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A-1302 Case discussion
Jan-Ragnar Haugstvedt, Norway
Wednesday, June 13, 2018 · 5:03 p.m. · 10m 47s
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i wonder if i if you do have some questions for him
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i have a question because of course speakers mentioned that the the
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ad in particular is it probably the most the current
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use procedure and he said with the most anatomical or and the topic procedure
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oh what the longer unfortunately left what i was gonna challenge him to
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ask him if this is in an atomic petite or not
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there's a good group from got about what you think it's this and and of tonic pretty or not
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i use it uh i've been using it so it's not the problem but what use what you think
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yeah
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oh
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oh well
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um the shop more from gossamer sweet harsh i'd been doing t. s. e.
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c. uh so get about eighty here somehow i think most patients have
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um um a lot of option from the for the um in the fall
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yeah region day off there are circulation assassin most people can actually
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yeah the quite well we we just a t. f. c. c. we uh social
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but if there is that t. f. c. c. structure when you do it atrocity than is you should go to uh
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bad ass procedure so that's that's my way of okay i'm a micro
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yeah i was just thinking that your check or actually simply been
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mentioning him he had much better more anatomically reconstruction where you actually go
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to the door slam ball or keep all the the raiders
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and there is also a colleague of ours from singapore whereas of force
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transducer we touching it don't to the fall recent just dialogue
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which is also closer the the on the rails like closer to the to the same manage
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so i think probably that it's better we're we construct one more question for you am why
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do you do to open all why do people do it at
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risk optically assisted what is the benefit from open versus
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at risk optically assisted you probably just then it open but what what do you have any comments on that
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maybe i'm not good enough to the top just copy collect oh no i
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i i think if it's open you you did overview um the localisation
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uh it's i think it's much easier to to find the right spoke to put uh to to to holy
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um for the hill for the radius it's any way a necessary to to some kind of
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insertions to uh to put them through the through the through the radius it's in and
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of course if you if you do the smaller variant where the the tennis ball to uh
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go to an intact t. f. t. you could do that i've just copy colleague
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but if it's open you you it it allows you to refreshed uh the
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tissue more than uh than the new closed in a closed session
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okay i have a question for you because this was for the cases and i presented this in my talk
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no this is a man born in nineteen eighty two he has not yet been operated upon i
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show you the different cases to with some nice dislocation so what would you do here
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to get what would you do in this case
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um well i think it's a very typical case high i think i'd like
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to try to get the vista radio on a joint banking joint because
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anything else would be very difficult to these fundamentally that unstable to getting backing joint
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and it may be just wanted to procedures first busy do you get in the back in a bit more stable
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and then he maybe symptom free and have symptom free and i see neck anything yes
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and then you got the anatomy recently you might end up doing a handy on
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so is this a case for adam's his well obviously it's unstable if you get it back
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there but if you get it back can you stay belies that with an adam's procedure
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well i mean it's one of my many masonry quite typical 'cause the style
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it's gone but you can create a new track it e. g.
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and i think a lot of time to get it back it'll it will stick
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down enough there was unstable but we may not be symptomatic the and stay
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what do you think morgan what would you do or not
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yeah but it was in the starters and then another he's born in nineteen eighty two yeah
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yeah i think i'll i'll i'll agree that the the the it was that um you
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try to get it back in uh in place to see if it's uh
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to see if it still fits um i have the impression that there is still a part of the uh article or service left
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might consider first the minima right to uh evaluate any any article or
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um or the status of the of the uh particular surface um
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before i i don't think that that uh putting michigan implant in in this case would be the better solution than
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eviction so what about the barrack how many of you would've been from the dark pretty doing this case
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none i don't believe you as one
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could i ask you how powers yeah well what you have to defend it yourself why do you want to do that
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oh
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actually i don't think sigma not just that bad after all i'd show
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somebody c. t. scans uh it looks doesn't look too bad a
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part of the sigma not is fairly good you want to they are
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pretty there are 'cause that's all the problem for how long does
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it solve the problem and no had no no brainer headache and
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or this little rider joint but do you have any comment
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yeah i mean i'm sorry i don't wanna challenge you if you don't wanna say anything it's it
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and my standard procedure in in patients who feel that would be a parrot
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c. d. but with the the most for this particular purchase into position
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which wouldn't function like way i would like it because it was
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stationed up bills notes with the the more common situation
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okay you'd probably save some time because you if you do that you can see what's gonna end up with
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would you had your control open here your like what would you have done in this case
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uh
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oh
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um
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so you think you should be able to get the i think you can get
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it back but you think we you will be able to stay plus it
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oh
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and then you have to read from the the the the caps and
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and you would the mobile assume for a while then and there
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oh
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so is there anybody going for you had presses is here uh i
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i i. c. u. and said who will go for when
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you use an apt this and when you say you had i think you mentioned that deep there is an upright is
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all the you would use in you had if there was combination maybe at fridays
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and instability you would go porn at this do you agree on that
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okay there's a up alright goes out probably need to be nation you can
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do also reflection or still to maybe of the of the radio shaft
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if you do a flexion oh so to me the about that is
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in the uh middle to to a distant third of the radius
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the the the radius comes down and you you prevent the dislocation of the of the overhead indeed the
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end of the soupy nation um maybe this is more important for stabilisation then the whole was
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i think that you you try to bring it back to normal anatomy didn't have any fracture the raiders so that's
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why a problem with that i know there is we we did it okay some cases where there there
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is no nonunion apparent but just to correct the maybe uh
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some morphology a deviation mm uh beaches no no
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history of an from an union okay we're getting it some more comments uh yeah there was one comment
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well for all but the location was still tommy all all now
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there it means that you can uh rotate on my in the reverse direction
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for this problem after uh uh for reduction for better reduction m. m.
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for stable it i think it may be walks or baseball
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i tend to think that bring it back to normal anatomy alone something from
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while colour how good case keep it simple they bring it back to normal to
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see if it works there is one thing that the kind of the room
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makes me think twice because quite a few patient things they want one surgery
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and so this is a tried we have to tell the patient that maybe this works maybe not
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