Orthopaedic Surgery of Injuries volume 1

Cover Orthopaedic Surgery of Injuries volume 1
Orthopaedic Surgery of Injuries volume 1
Robert Jones
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Flail Shoulder. I have already described the postural treatment of FLAIL JOINTS AND THEIR TREATMENT 457 flail joint, and have mentioned that a successful pseudarthrosis does not often occur in the case of the shoulder. In a limited number of cases where the head of the bone only has been removed, and where the muscles attached to the tuberosities and the deltoid are functioning, abduction and carefully conducted muscle re-education may result in a joint pre- ferred by some people to an ankylosi
...s. The very flail joint can only be approached with a chance of success if an ankylosis be aimed at. I have seen certain cases where a graft of bone has been introduced to lengthen the shaft, and in one case the upper part of the fibula, with results which I would call promising. I have also seen cases where these grafts have refractured and have never united again, and others which have been reabsorbed, leaving the patient in a worse plight than before. The result of my experience is that I would prefer adopting a more certain route, such as the production of ankylosis by end to end apposition.

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