Artroscopia y Cirugía Articular. Reemplazo Protésico: Discusión entre pares / 65/m with crf on dialysis Plan of management ?

miércoles, 30 de julio de 2014

Discusión entre pares / 65/m with crf on dialysis Plan of management ?

Orthopaedic Research-Group

Ramesh Mamidala

65/m with crf on dialysis
Plan of management ?

65/m with crf on dialysis
Plan of management ?

विनोद राजकुमार fix it. pfn

Ayer a las 9:32 · Me gusta · 1
Vivian Roshan D Almeida Pfn

Ayer a las 9:33 · Me gusta
Ramesh Mamidala It is 6 wks old

Ayer a las 9:34 · Me gusta
Karthikeyan Mani Still pfn

Ayer a las 9:36 · Me gusta · 1
Jignesh Patel Pfn....

Ayer a las 9:37 · Me gusta
Nandish Kumar why not replacement with revision ste. If affordable? 6 wks old:-) crf pt:). Ambulate him after hemi. Pfn of course would ve been d rx of choice If not for comorb.

Ayer a las 9:40 · Me gusta
Shashikanth Rasakatla Pfn

Ayer a las 9:41 · Me gusta
محمد الشاعر Please dont touch ex fix only

Ayer a las 9:43 · Me gusta
Manash Chandra Sarker DHS

Ayer a las 9:45 · Me gusta
Pratyush Gupta pfn

23 horas · Me gusta
Sudhir Pavithra Pfn..

23 horas · Me gusta
Dr-Ahmed El Dreny DHS

23 horas · Me gusta
Mikheil Shavgulidze DHS or PFNA or Gamma-nail. Here I think, the most important is maximally reduce the surgery time, so Choose the implant, you are the most familiar with. Luck!

23 horas · Me gusta · 3
Mohammed Faramawy ENTRY POINT FOR PFN IS FRACTURED
it my even be shuttered if awl is introduced
DHS vs proximal femur locked platefor fractured greater tuberosity

23 horas · Me gusta · 4
Hasan Zakria Hasan dhs with tension band for greater trochanter

23 horas · Me gusta · 2
Satish Kumar Dhs, but be quick only 20 min

23 horas · Me gusta
Satish Kumar Don't worry about reduction

23 horas · Me gusta
Shakir Rashid Y not a dhs

23 horas · Me gusta
Satish Kumar Take high risk consent

23 horas · Me gusta
Satheesh J Philip Dhs pfn

23 horas · Me gusta
Ajay Rajput Dhs

23 horas · Me gusta
Ehab Ragab Proximal femoral plate

23 horas · Me gusta
Sudhir Pai For me what I am comfortable will be utilised after reduction. Amen.

23 horas · Me gusta
Madhur Mahna Has to be an intramedullary fixation
It will be dangerous to use DHS in such osteoporotic bone that too with CKD

23 horas · Me gusta · 2
Balaji Douraiswami First plan is to convince the anaesthetist to give the case particularly when you are in an institute....

23 horas · Me gusta · 1
Lokesh Bhatia Gamma Nail

23 horas · Me gusta · 1
Balaji Douraiswami Pfn surely

23 horas · Me gusta
Vinay Singh No treatment is perfect here.Pfn is best implant but operation time is a big hindrance.High risk consent must be taken before doing any procedure .

23 horas · Me gusta
Ashraf Goda If fit ....DHS
If un fit.....Alex fixator under local and sedation

23 horas · Me gusta · 1
Falah Khewka DHS

23 horas · Me gusta
Shahab Ud Din Management plan,patient-limb-fracture. The patient is fit? (ASA 3/4) , Percutaneus/MIS DHS .

23 horas · Me gusta
Dr-Abhi Kshatriya Go for PFN man...it would be better....

23 horas · Me gusta
Swetabh Verma The case can b managed by both dhs or pfn,which ever implant u are more well versed..pfn would b my choice as i can come out soon with same stability..crf pt on dialysis would b of concern if dhs is ur implant...

23 horas · Me gusta · 1
Sudhir Pai We forget to ask what the "ambulatory status" is before we decide to fix!

23 horas · Me gusta
Sudhir Pai I had a patient who was ambulant household limited with a bimalleolar fracture and diabetic neuropathy. I treated her conservatively and she is ultra thankful. Sounds good!

23 horas · Me gusta
Santosh Singh Its on u, but my choice pfn- in these cases always pfn

23 horas · Me gusta
Kareem Mokhtar DHS

22 horas · Me gusta · 1
Kiran Saoji Long PFN under epidural

22 horas · Me gusta
Pradeep Kamboj Can we go for cemented modular bipolar considering the CRF Wouldn't be union problems ....

