Re[2]: [ORT-L] Leg injury with shortening and nonunion


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Re[2]: [ORT-L] Leg injury with shortening and nonunion

alex at orto
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May 28, 2007, 2:03 AM

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Re[2]: [ORT-L] Leg injury with shortening and nonunion	Can't Post

Hello J.C.,

Monday, May 28, 2007, 1:57:53 PM, you wrote:

JCG> Thank you so far. From the X-rays and earlier CT the nonunion seems to
JCG> be atrophic with a little bridge of callus on the medial side.

The bridge would make me to try closed management - gradual alignment
and compression by the external fixator while lengthening is being
performed at other levels.
Of course some sort of bone grafting also can be performed, either
open or closed. The latter can be preferred since anyway 6-8 weeks
would be spent in ex-fix to obtain needed length. I mean perQ
osteotomy of the anterior part of the proximal fragment and its
transport over the gap.

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

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