Discusión entre pares / 45yrs pts case of fused knee with s.c # rt femure operated with LCP

Moiied Elwerfally‎Indian Orthopaedic Research Group

45yrs pts case of fused knee with s.c # rt femure operated with LCP

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  Simon Thomas There are certain problems as i can see. 
  First your plate is short. With lot of screws near to fracture. 
  There appears to be some distraction at the fracture
  Plan for elective grafting at six weeks. At that time put a few more screws in the proximal part of the plate. I may remove one screw near to the fracture
  At the time of grafting assess the fracture for movement. If there is movement visible at the fracture i would put a medial plate too. DCP

  3 horas · Me gusta · 3
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  Gopal Goel with this construct chances of failure are high

  3 horas · Me gusta
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  Srinivas Daravathu Liss plating or dflcp with bone grafting

  3 horas · Me gusta
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  Ibrahim Ramzy two screw before the # not enough

  3 horas · Me gusta
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  Srinivas Daravathu U wud hav also added bone graft for this

  3 horas · Me gusta · 2
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  Uzair Hasan What were the perop findings sir?

  27 min · Me gusta
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  Uzair Hasan In practice, older orthpedists don't use graft in comminuted #sand rely on the fact that smaller # fragments act as graft....what do you think sir?

  23 min · Me gusta
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  Jim Bryan Pantas poor construct.. should have not violated the fracture site.. always respect the soft tissues

  20 min · Me gusta
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  Jutti Chandra Ganesan one different thought... why could have not few degrees of flexion at the knee. why again a straight stiff knee?

  14 min · Me gusta