1 research outputs found
Tratamiento de fracturas diafisarias inestables de f茅mur con clavo intramedular encerrojado tipo FMRP
Un grupo de 26 fracturas conminutas de f茅mur, rotacionalmente inestables, fueron
tratadas con clavo intramedular encerrojado tipo FMRP. En 22 casos la conminuci贸n afectaba a m谩s
del 50% de la cortical. Del total de enclavados, 22 fueron est谩ticos y 4 din谩micos. La consolidaci贸n
desde el punto de vista cl铆nico y radiol贸gico ocurri贸 en el 92% de los casos. En 2 casos se desarroll贸
un pseudoartrosis. S贸lo un paciente mostr贸 un acortamiento mayor de 1 cm. Una angulaci贸n mayor
de 10掳 en cualquiera de los planos del espacio fue apreciada en 5 pacientes. No se produjo en
ning煤n caso deformidad rotacional. El clavo intramedular encerrojado ha aumentado las indicaciones
del enclavado intramedular en el tratamiento de las fracturas inestables de f茅mur. La incidencia
de infecci贸n y pseudoartrosis es baja. La estabilidad del montaje permite una movilizaci贸n inmediata
del paciente, rehabilitaci贸n temprana y menor estancia intrahospitalaria. El clavo FMRP
disminuye el tiempo de fluoroscopia, un fresado con instrumentos flexibles y es m谩s barato que
otros sistemas similares.Twenty six comminuted and rotationally unstable fractures of the femur were treated
with the FMBP intramedullary locked nail. Twenty two of the fractures had comminution involving
more than 50% of the cortex. Of the nailings, 22 were static and 4 dynamic. Clinical and
radiographic union occurred in 92% of cases. There were 2 nonunions. There was one case of deep
wound infection. Only one patient had a shortening greater than 1 cm. Angulation in any plane
greater than 10掳 was noted in 5 patients. There were no instances of rotatory deformities. The interlocking
nail has expanded the indications for the use of closed intramedullary nailing in the treatment
of unstable femoral fractures. The incidence of infection and nonunion is low. Stability of
the fractures allows immediate mobilization of the patients, early rehabilitation of the limb and
shorter hospital stay. The FMRP nail eliminated fluoroscopy, flexible reamers and is cheaper as
compared to other systems