Enfermedad de Perthes : valoración clínica y radiológica de diferentes tipos de tratamiento

After preliminary introduction regarding the treatment of Perthes' disease, a critica! study of 25 cases diagnosed between 1975 andJ985 was made at the hospitals of N. ª S.ª de La Candelaria and Clínico Universitario of Canarias. The diferent treatments were conservative, Salter's,.. Chiari's and femoral osteotomies. Clinical and radiological evaluation of the results were carried out after intervals of treatment ranging from 6 to 91 months, the average being 26,5 months. The followed Catterall's, Ducken's and Melenaus' criteria for clinical and radiological evaluation. The Cases which did not receive treatment obtained the worst results. In Perthes' type I the treatment of choice is conservative in Perthes' type II and III femoral osteotomy

Estudio crítico de 11 casos de fracturas de 1/3 distal de fémur

Presentamos 11 pacient.es con fractura en la extremidad dist.al del fémur, tratada quirúrgicamente con fijación interna rígida. Estudiamos los resultados en función de la movilización precoz y el tipo de inmovilización postoperatoria. Descriptores: Fractura Supracondilea de Fémur; Fractura de extremidad distal femoral; Fracturas de Fémur; Tratamiento.Eleven patients underwent rigid internal fixation of supracondylar,intercondylar and condylar fractures of the distal end of the femur are colected, 'loe authors study the results based in the posoperative motions