Jul 30

Discusión entre pares / 2 months old ILN femur + circlage wiring done some where

2 months old ILN femur + circlage wiring done some where. Will fracture unite or need removal of static screw. Im thinking dat already nail is longer if i remove static screw nail may palpate at proximal. sugetions plz
  • Mohit Kumar Leave it as such under close observation
  • Salman Mhamed Sadek Remove the px secr. to keep the nail in dynamic state
  • King Sudheer If i remove proximal screw already nail is proximal..any impingement problem?
    3 horas · Me gusta · 1
  • Shahab Ud Din Exchange ILN bigger dia,appropiate lengath so noimpingement problem. (Exchange nailing vl help in union)
    3 horas · Editado · Me gusta · 2
  • Manish Budhia Don’t take out proximal screw bc there is only one static screw proximally.so if u remove that screw ,rotation will be at fracture site and leads to nu.distal screws are broken so nail is already dynamized.wait for one more month
    3 horas · Me gusta · 1
  • Salman Mhamed Sadek In this picture. You have impg. So the state will not change but when you rmove the scr.we will get more acceleration for healing
  • Salman Mhamed Sadek I think both up and down scr.when you remove the nail will go to dynamic State
  • Hardayal Singh Ghuman Remove proximal screw
  • Sushil Vijay You should not remove screw as both distal screws are already bent…. It will break in dynamization. Better do exchange nailing as still no significant callus visible.
    3 horas · Me gusta · 2
  • Satish Kumar Wait for 2 month
  • Vijay Kumar Agarwal Fracture is already dynamised…….don’t hurry…… Give fracture time to heal….. Avoid wt bearing
  • Bhupesh Mahawar Wait n watch for 1 month. Distal screws seems to b broken, i.e. already dynamized. It will unite. Don’t remove prox screws as it may lead to rotational instability.
    2 horas · Me gusta · 1
  • Shrikrishna Dhone Remove screws distal one dynamize,more chances of union as # is transverse ,telescopy will act as compression at # site give functional brace for femur
  • Mahmoud Mohamed Distal screws are already broken.wait and see
  • Mohamed Mamdouh For follow up
  • Shrikrishna Dhone Although srews are broken/bent there is gap at # site hence removal is better
  • Prashant Yadav Removing prox screw ll worse the situation by making fracture rotationally unstable and distal screws are already broken so nail is already in auto-dynamisation state.
    Do exchange nailing with larger diameter nail
    1 hora · Me gusta · 2
  • Vijay Kumar Agarwal fracture is already in process of union ……there is well visible callus posteriorly !
  • Lalith Mohan I agree with dr vijay kumar.you have to just wait for at least another 2 months.
  • Nitish Bhan Both the screws have broken and there is no distal hold.. the nail is wobbling and there is no rotational control..better leave it ..if u r lucky it may unite.a better option is to redo nailing with an appropriate diametre nail.removing nail will not help..it will make it more unstable and u might have hypertrophic non union..
  • Kir Pat Any minor intervention like dynamizing, will lead nail penetration and protrusion ,instability,malunio and nondunion uncertainity and delayed rehab and broken screw removal ,by any shortcuts ,same procedural incision in exchange nailing by shorter ,may be same dia will solve all future impending and will make you and pt feel secure about results

46 comentarios

Ir al formulario de comentarios

    • August on 9 diciembre, 2017 at 6:38 pm

    Howdy! I’m at work browsing your blog from my new iphone 3gs! Just wanted to say I love reading your blog and look forward to all your posts! Keep up the superb work!

  1. I always read through your posts carefully. I’m likewise considering mesothelioma lawyers near me, maybe you might talk about that from time to time. Regards!

  2. It was amazing to read this and I think you are absolutely right. Tell me in the event that you’re looking into root canal treatment, that’s my principal competency. I am hoping to hear from you soon enough, cheers!

  3. Just love your site

  4. Wow, incredible weblog structure! How lengthy have you been blogging for? you made blogging glance easy. The total glance of your website is fantastic, let alone the content material!

  5. Heya, you are definitely correct. I frequently read through your posts closely. I’m also focused on free hd movies online, perhaps you might write about that at times. Have a great day!

