mlroutt at u
New User
Nov 28, 2006, 10:56 AM
Post #1 of 1
(347 views)
Shortcut
|
|
Re: [ORT-L] Images Acetabulum anterior wall.
|
Can't Post
|
|
Despite the assumed infection and after irrigation/debridement, it might
have been helpful to realign and reduce the ramus component in order to
isolate the hip joint from the local infection...a medullary screw secures
such reduction and provides minimal implant surface exposure.
Chip
> Dr. Ziran and list colleagues:
> We've followed your thoughts and planned an Stoppa approach for fixing the
> acetabular fracture. Helped with urologist and general surgeon we reopened tha
> anterior mdiline approach, but we found pus in the Retzius space so we thought
> it wasn't wise to insert a plate. We washed the cavity throughoutly, inserted
> some drains and began antibiotics. We decided to stabilize the right sacral
> fracture with an in situ iliosacral screw without compression because the
> fracture was transforaminal. And span the pelvis with an anterior frame.
> ¿Should we have tried to reduce and fix the fracture anyway (the Retzius
> collection was undoubtly infected (we are waiting for cultures))?
> ¿What's next step?
> A) Nothing. Just remove the anterior frame when the pelvic fracture
> has healed.
> B) Wait until infection subsides and try again (wait how long) (how do
> we consider surgery is safe) (if it is longer than 2-3 weeks, is it
> worthwhile?, or the reduction will be so difficult than it is not?)
>
> Thanks all for your help
>
>
>
>
>
>
> Dr. Josep M. Muñoz Vives
> Hospital 'Dr. Josep Trueta'
> Girona
> Catalonia
> Spain
>
>
>
>
>
>
>
M.L. Chip Routt, Jr.,M.D.
Professor-Orthopedic Surgery
Harborview Medical Center
325 Ninth Avenue
Box 359798
Seattle, WA 98104-2499
phone 206-731-3658
FAX 206-731-3227
--
(This post was edited by christian on Jan 24, 2007, 3:07 PM)
|
MAIN
SEARCH
WHO'S 
LOG 
We subscribe to the HONcode principles.
Verify here