Discusión entre pares / 4 and 5 metacarpal fractures fixed with 2.7 mm plates

Indian-Orthopaedic Research-Group

Mozimul Haq Siddiqui

4 and 5 metacarpal fractures fixed with 2.7 mm plates

Me gusta

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  Srinivas Daravathu Nice fixation

  Ayer a las 13:01 · Me gusta · 1
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  Mozimul Haq Siddiqui thanks...

  Ayer a las 13:10 · Me gusta · 1
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  Naeem Hassan Plate on dorsal surface will cause tendon attrition so plate must b on lateral or medial side

  Ayer a las 13:14 · Me gusta · 3
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  Mozimul Haq Siddiqui bio mechanically dorsal surface is preferable than the medial or lateral surfaces. we have used thin plates to avoid irritation of tendons.

  Ayer a las 13:17 · Me gusta · 1
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  Naeem Hassan But physiotherapy leads to attrition

  Ayer a las 13:23 · Me gusta
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  Golam Mahmud Suhash Good

  Ayer a las 13:31 · Me gusta
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  Drgirish Gupta Why not k wire? ?

  Ayer a las 14:05 · Me gusta · 5
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  Imran Malik Showing MC but saying MT fx??
  Less aggressive would have been IM K- wires.

  Ayer a las 14:17 · Me gusta · 1
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  Srinivas Daravathu Plating and immediate mobilisation of nearby joints is superior to k wires

  Ayer a las 14:21 · Me gusta · 2
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  Imran Malik True!

  Ayer a las 14:24 · Me gusta
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  Sherif Sarhan This is not mini plate , I think that this large plate and screws are not suitable in metacarpal bone

  Ayer a las 14:30 · Me gusta
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  Mustafa Kanjo Good job but why not k wire??

  Ayer a las 16:42 · Me gusta
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  Ramprashanth Kula Metacarpal U mean

  Ayer a las 17:05 · Me gusta
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  Mozimul Haq Siddiqui sorry shud be metacarpal

  Ayer a las 20:22 · Me gusta
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  Raj Singh I prefer k wire.

  Ayer a las 20:42 · Me gusta
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  Ambdnya Yogesh Khandalkar I will also go for k wires.purpose is alignment and maintaining length of metacarpal bones.
  Any way good job.

  Ayer a las 21:12 · Me gusta
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  Satyanand Karad K wiring is best option 4 it

  Ayer a las 21:53 · Me gusta · 1
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  Sunil Lawate I will prefer k wire

  23 horas · Me gusta · 1
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  Shuja Hasan Yeah k wire fixation is best option. .any way good job done. ..

  22 horas · Me gusta · 1
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  Modi Neerav closed wires - ideal

  22 horas · Me gusta
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  Aso Khalil K wires

  14 horas · Me gusta
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  Rajiv Maharjan What is the justification for plates instead of K wires?

  12 horas · Me gusta · 1
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  Mozimul Haq Siddiqui I think it will give a better rotational control of the fragments thereby better alignment of fingers.. I am not against k wiring but transverse fracture u can't put cross k wires for rotational control...any suggestions..

  11 horas · Me gusta
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  Rajiv Maharjan What if you use 2 parellel k wires of smaller dia, no need for second surgery, irritation of the tendons, unsighty scar and sometimes infection too?

  11 horas · Me gusta · 2
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  Mozimul Haq Siddiqui one disadvantage is there is 5 degrees lag of terminal extension of little ginger only.I hope it will get corrected with physio

  11 horas · Me gusta
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  Mozimul Haq Siddiqui may be we should try.....

  11 horas · Me gusta
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  Freddy F Galvis Gomez Excelent.

  11 horas · Me gusta · 1
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  Anil Choudhary group of orthopods who believe every # should be fixed.. at least leave some #s ... this could have been well managed by closed reduction and volar slab....

  11 horas · Me gusta · 1
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  Mozimul Haq Siddiqui sir it was managed conservatively for 2 weeks by volar functional slab by my fellow orthopedician. but pt reported to me with pain and deformity.

  11 horas · Me gusta
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  Mozimul Haq Siddiqui I don't think u need a better indication.

  11 horas · Me gusta · 1