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Vol. 106. Núm. 1.
Páginas 9-16 (enero 2009)
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Vol. 106. Núm. 1.
Páginas 9-16 (enero 2009)
Acceso a texto completo
Malunión femoral en fracturas de diáfisis femoral tratadas con clavo intramedular
Malunion femoral after intramedullary nailing of femoral shaft fractures
Izter hezurraren lotura okerra muinbarneko iltzearekin tratatutako femur diafisi hausturetan
Visitas
4854
M.A. Cabrerizo*, M.J. Ere˜o, A. Diego, M. Otero, J.C. Rodríguez
Hospital Galdakao-Usánsolo. Galdakao. Bizkaia. Espa˜a UE.
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Bibliografía
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Resumen

El objetivo del estudio era evaluar la incidencia y grado de deformidad del femur en fracturas de diáfisis femoral tratadas con clavo intramedular.

27 fracturas de diáfisis femoral fueron valoradas. Todos los pacientes fueron tratados con clavo de Grosse-Kempf. Se utilizó la clasificación de Winquist y Hansen. Había 4 fracturas sin conminución, 5 fracturas tipo I, 6 fracturas tipo II, 3 tipo III, 3 tipo IV y 6 tipo VI.

El estudio de la angulación se hizo con radiografías de todo el femur y la valoración de la dismetría y malrotación mediante TAC. Hubo dismetría > 10mm en 7 pacientes (25%), deformidad angular ≥ 10° en 2 pacientes y en 6 la deformidad rotacional era ≥ 15° (22%)

La incidencia de deformidades puede minimizarse con una técnica rigurosa.

Palabras clave:
fractura diáfisis femoral
clavo intramedular
malalineamiento óseo
Summary

Our aim was to appraise the incidence and grade of femur deformities in shaft femoral fractures treated by intramedullary nailing.

There were 27 fractures, all patient were treated with Grosse-Kempf nail. Winquist and Hansen classification was used: there were 4 fractures without comminution, 5 type I, 6 type II, 3 type III, 3 type IV y 6 type V. Angulation was evaluated by radiographs of the whole femur, dismetria and rotational alignment were determined by computed tomography. 7 patients had dismetria > 10mm (25%), angulation deformity ≥ 10° in 2 patients, and malrotation deformity was noted in 6 patients (22%).

The incidence of deformities could be minimised by a precise technique.

Key words:
femoral fractures
nail intramedullary
bone malalignment
rotational deformities
Laburpena

Azterlanaren helburua femurraren deformazioa aztertzea zen muinbarneko iltzearekin tratatutako femur diafisi hausturetan. 27 femur diafisi haustura aztertu ziren guztira, den-denak Grosse-Kempf iltzearekin tratatuak izan zirenak. Winquist eta Hansen sailkapena erabili zen: 4 hausturak ez zuten konminuziorik; 5 haustura I motakoak ziren; 6 haustura, II motakoak; 3, III motakoak; 3, IV motakoak; eta 6, VI motakoak. Angeluazioa aztertzeko, femur osoaren erradiografiak erabili ziren; dismetriaren eta errotazio okerraren azterketa TAC bitartez egin zen. Dismetria > 10 mm-koa zen 7 pazientetan (%25); deformazio angeluarra ≥ 10°-koa, 2 kasutan; eta errotazio deformazioa ≥ 15°-koa, 6 kasutan (%22). Deformazioak teknika zorrotz baten bidez minimiza daitezke.

Hitz gakoak:
femur diafisi haustura
muinbarneko iltze
hezur lerrokatze oker
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