[ORT-L] fem head fx in obese pt


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[ORT-L] fem head fx in obese pt

danschlatterer at yahoo
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Aug 16, 2006, 8:31 AM

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[ORT-L] fem head fx in obese pt	Can't Post

hello,
I am seeking input on management of this pt. the challenge is his body habitus. I am considering
using a modified ilioinguinal approach as reported by kloen/siebenbrock/ganz for low AC, AW
acetabular fractures (se JOT 2202). the approach includes an ASIS osteotomy and rectus
detachment. anyone have any further thoughts/recommendations? thank you for your input.
dan schlatterer
atlanta, ga

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(This post was edited by christian on Jan 24, 2007, 3:13 PM)

Attachments:

fem head aug06.ppt (5.14 MB)

JG at uams
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Aug 16, 2006, 11:14 AM

Post #2 of 2 (357 views)
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RE: [ORT-L] X-IMail-SPAM-Connection fem head fx in obese pt [In reply to]	Can't Post

Well, let me take a swing at this:
posterior approach ( this time its lateral position though), because:
1 Posterior capsule is torn already
2 Allows for fixation of the posterior lip
3 Fragment reduction cannot be visualized anteriorely
4 Optimum screw placement should be nearly parallel to the neck, easy through KL

PS: remember HIPPA, and find the hotkey that erases personal data on your screen, before you save the image

Regards

JMG
J. Michael Gruenwald MD FACS
Professor of Orthopaedics
Head, Orthopaedic Trauma
Departement of Orthopaedics
College of Medicine, UAMS
4301 W. Markham Street, #531
Little Rock, AR 72205,
USA

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-----Original Message-----
From: ORT-L-owner@www2.aaos.org [mailto:ORT-L-owner@www2.aaos.org] On Behalf Of dan schlatterer
Sent: Wednesday, August 16, 2006 10:32 AM
To: OTA discussion
Subject: [ORT-L] X-IMail-SPAM-Connection fem head fx in obese pt

hello,
I am seeking input on management of this pt. the challenge is his body habitus. I am considering
using a modified ilioinguinal approach as reported by kloen/siebenbrock/ganz for low AC, AW
acetabular fractures (se JOT 2202). the approach includes an ASIS osteotomy and rectus
detachment. anyone have any further thoughts/recommendations? thank you for your input.
dan schlatterer
atlanta, ga

__________________________________________________
Do You Yahoo!?
Tired of spam? Yahoo! Mail has the best spam protection around
http://mail.yahoo.com

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