Dr. Diego López

@orthohouse123 @traumacito @InvictaOrtho Challenge case! Its important to know what happens with the leg, physical examination, ct scan and pain. Open reduction with a nail, cables and some graft, its what i’d like to do

@traumaticum Brace, is the last area with periostium💪🏻

I'll take 'what is a stress-riser' for $500 thank, Phil

@generalorthomd @robgraymd @rkh_md @CE_HandSurg @handz98 @itius @ojedathies @orthotraumamd @orthogal21 @OrthopodReg @traumaticum @OrthoCurryMD @orthofacts With this 3x fractures, 3° proximal 4° and 5° distal i’d try closed reduction and cast. But in this case i sure ask hand surgeon opinion

30M dominant hand. What would your treatment be? *not my patient. Getting an opinion for a friend. @robgraymd @rkh_md @CE_HandSurg @handz98 @itius @ojedathies @orthotraumamd @orthogal21 @OrthopodReg @traumaticum @TraumaRuberINT @OrthoCurryMD @orthofacts #orthotwitter

@traumaticum @ChipRoutt @DrMarecek Two windows approach, lateral window iliac crest screw short Iliac plate inner. Medial window, reduce the fracture and long plate from pubis to high iliac (anterior brim plate) and percutaneus LC2 screw 🤷🏻‍♂️🔨

Not a pelvis person What’s your fixation construct going to look like for this? (I’m not fixing it, so don’t be worried I’ll be taking an internet poll and blindly having a crack) @ChipRoutt @DrMarecek #orthotwitter #orthopedics

👏🏻👏🏻 linkedin.com/posts/guillaum…

@nongtanch Proximal fibula is also broken and is more expensive for the patient not to work in 4 months, maybe

@nongtanch I think is better to operate with a nail. Soft tissues control, less ankle and knee stiffness, and avoid rotational secundary displacement, usually in external rotation and early weightbearing

Closed Reduction, Application of Long Leg Cast for Closed Comminuted Diaphyseal Fracture (Middle Third) of the Right Tibia (25/F, Motorcycle accident)

@binayamishra16 @BoneJointDoctor @Drlyndonmason Horrible fracture…after applying an ankle-spanning external fixator (span) could repeat the CT to try to fix the medial maleollus, the articular main fragments and the talar neck….for asking…if not possible arthrodesis will be a good option. Good luck, thank you for sharing

@BoneJointDoctor @TraumaRuberINT @Drlyndonmason

Kindly help in managing this case. Sorry for poor quality CT. @ankleorthopod @centerofhip @FootAndAnkleMD @BostonFootAnkle @InvictaOrtho @pratikorho @traumaticum @traumacito #footandankle #trauma

@traumaticum Large 2 simple fragments, good bone

@traumaticum 🙌🏻👏🏻👏🏻

How do you remove this cortical fragments if you don’t use postero-lateral ankle approach? @traumaticum

Naaaa na nana na naaaa…hey jude. LEGEND

@centerofhip @InvictaOrtho @Orthodoc2031 @stevemchale @bonesmith_ @pratikorho In my opinion the problem was the lack of gliding of the blade.

80f with treated PFNA elsewhere. TAD corrected for magnification is 24mm. No wound healing issues,crp/esr normal. Why did this fail? Short nail? Short screw impinging lat cortex? Due to Displaced GT? #orthotwitter @InvictaOrtho @Orthodoc2031 @stevemchale @bonesmith_ @pratikorho

@aqueipot No se, nuevos patrones de fractura …pacientes pluripatologicos, cargas precoces…🤷🏻‍♂️

@TraumaRuberINT Is this a return to the mechanical view in the osteosynthesis with other methods?

77 yo, pluripathological patient, combo nail and plate. Suprapatellar nail

@Orthodoc2031 @pratikorho @centerofhip @InvictaOrtho @stevemchale First Xr postop axial view?

Things worked out ok in the end but why did this fail? #orthotwitter @pratikorho @centerofhip @InvictaOrtho @stevemchale Failure at less than 3 months. 90 F with excellent quality bone

@HalukYaka Not better, I think is the same, the pubic enter point is more dificult and you must drill from the other side, not to much comfortable

@TraumaRuberINT Nice case. Would a retrograde anterior column screw be a better option?

Percutaneous acetabular fixation

@suhirad Yes of course! But with good bone, non conminution neither displacement and component tranverse AC fx with SIj fixed, i feel good not to open ischium or lateral window

@TraumaRuberINT Looks like a transverse, why not add an percutaneous posterior column screw as well?