35 years male had fracture shaft first metacarpal , fixed with mini plate.
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V V Prasad Ortho hand surgeons always plate it….. i have seen better results with plating. i use mandible plate system it has got various options…… -
Steve Rocha Only issues here are delayed union, requirement for early removal of plate due to extensor tendon attrition. -
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Alok Jain With 2 properly placed cross K wires…
U assure the union…
Mobilization in 3 weeks…
& if u r happy with stabilization, u can proceed for early mobilization
Here Screws are in divergence..
Plate is almost encroaching the MP joint…
Post op Pain & joint irritation will lead to stiffness… -
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Rajiv Maharjan Surgeons should never operate/use implant just because he knows how to operate/use or has seen somebody doing, rather do or use them only and only when it is absolutely necessary for the benefit of the patient. -
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Rajiv Maharjan As an ortho surgeon, there is no place in this forum who can not use safely even a K-wire…
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Aamir Bashir Jab makhi chappal se mar sakti hai tu tank ki kya zaroorat. . Post op x ray is good any how k wires would have sufficed. . -
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Rahul Mhatre Have studied hand surgery so I know its not overkill. Perfect indication and perfect treatment. Sorry for those who disagree
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Jagan Mohan This is an acceptable treatment method .
The comments are like our senior most orthos in the earlier days saying » we can treat a forearm fracture in adult with cast why plating when bone is uniting?»…Ver más -
Rajiv Maharjan Forearm fractures are considered as intra-articular fractures and it needs absolute stability—-It;s AO teaching. K wire is also acceptable treatment. there could be many acceptable treatment, but you can choose the one that is relatively simple, common and minimum needed. Plate needs second surgery for removal, tendon irritation and unsighty scar….etc. we should think financially also….
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Rajeev Jaiswal One relative indication of surgery is patient economical status……otherwise aim is to treat the fracture in which ever way the doctor is comfortable….. -