nuno.lopes at netvisao
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Jan 21, 2008, 2:26 AM
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[Orthopod] Re: Comminuted fracture proximal humerus
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Bijlani,
This fx need to be manipulated, reduced and fixed. We developed a minimally
invasive ex fix with Ilizarov parts to fix it, we call it “Spider”, which
can hold 4 fragments.
Attaching a case.
Best regards,
Nuno Craveiro Lopes
_____
From: orthopod@googlegroups.com [mailto:orthopod@googlegroups.com] On Behalf
Of Dr Neeraj Bijlani
Sent: sábado, 19 de Janeiro de 2008 5:29
To: indiaorth@googlegroups.com; Orthopod
Subject: [Orthopod] Comminuted fracture proximal humerus
Hello,
I am presenting a case of 80 year old male patient right handed known case
of hypertension, diabetes and history of CVA 2 years back had a fall in the
hosue 10 days back and came to me for pain and ecchymosis around the right
shoulder.
Xray shows evidence of comminuted fracture proximal humerus extraarticular.
He is a doctors father and the doctor wants to know is there any minimally
invasive procedure we can do ...
I have advised him to go for complete surgery in the form of the AO locking
plate under general anesthesia.
He is a little reluctant for complete general anaesthesia.
My questions to the house is ...
1. Is there any other option besides the locking plate ?? (Less invasive)
2. If he is not medically fit for surgery, then can we leave him alone if
yes what are the chances of going it into non union?
Awaiting your reply
Dr Neeraj Bijlani
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