1] not reaching wing margin; distiph complex and enlarged; female postabdomen not or barely extensile
63002 Adhesive Plaster Non Extensile
Tape Woven 10 X5 Metrs.
4) The extensile
volar Henry approach was utilized at the time, and surgical management was abandoned due to unacceptably high rates of complications, commonly involving injuries to the radial and median nerves.
At the time of surgery, the surgeon should be familiar and feel comfortable with the extensile
approaches to the hip and femur.
The drawback to the transverse incision is that it is not an extensile
approach and is contraindicated in chronic cases where scarring and retraction are likely to be a factor.
After 3 weeks, callus and scar formation severely limit the ability to obtain an anatomic reduction, require more extensile
approaches, and result in worsened functional outcomes.
16) Unfortunately, this technique, when performed through a single, midline extensile
incision with wide stripping of the proximal tibia, has been associated with deep infection, wound dehiscence, and soft tissue complications in 23% to 100% of patients.
Stamatis3 and Imatani (4) both approached all cases by this modified extensile
lateral Kocher approach.
22,23) The posterior approach is an extensile
approach that allows the posterior, lateral, and medial sides of the elbow to be exposed through one incision.
Acute THA is necessary in the presence of an irreparable femoral head injury, preexisting arthritis, significant impaction injuries, marked comminution, or the need for an extensile
approach when managing these elderly acetabular fracture patients.