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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2017, Number 1

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Rev Mex Ortop Ped 2017; 19 (1)

Percutaneous, transfocal and endomedullary nailing technique for the treatment of supracondylar fractures of the elbow

Pericchi EM, Contreras D, Fernández ME

Language: Spanish
References: 39
Page: 29-34
PDF size: 299.02 Kb.


ABSTRACT

Introduction: We present a therapeutic proposal for supracondylar fractures of the elbow, which combines the manipulation to achieve the closed reduction and the fixation and stabilization percutaneously and transfocal using a simple Kirschner 2.0 mm nail. Method: The study was performed in a group of patients with supracondylar elbow fractures classified II-B and III of Gartland with intact posterior periosteum. 160 cases that were treated with the percutaneous transfocal and endomedular nailing technique (TEPTE). Follow-up was one year, making a cut at 6 months. The immobilization and the nail were removed at 21 days. We performed measurements of joint mobility and angles of transport and Bauman, quantifying results using the Flynn criteria. Results: Supracondylar fractures, reduced and fixed with the percutaneous transfocal and endomedular nailing technique (TEPTE) are technically easier to perform and do not produce complications of neurological type that always gravitate on the traditional method. In the case of the percutaneous transfocal and endomedular nailing technique (TEPTE) it was shown that it is faster since it does not need to make fixation of the opposite cortex. Conclusions: The percutaneous, transfocal and endomedullary nailing technique (TEPTE) is easy to perform, faster and as stable as conventional.


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