Fwd: [Orthopod] Re: [ORT-L] Periprosthetic femoral shaft nonunion


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Fwd: [Orthopod] Re: [ORT-L] Periprosthetic femoral shaft nonunion

alex61 at gmail
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Apr 9, 2007, 10:15 AM

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Fwd: [Orthopod] Re: [ORT-L] Periprosthetic femoral shaft nonunion	Can't Post

Dear colleagues,

---------- Forwarded message ----------
From: Venkatachalam <akvenkat15@hotmail.com>
To: <orthopod@googlegroups.com>
CC:
Created: Mon, 9 Apr 2007 22:23:31 +0530
Subject: [Orthopod] Re: Periprosthetic femoral shaft nonunion

Dear Dr.Alex,
The bridging plate is a weak constuct for angular stresses and hence the
deformity. The best option would be a revision THR with an open mind. After
exposure one should see the integrity of the cup which is not clearly
visible here. The stem is in Valgus and hence the fracture. IT needs to be
revised to a long stem like the Wagner system with its 8 fins or a Proximal
fit modular stem from J& J. ( both uncemented)
Once again plating is not a good option against bending stresses in the
femur.
Yours sincerely

Dr.A.K.Venkatachalam
MS, DNB, FRCS, MCh Orth( Liverpool)
Consultant Orthopedic surgeon
Chennai
---------- End of forwarded message ----------
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Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia

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