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Re: Wrist problem
Andrey 09 Декабрь 2004, 02:15
I don`t think, that you will get the good result using ex-fix in this case.
The best way, IMHO, is to make open reducing of
radius fragments with filling the bone`s defect by cancell. bone graft, fixing it by T-plate, and with shortening of ulna.Radioulnar joint must be fixed by screw.
Kind regards, Andrey.
PS: 2 years ago I had the same case, and I`ve got a good result.
PPS: At first I tried to treat it by ex-fix without any result.

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    Re: Wrist problem
    alexandre sitnik 09 Декабрь 2004, 21:50
    I think that the plan is good. But there is no reason to wait for spontaneous healing after distraction. Probably the best way is just to distract radius with FiEx (1 mm/day) and then to fill defect with bone graft (tricortical from iliac crest) and plate radius. I had a case like this (patient is dentist) with good result.
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