Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Comments
Manojsays
Dear Rajesh(Prof),
Good one.
What is the current trend towards plating? Are they more frequently plated or K wired?
Here in UK some centres very selective in plating while some others do not believe in K wiring.
I was a big fan of locked Plating since the k wires dont do the job
The recent , probably 2010 paper from America says there is no difference in the one year outcome even though locking plates allow early return to work/ activities.
What is your current practice on this rather common injuries?
Best regards
Manoj
Dr Rajeshsays
Dear Manoj
Thank you for the comments.
About your query
As far as my practice is concerned my indications for plating or percutaneous pinning is different. If it is a displaced intra-articular fracture, I usually plate it. If it is an extra_articular fracture with displacement in a young person ,I would like to pin. If there is severe axial instability I would like to add exfix along with plating. In short I believe that there is no single method that is suitable for all patients.
Dr Rajesh
Dear Rajesh(Prof),
Good one.
What is the current trend towards plating? Are they more frequently plated or K wired?
Here in UK some centres very selective in plating while some others do not believe in K wiring.
I was a big fan of locked Plating since the k wires dont do the job
The recent , probably 2010 paper from America says there is no difference in the one year outcome even though locking plates allow early return to work/ activities.
What is your current practice on this rather common injuries?
Best regards
Manoj
Dear Manoj
Thank you for the comments.
About your query
As far as my practice is concerned my indications for plating or percutaneous pinning is different. If it is a displaced intra-articular fracture, I usually plate it. If it is an extra_articular fracture with displacement in a young person ,I would like to pin. If there is severe axial instability I would like to add exfix along with plating. In short I believe that there is no single method that is suitable for all patients.
Dr Rajesh