[Orthopod] Re: Comminuted fracture proximal humerus


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[Orthopod] Re: Comminuted fracture proximal humerus

orthonet at gmail
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Jan 21, 2008, 9:17 AM

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

What is your postoperative protocol for the Spider?
How well do patients move their arms with the Spider in place?

Interesting.

CV

On Jan 21, 2008 5:26 AM, Nuno Craveiro Lopes <nuno.lopes@netvisao.pt> wrote:

> 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
>
>
>
> >
>
>

--
****************************************
Christian Veillette M.D., MSc., FRCSC
Shoulder and Elbow Reconstructive Surgery
Toronto Western Hospital, University Health Network
www.uhn.on.ca
www.orthonet.ca
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www.orthogate.org
Office: (416) 603-5929
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