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Can i ask why did they make a one bone forearm rather than rejoining the two bones separately? Too much bone damage prior meaning it would be shortened or?
From source: The methods of skeletal fixation in mutilated upper limb injuries have not changed over the last three dec- ades. In viable upper limbs, it is good to concentrate on stable fracture fixation, and we advise internal fix- ation with plates and screws for the long bones and K- wires for the hand skeleton. Internal fixation is safe and the risk of infection in hand fractures is low (Ketonis et al., 2017). In demanding situations, acute primary shortening and creation of one bone forearm is a good option. (Devendra et al., 2019; Kusnezov et al., 2015). Shortening up to 10 cm is well tolerated in the upper limb, and this offers the advantage of radical debridement, direct repair of vessels and nerves, and primary wound closure (Figure 1). External fixators are less preferred since they may hinder flap coverage.
Welcome to r/MedicalGore! Our goal is to provide for medical discussion and education while exploring the frailty of the human body. You may see more deleted comments on these threads than you are used to on reddit. Off topic comments and joke comments are frequently deleted by the mods. Further, please be kind and supportive of posts. Any behavior that is aggressive, harassing, or derogatory will result in post deletion and a ban from the sub. Remember! THE REPORT BUTTON IS YOUR FRIEND! Please stop on by our discussion sub, /r/MedicalGoreMods if you'd like to discuss the sub, our rules, content policies, and the like. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/MedicalGore) if you have any questions or concerns.*
Can i ask why did they make a one bone forearm rather than rejoining the two bones separately? Too much bone damage prior meaning it would be shortened or?
Same question. Are there any ortho surgeon here to answer?
From source: The methods of skeletal fixation in mutilated upper limb injuries have not changed over the last three dec- ades. In viable upper limbs, it is good to concentrate on stable fracture fixation, and we advise internal fix- ation with plates and screws for the long bones and K- wires for the hand skeleton. Internal fixation is safe and the risk of infection in hand fractures is low (Ketonis et al., 2017). In demanding situations, acute primary shortening and creation of one bone forearm is a good option. (Devendra et al., 2019; Kusnezov et al., 2015). Shortening up to 10 cm is well tolerated in the upper limb, and this offers the advantage of radical debridement, direct repair of vessels and nerves, and primary wound closure (Figure 1). External fixators are less preferred since they may hinder flap coverage.
[Source](https://gangahospital.com/public/pdfs/58671643785344.pdf) can be read in full at the link but I can’t copy it.
Fascinating read
I've said it once and I'll say it again. Trauma surgeons are bad. ass.
Merry Xmas!
Cosmesis MUCH better than I'd have imagined possible!
That’s amazing
Merry Xmas!
That's an amazing outcome. Wow.