Trauma run 10251104

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Trauma run (1025-1104)
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Right distal radius fr.
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Right distal radius Fr
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• Radial inclination22-3 degrees
• Radial length 11-3 mm
• Radial tilt (lateral view) 11-3 degrees

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Right femoral neck fr Garden type 4
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Right tibia-fibular fr open type 2
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• Pelvic fracture
• Right distal femur fracture
• Right tibia-fibular fracture
• Floating knee. Floating Hip????
• Right radio-ulnar fracture
• Right 1st and 5th metatarsal fracture

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• DCO damage control orthopaedics
• Early temporary stabilize unstable fracture
• Resuscitation in ICU
• Delayed definite fracture management.
• Lower the inflammatory response induced by
  surgery
• Primary procedure lt6hrs and 2nd major surgery day
  should not in day2-4

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Floating knee

• Ipsilateral femur and tibia fracture
• Fixation priority femur or tibia
• Fixation method Antegrade retrograde nail,
  plate system.
• High associate with ligament injury?when to
  examination???

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right bimalleolar fr
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Right distal tibia fr
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Left femoral neck fr type 1
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Left lateral malleolar fr
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Right tibia-fibular fr.
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left distal clavicle fr
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Left intertrochanteric fr
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Right intertrochanteric fr
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Evidence-Based Medicine. v2p.120, Jul-Aug, 1997

• 10 studies, 1634 patients
• Gamma nail increase intraoperative and
  post-operative fracture rate
• Gamma nail has higher reoperation rate

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JBJS A 2005 Oct

• Gamma nail vs Cementless calcar-replacement
  hemiarthroplasty
• Prospective randomized study
• Less blood loss, shorter operative time,lower
  mortality rate in Gamma nail group
• No difference in functional outcome

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Distal tibia-fibular fr
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Left tibia plateau fr type 1
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Right distal tibia fibular fr
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Left intertrochanteric fr
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Left distal radio-ulnar fr
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Left distal radius fr
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Left tibial plateau fr type 6
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Left distal radius fr
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Right tibia plateau fr type 5
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Right femoral neck fr type 4 bilateral OA hip???
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