36-208
Tratamiento de las fracturas de la extremidad proximal del fémur con el clavo Claufitt.
Clauffit nail in the treatment of fractures of proximal femur.
J.A. VALVERDE GARCIA, J. FERNANDEZ DE LA MELA, M. GARCIA ALONSO SERVICIO DE TRAUMATOLOGÍA Y C. ORTOPÉDICA HOSPITAL UNIVERSITARIO "DEL RÍO HORTEGA". VALLADOLID
Recepción:
16/09/2008
Aceptación:
16/09/2008
Publicación:
16/09/2008
Métricas
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Resumen (ES)
The objective of this work was to assess the clinical
results with the Claufitt nail in the treatment of fractures of
the proximal femur. From October 1997 to January 2000, 103
patients were treated with this implant, 73 patients (73 fractures)
were studied during their hospital stay and followed up
monthly at 6 months. Consolidation of the fracture occurred in
72 cases, the incidence of per operative complications was
11% and there were 11% postoperative complications. Three
cases of superior cut out of the proximal screws, three shaft
fractures and two cases of screw penetration to hip joint
were the most important complications. Per operative complications
were attributable to technical errors. We had a percentage
of postoperative complications similar to Gamma nail
series, needing to improve the proximal lock screw system to
avoid hip penetration.
results with the Claufitt nail in the treatment of fractures of
the proximal femur. From October 1997 to January 2000, 103
patients were treated with this implant, 73 patients (73 fractures)
were studied during their hospital stay and followed up
monthly at 6 months. Consolidation of the fracture occurred in
72 cases, the incidence of per operative complications was
11% and there were 11% postoperative complications. Three
cases of superior cut out of the proximal screws, three shaft
fractures and two cases of screw penetration to hip joint
were the most important complications. Per operative complications
were attributable to technical errors. We had a percentage
of postoperative complications similar to Gamma nail
series, needing to improve the proximal lock screw system to
avoid hip penetration.
Palabras clave (ES):
Tratamiento
Quirúrgico
Operatorio
Clavo
Cervicodiafisaro
Cadera
Tornillo
Cefálico
Fémur
Proximal
Claufit
Fractura
Pertrocantérea
Intertrocantérea
Trocantérea
Osteosíntesis
Fijación
Resumen (EN)
The objective of this work was to assess the clinical
results with the Claufitt nail in the treatment of fractures of
the proximal femur. From October 1997 to January 2000, 103
patients were treated with this implant, 73 patients (73 fractures)
were studied during their hospital stay and followed up
monthly at 6 months. Consolidation of the fracture occurred in
72 cases, the incidence of per operative complications was
11% and there were 11% postoperative complications. Three
cases of superior cut out of the proximal screws, three shaft
fractures and two cases of screw penetration to hip joint
were the most important complications. Per operative complications
were attributable to technical errors. We had a percentage
of postoperative complications similar to Gamma nail
series, needing to improve the proximal lock screw system to
avoid hip penetration.
results with the Claufitt nail in the treatment of fractures of
the proximal femur. From October 1997 to January 2000, 103
patients were treated with this implant, 73 patients (73 fractures)
were studied during their hospital stay and followed up
monthly at 6 months. Consolidation of the fracture occurred in
72 cases, the incidence of per operative complications was
11% and there were 11% postoperative complications. Three
cases of superior cut out of the proximal screws, three shaft
fractures and two cases of screw penetration to hip joint
were the most important complications. Per operative complications
were attributable to technical errors. We had a percentage
of postoperative complications similar to Gamma nail
series, needing to improve the proximal lock screw system to
avoid hip penetration.
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