Discusión entre pares / Post-op,, I/f screws followed by long dhs.

Indian-Orthopaedic Research-Group

Pardeep Sharma

19 de abril a la(s) 8:31

Post-op,, I/f screws followed by long dhs.

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  Gafoor Abdul why not dcs?

  19 de abril a la(s) 10:06 · Me gusta
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  Freddy F Galvis Gomez good job .

  19 de abril a la(s) 10:10 · Me gusta · 1
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  Pravin Kanabar Seems ok except barrel could have been shorter.

  19 de abril a la(s) 10:16 · Me gusta · 2
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  Khalid Banawan Tip apex distace?? Why not gamma nail or reconnail??

  19 de abril a la(s) 10:35 · Me gusta · 1
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  Archit Gandhi Lateral post op x ray??

  19 de abril a la(s) 11:35 · Me gusta
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  Sunil Gupta dr pradeep sharma is it ok to have such long barrel crossing fracture site and such high TAD?

  19 de abril a la(s) 11:53 · Me gusta
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  Sunil Gupta dr pradeep what is that screw in the trochanteric region for?

  19 de abril a la(s) 11:54 · Me gusta
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  Drmahesh Dama Richard screw short 95 dhs is ideal implant

  19 de abril a la(s) 12:13 · Me gusta
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  Drmahesh Dama Long pfn is good for such fr

  19 de abril a la(s) 12:13 · Me gusta
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  Abhishek Sachdev Definitely need lateral xray to comment on . . !

  19 de abril a la(s) 12:19 · Me gusta
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  Amit Kale Why dhs and not dcs .? Barrel too long and screw short

  19 de abril a la(s) 12:43 · Me gusta
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  Pardeep Sharma Why not dhs dr amit?

  19 de abril a la(s) 12:52 · Editado · Me gusta
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  Vaibhav Sadigale dcs would hv been beter..

  19 de abril a la(s) 13:33 · Me gusta
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  Pavneesh Lohan In my view long pfn

  19 de abril a la(s) 13:39 · Me gusta
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  Pavneesh Lohan Long fracture fragment close method better

  19 de abril a la(s) 13:40 · Me gusta · 1
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  Pavneesh Lohan By the way good job done

  19 de abril a la(s) 13:42 · Me gusta
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  Bhavesh V Barde great job well done ...not a case for PFN either barrel length dosent matter u dont need much collapse here subtroch with IT ...good job subro

  19 de abril a la(s) 14:09 · Me gusta · 2
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  Nikheel Pansare DCS is the right implant here

  19 de abril a la(s) 15:55 · Me gusta
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  Hanume Gowda S N Its s good job...
  the head screw should have had been longer.
  I prefer PFN..

  19 de abril a la(s) 19:50 · Me gusta · 1
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  Nalanda Kamurukuru Dhs wrong choice, its like a reverse oblique fracture,

  19 de abril a la(s) 20:25 · Me gusta · 1
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  Bansal Ajay Gjd..no need for I/f screw

  19 de abril a la(s) 21:03 · Me gusta
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  Harish Nair Good job.....wrong choice of implant....though. ...I would prefer a pfn or dcs

  19 de abril a la(s) 21:30 · Me gusta · 2
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  Sudhir Pai Harish, how would a pfn reduce
  The abducted prox fragment ?

  19 de abril a la(s) 21:38 · Me gusta
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  Harish Nair I said wrong choice of implant...would have preffered dcs or pfn....pfna

  19 de abril a la(s) 21:46 · Me gusta · 1
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  Harish Nair Closed redn not possible...probably reduce fragments

  19 de abril a la(s) 21:47 · Me gusta
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  Harish Nair Ok dcs

  19 de abril a la(s) 21:47 · Me gusta · 1
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  Sudhir Pai This is a dreaded fracture pattern. Good to go in with all armamentarium. DCS would be good. A long pfnA2 if snugly fits in isthmus would be good but u all know the lateral spike won't get reduced in some
  Cases

  19 de abril a la(s) 21:49 · Me gusta
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  Rishi Sanghavi In this with dhs : open this much.. And excessive valgus... short richard screw... 
  If u do pfn... hardly 5 sutures.. u dont need to reduce the spike completely.. with use of proper entry and joysick technique or gentle push most of times it reduces... even if u have to open it. U can hold it with clamp which can b inserted from prox screw site.. just extending incision distally 2cm more... I will do only long pfn in this...

  19 de abril a la(s) 23:08 · Me gusta · 4
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  Anshul Dahuja the implant with which a surgeon is comfortable and in the end its a proper reduction which matters so that surgeon can sleepwel in the night . gud job ................

  19 de abril a la(s) 23:31 · Me gusta · 1
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  Rishi Sanghavi

  

  19 de abril a la(s) 23:46 · Me gusta
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  Rishi Sanghavi Not complaining about how done... just sharing my views.. why we have given this # good chances of failing... u can do it... but put a longer richard screw.. 1 or 2 lag screw in shaft... short barrel... longer plate... and alternate screws distally....

  

  19 de abril a la(s) 23:47 · Me gusta
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  Pardeep Sharma Reducing four major fragments which I found intra-op with joy-sticks & 5 sutures to me it looks nothing short of magic practically speaking. I agree Richard screw a bit short because of non-availability of longer one at time of surgery.lag screws are there for those who can visualise.

  20 de abril a la(s) 0:18 · Editado · Me gusta
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  Said Abdelhaleem St unstable need pfn

  20 de abril a la(s) 1:45 · Me gusta
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  Karthikeyan Mani Dcs is ideal for this case,but for the argument of short barrel for long screws? I don't think barrel crossing # matters much besides toggling and jamming of long screw in a short barrel is definitely a bigger problem right?

  20 de abril a la(s) 3:53 · Me gusta · 1
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  Pavan Patil how much was blood loss ?

  20 de abril a la(s) 9:54 · Me gusta
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  Pardeep Sharma Not significant.

  20 de abril a la(s) 9:58 · Me gusta
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  Pavan Patil if protected well it should unite well. very difficult # but if we do pfn can we mobile early in such #

  20 de abril a la(s) 9:59 · Me gusta
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  Bansal Ajay pfn mai dhs sai pahley aap kaisai mobilise ker daingai.....this will unite in 3 month almost

  20 de abril a la(s) 12:08 · Me gusta
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  Bansal Ajay why wrong chice of implant?no harm in doing such fracture pattern .....in dhs lover hand it is better then pfn friends