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Re: Перипротезный перелом
James DeBritz 19 Декабрь 2008, 05:06
Would love to see some post op xrays of a case where this follow nail was used. Could you oblige?

Thanks,
James DeBritz
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    Re: Перипротезный перелом
    Alexander Chelnokov 19 Декабрь 2008, 05:14


    Female, rheumatoid, THA in 2003, car accident in 2006, failed plating. Nailing in Oct 2007. The nail is solid with hollow proximal part where the stem is docked. Last images are in 1 year after
    nailing.




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    • Re: Перипротезный перелом
      Отправитель: Milton L. Routt 19 Декабрь 2008, 05:21
      Wow.

      That construct is like something we’d use to patch cracked or bent fence posts on our ranch when I was a kid...but fence posts don’t walk and bleed.

      I have refreshed respect for the mighty femur and it’s incredible/remarkable ability to unite, regardless of what we do to it.

      Thanks for showing those films--

      Chip

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      • Re: Перипротезный перелом
        Отправитель: Alexander Chelnokov 21 Декабрь 2008, 05:57
        Dear Milton.

        You wrote:

        > That construct is like something we'd use to patch cracked or bent
        > fence posts on our ranch when I was a kid...


        Any orthopaedic fixation device is based at mechanical principles known before...

        > but fence posts don't walk and bleed.

        The lady walks fine and doesn't bleed ;-)

        > I have refreshed respect for the mighty femur and it's
        > incredible/remarkable ability to unite, regardless of what we do to it.


        The femur responded by failure to Mennen plating (DePuy Bridge plate). So i would add that the ability to unite is realized in mechanically and biologically sound conditions.

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        • Re: Перипротезный перелом
          Отправитель: Milton L. Routt 21 Декабрь 2008, 11:38
          You are so right...brilliantly said and done.

          milton


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    • Re: Перипротезный перелом
      Отправитель: James DeBritz 19 Декабрь 2008, 05:23
      Impressive. Thanks.

      JND

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