some antagonists of the north sea, a mix of key and bg chars ❄️
lestari belongs to @sycopomp

seen from United States

seen from Malaysia

seen from Malaysia
seen from Yemen
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seen from Belarus
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seen from United States
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seen from Georgia

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seen from United States
some antagonists of the north sea, a mix of key and bg chars ❄️
lestari belongs to @sycopomp
Anyone wanna see my hardware?
(Cut for X-rays)
How did you get into roller derby?
I had a friend in a college class who was a skater, so we talked about it and I had it on my radar. Then I dated a guy who's sister played as well. I got to watch her play and decided that I would volunteer for my local league and give joining a shot once I graduated college. I'm in my third season but I've been kept out of a lot of skating due to injuries.
Currently I'm recovering from a bimalleolar ankle fracture and subsequent ORIF surgery. I had just been cleared to go back to contact from my prior knee injuries and surgery and passed minimum skills enough for draft when I fell wrong and snapped ym ankle...
It's been rough but I am hoping to return to the track once I'm strong enough again.
Swipe! Elderly woman, took a wrong step. Diabetic, osteoporotic, with end-stage renal disease, congestive heart failure, thyroid issues, but apparently a youthful teenager in spirit. (A) AO 44B3.1n transsyndesmotic fibula injury, Volkmann's fragment, Tillaux-Chaput fracture in ankle radiographs, resembling a pilon-like Ruedi-Allgower type I. (B) CT cuts in coronal, sagittal, and axial planes show articular involvement and die-punch component. (C) Immediate postoperative x-rays after multiple screw fixation. (D) One year after. (E) Five years after hardware removal. Every step counts. Doctors should take their patients forward. #orthopaedics #footandankle #ORIF #pilon #patienthappy #aotrauma #pieytobillo #bacolodfootdoctor #firstloveistrauma #pedestrian #radiology #fracture #trauma #couldbeworse #empathy #seniorcitizen #millenial
I miss fixing leg deformities with an intramedullary device. I remember using a Küntscher nail for my first tibia done in residency. I cut it, bent it, and filed it myself. The implant easily passed through the proximal fragment only to engage the distal fragment’s medial cortex with its narrow slot. Something felt wrong and I stopped hammering the nail in. Fluoroscopy confirmed my error and we had to backslap the nail out, re-reduce the fracture and drive the implant back in. With newer nail generations, the relative procedural ease is dramatic. Here we have AO 42B3b and 4F2Aa injuries for a fragmentary wedge fracture of the tibial mid-diaphysis and simple transverse fracture of the fibular proximal shaft. Closed, reamed, antegrade intramedullary nailing of the tibia was performed using indirect reduction fixed with relative stability. A small gap was appreciated in the immediate postop xray and with progressive weightbearing, proceeded to break the most distal of two proximal screws at the nail border. Dynamization was done for us by the patient, but it didn’t help us in removing the retained threaded portion later on. This is a very basic case but it is meaningful in that patients always return to your clinic grateful for their mobility and return to activity. And that as you rise up to more sophisticated procedures, the basics always keep you rooted. #orthopaedics #footandankle #ORIF #lisfranc #patienthappy #aotrauma #pieytobillo #bacolodfootdoctor #firstloveistrauma #pedestrian #radiology #fracture #trauma #roadtrafficaccident #couldbeworse #vehicularcollision
Tw: bones and joints. Vent post.
I broke my leg in September. Absolutely ruined the tendons in my ankle while I was at it. Impressed the ER nurses and then the Orthopedic Surgeon’s office.
It’s… mostly fine now. The bone is in one piece, and the joint functions, I can almost walk normally.
But one thing that doesn’t seem to be going away is the tiiiiiny little bit of crackling whenever it doesn’t quite sit right. Sometimes I press it up against something in just a way that it takes a bit to get it back where it’s supposed to be again.
Those cracklings are the most annoying thing in my life right now.
continuing a family tradition of Horrible Injury! mine came in the Obliterated Elbow flavor. do not recommend
👨⚕️ DORSAL APPROACH - ORIF OF DISTAL RADIUS FRACTURE - Dr Abhijeet L Wahegaonkar
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