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


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

alex61 at gmail
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May 28, 2007, 9:37 AM

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

Dear Bruce

Monday, May 28, 2007 8:18:14 PM Bruce wrote:

> us, we have not nailed when out to length in the tibia, but insteaed
> places a long locking plate laterally during regenerate maturation.

Why use plate in such situation? Nailing allows immediate unrestricted
weight-bearing, and have enough fatigue strength even for cases of
delayed regenerate maturation.

> An equally good alternative would be to do one operation and get the
> probelm solved forever. The new BKA prosthetics will provide better

In this particular case the likely final result with his own extremity
IMHO is well worth some extra months of bothering - there already is
good soft tissue coverage, no neurovascular deficience. The ankle and
the foot look ok.

> approaching the upper levels of limb salvage, where there is less
> science and more anecdote.

After the good job at the previous stages of treatment, "salvage"
sounds too dramatically for the current situation, which actually
looks closer to a routine lengthening procedure.

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

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