wilbur

[wilbur @wilbur_troy]

@DokPepper Ok enfin c'est pas une raison pour défendre un crevard qui fait de la médecine business en faisant des consultations de 7 min à 65€ (et justifier ce tarif parce qu'il serait excellent, alors qu'on sait très bien qu'il accepte juste de satisfaire la demande de chaque client)

[wilbur @wilbur_troy]

@CycleMasterFr @AFlucs @matteoinvest Mdr qui de nous 2 a commencé à tacler sur l'orthographe?

[wilbur @wilbur_troy]

@CycleMasterFr @AFlucs @matteoinvest Dit-il avec son "mal en pire" et ses 3 fautes en 5 lignes

[wilbur @wilbur_troy]

@LaMeuf Alors je ne juge absolument pas ce que tu racontes, j'ai aucune idée de la véracité de ces faits, par contre sache que ton ostéo t'as dit de la merde et je suis formel, tu n'avais pas les hanches "déboîtées" pendant sa consultation, c'est juste impossible

[wilbur @wilbur_troy]

@Anthropolegiste @VieDeCarabin se plaint des patients qui posent des questions (surtout si c'est des profs), mais aussi de ceux qui ne comprennent pas leurs symptômes/pathologies/prise en charge 🙌

[wilbur @wilbur_troy]

@traumaticum @pratikorho + medial mal reduction seems to be incorrect (fragment in flexion on lateral view)

[wilbur @wilbur_troy]

@gaspard_bzh @mrvicfer Pareil, j'opère des patients toute la journée et j'apprends en rentrant chez moi le soir qu'en fait je suis un voleur. Pauvres gosses.

[wilbur @wilbur_troy]

@IhabFathiSulima Everyone forgot the left great trochanter periprosthetic fracture, probably iatrogenic during the THA procedure

[wilbur @wilbur_troy]

@sportsdoc2016 @InvictaOrtho @traumaticum @orthotraumamd Hypertrophic non union is the result of a lack of stability, that is why I think that dynamisation with proximal screw removal will not allow fracture healing.

[wilbur @wilbur_troy]

@boomer_714 @InternetH0F He says, lying on his sofa eating pizza.

[wilbur @wilbur_troy]

@KirollosGendi @_fastlanej @solimanibra92 @anklefootmd @InvictaOrtho @bonesmith_ @summitwv @FractureDoc @pratikorho @eric_novack 70yo, unfit, osteoarthritis seen in both hips, already had a fixation attempt... I don't see the advantage of trying a new osteosynthesis with high risk of failure, when a THA can last for life and also treat osteoarthritis, which may already be (or will be) symptomatic

[wilbur @wilbur_troy]

@osgenic Where is the donor site?

[wilbur @wilbur_troy]

@kunalnune @Davembmd @InvictaOrtho @pratikorho @traumaticum @generalorthomd @Traumatisch @abu_inayaat @EdinburghTrauma @orthotraumamd @DrLatifKhan @ortho_review @Ortho_Cherry @MarietaFranklin I think there is unfortunately a rotation issue because the cortical thickness is different above and under the fracture site. I would do a CT to check but I think you will have to correct it (probably >25 degrees).

[wilbur @wilbur_troy]

@InvictaOrtho @sportsdoc2016 @traumaticum @orthotraumamd @generalorthomd Thank you. In this case, don't you think a unique static might be enough? I don't understand the utility of a screw in the middle of the oblong, apart from secondary dynamization (and loosing time + making a drill hole -or more 🫢- in the femur)

[wilbur @wilbur_troy]

@InvictaOrtho @sportsdoc2016 @traumaticum @orthotraumamd @generalorthomd With a long nail, do you insert one static screw and one dynamic screw for an eventual secondary dynamization?

[wilbur @wilbur_troy]

@sportsdoc2016 @InvictaOrtho @traumaticum @orthotraumamd @generalorthomd 2x tightope?

[wilbur @wilbur_troy]

@traumaticum And to remember, plafond = ceiling in french

[wilbur @wilbur_troy]

@sancleracot @InvictaOrtho @traumaticum @orthotraumamd @DrMarecek @corralmunar @NitinKimmatkar @jamesablairMD Closed anatomic reduction probably impossible with this fracture.
So anterior approach, reduction under direct visualization with k-wires and stabilization by medial 1/3 tube plate 3.5.
Then lateral approach and fixation with DHS +/- screws.
High risk of failure though...

[wilbur @wilbur_troy]

@traumaticum Had a similar case a few weeks ago, performed another heavy metal assembly 👀