Re[2]: [ORT-L] Fracture of distal femur and background...


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Re[2]: [ORT-L] Fracture of distal femur and background...

alex at weborto
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Nov 26, 2006, 5:01 AM

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Re[2]: [ORT-L] Fracture of distal femur and background...	Can't Post

Dear Lew,

Wednesday, November 22, 2006, 6:04:10 AM, you wrote:

LZ> I suggest a SIGN retrograde nail for the 2 femur fractures.

What do you offer for the shortening at the shaft malunion level?
Or leave it as is, and correct the length with THA?
Another plan would be open reduction of the distal femur, temporary
external fixation. In the same fixator perform perQ femoral osteotomy,
them perform gradual alignment and lengthening. Then convert to the
nail.

LZ> Is the femoral head viable? Is it amendable to a bone graft and
LZ> follow the healing progress as the femur fractures are healing.

The patient still not admitted to our unit. As the x-rays show it
looks like the nonunion is about 1 year or close to. Do you suppose
that attempt to preserve the head and not replace the joint would be
justified?

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

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