Sudhir PaiThis is a dreaded fracture pattern. Good to go in with all armamentarium. DCS would be good. A long pfnA2 if snugly fits in isthmus would be good but u all know the lateral spike won’t get reduced in some Cases
Rishi SanghaviIn this with dhs : open this much.. And excessive valgus… short richard screw… If u do pfn… hardly 5 sutures.. u dont need to reduce the spike completely.. with use of proper entry and joysick technique or gentle push most of times it reduces… even if u have to open it. U can hold it with clamp which can b inserted from prox screw site.. just extending incision distally 2cm more… I will do only long pfn in this…
Rishi SanghaviNot complaining about how done… just sharing my views.. why we have given this # good chances of failing… u can do it… but put a longer richard screw.. 1 or 2 lag screw in shaft… short barrel… longer plate… and alternate screws distally….
Pardeep SharmaReducing four major fragments which I found intra-op with joy-sticks & 5 sutures to me it looks nothing short of magic practically speaking. I agree Richard screw a bit short because of non-availability of longer one at time of surgery.lag screws are there for those who can visualise.
Karthikeyan ManiDcs is ideal for this case,but for the argument of short barrel for long screws? I don’t think barrel crossing # matters much besides toggling and jamming of long screw in a short barrel is definitely a bigger problem right?