Discusión entre pares / 12 yr old male with this fracture no Neuro defect .. wt of Pt is 36 kg management please

Indian-Orthopaedic Research-Group

Raj Singh

12 yr old male with this fracture no Neuro defect .. wt of Pt is 36 kg management please.

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  Gopal Goel CR + K Wire fixation supported with slab/ cast

  3 horas · Me gusta · 2
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  Sudhir Shelly Tens......

  3 horas · Me gusta
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  Mathew P.thomas Closed redn undr carm , k wires and a hip spica or orif with a submuscular plate(indicated at this age) with hip spica

  3 horas · Me gusta
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  Mathew P.thomas Sir I think tens may be tough

  3 horas · Me gusta · 1
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  Romeo Vardiashvili closed redius fixation k wire and cast

  3 horas · Me gusta · 1
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  Ramendra Narain Singh This should be treated in a Thomas splint conservatively.

  3 horas · Editado · Me gusta
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  Gopal Goel Sudhir Shelly TENS is not possible since the # is very close to entry point. If you do prox to distal then very small fragment for hold

  3 horas · Me gusta · 1
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  Nasrullah Khan Close reduction under c arm and k wire

  3 horas · Me gusta · 1
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  Bhavik Patel K wire done almost same case

  

  2 horas · Me gusta · 3
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  Gokul Nath CR wit K-wire

  2 horas · Me gusta
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  Niraj Kumar Crif with k wire. ..hip spica

  2 horas · Me gusta
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  Bhavik Patel Ya it will works

  2 horas · Me gusta
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  Sanjay Tripathi CR Kwire cross fixation wd pop slab for 4 wks then nonwt bearing ex for next 4 wks then wt bearing allowed if no tenderness

  2 horas · Me gusta
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  Soumya Shrikanta Mohapatra Cross k wire and cast

  2 horas · Me gusta
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  Swapnil Keny Dear Dr Singh, You Need to reduce the fracture anatomically and use extra physeal smooth pins to fix it.About 2.5 to 3 mm pins which cross above the fracture site will be ideal in this case.The knee can be maintained in a cast or a Thomas's Splint after the procedure.for about 6 weeks.

  2 horas · Me gusta
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  Manoj Mittal Cr with crossed rushnail with pop upto groin

  2 horas · Me gusta
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  Jutti Chandra Ganesan why not simple plaster with no intervention surgically?

  1 hora · Me gusta
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  Satish Kumar Close reduction and k wire fixation and tube cast

  1 hora · Me gusta
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  Swapnil Keny The Problem with only casting is that the Proximal attachment of the gastrocnemius over the the distal Tibia causes a the distal fragment to remain in flexion.This muscle pull needs to be counteracted by using a temporary fixation to keep the fracture anatomically aligned.

  1 hora · Me gusta
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  عبد المنعم جمعه Mode of trauma pls...as this fr . Could be pathological

  1 hora · Me gusta
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  Raj Singh Road traffic injury, with associated fracture of bbfa.

  1 hora · Me gusta · 1
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  DrAshraf Hassan k w

  32 min · Me gusta · 1
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  Mathew P.thomas Surgical intervention is required...

  16 min · Me gusta