journal club presentation june '15

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FibuLock™ Ankle Nail

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FibuLock™ Ankle Nail

Tonks – San Diego, CA• 3 weeks from injury

• Medial instability and pain

• Small incision over fracture

• 39 minutes skin-to-skin

• Reduced with Hintermann (40mm)

• Single distal screw

• 15mm distal incision

• 3 weeks after surgery

• Load bearing as tolerated.

Tonks – San Diego, CAFollow-Up of patient

• 3 weeks after surgery

• Load bearing as tolerated.

Tonks – San Diego, CAFollow-Up of patient

Philbin – Columbus, OH• Elderly diabetic

• Gravity x-ray showed

instability

• Percutaneous reduction

• 10mm distal incision

• Three 5mm screw incisions

• 70 minutes skin-to-skin

• Fellow performed surgery

Philbin – Columbus, OH

8 week follow-up

Philbin – Columbus, OH

• Elderly patient

• Percutaneous reduction, 11 days post

fracture

• 10mm distal incision

• Two 5mm screw incisions

• 48 minutes skin-to-skin

• Fellow performed surgery

Tonks – San Diego, CA

• Segmental fibula fracture

Tonks – San Diego, CA

Tonks – San Diego, CA• Patient fell, foot stuck in dirt, fibula snapped thru tissue,

wound filled with dirt.

• Span comminution

• No need to incise over fragments

Philbin – Columbus, OH• Elderly patient

• Percutaneous reduction, 11 days post

fracture

• 10mm distal incision

• Two 5mm screw incisions

• 48 minutes skin-to-skin

• Fellow performed surgery

Sam Adams – Durham, NC • 1st case for Adams

• Resident did most of

surgery

Tonks – San Diego

Tonks – San Diego (17th case)

Garras - Chicago

Garras - Chicago

Garras – Chicago 4 week follow-up

Non-weight bearing films

Garras - Chicago

Garras – Chicago 4 week follow-up

Non-weight bearing films

Bradley – St. Louis

Bradley – St. Louis• neuropathic diabetic