Discusión entre pares / Female, 70y,overweight, post car accident, please your comments to help me and the patient??

Abdul Fattah Al Saeedi

29 de mayo a la(s) 6:36

Female, 70y,overweight, post car accident, please your comments to help me and the patient??

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  Haytham Agwa PFN ( proximal femoral nail )

  29 de mayo a la(s) 6:39 · Me gusta · 2
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  Professor-Abdelsalam Eid Do you have other views?

  29 de mayo a la(s) 6:57 · Me gusta · 1
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  Shehata Albanouby proximal femoral plate may be an option

  29 de mayo a la(s) 7:05 · Me gusta · 2
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  Emil R. Rofaeil proximal femoral locked plate

  29 de mayo a la(s) 7:19 · Me gusta · 4
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  Professor-Abdelsalam Eid The lesser trochanter is a part of the distal fragment which is good. If the greater trochanter could be provisionally fixed to the distal fragment this would be like a two part intertrochanteric fracture, or a basal neck. In which case a DHS would work. In addtion, the side plate would stabilize the G troch fragment. Otherwise, a gamma nail could be used.

  29 de mayo a la(s) 7:27 · Me gusta · 7
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  Abdul Fattah Al Saeedi Tomorrow I will bring new views, now I haven't, sorry

  29 de mayo a la(s) 7:33 · Me gusta
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  Mohamed Ibrahim Elbaqary proximal femoral locked plate as lat cortex is #

  29 de mayo a la(s) 8:25 · Me gusta · 2
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  Fahad Abduljabbar Put a uni cortical one third tubular plate to hold the GT to the shaft , then do ur reduction under fluoroscopy .. Then fire wires in the superior and inferior neck .. After that pass your cephalomedullary nail wire just medial to the tip of GT following that , use a bone hook around the inferomedial neck to maintain your reduction while reaming and drilling for the locking helical blade or screw .. Once u pass the nail in and the helical blade is in .. You can remove the anti rotational wires from the neck and do your distal locking .. 
  
  Note that u can use a short nail .. No need for a long one 
  
  Good luck ..

  29 de mayo a la(s) 8:41 · Me gusta · 1
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  Ahmed Abdel Aziz Ortho I guess gamma nail would be more secure regarding her wt and earlier ambulation

  29 de mayo a la(s) 16:24 · Me gusta · 1
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  Hamada Al Shora ???Reverse obliqety

  29 de mayo a la(s) 17:41 · Me gusta · 2
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  Ahmed Soliman I think the only thing could be used is proximal femoral plate

  29 de mayo a la(s) 18:24 · Me gusta · 1
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  Mahmoud Abu Aita DHS with trochanteric stabilizing plate

  29 de mayo a la(s) 18:28 · Me gusta · 1
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  Mohamed Kamal All options mentioned above can be applied.but i guess we will face aproblem in making entry with DHS so, i prefer proximal femoral locked plate with antiroratory screw as i seems to be basicervical rather than intertrochanteric fr.

  29 de mayo a la(s) 19:14 · Me gusta · 4
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  Drmichel Wageh Dhs with antimedlization plate just a liittle traction and minimal internal rotation

  29 de mayo a la(s) 20:28 · Me gusta · 1
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  Sam Kersh I think DHS is very bad option, DCS may be a good solution because of the reverse obliquity or cemented Bipolar Prosthesis with stabilisation of the greater trochanter via K-wires and cercalge.

  Ayer a las 0:48 · Me gusta · 1
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  Abdul Fattah Al Saeedi

  

  Ayer a las 13:30 · Me gusta
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  Abdul Fattah Al Saeedi

  

  Ayer a las 13:31 · Me gusta
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  Abdul Fattah Al Saeedi

  

  Ayer a las 13:31 · Me gusta
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  Abdul Fattah Al Saeedi

  

  Ayer a las 13:32 · Me gusta
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  Fahad Abduljabbar

  

  Ayer a las 20:36 · Me gusta · 5
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  Fahad Abduljabbar Here are your choices

  Ayer a las 20:36 · Me gusta · 1
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  Fahad Abduljabbar Do what ever u are comfortable with

  Ayer a las 20:36 · Me gusta · 2
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  Abdul Fattah Al Saeedi Thanks for all ,for your patience on me and great usefull participation .

  hace 17 horas · Me gusta · 1
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  Professor-Abdelsalam Eid Fahad Abduljabbar Thank you

  8 horas · Me gusta · 1