  6. Wonderful blog

  7. Really Exciting

    • Home Page on 23 diciembre, 2017 at 10:43 am

    Hold it up. Thanks

  8. Incredible website

    • Kent on 6 enero, 2018 at 11:23 am

    It’s onerous to search out knowledgeable individuals on this topic, however you sound like you know what you’re talking about! Thanks

  9. This site stones

  10. There’s fantastic developments on the layout of the website, I certainly enjoy that. My site is regarding wealth generators presentation and there are a lot of things to do, I’m still a starter in webpage design. Take care!

  11. An intriguing discussion is worth comment. I believe which you should really write extra on this subject, it may possibly not be a taboo topic but commonly folks are not enough to speak on such topics. To the next. Cheers

  12. Admiring the hard work you invested in the blog and comprehensive information you present. It’s good to find a site once in a while that is just not the same outdated re-written information. Excellent read! We have saved your blog and I am including the RSS feeds to our more followers on instagram site.

  13. I frequently read your posts attentively. I am furthermore fascinated by property development, you might talk about that occasionally. Bye!

  14. Undeniably believe that which you said. Your favorite reason seemed to be on the net the easiest thing to be aware of. I say to you, I certainly get annoyed while people think about worries that they just do not know about. You managed to hit the nail upon the top as well as defined out the whole thing without having side effect , people could take a signal. Will likely be back to get more. Thanks http://www.pagetraffic.in/awards.php

  15. Hello, you’re definitely correct. I constantly go through your content attentively. I am likewise looking into forex trading bot, maybe you might discuss this sometimes. Good bye.

  16. It was wonderful to read this info and I feel you are completely right. Inform me in the event that you’re looking into environmental science jobs in australia, that is my primary competence. I hope to hear from you soon, take care!

  17. I use this one http://www.bestrecurringaffiliateprogram.com

  18. Hey can you let me know which platform you are dealing with? I am looking to start out my personal blog on websites to watch free movies in the near future yet I am having trouble making the decision.

  19. Al Hadi AC Refrigration and Repairing is committed to giving your ACs a new lease of life. We have a team of experienced professionals which has serviced more than a 1000 units, much to the satisfaction of our clients. The effort at Al Hadi has always been to service a call in the shortest span of time and to close it with a happy client. The referrals we get is a testimony to our work. Try our services today!

  20. Thank you so much for discussing this, I saved this page. I’m additionally trying to find information regarding real estate commission, are you aware where I can come across a thing such as this? I will be back quickly!

  21. It was actually amazing reading this and I feel you’re completely correct. Tell me if perhaps you’re considering long acting bronchodilators, this is my primary competence. Hope to see you in the near future, bye for now!

  22. Dr.Punnet and her Teams are really a great cheater in Delhi for IVF, initially they say we will provide world best technology but after getting all money they all can’t do any thing and again repeat cycle or again take money for evry cycle same money, they all are playing with the emotions of allots of couples, God will never forgive you Dr. Puneet. this is very bad clinic, this is only earning money nothing else, avoid this doctor, try in AIIMS, GANGA RAM ANY OTHER Government hospitals are better, all private IVF centre are cheaters, maainly Dr. Puneet is great cheater in Delhi.

  23. She never live on her words, after getting full payment she will change her word and commitment, she wants only money and nothing else. God in subse jaise Doctors se hame bachaye

  24. Thank you for the great content! I truly enjoyed learning about.I will be sure to save this blog and definitely will return very soon. I would like to suggest you to ultimately continue the excellent posts, perhaps try to think of hair and vitamins also, have a superb evening!

  25. We absolutely adore your website and find almost all of the blogposts to be exactly what I’m trying to find. Do you offer guest writers to post information for you? I would not mind writing an article relating to awesome gadgets or perhaps on some of the things you’re posting about on this website. Again, awesome site!

  26. You’re totally correct! I liked reading through this info and I will certainly come back for more as quickly as possible. My site is dealing with building plans, you could take a peek if you are still interested in that.

  27. Are you tired of your ac repair in Dubai? Are you looking for Certified Professionals to carry out your ac repair with improved facilities and in an expert way?. Hot and humid conditions are not easy to tolerate, especially when you are not used to them. But, thanks to the air conditioners – living in such extreme settings can also become a pleasant experience, and more so if you are in Dubai.

