Discusión entre pares / 4 yr girl known case of sickle cell anemia treated elsewhere conservatively for chronic osteomyelitis

Indian-Orthopaedic Research-Group

Sachin Kumar Mall

Ayer a las 9:01

4 yr girl known case of sickle cell anemia treated elsewhere conservatively for chronic osteomyelitis , now came to me with this deformity, otherwise symptomless, painless limping, what about this deformity, is it remodel or need some intervention?

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  Berivan Ibrahim Akraye Wait

  Ayer a las 9:14 · Me gusta
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  Prakash Agrawal sir which xray is recent??

  Ayer a las 10:11 · Me gusta
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  Sachin Kumar Mall prakash this is today's xray

  

  Ayer a las 10:15 · Me gusta
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  Sagar Fulwade deformity correction needed

  Ayer a las 10:19 · Me gusta
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  Prakash Agrawal sir sequestrum(seen over posterior aspect in old xray)is almost resorbed....I think one sd wait for complete resorption of sequestrum and a infection free period for about 6mnt to 1yr....then u can go for seek kabab osteotomy.... explain about prognosis and requirement of multiple surgeries..

  Ayer a las 10:22 · Me gusta · 2
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  Anuranjan Dubey Sir is thr a LLD? ....if so single stage procedure in form of osteotomy n LRS can be a viable option..

  Ayer a las 11:08 · Me gusta
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  AL Khateeb Need surgical intervention :correction of deformity.patient limping because there is shortening due to deformity

  Ayer a las 12:00 · Me gusta
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  Tarun Solanki Give some time to remodel

  Ayer a las 12:39 · Me gusta
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  Amrut Vanechand Oswal Wait for inf to settle and correction with osteotomy or Ilizarov

  Hace 12 horas · Me gusta
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  Sanjay Joseph This deformity is in the plane of joint movement therefore there is good potential for remodelling. Repeat xray every six months. If there is improvement then watch and wait.

  9 horas · Me gusta · 1
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  Sharif Ahmad Hindustani what is daignosis

  6 horas · Me gusta