Gluteus medius was left attached to the greater trochanter along with the part of the minimus, which was peeled off the capsule. The interval between the minimus and the piriformis was then explored and elaborated. The gluteus minimus was carefully peeled off the capsule of the hip joint superiorly taking care to ensure that we were anterior and superior to the piriformis. Anteriorly the vastus medialis and intermedius were peeled off the capsule of the hip joint. viagra 20 mg 4 tablet fiyatı At this time a bump was used to externally and internally rotate and position the hip to obtain access to all these various areas. viagra cost Blunt dissection was also performed with a cobb and sharp dissection with a knife. viagra samples The capsule was exposed all the way up to the acetabular rim. cheap viagra Once that was done, an anterior part of the z-shaped incision was made on the capsule. buy liquid viagra for women The capsule was found to be extremely adherent to the underlying bone most probably because of the prior fixation with a screw of the slipped femoral epiphysis. The screw was found to be extremely protuberant and impinging against the acetabulum and deforming the labrum. cost comparison of viagra A z-shaped incision made of the capsule was completed, taking care to ensure that the labrum of the acetabulum was left intact. We tried to remove the impinging screw without any success, with screwdrivers as well as screw removal apparatus utilized unsuccessfully. We finally took a diamond bur and trimmed the impinging part of the screw off, leaving the shank inside. Prior to trimming of the femoral head and neck, the joint was dislocated by pulling up on the femoral neck with a bone hook and cutting the ligamentum teres with a curved scissors. Then we turned our attention to the part of the femoral head and neck that was impinging and deforming the labrum. That area was trimmed with an osteotome and smoothed down with a bur. buy viagra 20mg australia Care was taken to ensure that we did not extend into the superior part of the neck where the blood vessels entered the femoral head. generic viagra without prescription Once the femoral head and neck region was trimmed, bleeding was controlled by spreading bone wax over that area. The joint was copiously irrigated to remove all debris as well as possible metal fragments from the screw. The joint was then relocated and the range of motion was found to be much better than preoperatively. We were able to flex the hip to almost 90[degrees] and internally rotate it to 5[degrees] and externally rotate it to 70[degrees]. The capsule was loosely sutured with ur-6 2-0 vicryl sutures. side effects viagra overdose The trochanter was then reattached with two screws of 65 mm and 3. 5 mm, respectively, which had bicortical purchase. The trochanteric fragment got slightly displaced when we tightened the screws i chose to maintain the bone in that position because i did not want to make multiple holes in the trochante. viagra online  



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United Way of Putnam County
1800 N. Perry St. Suite 109 P.O. Box 472
Ottawa, OH 45875


United Way United Way United Way United Way United Way United Way  


The United Way of Putnam County provides an effective and efficient means for the community to support the vital programs of local non-profit agencies. Neighbor helping neighbor, we help the community to LIVE UNITED for the common good of all in Putnam County.


100% of your gift stays right here in Putnam County!







January 19 – Annual Business Meeting & Campaign Celebration

February 27 thru March 3 – O-G Key Club Book Bag Drive

April 6, 20, & 27 – Allocations Interviews

May 25 – Fortman Insurance Services Corn Hole Tournament

August 4 & 5- Stuff The Bus

August 14 – Back-to-School Giveaway

August 24 – Breakfast of Champions

September 28 – Campaign Kickoff & Putnam County Wing Championship

October 12 – Back Yard BBQ

Board Meetings – 2/16, 3/16, 5/18, 9/21, 11/16


Help build a stronger, united Putnam County. Make a one-time or recurring donation today!

Checks may be sent to: United Way of Putnam County, P.O. Box 472, Ottawa, OH 45875


Employee campaigns are the most efficient way to raise funds for United Way. Companies within Putnam County with an in-house employee campaign include:


Ag Credit, ERA Geyer-Noakes Realty, First Federal Bank, First National Bank, Fort Jennings State Bank, Fortman Insurance Services, Huntington Bank, Kahle Electric, Kalida Manufacturing, Inc., Knueve & Sons Inc., Kuhlman Builders, Northwest Physical Therapy, Ottawa Walmart, Palpac Industries, Poet Biorefining, PRO -TEC Coating Company, Putnam County Employees, Putnam County District Library, Putnam County Educational Service Center, Putnam County Local Schools,  RK Industries, Schroeder & Co. LLC, Technicon Design Group, The Pizzeria, The Union Bank Company, UIS Insurance & Investments, United Way Partner Agencies, Unverferth Manufacturing, Village of Ottawa, and Whirlpool Corporation.


For information or materials needed to conduct an employee campaign for United Way, visit our Campaign page or give us a call at 419-523-4505.






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