[Orthopod] Re: FW: Floating knee part 2


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[Orthopod] Re: FW: Floating knee part 2

kovoor at vsnl
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Apr 5, 2008, 5:17 AM

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[Orthopod] Re: FW: Floating knee part 2	Can't Post

Mangal
Realisticaly I dont think we are going to get any knee motion whatever
circuses we do.
considerig the bone loss why dont we think of a vascularised fib graft [
osteospetocutaneous flap] supplemented with Ilizarov ring fix

CHERRY
----- Original Message -----
From: "Dr Mangal Parihar" <mangalparihar@gmail.com>
To: <orthopod@googlegroups.com>
Sent: Sunday, March 30, 2008 11:27 PM
Subject: [Orthopod] FW: Floating knee part 2

>
>
> Anticipated problems.
>
> 1. what do we hold on to? Especially on the tibia, it looks like a sliver
> of
> the articular surface with nothing underneath.
>
> 2. how to cover the knee. I would have done an acute shortening if the
> wound
> had been on bone, but this is centered on the joint.
>
> 3. if we use a fixator, as will be most likely, how to do soft tissue
> cover.
> Also, if I am forced to use a ring fixator above and below, the problem
> becomes even more difficult.
>
> 4. can we reconstruct the extensor apparatus? If yes now or later? Should
> we
> stabilise the patella now to prevent retraction?
>
> 5. will it heal?
>
> 6. any movements possible in the future?
>
> Mangal Parihar
>
>
> >
>

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