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15yrs male presented with closed displaced fracture distal end of radius and ulna with ipsilateral displaced fracture radial head with impending compartment syndrome of forearm .
Fasciotomy of forearm with orif with k wiring distal end of radius and radial head. Planning to do secondary closure after 5days.if i am not wrong its rare presentation
Fasciotomy of forearm with orif with k wiring distal end of radius and radial head. Planning to do secondary closure after 5days.if i am not wrong its rare presentation
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Ehab Assawy Compartmental pressure was measured ??? Or by clinical suspicion only .
Any
way good work -
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Deepak Patil radial head excise or preserve? lateral elbow xray head looks subluxated -
Freddy F Galvis Gomez dr Rahul B Tanga you think for its patient radial head Prothesis??
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E.A. Stanley The radial neck fracture can be stabilized by the metizeau techniq. -
Rahul Mhatre Looks nice. Just one suggestion. Radial head could have been stabilized with a tens or hockey nail. The curved j shape of nail end is used for locking radial head in reduction so that external kwire is not required thereby reducing pintract and allowing early elbow flexion -
Ajay Pal Singh Kanwar A rare one. radial head fixation requires more imaging.. -
Rajeev Nirawane Indeed rare injury. Dr rahul please post clinical photo. Soft tissue status now?
My plan will be to maintain with Jess. Radial head may need open reduction. -
Alind Kishore Singh Rare presentation. .hw u planning to provide skin coverage sir..please update the follow up of soft tissue management. . -
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Cheppalli Nspreddy For all folks here. Doing radial head replacement in kid with intact growth plate is – CRIME. Sorry for harsh words. I think some times it is better way to spread the message across. Radial head is malreduced and when u go for second time for closure u can redo. Again Rahul u always comes with challenging cases and u set standards extremely high. Keep Gud work. -
Naveen Vishwa Probably Essex Lopressatti injury is the cause for compartment syndrome -
Alok Jain Just a point Rahul B Tanga
I m happy with Radial head….
Is there a rotational mal alignment in distal Radius…??? -
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Rahul B Tanga Ujgar singh sir history of fall from height and has even pelvic fracture
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Rahul B Tanga Alind i have put stay sutures as of now and planning to do secondary closure after 5days
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Rahul B Tanga Vaibhave will definetely post follow up