Fwd: Re: [ORT-L] [Ortho] Sacral Non-Union


	MAIN INDEX	SEARCH POSTS	WHO'S ONLINE	LOG IN

Forum: OWL Lists: OTA:
Fwd: Re: [ORT-L] [Ortho] Sacral Non-Union

alex61 at gmail
New User

Aug 25, 2007, 11:34 PM

Post #1 of 1 (221 views)
Shortcut

Fwd: Re: [ORT-L] [Ortho] Sacral Non-Union	Can't Post

Dear colleagues

The comment ĮĖŲ Russian ortho list

---------- Forwarded message ----------
From: Maxim Agalakov <orthoforum@weborto.net>
To: ortho@weborto.net
CC:
Created: Sun, 26 Aug 2007 12:29:44 +0600
Subject: [Ortho] Sacral Non-Union
Attachemnts: <none>

Remove IS screwes, then perform weight-bearing x-rays standing on one leg.
In case of instability, drilling of the zone of sacral nonunion and
another screw fixation may lead to fracture consolidation and pain
relief.

Late hardware failure usually is asymptomatic but nonunion of the
anterior column may sometimes simulate low back pain. In this
situation just wait and give NSAIDS.

Huegli RW, Messmer P, Jacob AL, Regazzoni P, Styger S, Gross T.
Delayed union of a sacral fracture: percutaneous navigated autologous
cancellous bone grafting and screw fixation. : Cardiovasc Intervent
Radiol. 2003 Sep-Oct;26(5):502-5.

Delayed or non-union of a sacral fracture is a serious clinical
condition that may include chronic pain, sitting discomfort, gait
disturbances, neurological problems, and inability to work. It is also
a difficult reconstruction problem.
Late correction of the deformity is technically more demanding than
the primary treatment of acute pelvic injuries. Open reduction,
internal fixation (ORIF), excision of scar tissue, and bone grafting
often in a multi-step approach are considered to be the treatment of
choice in delayed unions of the pelvic ring. This procedure implies
the risk of neurological and vascular injuries, infection, repeated
failure of union, incomplete correction of the deformity, and
incomplete pain relief as the most important complications. The lesion
was successfully treated percutaneously in a single step procedure
using CT navigation for drilling of the delayed union, autologous bone
grafting, and screw fixation.
Maxim Agalakov
______________________________________________
Ortho mailing list
Ortho@weborto.net
http://weborto.net:8080/mailman/listinfo/ortho

---------- End of forwarded message ----------

--
Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia

---
[This E-mail scanned for viruses by Declude Virus]

Search for (options)