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Super J

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  1. Super J

    Need Dr's opinion on a tib fib fracture

    Doc, Thanks for the speedy response. I found another film that might better show how low on the bone the break is. The ortho I have now is basing his opinion on needing 20mm to work with. Does this view make it look lower than that to you? http://i264.photobucket.com/albums/ii172/sideshow42/jbstibfibpostreduction.jpg I went o see him with both barrels loaded, pushing for a rod, based on recovery time and strength of the repair. He says he would prefer to do a rod, but the proximity to the ankle is the dealbreaker. I'm also a Kaiser patient, so any decision to go elsewhere comes at a high cost. Thanks again, James
  2. Dr. Mark, I was unlucky enough to spiral fracture my tib/fib off road riding last Wednesday. It was a low energy fracture, reasonably low speed low side, but my toe dug in and rotated my foot around as I fell. My only concern is that my ortho wants to plate it with a 90degree cannellated blade plate, rather than using a rod. The feeling is that the fracture goes too low, and there is not sufficient purchase for the screws at the bottom of the rod. Based on my x-rays can you give me your 2-cents on this one? http://i264.photobucket.com/albums/ii172/sideshow42/jbstibfibxray2.jpg http://i264.photobucket.com/albums/ii172/sideshow42/jbstibfibxray1.jpg Thanks very much in advance James
  3. Dave, Thanks for taking taking the time to post all the info. Is there any reason you chose the dished piston over a ring shim setup ? Just curious Thanks James