Enes.Kanlic at ttuhsc
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Dec 21, 2008, 9:38 PM
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[ORT-L] Periprosthetic fracture... Very interesting
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Dear Alex,
Idea is very, very unusual (for me :O; is it any series
published-presented doing it this - whose way?).
X-rays look very good .... it would be nice to have follow up as well,
please?
At some point patient will need acetabular insert exchanged as well....
Thank you, you do not stop surprising me :-).
Enes M. Kanlic, MD, FACS
Professor
http://www.ttuhsc.edu/elpaso/som/Orthopaedics/
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-----Original Message-----
From: ORT-L-owner@www2.aaos.org [mailto:ORT-L-owner@www2.aaos.org] On
Behalf Of Alexander Chelnokov
Sent: Sunday, December 21, 2008 12:19 PM
To: ORT-L@www2.aaos.org
Subject: Re: [ORT-L] Periprosthetic fracture
Dear colleagues
THX for the discussion. After few days of traction by ex-fix the
surgery was performed. An attempt of closed nailing was unsuccesful
because of fragment translation, which was blocked by cement
fragments. After removal of broken cement pieces reduction was reached
"automagically". Also some cement from lateral part was removed by
chisel to expose distal 40-50 mm of the stem to allow tight fit of the
nail. Further fixation by the nail was pretty easy and
straightforward. Images attached. The stem looked stable in its
proximal part both laterally and medially. Comments/critics are
welcome.
--
Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia
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