Re: Re: [ORT-L] Fwd: [Ortho] The patient with non-union of the distal femur


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Re: Re: [ORT-L] Fwd: [Ortho] The patient with non-union of the distal femur

tanyaali2 at yahoo
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May 6, 2007, 3:32 PM

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Re: Re: [ORT-L] Fwd: [Ortho] The patient with non-union of the distal femur	Can't Post

-----Original Mail-----
From: Nikolaj Wolfson
Sent: Monday, 07th May 2007 1:25 am
To: ORT-L@www2.aaos.org
Subject: Re: [ORT-L] Fwd: [Ortho] The patient with non-union of the distal femur

Dear Alex:

Funny: I reply to you from OTA site.

1. Patient's Age?
2. Is there any evidence of infection?
If not and patient is otherwise well: locking distal femoral plate is my first choice.

Nikolaj

Nikolaj Wolfson, MD, FRCSC
Assistant Professor of Clinical Orthopaedics
Department of Orthopaedic Surgery
Keck School of Medicine
University of Southern California
nswolfso@usc.edu
(323) 226-7346 phone
http://www.usc.edu/medicine/orthopaedic_surgery

----- Original Message -----
From: Alexander Chelnokov <alex61mobile@mail.ru>
Date: Sunday, May 6, 2007 11:44 am
Subject: [ORT-L] Fwd: [Ortho] The patient with non-union of the distal femur
To: orthopod@googlegroups.com
Cc: ORT-L@www2.aaos.org

> Dear colleagues,
>
> A case from russian ortho list.
>
> THX in advance for your comments and opinions.
>
> This is a forwarded message
> From: Ruslan <orthoforum@weborto.net>
> To: ortho@weborto.net
> Date: Saturday, May 5, 2007, 1:41:47 AM
> Subject: [Ortho] The patient with non-union of the distal femur
>
> ===8<==============Original message text===============
> A female with femoral nonunion,
> Trauma in 2005 - closed fracture of the distal femur, external
> fixation with Ilizarov apparatus. Non-union. In 2006 open reduction
> and external fixation with Ilizarov apparatus. In November 2006 the
> fixator was removed, after that valgus deformation developed. There
> is mobility at the site. The knee motion 0-40. We'd like to discuss
> options of internal fixation.
>
> Ruslan
> ===8<===========End of original message text===========
>
>
>
> --
> Best regards,
> Alexander N. Chelnokov
> Ural Scientific Research Institute
> of Traumatology and Orthopaedics
> 7, Bankovsky str. Ekaterinburg 620014 Russia
---
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dear sirs we are facing a number of problems together 1st non union 2nd dysuse osteoporosis which will make any type of fixation more difficult than usuall 3rd the knee stiffness which will exert stress on fracture site , however , bone grafting & rigid fixation with an L-plate shaped for the femoral condyles & when the # is sticky the patient should be placed in a caliber with a knee hing & allow him to walk 1st partial then full wt bearing is my humble openion Dr.Ali Faisal Erbil teaching hospital department of orthopaedics & traumatology - Erbil / Iraq

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