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Re: Вальгусная деформация локтевого сустава, 11 л.
Evgueny 19 Апрель 2011, 17:19
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Hello Mark,
8 weeks cast immobilization - isn't it too long?
I observe the problem with elbow mobilization among the kids with the humerus supracondular fractures even after 4 weeks in the cast.
Will appreciate your comments. maybe your physio exchange the plasters in flexion/ extension position to prevent the elbow stiffness?
Kind Regards,
Evgueny
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Re: Вальгусная деформация локтевого сустава, 11 л.
eidelman mark 22 Апрель 2011, 19:03
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Hi,
Never
saw stiffness(on the long term) after suprac fx in kids (I did more than 200).
In this specific case I believe that union will be achieved only after 6-8 weeks of immobilization.Standard protocol for suprac fx in children is 3 weeks immobilization , but for lateral condyle at least 4 weeks, in case of nonunion prolonged immobilization should be applied. I had 2 similar cases that were succesfully treated with fixation in situ and 8 weeks immobilization.You will not damage capsule by this technique , therefore HTO and stiffness are less likely to appear.
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