nswolfso at usc
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Jul 11, 2007, 6:30 AM
Post #2 of 2
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Re: [ORT-L] Comminuted Medial Malleolus Fx
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Dear Dr.Paikh:
It is obviously more than just medial malleolus fracture. The posterior one is also fractured and I am concerned about the integrity of the syndesmosis. You can examine it. I also would like to see full lower leg (Tibia/fibula) x ray.
Yes, Trimed radial pin plate, as demonstrated by Dr. Stracher, is an option. I have no experience with this hardware.
This might be one of the cases where no surgery is the best treatment modality. Just cast this patient, follow with weekly x rays and take it from there. If there is a displacement or painful non union in a future, you can address it at the later stage.
Good luck,
Nikolaj Wolfson, MD, FRCSC
Assistant Professor of Orthopaedic Surgery
Department of Orthopaedic Surgery
Keck School of Medicine
University of Southern California
nswolfso@usc.edu
(323) 226-7346 phone
http://www.usc.edu/medicine/orthopaedic_surgery
----- Original Message -----
From: Bill Burman <wdburman@frontiernet.net>
Date: Tuesday, July 10, 2007 6:59 pm
Subject: [ORT-L] Comminuted Medial Malleolus Fx
To: ORT-L@www2.aaos.org
> Case from Dr. Parikh posted for discussion at:
> http://www.hwbf.org/hwb/conf/pari1/pari1.htm
>
> Bill Burman, MD
> HWB Foundation
> http://www.hwbf.org
> ---
> [This E-mail scanned for viruses by Declude Virus]
>
>
---
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