47-249
Fracturas supracondíleas de fémur tratadas con clavo retrógrado versus tornillo condilar dinámico.
Supracondylar femoral fractures treated with restrograde nail versus dynamic condylar screw.
C. Manrique Lipa, A. Lizaur Utrilla, F. A. Miralles Muñoz. SERVICIO DE CIRUGÍA ORTOPÉDICA. HOSPITAL GENERAL DE ELDA (ALICANTE).
Recepción:
26/06/2012
Aceptación:
26/06/2012
Publicación:
26/06/2012
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Resumen (ES)
To evaluate functional and radiographic results after retrograde
intramedullary nail (RIN). Material and Methods: We reviewed 54
supracondylar femoral fractures, AO-types A and C1, in patients with
mean aged of 68 years, of which 23 were treated with RIN and 31 with
dynamic condylar screw (DCS). Mean follow-up of 5 years (range, 2 to 9).
They were evaluated clinically by means Knee Society scores and Womac
self-form, and radiographically.Results: There were no
significant differences with reagard to perioperative data, functional
results, knee mobility, quality of life, or mean healed time. In the RIN
group, there was no nonunion, and 2 patients had shortening greater
than 2cm. In the DCS group, there were 2 nonunion which required
revision, and other 4 healed with angular malunion greater than 5º, 2 of
which had also shortening greater than 2cm. Discussion: Outcomes were
similar in both groups. Although no significantly, the RIN group had
lower malunion and nonunion rates. Conclusion: RIN is a satisfactory
method for supracondylar fractures with little or no joint involvement,
for both young and elderly patients.
intramedullary nail (RIN). Material and Methods: We reviewed 54
supracondylar femoral fractures, AO-types A and C1, in patients with
mean aged of 68 years, of which 23 were treated with RIN and 31 with
dynamic condylar screw (DCS). Mean follow-up of 5 years (range, 2 to 9).
They were evaluated clinically by means Knee Society scores and Womac
self-form, and radiographically.Results: There were no
significant differences with reagard to perioperative data, functional
results, knee mobility, quality of life, or mean healed time. In the RIN
group, there was no nonunion, and 2 patients had shortening greater
than 2cm. In the DCS group, there were 2 nonunion which required
revision, and other 4 healed with angular malunion greater than 5º, 2 of
which had also shortening greater than 2cm. Discussion: Outcomes were
similar in both groups. Although no significantly, the RIN group had
lower malunion and nonunion rates. Conclusion: RIN is a satisfactory
method for supracondylar fractures with little or no joint involvement,
for both young and elderly patients.
Palabras clave (ES):
Tratamiento
quirúrgico
Clavo-placa.
Clavo
retrógrado.
distal.
Supracondílea
Clavo
encerrojadoOsteosíntesis.
Fijación
interna
Fractura
Fémur.
Resumen (EN)
To evaluate functional and radiographic results after retrograde
intramedullary nail (RIN). Material and Methods: We reviewed 54
supracondylar femoral fractures, AO-types A and C1, in patients with
mean aged of 68 years, of which 23 were treated with RIN and 31 with
dynamic condylar screw (DCS). Mean follow-up of 5 years (range, 2 to 9).
They were evaluated clinically by means Knee Society scores and Womac
self-form, and radiographically.Results: There were no
significant differences with reagard to perioperative data, functional
results, knee mobility, quality of life, or mean healed time. In the RIN
group, there was no nonunion, and 2 patients had shortening greater
than 2cm. In the DCS group, there were 2 nonunion which required
revision, and other 4 healed with angular malunion greater than 5º, 2 of
which had also shortening greater than 2cm. Discussion: Outcomes were
similar in both groups. Although no significantly, the RIN group had
lower malunion and nonunion rates. Conclusion: RIN is a satisfactory
method for supracondylar fractures with little or no joint involvement,
for both young and elderly patients.
intramedullary nail (RIN). Material and Methods: We reviewed 54
supracondylar femoral fractures, AO-types A and C1, in patients with
mean aged of 68 years, of which 23 were treated with RIN and 31 with
dynamic condylar screw (DCS). Mean follow-up of 5 years (range, 2 to 9).
They were evaluated clinically by means Knee Society scores and Womac
self-form, and radiographically.Results: There were no
significant differences with reagard to perioperative data, functional
results, knee mobility, quality of life, or mean healed time. In the RIN
group, there was no nonunion, and 2 patients had shortening greater
than 2cm. In the DCS group, there were 2 nonunion which required
revision, and other 4 healed with angular malunion greater than 5º, 2 of
which had also shortening greater than 2cm. Discussion: Outcomes were
similar in both groups. Although no significantly, the RIN group had
lower malunion and nonunion rates. Conclusion: RIN is a satisfactory
method for supracondylar fractures with little or no joint involvement,
for both young and elderly patients.
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