joint so be precise with contouring and such applications...perhaps and based on the images shown, an iliosacral screw would only augment the construct if applied to the second sacral segment (but this is difficult to assess on the images shown). The crest components can be held securely with screws and/or peripheral plating.
Chip
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