Rubio ÁJ

Idioma: Español
Referencias bibliográficas: 17
Paginas: 160-164
Archivo PDF: 51.18 Kb.

RESUMEN

Se discute la conveniencia de fresar o no el canal medular al insertar un clavo centromedular, señalando las indicaciones y los inconvenientes para cada uno de estos procedimientos. Se mencionan complicaciones que erróneamente se han asociado con éstos y que más bien son atribuibles a la técnica con la que se inserta el clavo. Concluye que estos procedimientos no deben verse como antagónicos; ambos son útiles, pero se debe analizar su indicación en cada caso para obtener mejores resultados.

REFERENCIAS (EN ESTE ARTÍCULO)

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4. Wolinsky PR, Sciadini MF, Parker RE, et al. Effects on pulmonary physiology of reamed femoral intramedullary nailing in an open-chest sheep model. J Orthop Trauma 1996; 10: 75-80.

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14. Bhandari M, Guyatt G, Tornetta P. 3rd, Schemitsch E, Swiontkowski M, Sanders D, Walter SD. Study to prospectively evaluate reamed intramedullary nails in patients with tibial fractures (SPRINT): study rationale and design. BMC Musculoskelet Disord 2008; (9): 91.

15. Fracture gab, post operative weight bearing. paper 355. American Academic Orthopaedic Surgeons 2009, Las Vegas Nevada USA.

16. Nassif JM, Gorczyca JT, Cole JK, Pugh KJ, Pienkowski D. Effect of acute reamed versus unreamed intramedullary nailing on compartment pressure when treating closed tibial shaft fractures: a randomized prospective study. J Orthop Trauma 2000; (14): 554-8.

17. Ben-Galim P, Rosenblatt Y, Parnes N, Dekel S, Steinberg EL. Intramedullary fixation of tibial shaft fractures using an expandable nail. Clin Orthop Relat Res 2007; (455): 234-40.