Discusión entr pares / 35 years male had fracture shaft first metacarpal , fixed with mini plate.

Indian-Orthopaedic Research-Group

Pardeep Sharma

35 years male had fracture shaft first metacarpal , fixed with mini plate.

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  Hassan Dewan Good job

  23 horas · Me gusta
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  Alok Jain Why Plating...???
  Any specific indication???
  Two cross K wires would have sufficed....
  Surgical Time, Finances, scarring, increased chances of infection & hardware problems including removal could have been avoided...

  22 horas · Me gusta · 15
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  Sachin Narote Agree with Dr.Alok jain

  22 horas · Me gusta · 1
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  V V Prasad Ortho hand surgeons always plate it..... i have seen better results with plating. i use mandible plate system it has got various options......

  21 horas · Me gusta · 1
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  Steve Rocha Only issues here are delayed union, requirement for early removal of plate due to extensor tendon attrition.

  21 horas · Me gusta
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  Osama Farouk Abdulaziz I agree with plate because early mobilization and reduce stiffness

  21 horas · Me gusta · 1
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  Modi Neerav wires

  21 horas · Me gusta
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  Alok Jain With 2 properly placed cross K wires...
  U assure the union...
  Mobilization in 3 weeks...
  & if u r happy with stabilization, u can proceed for early mobilization
  Here Screws are in divergence..
  Plate is almost encroaching the MP joint...
  Post op Pain & joint irritation will lead to stiffness...

  20 horas · Me gusta · 1
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  Sudhir Pai Well done case. Mobilise early.

  20 horas · Me gusta · 1
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  Rajiv Maharjan Surgeons should never operate/use implant just because he knows how to operate/use or has seen somebody doing, rather do or use them only and only when it is absolutely necessary for the benefit of the patient.

  20 horas · Me gusta · 4
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  Saad Ibrahim Abuelsaid Agree with Dr Alok Jain

  20 horas · Me gusta · 1
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  Rajiv Maharjan Please do not use a sword when only a knife is sufficient to cut it....

  20 horas · Me gusta · 2
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  Pardeep Sharma In inexperienced hands even a k wire can prove fatal than a sword.

  19 horas · Me gusta
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  Rajiv Maharjan As an ortho surgeon, there is no place in this forum who can not use safely even a K-wire...

  19 horas · Me gusta · 5
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  Aamir Bashir Jab makhi chappal se mar sakti hai tu tank ki kya zaroorat. . Post op x ray is good any how k wires would have sufficed. .

  15 horas · Me gusta
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  Rahul Mhatre Nice job... I agree with prasad rao

  15 horas · Me gusta
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  Rahul Mhatre Have studied hand surgery so I know its not overkill. Perfect indication and perfect treatment. Sorry for those who disagree

  15 horas · Me gusta · 2
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  Gururaj Meravanigi Very nice fixation

  15 horas · Me gusta
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  Abhishek Jaipuria K wires

  15 horas · Me gusta
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  Aso Khalil With best regard k wire

  14 horas · Me gusta
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  Srinivas Daravathu Good job done , I'm towards plating,here we can mobilise thumb on day 1 or 2

  14 horas · Me gusta · 1
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  Jagan Mohan This is an acceptable treatment method .
  
  The comments are like our senior most orthos in the earlier days saying " we can treat a forearm fracture in adult with cast why plating when bone is uniting?"...Ver más

  11 horas · Me gusta
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  Rajiv Maharjan Forearm fractures are considered as intra-articular fractures and it needs absolute stability----It;s AO teaching. K wire is also acceptable treatment. there could be many acceptable treatment, but you can choose the one that is relatively simple, common and minimum needed. Plate needs second surgery for removal, tendon irritation and unsighty scar....etc. we should think financially also....

  11 horas · Me gusta · 2
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  Rajeev Jaiswal One relative indication of surgery is patient economical status......otherwise aim is to treat the fracture in which ever way the doctor is comfortable.....

  9 horas · Me gusta
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  Hassan Dewan I asked what is the job of the patient?

  9 horas · Me gusta