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Question #8

Would you re-reduce a Colles fracture if you achieve neutral tilt but good length?

After closed reduction of an extra-articular Colles fracture, radial height and inclination are acceptable but the lateral X-ray shows neutral tilt rather than volar tilt. In a middle-aged patient, would you accept this or attempt another reduction? At what point does repeated manipulation cause more harm than benefit?

Trauma

The Bone Stories asked 1 month ago58 views · 0 comments · active 1 month ago

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Question #7

When do you actually use a long nail for an intertrochanteric fracture?

For routine unstable intertrochanteric fractures without subtrochanteric extension, do you generally prefer a short or long cephalomedullary nail? What specific fracture or patient factors make you choose a long nail?

Trauma

The Bone Stories asked 1 month ago74 views · 0 comments · active 1 month ago

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Question #6

How much residual dorsal tilt do you accept after reducing a distal radius fracture?

In an extra-articular distal radius fracture in a 55–65-year-old active patient, suppose reduction restores length and inclination reasonably well but leaves around 5–10° of dorsal tilt. Would you accept this, woudl attempt reduction again and cast, or consider fixation? How much do age, occupation and dominant hand influence your threshold?

Trauma

The Bone Stories asked 1 month ago44 views · 0 comments · active 1 month ago