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Re: Перелом около протеза
Tom DeCoster 02 Июнь 2004, 13:51
The radiographs look excellent and a good outcome would be anticipated. The idea to osteotomize the femur shaft to compensate for the prior shaft malunion was clever and should work fine.

I can't actually see the osteotomy on either radiograph. Is it more proximal than we see in these radiographs or so well aligned as to be not visible?

Have you tried retrograde femoral nailing? Most people find it technically easier although not necessarily better than antegrade.

TD
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    Re: Перелом около протеза
    Alexander Chelnokov 02 Июнь 2004, 13:58




    1

    TAC> idea to osteotomize the femur shaft to compensate for the prior shaft malunion
    TAC> was clever and should work fine.

    The "idea" was an emergency appeared when the nail tip proceeded to the fracture level and became targeting anteriorly to the distal fragment.

    TAC> I can't actually see the osteotomy on either radiograph. Is it more proximal
    TAC> than we see in these radiographs or so well aligned as to be not visible?

    The osteotomy was perfromed trough the fracture site. See the image.

    TAC> Have you tried retrograde femoral nailing? Most people find it technically
    TAC> easier although not necessarily better than antegrade.

    No, i would have tried it if the antegrade attempt was failed.
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