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A-1209 K-wire & cerclage - Q&A
Anuj Mishra, UK
Thursday, June 14, 2018 · 9:08 a.m. · 06m 47s
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00:00:01
thank you very much use this was much of that k. y. assimilate about set class and i'm happy for that
00:00:08
the effective great advantage of the k. why's uh is that you uh
00:00:14
make me to a fixation with minimal distance of the soft and that is very often the import
00:00:21
so i would like to say though to the the youngest that it is not always easy to put
00:00:29
in okay wine and it's certainly not as easy as you can see it on the drawing
00:00:33
and the problem is often that the k. wide to clients on the cortex and
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you can't find the right angle the right spot to put it in
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you we showed us a that is a good idea to make a a drawing on
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we didn't paint on the on the screen to plan the insertion of the pay was to have any other tricks
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and tips it's that i think i'm a little using it wielding lee i normally don't don't draw now
00:00:58
but for when the genes come and that's that's the i mean the all they're doing it i admit didn't draw i think of it beforehand
00:01:04
and the trick is uh i like really like a surgery the setup with the board and where the main surgeon is sitting with this is not sitting
00:01:11
and we have the others would come through and which is that it that action of
00:01:15
your drilling will be is to think of these things before and there's no point
00:01:18
in delaying it first and then struggling with it and then really d. everything and
00:01:22
then it becomes a struggle afterwards and that leads onto the second output bosses
00:01:27
the third part was to highlight the importance of a exposure these numbers get so focused specially
00:01:32
the loops all so focus on fixing that structure that we forget about that minimal
00:01:36
it which is a native exposes been getting well the last what would it would've ideas
00:01:41
and we don't care about that at that stage badly drawn determined by does
00:01:46
also you have a directly sin clamps with the smoke i've been
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to direct okay well add that to the right spot
00:01:55
and that may be useful to it used to faction at the same time as a put indicate why yeah
00:02:01
because they are very uh very often x. p. s. when you put
00:02:05
a hand on a say a oblique fraction of the fangs
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you put the clamp right at the spot where you want to put the k. y. good that's the best place to
00:02:16
say the the fractures so if you use a little device to help you it's a an advantage
00:02:23
thank you we are some questions from the floor about this yes please
00:02:34
i highlighted it uh there's enough evidence now but if you want to maintain the
00:02:37
fact of a a budget for four weeks lesson four weeks or four weeks
00:02:41
then you don't need to a body to uh that we would be keep it outside easy for the campus big the white out in four weeks type
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but if if something is made wider while example formatted factors
00:02:51
of using the widening doodles played the internal split
00:02:55
then you needed forty six to eight weeks in that these i body then uh the local is the big and pick them up and looking at the big
00:03:01
there's enough evidence in terms of infection rates for with a wise
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which is outside wasn't it wasn't that a job buried inside
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with a question over their employees you uh guys that want to uh ask questions approach
00:03:16
the microphones that are in because i i like my questions just being outside
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the question was also so uh there's a question over there ah it's ah
00:03:28
you never had any burning concepts aren't working i'm putting colour or your
00:03:34
sure the drawings because there's so many destruction we're not far worse was put through the trends
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maybe
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mine destruction attracts
00:03:53
i agree uh
00:03:57
any more questions yes uh_huh
00:04:02
yeah
00:04:07
which one might okay we what we have power tools when we can uh at top speed
00:04:13
there's one point to another point made it maybe is interesting to not to reuse more than
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once the same wire just as charlie uh discard the one you use because we are
00:04:23
long not after that first passage so if you have to to to to look at and it's much but uh
00:04:29
to productive way and taken you want i mean they're so cheap was not or a point
00:04:35
and certainly does is to uh when you're drilling it and if you're not happy with that actually apart from planning in that direction
00:04:41
you need to make sure that you come out all recorded on the biggest in rather than trying to it and
00:04:45
you what when the why i mean cosmo burning and then the starlight as well as as mentioned earlier
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i'm speaking about a speed of uh the the the
00:04:58
and the risk of nerve allusions in you that you mentioned it does
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a possibility to have to insert the k. wire with an oscillating
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a mushy isn't it so yeah would you think it's an advantage and and
00:05:10
also giving us times beforehand uh being blunt that's action if you're in
00:05:14
the in the vicinity of what that will bring about a double bass remote maybe should not begin that was about to fall in love
00:05:20
a really good and then use a plausible to a white burning of the or was it mostly because of the bone diseases
00:05:30
one more uh sorry only um um one person from singapore
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just question what's expansive nonunion k. y. fixation fractures
00:05:39
that's so that the for that day but i mentioned earlier um given that published studies june about about
00:05:45
two four wasn't our risk of a nonunion in cablevision but i i think it's not the technique
00:05:51
how you apply for the keywords the plane is a technique of fixation
00:05:56
in those cases and it's of skin infection if you have infection it increases the
00:06:00
risk of money knees is it doesn't matter on the fraction fattened well no
00:06:08
and to do experience distraction of the fractures when you use the k. y. 'cause that's i
00:06:12
think that's very important to many fixing it i'm making sure that the fact doesn't that's
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why didn't you post operative he is important a little keys which i showed what video
00:06:20
is they didn't check it was a pretty whether the physician was was stable enough
00:06:24
so you can distract that's a that's an advantage of the wise when in distracting it i'm
00:06:28
holding on my plane is doing it and make sure that the fact is that
00:06:31
use properly volume down earlier so that you don't get distracted while during the the one in
00:06:38
thank you very much
00:06:41
thank you very much for you
Conference Program
A-1205 Welcome and Introduction
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A-1206 Epidemiology
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A-1207 Evidence
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A-1208 Conservative
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A-1209 K-wire & cerclage
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June 14, 2018 · 8:57 a.m.
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June 14, 2018 · 9:08 a.m.
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