22 horas · Me gusta
Gurminder Singh Bedi PFN.minimally invasive.so preferred.

22 horas · Me gusta
Prakash Sigedar PFN

22 horas · Me gusta
Venkatesh Gupta Is this recent X ray?

22 horas · Me gusta
Deepak Srivastav Pfn

22 horas · Me gusta
Ratnakaran Nambiar I suggest Ender nailing. Mini invasive with 1/2" incision, 10 min surgical time, no Nsaids required as procedure is non traumatic.

22 horas · Me gusta
Mahesh Tuptewar PFN

22 horas · Me gusta
Hany Abdelbary dhs

22 horas · Me gusta · 1
Anil Srivastava this is four part it# femur so it is unstable # so best mode of fixation is pfn as is minimally invasive procedure

22 horas · Me gusta · 1
Sudhir Pai Why do u tell pfn is indicated in unstable troch fracture Dr Anil Srivastava?

22 horas · Me gusta
Anil Srivastava i m not saying that pfn is best for unstable it#. i say only as it takes less time as dhs & is minimally invasive & close procedure as pt having crf

22 horas · Me gusta
Sudhir Pai Depends on who does it. Right sir?

22 horas · Me gusta
Anil Srivastava yes if u able to reduce # with dhs it is best for u or if u do well with pfn .pfn is best for u

22 horas · Me gusta
Vikas Saxena Ext fixator

22 horas · Me gusta
Vinay Kumar Dhs

21 horas · Me gusta
Dhirendra Vikram Singh Do in which u r expert..dhs/pfn

21 horas · Me gusta · 2
Narayana Prasad DHS

21 horas · Me gusta
Sachin Bora Patient with crf is more prone to infection than even diabetes. Risk should be explained. Pfn under epidural should be done

20 horas · Me gusta
Sachin Bora Enders under local can be done if fitness is issue

20 horas · Me gusta
Mohamed Attia Abdou Bipolar

20 horas · Me gusta
Bhavuk Garg PFNA, they have highest 30 day mortality rate after I/T #

20 horas · Me gusta · 1
Manish Sharma PFN under regional anesthesia

20 horas · Me gusta
Mehboob Nadaf Pfn

20 horas · Me gusta
Manoj Kandel Because of poor bone quality patient of crf are not candidates for internal fixation ; even when they have non displaced fracture these pt should undergo femoral head replacement .

19 horas · Me gusta
Harish Nair Put a pfna...come out...less blood loss...intr op time...open and shut case...

19 horas · Me gusta
Mohamed A. Soliman Alex fixator

18 horas · Me gusta
Mario Tangari miniopen nail surgery

18 horas · Me gusta
Mohamed Mansour El-esh locked dhs also bipolar with calcar replacement may be 2nd option but what about general condition and fitness for surgery

15 horas · Editado · Me gusta
محمد الشاعر Healing is catastrophic in r failure plz ex fix easy safe

14 horas · Me gusta
Hanuman Prasad Pfn is right choice in this case

13 horas · Me gusta
Ahmed Monuir Dhs

13 horas · Me gusta
Rishi Sanghavi Long pfn.. calcium with vita k

13 horas · Me gusta
Anil Kumar Anything...PFN, DHS, or DCS.
Important is duration.
So, chose what you can do in shortest period.

12 horas · Me gusta
Mufazzal Bohra I will suggest TFN

11 horas · Me gusta
Mufazzal Bohra Does not require full length

11 horas · Me gusta
Yogendra Nehete Pfn

11 horas · Me gusta
Lalit Kaushal Spiral blade pfn

11 horas · Me gusta
Siddharth Mahamia dhs

11 horas · Me gusta
Mohamed Abo Elghet dhs

9 horas · Me gusta
Naveen Mukka dhs

8 horas · Me gusta
Sanjay Joseph DHS

8 horas · Me gusta
Manoj Mittal Dhs

7 horas · Me gusta
Shabir Hussain Pt is CRF prone to getting infection after internal fixation. treatment plane CRIf wd DHS,Ex Fix or manage conservative any how before doing procedure take high surgical risk consent.

6 horas · Me gusta
Karen Poghosyan DHS

5 horas · Me gusta
Buan Subhan Dhs

5 horas · Me gusta
Raju Gite Pfna

2 horas · Me gusta
Kiran Vasavada THR please

1 hora · Me gusta
Narayana Prasad Why THR?

1 hora · Me gusta
Sanjay Joseph DHS

3 min · Me gusta

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