medigraphic.com
Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2009, Number 1

<< Back Next >>

Rev Esp Med Quir 2009; 14 (1)

Tibia and femur centromedullary nailing without fluoroscopy nor reamed

Martínez EJG, Granados SE, Zepeda CR, Trejo PA, Rodríguez GR

Language: Spanish
References: 22
Page: 22-26
PDF size: 297.93 Kb.


ABSTRACT

Objective: To report the degree of shaft and femur fractures resolution without using direct fluoroscopy or images intensifier.
Patients and methods: This is a prospective longitudinal and descriptive study in patients with tibia and femur fractures. It was done from September 1997 to October 1998 at Hospital 1° de Octubre. We selected 42 patients with centromedullary nail surgery without fluoroscopy; all of them were followed until bone consolidation.
Results: We studied 42 cases in 39 patients, and found 23 tibia fractures and 19 femur fractures, six exposed tibia fractures and three exposed femur fractures. Of them, 23 were female and 15 male, with an age range of 14-85. The most affected extremity was left; only two patients suffered retard in consolidation. There was not pseudoarthrosis or infection.
Conclusions: Blockade distal can be carried out without fluoroscopy with good outcome and surgical time.


REFERENCES

  1. Hansen S, Winquist R. Closed intramedullary nailing of the femur. Küntscher technique with reaming. Clin Orthop 1979;138:56-61.

  2. Sisk TD. Fracturas. En: Edmonton AS, Crenshaw AH, editores. Campbell cirugía ortopédica. 8ª ed. Buenos Aires: Panamericana, 1994.

  3. Kuntscher GB. The Kuntscher method for intramedullary fixation. J Bone Joint Surg Am 1958;40-A(1):17-26.

  4. Homawoo K. Le traitement des fractures comminutives de la diaphyse fémorale. Int Orth 1986;11:340-52.

  5. Kuntscher G. El enclavado intramedular. Fundamentos, indicaciones y técnica. Barcelona: Editorial Científico Médica, 1965.

  6. Muller MK, Allgower M, Scheneider R. Manual of internal fixation. 3rd ed. New York: Springer, 1991;pp:291-365.

  7. Ryed TP, Luscher J. Results after internal fixation of comminuted fractures of the femoral shaft with DC plates. Clin Orthop 1979;138:74-76.

  8. Kennet D, Johnson W, Parker B. Comminuted femoral shaft fractures: Treatment by Roller traction, cerclage wires and an intramedullary nail or an interlocking medullary nail. J Bone Joint Surg Am 1984;66(8):1222-35.

  9. Kemp I, Grosse A, Beck G. Closed locked intramedullary nailing, its application to comminuted fractures of the femur. J Bone Joint Surg Am 1995;67:709-20.

  10. Klemm KW, Schellmman WD. Dynamische und statische: Verriegelung des marknagels. Monatsschr Unfallheilkd 1972;75:586-75.

  11. Klemm KW, Borner. MD Interlocking nailing of complex fractures of the femur and tibia. Clin Orthop 1986;212:89-100.

  12. Kempf I, Grosse A, Beck G. Closed locked intramedullary nailing. J Bone Joint Surg Am 1985;65:709-20.

  13. Kempf I, Grosse A, Rigant P. The treatment of non-intramedullary mailing. Clin Orthop 1986;212:142-254.

  14. Kempf I, Meyrueis JP, Perrer S. La fixation d’une fracture doit-elle etre ride ou elastique. Rev Chir Orthop 1983;69(5):338-80.

  15. Sánchez Gimeno J, Albareda JM. Biomechanical study of the Grosse Kemp Femoral Nail. Int Orthop 1997;21:115-8.

  16. Peruchon E, Colchero F, Micallef JP, Saint-Pierre B, Rabischong P. Biomechanical study of a highly stable intramedullar osteosynthetic device. J Biomed Eng 1984;6(1):17-21.

  17. Colchero F. Osteosíntesis estable de las fracturas de la diáfisis femoral con clavo intramedular y tornillos que lo atraviesan. Rev Med IMSS 1975;LV(1199):279-89.

  18. Colchero F, Peruchon E. Clavo intramedular fijo al hueso por pernos en las fracturas y pseudoartrosis de la diáfisis de fémur tibia y húmero. Rev Orthop Trauma 1983;27IB(3):283-300.

  19. Seiler JG 3rd, Swiontkowski MF. A prospective evaluation of AO/ASIF Universal femoral nail in treatment of traumatic and reconstructive problems of the femur. J Trauma 1991,31(1):121-6.

  20. Franklin JL, Winquist RA, Benirschke SK, Hansen ST Jr. Broken intramedullary nails. J Bone Joint Surg Am 1988;70(10):1463-71.

  21. Castro M. Clavo intramedular femoral de titanio AIM. DePuy México, 1995.

  22. The Morris interlocking nail system. Treu-Instrumente. Tuttlingen, Germany 1995;pp:1-23. 23. Wasan AD, Ziran BH, Chapman MW. Complications of IM nails with transverse locking screws through the femoral neck. Poster no. 12. Ota meeting, Boston, September 1996.




2020     |     www.medigraphic.com