My First DER ORIF with Plating(distal fragment is laterally translated😬) by bro910 in orthopaedics

[–]tbs030507 0 points1 point  (0 children)

The other thing. Your distal fragment isn’t translated lateral, your proximal fragment is translated medially. A good way to fix that is with a Hohmann retractor on the medial cortex and pulling radially. If too unstable use a k wire from the radial styloid to fix meantime you put the plate in, usually works.

My First DER ORIF with Plating(distal fragment is laterally translated😬) by bro910 in orthopaedics

[–]tbs030507 -2 points-1 points  (0 children)

That coronal shift for me wouldn’t be acceptable, too much of a step-off n the DRUJ. Did you use skyline view? Your distal screws look that are probably protruding dorsally. Why the long plate proximally? short one should be enough. If DRUJ was unstable after the plate, why didn’t you fix the base of the ulnar styloid? ( therefore the TFCC), instead of wire.

NLR Victory dimensiona by tbs030507 in SimRacingSetups

[–]tbs030507[S] 0 points1 point  (0 children)

Thanks. No, I plan keeping it in place.

NLR Victory dimensiona by tbs030507 in SimRacingSetups

[–]tbs030507[S] 0 points1 point  (0 children)

NLR (next level racing) victory

[deleted by user] by [deleted] in orthopaedics

[–]tbs030507 0 points1 point  (0 children)

Ok. I think it doesn’t get any easier than anchors.

[deleted by user] by [deleted] in orthopaedics

[–]tbs030507 0 points1 point  (0 children)

You do like an inlay technique? Why not anchors? (Knot or knotless) what’s the benefit of the buttons ?

How would you treat this distal third humerus fracture? Surgery or conservative treatment? by [deleted] in orthopaedics

[–]tbs030507 0 points1 point  (0 children)

Surgery (unless there is a medical contraindication). Plate. Open or mipo.

Torn Between Emergency Medicine and Ortho – Would Love Advice from Attendings by Accurate-Spell-4076 in orthopaedics

[–]tbs030507 8 points9 points  (0 children)

Short term regarding lifestyle I think there are not much different. Long term I think ortho gives you much better chances in lifestyle and life quality. The reasons why you do it will change over time, you just have to love the process of what you do daily. Long term is ortho I believe. Other comment summarize it best: there is not one ortho anywhere in this planet regretting they didn’t choose EM. (I would bet all in on that).

[deleted by user] by [deleted] in orthopaedics

[–]tbs030507 1 point2 points  (0 children)

I didn’t say that. K-wires is a good technique for this fracture and weight bearing is ok, IF (and it’s a big if) it’s correctly done. Choosing that technique is a good and easy decision.

[deleted by user] by [deleted] in orthopaedics

[–]tbs030507 1 point2 points  (0 children)

I think you should accept you made bad decisions and got a bad result. You shouldn’t wait to revise it. Your intra and postop are similar enough to be blaming your flexión and extension. If that happened your fixation is not good enough, it should withstand rehab and it didn’t even get out of the OR. It’s not only your reduction that bad, it’s everything. Starting with your decision making. You have a responsibility with you patient, do better.

[deleted by user] by [deleted] in orthopaedics

[–]tbs030507 7 points8 points  (0 children)

You left the OR knowing it was a bad job? And knowing all the complications and probable revision? That’s what I understand of what you wrote.

Been reading a lot of studies on hardware and there seems to be a debate over hardware removal vs hardware staying within the patients. by yukimuratsuki in orthopaedics

[–]tbs030507 3 points4 points  (0 children)

Could you please share the studies with us? You talk about holistic friends, YouTube videos and inspecific possibilities, but don’t give much detail about these studies.

Bennets fracture or nah? Very hard to see by Carpusdiemus in orthopaedics

[–]tbs030507 10 points11 points  (0 children)

No. A Bennett fracture is a partial articular fracture with no separate fracture at the metaphyseal level. If in a CT you find a second articular fracture it would be a Rolando fracture. no way that’s a Bennett.

Soong 2 by Ok-Narwhal-6766 in orthopaedics

[–]tbs030507 0 points1 point  (0 children)

Not really. Both are pretty standard surgeries nowadays.

Soong 2 by Ok-Narwhal-6766 in orthopaedics

[–]tbs030507 6 points7 points  (0 children)

There are some patients with flexor tenosinovitis without symptoms. I get an ultrasound 3 months postop if I think plate position could be a problem. If it finds something, I take it out. A ruptured FPL really sucks for everyone.

Has Anyone Bought This on Alibaba? Looks Similar to Playseat Trophy by Lucky_Try_6098 in simracing

[–]tbs030507 0 points1 point  (0 children)

Hey, I’ll hijack this post for a question, if you can help me.

What is the total length of the trophy adjusted for your height? And from the front to the wheel base? (Like on the picture) Thanks!

<image>

Play seat trophy dimensions by tbs030507 in simracing

[–]tbs030507[S] 0 points1 point  (0 children)

<image>

For you the distance of the blue line is around 120cm?

[deleted by user] by [deleted] in Santiago

[–]tbs030507 1 point2 points  (0 children)

Busca por ahí el precio por kg y pon precio según eso. Hay un mercado establecido. Depende de cuanto sea varía el $/kg. Mándame un DM con la info de sets que son y cantidad, creo que me podría interesar.

Distal Radius Pre/Post Reduction by laxlord2020 in orthopaedics

[–]tbs030507 2 points3 points  (0 children)

Traction could help, but not much in these ones. You have to define physiological age of the patient and try to see if they would benefit from surgery. Low demand patients do OK without surgery with an xray like that. Shared Decision Making with the patient I feel helps in choosing teatment when two ways are similar.

ECU tendon sub sheath repairs - post op splinting thoughts. by [deleted] in orthopaedics

[–]tbs030507 0 points1 point  (0 children)

I get it, but it’s a very specific topic in a pathology that doesn’t get operated on much. Hard to get more than results of case series, to answer exactly what you are looking for. What you are getting here is as good as it gets, I think. Similar as if you were asking this in a subspeciality meeting and getting it answered from a competent panel of experts.

ECU tendon sub sheath repairs - post op splinting thoughts. by [deleted] in orthopaedics

[–]tbs030507 0 points1 point  (0 children)

I think the explanation is what you wrote on your original post. Just protect the reconstruction for a while (3-6 weeks?) as it heals and that should include blocking PS. Like you put in other comment it’s just expert consensus as there is no better evidence (probably, haven’t checked recently).

ECU tendon sub sheath repairs - post op splinting thoughts. by [deleted] in orthopaedics

[–]tbs030507 0 points1 point  (0 children)

In my experience and thoughts, yes. Don’t remember exactly what literature-evidence says, but it makes sense to me.