Fwd: Re: [ORT-L] [Ortho] crush distal ttibia


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Fwd: Re: [ORT-L] [Ortho] crush distal ttibia

alex at weborto
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Nov 6, 2008, 1:15 PM

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Fwd: Re: [ORT-L] [Ortho] crush distal ttibia	Can't Post

Dear friends

---------- Forwarded message ----------
From: Marek <orthoforum@weborto.net>
To: ortho@weborto.net
CC:
Time: Fri, 07 Nov 2008 00:47:26 +0500
Subject: [Ortho] crush distal ttibia
Attachment: <none>

This injuris is open Gustilo III A with wound on medial side of tibia, but the mechanism of the injury made a large contusion on anterolateraL side of leg, especially over the fibula - its looks - Tscherne 3. Yes, I think traumatic woun, after exposure make offer possibilty for reduction, bu I,m affraid to make any Inernal fixation- this is 3 day witout tx - so possibility of deep infection is common...
tomorrow I will try debride this, realign and stabilize temporary by external fixator ( spanning ). I Wonder if stbilize fibula in 1st OR ?
Marek

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

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