brent.bamberger at wright
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Feb 4, 2007, 10:36 AM
Post #2 of 2
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Re: [ORT-L] Distal Femur Fx - to nail or?..
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On Feb 4, 2007, at 8:37 AM, Joseph D. DiCicco III wrote:
> This is probably too distal to try and nail although i have done it
> before. The comminution distally concerns me. Stryker has a SCN
> nail that has 45 degree cross locks plus 2 others screws distally
> to gain fixation which would work in this case. careful with the
> non-displaced fx lines extending into the joint. if it were my
> case i would use a locked plate . you should be able to maintain
> great alignment at the joint and the long term result should be
> just fine. keep him non-weightbearing long enough because of the
> open nature/smoker etc. curious to know why you have waited for a
> couple weeks to fix it? is he in anything right now, fixator i
> assume since you asked about fixator assisted nailing. get back to
> me with the final x-rays, thanks
>
> joe dicicco
> trauma & reconstructive surgery
> dayton, ohio
> On Feb 4, 2007, at 4:50 AM, Brent Bamberger wrote:
>
>>
>>
>> Begin forwarded message:
>>
>>> From: Alexander Chelnokov <alex61mobile@mail.ru>
>>> Date: February 4, 2007 4:47:44 AM EST
>>> To: Jeff Brooks <ORT-L@www2.aaos.org>
>>> Subject: [ORT-L] Distal Femur Fx - to nail or?..
>>> Reply-To: ORT-L@www2.aaos.org
>>>
>>> Dear colleagues,
>>>
>>> I attached an image of a recently admitted patient - 52 y.o. male,
>>> smoker, 2 weeks after a car accident, open grade 1, initally managed
>>> in another hospital - debridement and traction. The wound 2 cm at
>>> the
>>> lateral side of the distal femur is healed, sutures are not yet
>>> removed. Also there is a non-dispaced lower pole of the patella fx.
>>>
>>> Lines are visible in frontal plane but condyles looks not so bad, no
>>> visible steps at the articular surface so it is formally C3 but
>>> can be
>>> treated as C2, without arthrotomy and open reduction of the
>>> articular
>>> surface. How about fixator-assisted nailing in this case?
>>>
>>> --
>>> Best regards,
>>> Alexander N. Chelnokov
>>> Ural Scientific Research Institute
>>> of Traumatology and Orthopaedics
>>> 7, Bankovsky str. Ekaterinburg 620014 Russia
>>> <get_image.jpg>
>>
>
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