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Re: Locked nailing femur
Marco Berlusconi 01 Декабрь 2004, 00:52
In my experience when there is pain the fracture hasn’t healed. So this may be an hypertrofic non union that we could treat with bone graft and bigger reamed nail.

Best regards
Marco Berlusconi

Istituto Ortopedico Galeazzi
Milan
Italy
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    Re: Locked nailing femur
    V. M. Iyer 01 Декабрь 2004, 00:58
    Dr Marco,
    Thanks. That is my first choice.
    Since he is close to me I am waiting for all the opinions before i do anything

    V M Iyer
    . Iyer Orthopaedic Centre,
    103,Railway lines Solapur India
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    Re: Locked nailing femur
    Alexander Chelnokov 01 Декабрь 2004, 01:00
    Hypertrophic nonunion doesn't require grafting. Bone ends are viable, and the only problem is lack of stability. So a bigger nail is to be a complete solution.

    In our region before closed nailing all hypertrophic nonunions since 60-s were treated by closed external fixation either in compression mode (no angulations and LLD) or with gradual traction if limb lengthening and/or axial alignment required...
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