Case # 1 40Y Male Supracondylar Femoral Fracture & ORIF After 11 months of pain an no bone healing, He had Deeop venous thrombosis and Pulmonary Embolysm. Due to a possible complication he was sent to us for ESWT treatment. I performed ESWT. He did well for almost ayear an the X ray were preetty good,. When he started muscle rehab, he had pain again and the xrays were not as good. There is a gap again on the X rays. Question: WOULD YOU TRY ESWT AGAIN OR WOULD YOU GO FOR SURGICAL TREATMENT FOR THE PSEUDOARTHROSIS ????? Carlos Leal MD Fenway Medical Bogota
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Case # 140Y MaleSupracondylar Femoral Fracture & ORIF
After 11 months of pain an no bone healing, He had Deeop venous thrombosis and Pulmonary Embolysm. Due to a possible complication he was sent to us for ESWT treatment. I performed ESWT. He did well for almost ayear an the X ray were preetty good,. When he started muscle rehab, he had pain again and the xrays were not as good. There is a gap again on the X rays.
Question:
WOULD YOU TRY ESWT AGAINOR
WOULD YOU GO FOR SURGICAL TREATMENTFOR THE PSEUDOARTHROSIS ?????
Carlos Leal MDFenway Medical
Bogota
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April 201011 months after ESWT
Pain during Physical Therapy
X rays show fracture site again
Jun 200910 Months after surgery
Complicated with DVT and Pulmonary embolismESTW Treatment for
delayed union
Dec 20096 months after ESWT
No pain, stable knee no crutches.
Starts physiscal activity
Male 40yrHorse traimer
Horse backriding accidentAP X-RAYS
Carlos Leal MDFenway Medical
Bogota
April 201011 months after ESWT
Pain during Physical Therapy
X rays show fracture site again
Jun 200910 Months after surgery
Complicated with DVT and Pulmonary embolismESTW Treatment for
delayed union
Dec 20096 months after ESWT
No pain, stable knee no crutches.
Starts physiscal activity
Male 40yrHorse traimer
Horse backriding accidentLATERAL X-RAYS
Carlos Leal MDFenway Medical
Bogota
Case # 235Y Male – Orthopedic SurgeonParachute Accident 16 months ago
This colleague was treated with ORIF and did not heal. The tyibia healed well, and the metaphyseal region looks good. Hoverer, the last x-rays show a n oblique fracture line onb the distal diaphysis. No infection found, He was treated for the delayed union with open surgery, allografts – Autografts, growth factors and osteoconductors. He is in crutches at the moment.
Question:
WOULD YOU TRY ESWT IN THIS CASE, AFTER SURGICAL TREATMENT AND GRAFTING ????