Cirugía de Mano y Traumatología
Cirugía de Mano y Traumatología
Dr Pedro Gerardo Alisedo
miércoles, 23 de julio de 2014
Discusión entre pares / 40 year old male presented with malunited fracture of 1st metatarsal (10 year old)...
Indian-Orthopaedic Research-Group
Paras Gupta
40 year old male presented with malunited fracture of 1st metatarsal (10 year old).He was unable to use any function of thumb. Corrective osteotomy done . Better suggestions are most welcome.
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Kir Pat
good, this incision?approach
1 hora
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Paras Gupta
Nothing specified about approach.This area is safe regarding neuro-vascular structure.
1 hora
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Amit Sehgal
Kir pat sir we used dorsal longitudinal incision ,ostetomy done from volar surface so that pt.can approximate thumb to index finger......pt.was having this deformity for last 15 yrs...
1 hora
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Editado
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Kir Pat
I agree with customized approach ,situational..good outcome afterall..
1 hora
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Avijit Das Lipu
Is it metatarsal?
I think metacarpal..
1 hora
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Aamir Bashir
If he had this deformity for the last 10 years then what for the soft tissues ..was there any contracture you had to release or lengthening procedure !!
1 hora
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Shriniwas Sandikar
Good.
43 min
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Paras Gupta
Avijit Das Lipu, it is metacarpel.Sorry for mistake!!!!!
33 min
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Paras Gupta
Aamir Bashir sir, you are right.We have to release FPL and other soft tissue contractures
30 min
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Hamidur Rahman
well done. what about digital nerve ?
15 min
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