43-236
Fracturas subtrocantéricas tras fijación de fracturas de cuello femoral con tornillos canulados.
Subtrochanteric fractures after neck femoral fixation with cannulated screws.
L. PUERTES ALMENAR, P. RENOVELL FERRER, F. GOMAR SANCHO SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA.HOSPITAL CLÍNICO UNIVERSITARIO DE VALENCIA.
Recepción:
09/02/2009
Aceptación:
09/02/2009
Publicación:
09/02/2009
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Resumen (ES)
The undisplaced femoral neck fractures has different methods of treatment. One of the most frequently use technique is percutaneously placed cannulated screws. A devastating but infrequent complication of this techniqueis a subtrochanteric femur fracture after screw fixation. We present 3 cases of this complication, concluding in a low energy traumatism the common aetiology cause and a distal entry point the most frequent risk factor. A suitabletreatment must be taken depending on the femoral neck fracture healing and the general patient conditions. In ourexperience, a total hip arthroplasty, a gamma 3 nail and a unloading actuation, has been the 3 use treatments.A favourable evolution and the return to the march are the common results.
Palabras clave (ES):
Tornillo
Cadera
Canulado
Complicación
Subtrocantérea
Cuello
Fractura
Fémur
Resumen (EN)
The undisplaced femoral neck fractures has different methods of treatment. One of the most frequently use technique is percutaneously placed cannulated screws. A devastating but infrequent complication of this techniqueis a subtrochanteric femur fracture after screw fixation. We present 3 cases of this complication, concluding in a low energy traumatism the common aetiology cause and a distal entry point the most frequent risk factor. A suitabletreatment must be taken depending on the femoral neck fracture healing and the general patient conditions. In ourexperience, a total hip arthroplasty, a gamma 3 nail and a unloading actuation, has been the 3 use treatments.A favourable evolution and the return to the march are the common results.
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