Discusión entre pares / 7 y Female - LLD - Walking without support

Tomado del muro de FB del DR

Amr Azzam

Amr Azzam

7 y Female - LLD - Walking without support

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  Said Mohammed

  خلاص كفايه لحد كده جراحة عظام

  31 de marzo a la(s) 8:16 · Me gusta · 4
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  أبو كريم Focal proximal femoral dysplasia

  31 de marzo a la(s) 10:26 · Me gusta · 2
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  Mohamed Ibrahim Elbaqary congenital short femur aitken type: d the acetabulum and proximal femur are absent

  31 de marzo a la(s) 10:50 · Me gusta · 2
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  Amr Azzam Thanks Dear friends, what is the management

  31 de marzo a la(s) 11:40 · Me gusta · 3
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  Michel Loza Is there any foot deformity? If there is foot deformity, Syme amputation and prosthesis. If there is no foot deformity, Van Nees Rotationplasty and prosthesis. I think there is no place for lengthening because the hip is unstable unless you can do SUPER hip before.

  31 de marzo a la(s) 17:35 · Me gusta · 2
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  Mohamed Kamal i think rotationplasty should be done on a healthy hip i think that patient had pseudo arthrosis that would provide some movement and stability...... no place for intervension on hip joint.... thanks

  1 de abril a la(s) 16:44 · Me gusta · 2
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  Mohamed Helmy 1scano gram for both limb
  2 assesment of LLD at maturity by Multipiler
  3 MRI at hip joint

  1 de abril a la(s) 17:01 · Me gusta · 1
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  Mohamed Helmy X ray not accurate if LLD at maturity below 20 cm ..can length after hip reconstruction operation by two or more one using Paley tables or 5 cm epiphseodesis of other limb at ago of 2to 4 and more than 6

  1 de abril a la(s) 17:09 · Me gusta · 1
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  Mohamed Helmy The problem of any type of amputation or even rotationoplasty in Egypt is the avilabilty of fit prothesis for any type of amputation at different ages ..no prothesis for van nes no rehabitation protocol or centers

  1 de abril a la(s) 17:14 · Me gusta · 1
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  Mohamed Helmy I think the best and the easier for that patient is iliofemoral arthrodesis and extesion prosthsis preserving the ankle without amputation

  1 de abril a la(s) 17:24 · Me gusta · 1
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  Mohamed Helmy if u amputate u should start first by knee arthodesis

  1 de abril a la(s) 17:30 · Me gusta
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  Mohamed Kamal i don't think so . u can't do bilateral arthrodesis of hip and knee .. how could she use thr WC....she is fir soft tissue release to improve deformity and facilitate the care

  2 de abril a la(s) 8:46 · Me gusta
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  Mohamed Helmy Iliofemoral arthrodesis e extrnsion prosthesis is an option....and knee arthridesis e Syme's amputation is another option

  2 de abril a la(s) 9:47 · Me gusta
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  Mohamed Helmy U mean ipsilateral is't right?

  2 de abril a la(s) 9:54 · Me gusta
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  Professor-Abdelsalam Eid This is a bilateral affection. I can see the patient standing with ease. In most congenital anomalies the patients may reach some sort of compromise

  2 de abril a la(s) 13:05 · Me gusta · 1
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  Professor-Abdelsalam Eid It is therefore necessary to calculate the value of any intervention and whether it would add to the patient or disturb the current situation.

  2 de abril a la(s) 13:08 · Me gusta · 4