Ortopedia Pediátrica
Dr. Omar Bibiano Escalante
Trabajando...
martes, 11 de noviembre de 2014
Discusión entre pares / 10 yrs boy, 6 wks old injury. Does it need any intervention? Parents ask for surgery.
Indian-Orthopaedic Research-Group
Bibek Rai
10 yrs boy, 6 wks old injury. Does it need any intervention? Parents ask for surgery.
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Omar Elsaid
what surgery it is united
11 horas
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Sinan Obut
There ıs no varus ot valgus or any type of angulatıon but there ıs nearly 2-2.5 cm shortenıng.. And this shortenıng cant be tolerated ın thıs agrie group ..,but bow we can do nothıng because the fracture ıs unıted..
11 horas
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1
Ali El Sharkawy
What about the ant bowing
Is it preserved or reversed?
10 horas
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Arnab Sinha
No boss I don't think so.
10 horas
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د-عبد المنعم جمعه
United in good alignment with some shortening ..follow up
10 horas
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Kazmi Lakhtey
No
10 horas
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Maw Oo
no
10 horas
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Hesham Youssef
Need surgical intervntion because shortening not accepted at this age max. 1 cm shortening
10 horas
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Hafijur Rahman
there is any rule for arthrodesis? is it possible?
10 horas
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Felipe Maturana
It will fix and remodel. Discrepancy Would be compensated with over growing. For Surgery you will need a open osteotomy and tens or plate. I Would Rather use pelvi-pedius cast for 1 more month and Then control x-ray.
10 horas
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3
Ye Yint
No
10 horas
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Bhuwan Singh
Nothing to do
10 horas
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Mohammad Tahir
No.in injured femur lengthening occurs so dont worry about shortening
10 horas
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3
Alif Noeriyanto Rahman
No brother
10 horas
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Murugan Bala
how much shortning, angulation, valgus varus accepted in this age? anybody from our group,
9 horas
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Alif Noeriyanto Rahman
10 yrs : varus/valgus 10 degree, anterior/ posterior 15 degree, shorthening 15 mm ( Rockwood 6th ed)
9 horas
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12
Harvinder Singh Bakshi
I won't do anything.
9 horas
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1
Ka Saindane
Full union . There will zero disability .
9 horas
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Jitendra Tavri
God is great.
9 horas
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1
Akashraje Somvanshi Jahagirdar
no
9 horas
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Rajeev Roy
No surgery required.
9 horas
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Hafizur Rahman
Continues next few months with a cratch support, I think the # will be united
9 horas
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Ramendra Narain Singh
could not be better.I agree God is great:)
8 horas
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Kamruzzaman Manik
Do nothing,non wt bear thigh brace.it will be united & remodeled.
8 horas
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Ramendra Narain Singh
It looks united to me and already remodelling has strated
8 horas
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Ramendra Narain Singh
pseudoarthrosis? unkwown in children of this age:)
8 horas
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1
B Srikanth Reddy
it will remodal dont do anything
8 horas
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1
B Srikanth Reddy
fracture is near to joint..so chance of remodal is heigh
8 horas
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Drmanoj Gupta
IT WL REMODAL NO NEED 4 SX
8 horas
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Khin Zaw Hein
No need
7 horas
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Basem Abdel Haleem
this overlap more accepted than anatomical reduction at this age.this limb will be over growth more than the other and compensate this overlap.if u reduce it anatomical in the future this limbe will be longer than the other.reasurence and follow up.
7 horas
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2
Kyawswar Htet
I think no need to do Surg
7 horas
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Saad Shoulah
Leave it as its . And it will unite enshalla
6 horas
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Chandio Shuaib
If not symptomatic no surgery acceptable
6 horas
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Rajesh M Nair
What about rotation?will u accept this
6 horas
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1
Hany Khalil
Orif from the start no role of cast at this age
6 horas
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Golam Mahmud Suhash
No surgery
6 horas
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4
Nand Lal Jhamaria
no need of any treatment at this stage
5 horas
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1
Hem Limbu Lumphungwa
Oh sir don't do any intervention. Wait for couple of week rather.
4 horas
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Sumit Kamboj
noo
3 horas
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Sudhir Kumar Yadav
nothing required
3 horas
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Nabaz Burhan Mirani
No need surgery . Just reassurance .
3 horas
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Kartik Shukla
If rotational deformity is not there no need of surgery.
Rotation will not get corrected by any means.
3 horas
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Kishore Panda
What about shortening.child will limp.equinus in ankle.oa in knee and hip.open reduce it .Keep two bottle blood.
1 hora
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