alex at orto
New User
Jan 31, 2007, 5:10 AM
Post #1 of 1
(329 views)
Shortcut
|
|
Re[2]: [ORT-L] Segmental Tibia Fx
|
Can't Post
|
|
Hello Jeff,
Wednesday, January 31, 2007, 8:56:20 AM, you wrote:
JB> Attached are the postop films - Used an 11mm statically locked,
JB> reamed IMN and 2 blocking screws: 1 A --> P on the lateral side to
Looks great, congratulations!
Entry point might be a bit more proximal. Also skin incision could be
a bit upper and shorter, 1 cm is enough. And using of Poller wires is
quicker and more forgiving in case of too agressive placement.
JB> Alex: when you use that thin wire distractor for nailing, where do
JB> you place the wires exactly?
See attached.
JB> Do you keep them really proximal (i.e., intracapsular)
Well, the proximal one should be posterior to the nail. That's all in
general. It could be really subchondral in case of extremely short
proximal fragment or lower 1-2-3 cm if the fragment is longer.
JB> then remove after IMN in place?
Yes, the fixator is intra-op device. Though it can be left for some
days in delayed cases until the length is restored to allow nailing.
JB> Do you leave them? The pics seem to show the pt with the fixator
JB> on yet not on a sterile field (does that mean you leave it on for
Wires can be inserted without drapping. The device is usually applied
in non-sterile settings. The wires are secured (in knee extension),
the fixator is tensioned to distraction, length is controlled under
image intensifier. After that the leg is ready to be washed and
drapped for nailing.
--
Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia
|
MAIN
SEARCH
WHO'S 
LOG 
get_image_cr.jpg
We subscribe to the HONcode principles.
Verify here