  28. Hey there, what do you really feel about professional sofa cleaning? Extremely awesome subject, huh?

  29. Hey. I just came across this great site and I certainly love it. I also like to focus on audio from time to time. Great to be here, many thanks!

  30. I’m really curious to understand what blog platform you are working with? I am experiencing some minor security difficulties with the most recent website on bitcoin exchange rate so I’d love to find a thing far more safe. Have any recommendations?

  31. I like what you dudes are up to. This kind of clever work and visibility! Continue the amazing effort guys, I have you on my duplex house plans webpage.

  32. Admiring the commitment you invested in your blog and comprehensive details you offer. It’s good to find a website now and then that is not the similar out of date re-written material. Wonderful read! We’ve saved your site and I am including the RSS feeds to our Ethereum to BTC page.

  33. Appreciating the time and energy you put into the site and detailed info you display. It’s wonderful to come across a website from time to time which is not the same unwanted rehashed content. Amazing read! We have bookmarked your site and I’m including your RSS feeds to my Ethereum to USD webpage.

  34. I’m actually enjoying the theme/design of your internet site. Do you ever encounter any internet browser compatibility situations? Some of my blog visitors have lamented regarding my traffic citation blog not working appropriately in Explorer yet appears amazing in Firefox. Are there any ideas to assist repair the issue?

  35. Hello there could you tell me which platform you’re using? I am seeking to get started with my very own site on traffic fines in the future although I am having a tough time deciding.

  36. I frequently read through your posts attentively. I’m furthermore curious about real credit card details, maybe you could discuss that at times. Cheers.

  37. ANPC is a free nation for and by the living men and women of the earth. This Private Nation is a grassroots association based out of Indonesia having its own International Charter, Peace Treaty, Constitution, Rules of conduct and has adopted the Declaration of Human Rights. These Treaties have been Registered by International Notice to the Hague and World Court as well as other agencies worldwide. The entire goal and mission of ANPC is WORLD PEACE and freedom for all the nationals of the world, focusing on a peaceful gathering together of all tribes and nations. Our living men and women are to live as Peaceful Inhabitants on the land, striving always to create a better world today and for future generations.

  38. ANPC is a free nation for and by the living men and women of the earth. This Private Nation is a grassroots association based out of Indonesia having its own International Charter, Peace Treaty, Constitution, Rules of conduct and has adopted the Declaration of Human Rights. These Treaties have been Registered by International Notice to the Hague and World Court as well as other agencies worldwide. The entire goal and mission of ANPC is WORLD PEACE and freedom for all the nationals of the world, focusing on a peaceful gathering together of all tribes and nations. Our living men and women are to live as Peaceful Inhabitants on the land, striving always to create a better world today and for future generations.

  39. Apple now has Rhapsody as an app, which is a great start, but it is currently hampered by the inability to store locally on your iPod, and has a dismal 64kbps bit rate. If this changes, then it will somewhat negate this advantage for the Zune, but the 10 songs per month will still be a big plus in Zune Pass’ favor.

  40. Sorry for the huge review, but I’m really loving the new Zune, and hope this, as well as the excellent reviews some other people have written, will help you decide if it’s the right choice for you.

  41. Sorry for the huge review, but I’m really loving the new Zune, and hope this, as well as the excellent reviews some other people have written, will help you decide if it’s the right choice for you.

  42. Between me and my husband we’ve owned more MP3 players over the years than I can count, including Sansas, iRivers, iPods (classic & touch), the Ibiza Rhapsody, etc. But, the last few years I’ve settled down to one line of players. Why? Because I was happy to discover how well-designed and fun to use the underappreciated (and widely mocked) Zunes are.

  43. This is getting a bit more subjective, but I much prefer the Zune Marketplace. The interface is colorful, has more flair, and some cool features like ‘Mixview’ that let you quickly see related albums, songs, or other users related to what you’re listening to. Clicking on one of those will center on that item, and another set of “neighbors” will come into view, allowing you to navigate around exploring by similar artists, songs, or users. Speaking of users, the Zune “Social” is also great fun, letting you find others with shared tastes and becoming friends with them. You then can listen to a playlist created based on an amalgamation of what all your friends are listening to, which is also enjoyable. Those concerned with privacy will be relieved to know you can prevent the public from seeing your personal listening habits if you so choose.

Deja un comentario

Your email address will not be published.

A %d blogueros les gusta esto: