ВХОД ДЛЯ ПАЦИЕНТОВ
вверх
поиск
админ
главная
исходное
|
Re: Distal femur non union
послал Li Ning 03 Декабрь 2007, 23:01
|
Dear Carel
This is a tough case .The poor kid have experienced many surgery and the site of femoral fracture must have bad blood supply. A s a orthopedist , how to fix the fracture is a problem that faced with us . The purpose of re-operation is realization of rigid internal fixation and less aggressive to blood supply.
I prefer the larger intermedullary locking nail with bone graft as my first choice, my reason is as followed. IM can place in closed condition and consider the centered fixation is more rigider than eccentric fixation of plate in the biological mechanism. Whatever to pick out the kind of fixation, bone graft is necessary to this patient.
The wire track infection of external fixation is common and don’t realize the rigid fixation, so I gave up it. LC-DCP is capable of compressing the fracture, but it need the wilder strip of soft tissue.Maybe LISS is the another choice, but it also don’t compress the facture effectively.
Best regards,
Li Ning
The third hospital of Shijiazhuang, Hebei province, China
|
Послать ответ |
Обратите внимание: Поля с жирными названиями обязательны.
Старайтесь отвечать в рамках обсуждаемой темы, а не начинать новые обсуждения.
Указывайте адекватную тему сообщения, чтобы было ясно, о чем оно.
Не послайте сообщений не по теме (оффтопик), раздраженных, грубых или обидных комментариев. Здесь это неуместно.
|