Benjamín Joel Torres FBJ

Language: Spanish
References: 13
Page: 232-236
PDF size: 74.23 Kb.

ABSTRACT

The targeting in the distal holes for interlocking nails is one of the most important problems no results in clinic orthopedic, the image intensifier have been made easier the procedure but is not available in many trauma centers. Objective. is show the utility of the localization of distal holes that they have already existing device, we considered if we use the original design of DAD (Distal Aiming Device) for the undreamed tibial solid nail (UTN) it would be useful for the localization of the distal holes of the universal tibial nail. Participants the sample was 23 patients with 25 tibial shaft fractures, the most common injury was caused by car accident of high energy that were 20 patients (86.9%) and the average time that we use to find distal holes was from 5 to 15 minutes (7.5 min). Results. the success to localization of the distal holes without image intensifier was almost 90% in the first attempt whit this adaptation of the standard system, but in the next ones were 100%. Discussion. Whit this adaptation we can use the nailing systems in areas where they haven’t an image intensfier for the treatment of tibial fractures in a way safe, accessible and reliable.

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