вверх  отправить  поиск  админ  главная  Предыдущее  Весь тред	Re: post-nailing fracture Wojciech Glinkowski 18 Январь 2008, 01:37 Dear all, Interesting discussion, Thx. Play with osteoporotic bone is always the challenge. Images sent by Professor Kanlic look nice, very good job. Excellent achorage in distal fragment. However, unicortical screwing or bicortical makes a difference, also for locked screws. Proximal fragment unicortical fixation may present stability not easlily predictable. Certainly its stability for wheelchair should be sufficient. Full weight bearing can not be mentioned for this case. If minimal bearing is allowed full weight single step may happen in elderly. Gamma nail exchange may probably fit the criteria of optimal and minimal invasivness, indeed. Removal could be relatively fast due to large intramedullary diameter seen on X-ray. I do agree that distal locking of the nail in distal femur remains critical. Best regards Wojciech Glinkowski	Сообщения о Ортопедия и травматология Также Wojciech Glinkowski Связаться с автором
	Ответить Re: post-nailing fracture Marco Berlusconi 18 Январь 2008, 01:38 Our experience with locking plates in osteoporoticbone and weight bearing is that there's no difference with a nail. the old patient start walking with crutches and 20kg weight bearing as the general conditions are good as for the nail. In this case 13 holes LISS with at least 8 cortex proximally best regards [ Ответить ] ( Ответить )

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