Re[3]: [ORT-L] Leg injury with shortening and nonunion


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Re[3]: [ORT-L] Leg injury with shortening and nonunion

alex61mobile at mail
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Jun 26, 2007, 10:41 AM

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Re[3]: [ORT-L] Leg injury with shortening and nonunion	Can't Post

Dear Carel,

Tuesday, June 26, 2007, 7:57:28 PM, you wrote:

JCG> Attached the X-rays as requested. Tibia is 9,5 cm shortened, femur 2,0 cm.
JCG> Plan to remove nail, debride fracture, add cancellous bone, and
JCG> apply ringfixator under compression, (later to be followed by distraction proximally).

Good luck anyway though I would aply closed ex-fix with axial
aligmnent and compression (maybe then with attempt of distraction,
maybe not) and bilocal lengthening of the tibia. And immediate locked
nailing when needed length is reached. Consider foot frame to protect
the ankle, 9 cm lengthening can cause subluxation.

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

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