Re[4]: [ORT-L] Segmental Tibia Fx


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Re[4]: [ORT-L] Segmental Tibia Fx

alex at orto
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Feb 1, 2007, 12:54 AM

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Re[4]: [ORT-L] Segmental Tibia Fx	Can't Post

Hello Peter,

Thursday, February 1, 2007, 1:50:30 AM, you wrote:

PT> Alex - you show how a thin-wire ex fix can help with obtaining a tibial fx
PT> reduction during nailing. Jeff used poller screws to help with obtaining the

Thin-wire ex-fix and Poller screws/wires supplement each other.
The fixator allows not to use such invasive tricks like semi-extended
knee and extended approach. Lateral point of inserton also becomes not
so critical. Anyway we should prevent the nail to go laterally and
posteriorly in the short fragment. So Pollers are very helpful.

PT> I wonder if Alex has encountered problems with tibial reductions "slipping"
PT> when he removes his intra-operative fixator, and if so whether he uses

Ex-fix and Poller wires are removed after locking of the proximal
fragment with 3-4 screws, 2 of which are 45 degrees. So slipping is
not a problem.

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

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