Multi-fragmentary PROXIMAL FEMUR Fractures - Dr Sunil Kulkarni скачать в хорошем качестве

Multi-fragmentary PROXIMAL FEMUR Fractures - Dr Sunil Kulkarni

Dr Sunil Govind Kulkarni - Multi Fragmentary Prox. Femur Getting it Right The First Time Present by WIROC Associated with BOS & OrthoTV The video is a presentation by a medical professional discussing the treatment of multi-fragmentary proximal femur fractures, typically caused by high-energy trauma. Here is a summary of the key points: The speaker emphasizes the importance of understanding the exact nature of the fracture, as multiple columns are often injured. He mentions that there is a tendency to fix only with a plate or a nail, which can lead to failures and non-unions, especially in multi-fragmented fractures. He discusses the key factors in treating these fractures, including reduction in valgus, maintaining the reduction, and stabilizing the fragments. He also mentions the concept of different stabilities: absolute, relative, and "absolutive" for fresh multi-fragmented fractures. The speaker presents several case studies where nails were used successfully in treating these fractures. He emphasizes the importance of stepwise reduction, minimally invasive techniques, and careful planning of the entry point for the nail. He also discusses the use of plates in treating these fractures, but mentions that plates alone may not provide sufficient stability in multi-fragmented fixations. He also talks about the importance of not compromising the stability of the fracture and the biology and soft tissue attachments. The speaker concludes by stating that multi-fragmentary femur fractures need proper assessment, including a CT scan. He recommends the use of nails over plates and suggests that some fractures may need to be augmented with a tension band or a small plate for global stability. He also emphasizes the importance of good physiotherapy for recovery. Lastly, he advises to get it right from the start: right plan, right treatment, right implant (mostly nail), right stability (mostly relative), and good physiotherapy. OrthoTV : Orthopaedic Surgery & Rehabilitation Video & Webinars One Stop for Orthopaedic Video Lectures & Surgeries Subscribe for more videos:    / orthotv   Register with www.orthotvonline.com for Exclusive videos Join us on OrthoTV Social Media Cell : Remain updated about all national and international activities of OrthoTV: *Instagram:   / ortho_tv_online   *Twitter:   / orthotvonline   *Facebook:   / indian.ortho   *Linkedin:   / orthotv   *You tube:    / orthotv   *Telegram: https://t.me/joinchat/EG43XkNyOQFvUF5... OrthoTV: Portal for Orthopaedic Videos from around the globe