Re[2]: [ORT-L] ORIF and suprapubic tube?


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Re[2]: [ORT-L] ORIF and suprapubic tube?

alex61 at gmail
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Jun 2, 2007, 2:02 AM

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Re[2]: [ORT-L] ORIF and suprapubic tube?	Can't Post

Dear Dan

Friday, June 1, 2007 7:41:57 PM dan wrote:

> pelvic ex-fix is a good option in these situations. in dwelling

We receive many patients from somewhere else, 3-4 weeks after the
injury or later, with SP tube in place and neglected pelvis.
We of course use external fixators for closed reduction and temporary
and sometimes definitive stabilization of the pelvis. But often
displaced fragments of the rami are out of control with conventional
frames. Its closed reduction by an additional assembly is tricky, and
it requires to place some half-pins close to the SP tube. Time to frame
removal can be long.
In our settings patients are referred to other institutions for
urological part of the job. And many urologists are extremely
reluctant to take patients with pelvic frames. Also they feel ready to
perform urethra repair _after_ reduction and either internal fixation
or healing of the anterior part of the ring. This is background of my
question.

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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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