Dr. Diego López

Traumatólogo especialista en fracturas, prótesis de cadera y rodilla. Hospital Ruber Internacional

[Dr. Diego López @TraumaRuberINT]

@orthohouse123 @traumacito @InvictaOrtho Challenge case! Its important to know what happens with the leg, physical examination, ct scan and pain. Open reduction with a nail, cables and some graft, its what i’d like to do

[Dr. Diego López @TraumaRuberINT]

@traumaticum Brace, is the last area with periostium💪🏻

[Dr. Diego López @TraumaRuberINT]

@generalorthomd @robgraymd @rkh_md @CE_HandSurg @handz98 @itius @ojedathies @orthotraumamd @orthogal21 @OrthopodReg @traumaticum @OrthoCurryMD @orthofacts With this 3x fractures, 3° proximal 4° and 5° distal i’d try closed reduction and cast. But in this case i sure ask hand surgeon opinion

[Dr. Diego López @TraumaRuberINT]

@traumaticum @ChipRoutt @DrMarecek Two windows approach, lateral window iliac crest screw short Iliac plate inner. Medial window, reduce the fracture and long plate from pubis to high iliac (anterior brim plate) and percutaneus LC2 screw 🤷🏻‍♂️🔨

[Dr. Diego López @TraumaRuberINT]

👏🏻👏🏻 https://t.co/GzpTAbjlnh

[Dr. Diego López @TraumaRuberINT]

https://t.co/4TxkyVxunu

[Dr. Diego López @TraumaRuberINT]

@nongtanch Proximal fibula is also broken and is more expensive for the patient not to work in 4 months, maybe

[Dr. Diego López @TraumaRuberINT]

@nongtanch I think is better to operate with a nail. Soft tissues control, less ankle and knee stiffness, and avoid rotational secundary displacement, usually in external rotation and early weightbearing

[Dr. Diego López @TraumaRuberINT]

@binayamishra16 @BoneJointDoctor @Drlyndonmason Horrible fracture…after applying an ankle-spanning external fixator (span) could repeat the CT to try to fix the medial maleollus, the articular main fragments and the talar neck….for asking…if not possible arthrodesis will be a good option. Good luck, thank you for sharing

[Dr. Diego López @TraumaRuberINT]

@traumaticum Large 2 simple fragments, good bone

[Dr. Diego López @TraumaRuberINT]

How do you remove this cortical fragments if you don’t use postero-lateral ankle approach? @traumaticum

[Dr. Diego López @TraumaRuberINT]

@traumaticum 🙌🏻👏🏻👏🏻

[Dr. Diego López @TraumaRuberINT]

Naaaa na nana na naaaa…hey jude. LEGEND

[Dr. Diego López @TraumaRuberINT]

@centerofhip @InvictaOrtho @Orthodoc2031 @stevemchale @bonesmith_ @pratikorho In my opinion the problem was the lack of gliding of the blade.

[Dr. Diego López @TraumaRuberINT]

@aqueipot No se, nuevos patrones de fractura …pacientes pluripatologicos, cargas precoces…🤷🏻‍♂️

[Dr. Diego López @TraumaRuberINT]

77 yo, pluripathological patient, combo nail and plate. Suprapatellar nail

[Dr. Diego López @TraumaRuberINT]

@Orthodoc2031 @pratikorho @centerofhip @InvictaOrtho @stevemchale First Xr postop axial view?

[Dr. Diego López @TraumaRuberINT]

@HalukYaka Not better, I think is the same, the pubic enter point is more dificult and you must drill from the other side, not to much comfortable

[Dr. Diego López @TraumaRuberINT]

Percutaneous acetabular fixation

[Dr. Diego López @TraumaRuberINT]

@suhirad Yes of course! But with good bone, non conminution neither displacement and component tranverse AC fx with SIj fixed, i feel good not to open ischium or lateral window