Quote from: informationispower on May 10, 2023, 03:00:59 PMJello dr. Franz. A well known surgeon in my country says he prefers to do bilateral femurs but with a 2 weeks distance between each leg in order to minimize risk for PE or fat emboli. What is your take on this approach?
Which surgeon is this?
Quote from: 1team on May 10, 2023, 10:45:42 PMWhich surgeon is this?
Wont reveal until I will do an operation with him. He was trained under Rozbruch though and works in one of the best hospitals in my country. Only after I will do the op with him I will think about revealing info
Dr. Franz when the lengthening rod is inserted into the bone I always hear that it is inserted into the “Hollow” part of the bone. But is there not bone marrow in there? If so you will have to drain the bone marrow, and then you’d be low on it for as long as you have rods in as they occupy a lot of volume?
Quote from: informationispower on May 10, 2023, 03:00:59 PMJello dr. Franz. A well known surgeon in my country says he prefers to do bilateral femurs but with a 2 weeks distance between each leg in order to minimize risk for PE or fat emboli. What is your take on this approach?
It increases the cost by a fair bit, as well as the total time from surgery to end of distraction somewhat.
It may well be a bit safer, but I am not aware of any data supporting that.
Quote from: TheDream on May 11, 2023, 01:33:02 AMDr. Franz when the lengthening rod is inserted into the bone I always hear that it is inserted into the “Hollow” part of the bone. But is there not bone marrow in there? If so you will have to drain the bone marrow, and then you’d be low on it for as long as you have rods in as they occupy a lot of volume?
In adults the long bones like femur is mostly filled with fat. It is not the bone marrow that forms blood cells etc anymore. That is only present in adults in flat bones and at the ends of the long bones.
So the nails basically replace fat from within the long bones.
Quote from: 1team on May 10, 2023, 10:45:42 PMWhich surgeon is this?
Dr. Michael Assayag
what are the fit bone nail diametre sizes that are available dr?
Quote from: toyz on May 14, 2023, 04:59:57 PMwhat are the fit bone nail diametre sizes that are available dr?
11 and 9 mm
Quote from: kamaruusman on May 14, 2023, 12:29:42 AMDr. Michael Assayag
Presumably you're under 175cm?
Hello Doctor Franz.
Two questions:
1. When patients have leg surgeries with external circular fixators they use different pin-site care strategy to avoid infections. Some patients clean their pin-site with sterile water and change bandages from time to time. Also I have read that some patients didn’t clean or touched their pin-site and didn't change bandages at all for 5 – 6 months, they just kept it dry and they didn’t get any infections. Have you any thoughts regarding this subject?
2. Do you always give blood thinner medicine in the different kind of leg surgeries you perform such as lengthening, deformity corrections, knee issues etc.?
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