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Synopsis: 75 YO woman, malunion from a radius fx 20 years ago, second fx 8 months ago (Synthes volar plate to the radius and a Synthes 2.0 mm plate to the distal ulna, with suture of TFC complex). At 6 months, full mobility, no pain, but doubts about nonunion on xray. Now, 8 months after her surgery, a third radius fx from a fall.
(3) Anything special that should accompany the revision? I think that although infection is unlikely, it should be ruled out by a culture of tissue, and bone graft will definitely be needed. |
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