[Orthopod] Re: Comminuted fracture proximal humerus


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[Orthopod] Re: Comminuted fracture proximal humerus

alex at weborto
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Jan 18, 2008, 11:25 PM

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[Orthopod] Re: Comminuted fracture proximal humerus	Can't Post

Dear Neeraj,

Saturday, January 19, 2008, 10:28:43 AM, you wrote:

DNB> My questions to the house is ...
DNB> 1. Is there any other option besides the locking plate ?? (Less invasive)

CT scans would be useful to evaluate the head.
Another option could be closed nailing, see an example, the surgery
was donó 2 days ago. In common such surgeries are performed under
regional anesthesia, not general.
One more option can be fixation by V-shape stressed wires.

DNB> 2. If he is not medically fit for surgery, then can we leave him
DNB> alone if yes what are the chances of going it into non union?

Fragments now look severely displaced.

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