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Author Topic: Fat embolism and femoral internals  (Read 985 times)

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champion90

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Fat embolism and femoral internals
« on: July 23, 2018, 01:24:02 PM »
Hello everyone, from what I understood to work by choosing the option INTERNAL FEMORIES and maybe with STRYDE would be the best choice if it were not for the risk of FAT EMBOLISM .. I would like to know what brings this possible complication, if there are subjects most at risk of others and if it is somehow avoidable like "metilprednisolone" or bring the percentage of this complication to the lowest percentages .. thanks to all
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stoke

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Re: Fat embolism and femoral internals
« Reply #1 on: July 23, 2018, 01:59:09 PM »
I think the best option for avoid the fat embolism is the consume of anticoagulants like Xarelto and always move your legs during the LL process because the non move of your legs can produce Fat embolism.
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mrblack

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Re: Fat embolism and femoral internals
« Reply #2 on: July 23, 2018, 04:31:41 PM »
what is now the advantage of Precice Stryde in comparison to Precice 2? full weight bearing, okay and something elso? Betznail and Guichetnail are already full weight bearing. Fat embolism is a risk but not that high. external however has other risks. So there is no perfect method.
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champion90

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Re: Fat embolism and femoral internals
« Reply #3 on: July 23, 2018, 04:45:32 PM »
Quote from: stoke on July 23, 2018, 01:59:09 PM
I think the best option for avoid the fat embolism is the consume of anticoagulants like Xarelto and always move your legs during the LL process because the non move of your legs can produce Fat embolism.

so this risk based on what you say should be almost nil with STRYDE as this nail allows a greater support on the legs and therefore to walk first avoiding the atrophy of the muscles and consequently the fat embolism, right?
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champion90

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Re: Fat embolism and femoral internals
« Reply #4 on: July 23, 2018, 04:55:10 PM »
Quote from: mrblack on July 23, 2018, 04:31:41 PM
what is now the advantage of Precice Stryde in comparison to Precice 2? full weight bearing, okay and something elso? Betznail and Guichetnail are already full weight bearing. Fat embolism is a risk but not that high. external however has other risks. So there is no perfect method.

what emerges from the Stryde update compared to the other nails is that it allows a support for each leg sufficient so that you can start walking first, the first patient operated by Paley (the one who conceived it) after a month walked already without 'aid of crutches while in the first weeks used only the latter without ever the help of a walker .. obviously the lengthening period should always be spent where you work but you want to compare this walking and recover the walk immediately instead of a wheelchair to 3 months? I would say that it is an innovation. I'd be curious about how your stretching will be going on.
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The Dreamer

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Re: Fat embolism and femoral internals
« Reply #5 on: July 23, 2018, 05:22:30 PM »
Quote from: mrblack on July 23, 2018, 04:31:41 PM
what is now the advantage of Precice Stryde in comparison to Precice 2? full weight bearing, okay and something elso? Betznail and Guichetnail are already full weight bearing. Fat embolism is a risk but not that high. external however has other risks. So there is no perfect method.
Seriously man ? In 2018 still talking about Betzbone and Guichetnail ?
The crap of Guichet is not even capable of lengthen back in case of poor consolidation
All nails developed only by doctors are pure crap.For a serious nail there are required a lot of experts, expensive tests,big resources and a solid company behind it.See the Precice series
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●Do LL but do not let it obsess you

Johnson1111

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Re: Fat embolism and femoral internals
« Reply #6 on: July 23, 2018, 11:37:08 PM »
Quote from: mrblack on July 23, 2018, 04:31:41 PM
Betznail and Guichetnail are already full weight bearing.

Yeah and so is the Johnson Nail
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MirinHeight

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Re: Fat embolism and femoral internals
« Reply #7 on: July 24, 2018, 02:03:35 AM »
do unilateral internal femurs to reduce the risk of fat embolism
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currently 179 cm with a 6'2 wingspan
Goal: 182-183
top 5 LL surgeons: Paley, Rozbruch, Mahboubian,  Donghoon Lee, Giotikas

- planning to have LON tibias with dr donghoon lee in summer 2021

mrblack

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Re: Fat embolism and femoral internals
« Reply #8 on: July 24, 2018, 09:47:00 AM »
It was just a question. I am not an expert. Why should a nail be crap only because it is the invention of a doctor and not a company? Of course for a company its easier to develope and test these things but also doctors who work many years in this field have big knowledge. There a different concepts and therefore different nail techniques. No nail will be admitted without inspection. I know that does not automatically mean the nail is very effective but to call it crap it has to work extremely bad. I can't say much about Guichetnail, maybe its really that bad , but there also others and every of these doctors uses crap?
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