Rodríguez-Flores JL

Language: Spanish
References: 17
Page: 147-154
PDF size: 94.25 Kb.

ABSTRACT

The availability of it firearms of discharge and low speed every time is increased and by consequence there is an increase of victims with injuries by these, which are taken care of most frequently in the hospitals of the Secretary of Health of the Federal District and in the majority of the hospitals of the Mexican Republic. Being an important clinical problem for the orthopedic surgeons. Reason why more is due to know thorough the handling this type of injuries. The additional investigation is necessary to revalue from one better classification since at the moment they treat only as fractures by discharge or low speed. The fractures of femur must be evaluated carefully and must include bleeding, the presence of expandable bleeding, diminution of pulses, data of critical ischemia. As far as the stabilization of the fracture the tissue injury is due to take into account soft geometry would fracture having been preferred the use of the intramedullary nailing blocked having satisfactory results according to the majority of authors. The stabilization of the fractures of the tibia by projectile of firearm of low speed can be dealt from apparatuses about long plaster thigh to the stable fractures or with the use about external locking devices like definitive treatment and mainly with intramedullary nailing blocked.

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