Dr Navin Thakkar
Distal Femur Case - Brain Storming
Present by WIROC
Associated with BOS & OrthoTV
The video titled "Distal Femur Case - Brain Storming - Dr Navin Thakkar" discusses a case about digital female fracture. The speaker emphasizes the importance of integrity and the need for a plate on the medial side. They discuss the length of the plate and the position of the screws near the fracture. The speaker also discusses the concept of a combination fracture and the use of non-locking screws and locking screws.
The video discusses a pre-operative procedure involving the use of a long plate instead of a small plate. The author explains that a fibular graft and a small plate were used previously, but a larger plate is now needed for stability. The size and length of the plate are not as important as its placement. The author emphasizes that a short plate will not provide the necessary stability and may result in failure.
The video discusses the use of a nail implant instead of a plate for stabilizing a valgus injury. The author mentions that the plate is failing and suggests adding a plate in such cases. However, even with the addition of a plate, the fixation is still failing. The author suggests using a graft and a long plate, but this is also not successful. The spacing of the plate screws is good, but the fixation is still failing.
The video discusses the use of medial plating and the structural formula in medical procedures. The author believes that medial plating is unnecessary and that an allograft can achieve the same results. They mention that they have stopped using autographs and that there is no issue with using a small graph instead of a big one. The author also questions the need for two plates and suggests using a nail instead.
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Distal Femur Case - Brain Storming - Dr Navin Thakkar
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