Cirugía de Mano y Traumatología: Simple distal radius metaphyseal fractures

martes, 27 de enero de 2015

Simple distal radius metaphyseal fractures

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Anuj Agrawal‎Indian Orthopaedic Research Group

In this era of universal plating, I still prefer K-wires for simple distal radius metaphyseal fractures, particularly in young patients (low risk of stiffness) and non-dominant extremity (less interference with ADL).

Alind Kishore Singh Looks like still sm dorsal angulation is present.

46 min · Me gusta
Sumod Sukumaran Nice

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Baher Samy Exactly

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Bansal Ajay Dr anuj even pop and( if needed kwire mainly will give best result) .
Plate can be avoided most of the times

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Anuj Agrawal Alind Kishore Singh There is no dorsal angulation. Will post a clearer x-ray after removal of cast.
Bansal Ajay With such a degree of dorsal angulation, implying collapse of dorsal cortex, its better to supplement the cast with K-wire fixation, to prevent recollapse.

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Sudhir Pai

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Sudhir Pai

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Sudhir Pai 5-wire fixation also is an easy practical technique that allows early mobilisation (except rotation) & no chance of sub-chondral collapse.

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Sudhir Pai Does any employ this technique?

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Anuj Agrawal Sudhir Pai I don't think we should pin across the DRUJ.

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Kir Pat Use this site for http://www.trauma.co.uk/wristcalc....Anuj I agree with your red...only factor is positive ulnar variance in your case which fits into unstable inj for late loss of reduction

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This is somewhat embarrassing, isn’t it? It seems we can’t find what you’re looking for. Perhaps searching...

TRAUMA.CO.UK

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Sudhir Pai Why not? It's a recommended fixation. Will share the papers

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Kir Pat http://www.trauma.co.uk/wristcalc

Wristcalc | Edinburgh Orthopaedics

Wristcalc Distal Radius Diagram This calculator can be used to estimate the risk of redisplacement and...

TRAUMA.CO.UK

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Anuj Agrawal Sudhir Pai DRUJ pinning, if required, should be done just proximal to the joint, rather than through it, as taught by Srinivas Daravathu.

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Sudhir Pai This ain't DRUJ pinning.

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Sudhir Pai 😬

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