вверх  отправить  поиск  админ  главная  Предыдущее	Re: Distal femur non union Jeff Brooks 27 Ноябрь 2007, 20:25 Mark Brinker's group published a very thought-provoking article in a recent (<6 mos) J.O.T. that showed significant metabolic abnormalities in patients with nonunions that "should have" otherwise healed, as this "should have". (they had specific criteria for inclusion in the 'should have' group). I forget the exact distribution of abnormalities but they included most frequently Vitamin D deficiency, abnormalities of calcium and parathyroid function, and some other metabolic problems. Bottom line in my opinion: be sure this young healthy kid is thoroughly worked up metabolically before any more surgery. Jeff PS - I can send the .pdf of that article if you want to see it.	Сообщения о Ортопедия и травматология Также Jeff Brooks Связаться с автором
	Ответить Re: Distal femur non union Bill Burman 27 Ноябрь 2007, 20:41 >>significant metabolic abnormalities in patients with nonunions Interesting, but does this 16 y o patient (who apparently healed all his other fxs) meet the criteria for metabolic/endocrine screening suggested in the Brinker article "Metabolic and Endocrine Abnormalities in Patients with Nonunions: Have We Been Missing the Boat?" See http://www.hwbf.org/ota/am/ota07/otapa/OTA070315.htm Also see exchange nailing comments of Bob Winquist and Mike Chapman from OTA BFC http://www.hwbf.org/ota/bfc/chapm/ft012.html and if that doesn't work, another Brinker article to consider - "Ilizarov compression over a nail for aseptic femoral nonunions that have failed exchange nailing: a report of five cases." JOT 2003 Nov-Dec;17(10):668-76. http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=pubmed&dopt=AbstractPlus&list_uids=14600565&query_hl=2 Bill Burman, MD HWB Foundation http://www.hwbf.org [ Ответить ] ( Ответить )

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