kovoor at vsnl
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Jan 17, 2008, 8:08 PM
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[Orthopod] Re: post-nailing fracture
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Dear Dr Sandro
I would suggest remove the nail put in retrograde interlocking nail after removing the present nail
DR C CHERIAN KOVOOR
KOCHI
INDIA
----- Original Message -----
From: reverberi sandro
To: orthopod@googlegroups.com
Sent: Wednesday, January 16, 2008 9:47 PM
Subject: [Orthopod] post-nailing fracture
Dear All,
I should like know what is your preferred treatment for this fracture at the tip of a long Gamma nail (on a healed subtrocantheric fracture : see img tmgn00a).
The patient is a 81 years old lady with osteoporosis and important knee arthrosis (as you can see).
Do you remove the nail or not? can we obtain a stable ostheosynthesis with a plate without remove the nail?
Do you prefer to apply a plate or an endomedullary nail (along the old way of gamma nail) to preserve joint motion?
It is justified to apply bone cement in the bone loss ?
Best regards
Sandro Reverberi
Arcispedale S. Maria Nuova
Reggio Emilia
Italy
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