36-206
Fracturas peritrocantéricas tratadas con el clavo proximal de fémur: técnica y resultados.
Peritrochanteric fractures treated with the proximal femoral nail: technique and report of early results.
DOMINGO CEBOLLADA J, JUAN GARCIA EL, HERRERA RODRÍGUEZ A, CALVO DÍAZ A, MARTÍNEZ DELGADO F, MARTÍNEZ MARTÍN A SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL VIRGEN DE CAMINO. CLÍNICA UBARMIN. PAMPLONA
Recepción:
16/09/2008
Aceptación:
16/09/2008
Publicación:
16/09/2008
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Resumen (ES)
The PFN ("proximal femoral nail") is an osteosynthesis
system developed by the AO/ASIF group for the surgical
treatment of fractures of the trochanteric region of the
femur, which is based on the principles of closed endomedullary
nailing. A prospective study of 175 hip fractures treated
with the PFN is presented, with a minimum follow-up of 1
year. 74,3% of the patients were female, the rest male. The
average age was 81,87 years. Fractures were classified
according to the AO system, the most common sub-type
recorded being the A2. Clinical and radiographic evaluations
were performed at 1, 3, 6 and 12 months.The system allowed
early mobilisation and walking in the majority of our patients,
along with fracture consolidation in an acceptable time
period (12 weeks on average). The results and the various
complications recorded are analysed. The ability to recover
previous walking ability was also studied. The PFN emerges
as a good system of osteosynthesis for fractures of the trochanteric
region of the femur, allowing early weight-bearing
which favours bone consolidation. The surgical technique is
not complex, the number of complications recorded is
acceptable and the overall results obtained are comparable
and even superior to those obtained with other osteosynthesis
systems available on the market for treatment of this type
of fracture.
system developed by the AO/ASIF group for the surgical
treatment of fractures of the trochanteric region of the
femur, which is based on the principles of closed endomedullary
nailing. A prospective study of 175 hip fractures treated
with the PFN is presented, with a minimum follow-up of 1
year. 74,3% of the patients were female, the rest male. The
average age was 81,87 years. Fractures were classified
according to the AO system, the most common sub-type
recorded being the A2. Clinical and radiographic evaluations
were performed at 1, 3, 6 and 12 months.The system allowed
early mobilisation and walking in the majority of our patients,
along with fracture consolidation in an acceptable time
period (12 weeks on average). The results and the various
complications recorded are analysed. The ability to recover
previous walking ability was also studied. The PFN emerges
as a good system of osteosynthesis for fractures of the trochanteric
region of the femur, allowing early weight-bearing
which favours bone consolidation. The surgical technique is
not complex, the number of complications recorded is
acceptable and the overall results obtained are comparable
and even superior to those obtained with other osteosynthesis
systems available on the market for treatment of this type
of fracture.
Palabras clave (ES):
Endomedular
Técnica
PFN
Fémur
Peritrocantérea
Fractura
Clavo
Subtrocantérea
Trocantérea
Proximal
Intramedular
Resumen (EN)
The PFN ("proximal femoral nail") is an osteosynthesis
system developed by the AO/ASIF group for the surgical
treatment of fractures of the trochanteric region of the
femur, which is based on the principles of closed endomedullary
nailing. A prospective study of 175 hip fractures treated
with the PFN is presented, with a minimum follow-up of 1
year. 74,3% of the patients were female, the rest male. The
average age was 81,87 years. Fractures were classified
according to the AO system, the most common sub-type
recorded being the A2. Clinical and radiographic evaluations
were performed at 1, 3, 6 and 12 months.The system allowed
early mobilisation and walking in the majority of our patients,
along with fracture consolidation in an acceptable time
period (12 weeks on average). The results and the various
complications recorded are analysed. The ability to recover
previous walking ability was also studied. The PFN emerges
as a good system of osteosynthesis for fractures of the trochanteric
region of the femur, allowing early weight-bearing
which favours bone consolidation. The surgical technique is
not complex, the number of complications recorded is
acceptable and the overall results obtained are comparable
and even superior to those obtained with other osteosynthesis
systems available on the market for treatment of this type
of fracture.
system developed by the AO/ASIF group for the surgical
treatment of fractures of the trochanteric region of the
femur, which is based on the principles of closed endomedullary
nailing. A prospective study of 175 hip fractures treated
with the PFN is presented, with a minimum follow-up of 1
year. 74,3% of the patients were female, the rest male. The
average age was 81,87 years. Fractures were classified
according to the AO system, the most common sub-type
recorded being the A2. Clinical and radiographic evaluations
were performed at 1, 3, 6 and 12 months.The system allowed
early mobilisation and walking in the majority of our patients,
along with fracture consolidation in an acceptable time
period (12 weeks on average). The results and the various
complications recorded are analysed. The ability to recover
previous walking ability was also studied. The PFN emerges
as a good system of osteosynthesis for fractures of the trochanteric
region of the femur, allowing early weight-bearing
which favours bone consolidation. The surgical technique is
not complex, the number of complications recorded is
acceptable and the overall results obtained are comparable
and even superior to those obtained with other osteosynthesis
systems available on the market for treatment of this type
of fracture.
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