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Re: proximal femoral nonunion
Alexander Chelnokov 15 Ноябрь 2005, 20:18
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Just insert the new nail more medially, using either a Poller screw or K-wire(s) preventing its slidind to the old position.
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Re: proximal femoral nonunion
Отправитель: Johannes M. Gruenwald 15 Ноябрь 2005, 21:01
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Nice idea, but not really practical. The volume of the head of the nail does not leave enough space for a poller screw, the lag screw position is also predetermined.
Going more medial could also disturb the circumflex artery threatening AVN
Regards
jmg
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Re: proximal femoral nonunion
Отправитель: Alexander Chelnokov 15 Ноябрь 2005, 21:05
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GJM> Nice idea, but not really practical. The volume of the head
GJM> of the nail does not leave enough space for a poller screw,
It definitely provides enough space for Poller wires.
GJM> the lag screw position is also predetermined.
And it will be in place.
GJM> Going more medial could also disturb the circumflex artery
GJM> threatening AVN
I don't mean so medial like piriformis or deeper, merely correct the existing too lateral and anterior point to the conventional one (tip of the trochanter).
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