Ortopedia Pediátrica y Cirugía Articular
Artroscopia Pediatrica
lunes, 20 de octubre de 2014
Discusión entre pares / Critical comments invited for already posted case
Indian-Orthopaedic Research-Group
Javed Jameel
Critical comments invited for already posted case
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Md Tauqirul Hasnain
Well done
Ayer a las 3:58
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Khoi Tranchi
Why do not plate for fibula
Ayer a las 5:04
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Javed Jameel
Lateral skin was bad for any open procedure
Ayer a las 5:06
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Sanjai Kumar Srivastava
Nicely managed.
Ayer a las 5:09
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Javed Jameel
Thanks Sir
Ayer a las 5:10
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Rajesh Mallavaram
Good
Ayer a las 5:18
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Alok Jain
Good job done...
I wonder,
Should the medial plate have gone one hole down....
Ayer a las 5:21
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Sumit Mitra
Well done
Ayer a las 5:23
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Javed Jameel
Can be put a hole lower down...but with additional risk of soft tissue irritation at MM
Ayer a las 5:28
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Ahmed Alsoul
Well done
Ayer a las 5:53
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Nabard A. Zangana
well done
Ayer a las 5:58
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Kanav Padha
Syndesmotic screw should have been put and plate fibulat
Ayer a las 7:16
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Bhupesh Mahawar
Very nice fixation....
Did u open d joint 4 articular reduction. .? Bcz it looks 2 good.
Ayer a las 7:21
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Verghese Joe
Looks great
Ayer a las 7:33
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Udaya Bhaskar Tupakula
Good fixation. What about syndesmotic screw???
Ayer a las 7:58
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Bibek Rai
Good job
Ayer a las 8:03
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Kir Pat
Good mgmt.,principle fix..antiglide..preop-CT/MRI done?as to view intermediate coln.frg is there .and for prognosis tibiotalar cartilage assesment ..Syndesmosis ?
Ayer a las 8:04
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Rahul Mhatre
Nice. Please allow non wt bearing ankle physio to prevent future stiffness.
Ayer a las 8:51
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Javed Jameel
CT/MRI not done...
Joint not opened
Syndesmosis stable ...
Lateral skin was bad for any open procedure
Ayer a las 9:15
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Michael Dujela
Weber B with supination adduction pattern would almost never require syndesmosis screw. I have seen it maybe once in a mixed pattern injury
Ayer a las 9:19
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Editado
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Javed Jameel
Thanks
Michael Dujela
Sir for support. ..
Ayer a las 9:19
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Michael Dujela
Looks great.
Ayer a las 9:20
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Javed Jameel
Thanks again
Ayer a las 9:20
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Ranjan Mohan
Syndesmosis need to be addressed, otherwise nice work .
Ayer a las 9:46
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Javed Jameel
What's the problem with syndesmosis
Ranjan Mohan
..Please explain
Ayer a las 9:56
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Kir Pat
It,s well managed case. but better and prognostic functional forecast,
Michael Dujela
, it is not pattern of injury ,this is not classified weber one, but what worrisome is synd lig avulsion at t/f joint may be intraarticular needs to be assesed by CT/MRI also doubt of osteochondral to be adressed ..frg clearly seen at lateral tibial plafond.
Ayer a las 10:00
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Michael Dujela
I don't worry too much about an isolated AITFL avulsion as it contributed to about 20 percent of syndesmosis stability with PITFL and IOL most likely remaining. Agree with CT need Kiran Patel. I routinely do arthroscopy in a case like this at the beginning of the procedure
Ayer a las 10:18
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Yogendra Nehete
Nice experience shared by Michael. Well done job boss!!
Ayer a las 10:47
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Bhupesh Mahawar
Thanks dr
Michael Dujela
n dr
Kir Pat
sir for brief & useful information
Ayer a las 11:29
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Haiderali Sayed
Very good fixation. Well done sir.
Ayer a las 12:59
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Rajeev Jaiswal
Nicely done sir......
Ayer a las 13:43
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Meraj Akhtar
Syndesmosis screw is must
17 horas
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Javed Jameel
Why and from where
Meraj Akhtar
12 horas
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Sanjai Kumar Srivastava
Fibular fracture is below syndesmosis. How syndesmotic screw is going to help??. If skin conditoon had allowed A TBW of Lat mal or Locked plate on fibula was welcomed.
11 horas
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Javed Jameel
Absolutely
11 horas
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Gaur Gautam Kar
Absolutely fine osteosynthesis. Syndesmosis was intact so why put a screw... this is a supin-add injury where the tension side (lat) often has really bad soft tissues so plating is not to be done.
7 horas
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Iqrar Raja
fibula plating-low profile medial tibial plating Mippo. as a butteress wit a syndesmotic screw only if distal tibio fibular joint distance increases on dorsiflexion after fixation intra op-with due respect to the soft tissue
50 min
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