Artroscopia y Cirugía Articular. Reemplazo Protésico: Discusión entre pares / 60 years male , interochanteric # , 01 day old admitted today. Plan of treatment

jueves, 22 de enero de 2015

Discusión entre pares / 60 years male , interochanteric # , 01 day old admitted today. Plan of treatment

https://www.facebook.com/groups/indian.ortho/?fref=nf

Nasir Ali‎Indian Orthopaedic Research Group

60 years male , interochanteric # , 01 day old admitted today. Plan of treatment
1. Dcs
2. Dhs
3. PFN
4. Tfn ...

Una foto de Nasir Ali.

Una foto de Nasir Ali.

Mokhtar Al Sabre 1

4 horas · Me gusta · 1
Ajay Gupta reduction on traction table fix lesser trochanter with encirclage and then Dhs

4 horas · Me gusta · 1
Anup Agrawal Unstable fracture ... Good reduction & long pfn

4 horas · Me gusta · 2
Ehab Ragab I think it is better to reduce distal fragment firstly by inter fragmentary screw, then choices your implant
Either DHS OR long PFN

4 horas · Me gusta · 1
Aymen Elbatran DHS

4 horas · Me gusta · 2
Gokul Nath PFLP...

3 horas · Me gusta · 2
Mahesha Kanthila Keep everything ready and decide on table. You are the best judge. If closed reduction is good, do PFN. If you have to open for reduction, DHS with derotation screw is a safe bet. I think you will do PFN. Let us see.

3 horas · Me gusta · 3
Sanjay Sharma DJs

3 horas · Me gusta · 1
Sanjay Sharma Dynamic hip screw

3 horas · Me gusta · 1
Ashish Agarwal Looking # nof also ??? Dr nasir

3 horas · Me gusta · 1
Sharib Shamim PFN A2

3 horas · Me gusta · 1
Sadique Ahmed Khan Do whatever u r comfortable. If pfn then its long pfn with encirclage. If plate then long with again encirclage.

3 horas · Me gusta · 1
Madan Mohan Nagar Will prefer LONG PFN

3 horas · Me gusta · 1
Ibrahim Elsayed Kamar Long pfn

3 horas · Me gusta · 1
Shoaib Khan Dcs or cbp or pfn

3 horas · Me gusta · 1
Vishal Gupta Dhs

3 horas · Me gusta · 2
Vishal Kumar Must decide on table..Ready with both pfn and dhs

3 horas · Me gusta · 1
Jayachandran Narayanan Long PFN.

3 horas · Me gusta · 1
Ksenthil Kumar DHS

3 horas · Me gusta · 1
Bhupendra Bharti ORIF with DCS

3 horas · Me gusta · 1
Mostafa Mahmoud PFN

3 horas · Me gusta · 1
Sudhir Pai Why do we keep dwelling on the same issue? Keep all as backup and do depending on experience, reduction, comfort and patient oriented

3 horas · Me gusta · 3
Bansal Ajay Very easy case for dhs

3 horas · Me gusta · 1
Sudhir Pai Dr Bansals experience will make him comfortable for dhs. Well said doc. Similarly each of us has a comfort zone which we should take max advantage

3 horas · Me gusta · 1
Chirag Patel I think if u do dhs in this pt chances of the lateral cortex break is much more

3 horas · Me gusta · 1
Chirag Patel So do simple pfn

3 horas · Me gusta · 1
Chirag Patel Because minimum lateral cortex width 25 mm

3 horas · Me gusta · 1
Chirag Patel It's very thin above

3 horas · Me gusta · 1
Forhad Sheikh DHS

3 horas · Me gusta · 2
DrAnish Rao Dhs will be best I suppose

2 horas · Me gusta · 2
Vaibhav Sadigale Dcs

2 horas · Me gusta · 1
DrNiaz Ali DHS

2 horas · Me gusta · 2
Srinivas Daravathu Long PFN /PFNA 2 this time circlage wire after nailing

2 horas · Me gusta · 2
Shoaib Khan It z unstable fracture wt thin lat cortex and dhs wl break it and wl b converted into type 4 fracture.
Dcs or 90 degree condylar blade plate z better option.

2 horas · Editado · Me gusta · 2
Salah Mahdi Pfn

2 horas · Me gusta · 1
Drjaved Shakhanizai DHS

2 horas · Me gusta · 2
Bansal Ajay If you plan to do dhs then never ream manually in such cases

2 horas · Me gusta · 1
Rishi Sanghavi Long pfn with tbw mipo wire to hold medial large shaft spike with sos GT wiring.. its very unstable. Dcs and angle blade plate to be ready. Explain probable outcomes to patient and relatives. Medial support if not there any implant may fail.. so pray and wait that medially good callus forms. Take good traction xrays also.

2 horas · Me gusta · 1
Felipe Maturana Hard Case, Long Gamma Nail. Closed if it's possible

2 horas · Me gusta · 1
Bansal Ajay Itna kyon ghabraana
Go with dhs and keep dcs ready

No S's wire please

2 horas · Me gusta · 1
Hardayal Singh Ghuman DJs

1 hora · Me gusta
Gamal Abdel 5

1 hora · Me gusta · 1
Hardayal Singh Ghuman DNS

1 hora · Me gusta · 1
Tolgahan Kuru Pfn

1 hora · Me gusta · 1
Bhuwan Singh DHS

47 min · Me gusta · 2
Arun Dungarwal Pfn is better than dhs here

43 min · Me gusta · 1
Zameer Ali Dhs but keep dcs available

41 min · Me gusta · 2
Drmahesh Dama

35 min · Me gusta · 1
Drmahesh Dama

35 min · Me gusta
Arnab Sinha Pfn my choice. .. depends on surgeon

23 min · Me gusta · 1
Budha Prakash Agree wid dr Bansal Ajay

2 min · Me gusta · 1

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