*****SPAM***** RE: [ORT-L] Both column fracture


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*****SPAM***** RE: [ORT-L] Both column fracture

dzamoran at uci
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Sep 22, 2007, 9:47 AM

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***SPAM*** RE: [ORT-L] Both column fracture	Can't Post

You can reduce the wing first then the anterior column. The post column can be reduced thru lateral and middle windows with an angled jaw clamp (matta clamp). The stoppa window may allow you to just use the lateral window of the ilioinguinal approach. You can also visualize the post column/quadrilateral plate through the stoppa.

dave

-----Original Message-----
From: "JMMUVI@terra.es" <JMMUVI@terra.es>
To: "ORT-L@www2.aaos.org" <ORT-L@www2.aaos.org>
Sent: 9/22/07 9:42 AM
Subject: Re: [ORT-L] Both column fracture

Dear Dr. Routt and Zamorano:

Thanks very much for your speedy response.
Although I agree that the anterior column should be reduced, what
about posterior column displacement and conminution? I can't imagine
addressing the lateral fragment of the dome from ilioinguinal.
Are you telling me that the anterior approach shoud be done first and
in a second operation I should do the posterior approach or that there
is a chance that the anterior approach will be enough, because the
posterior elements will reduce as I reduce the anterior column?

I enclose a close up view and the oblique views

Thanks

Dr. Josep M. MuÃ±oz Vives
Hospital Universitari de Girona 'Dr. Josep Trueta'
Girona
Catalonia
Spain

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