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Прислано Harpreet S Gill 13 Июнь 2005, 12:36
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Dear All,
The patient came to us for opinion regarding this # of pelvis which he sustained 5 months back.
He gives history of being on skin traction for 3,5
months. After that he was advised partial weight bearing to be graduated to full weight bearing. Now the patient has difficulty in weight bearing as it is painful. He can walk a few steps only with the help of a walker. Hip movements are restricted and painful. Fl-90* ER-10* IR-0, shortening-4cm. He also had # of humerus and radius/ulna, which were plated and have united. The serial x-rays of the pelvis/Hip during these 5 months show that the hip joint has been in the same position. I have the CT pictures also but not digitalized as yet.
He is 47 years old, Class-1 officer.
What are the options? Expert comments please.
1. # Pelvis stabilization - Is it possible at 6 mths? And subsequently THR.
2. THR in this position- Cup positioning in a deformed pelvis?
3. Can't be left as such
Regards
Harpreet S Gill
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