30-177
Enclavijado de Ender en las fracturas del macizo trocantéreo
Ender's nails on trochanteric fractures
J. GIL ALBAROVA*, I. GARCÍA FORCADA**, A. BARTOLOME***, J. A. MOLINA*** y A. ORTEGA*** Servicio de Cirugía Ortopédica y Traumatología. * Hospital Clínico Universitario, Zaragoza. ** Hospital Universitario Juan XXIII, Tarragona. *** Hospital de Barbastro, Huesca.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
A retrospective study was done on 226 trochanteric fractures managed with
Ender nails during a 9 years period at the Insalud Hospital of Barbastro. Stability of these fractures
was classified following Ramadier's criteria. Filling of the medular cavity by Ender nails
and its relation with osteosyntehsis migration was analysed. Distal locking of Ender nails by
Kirschner pins was evaluated to prevent its distal mobilization. A significative relationship was
observed between a high filling rate of the medular cavity and lower distal migration rate in
unestable trochanteric fractures. Distal locking of Ender nails was not accompanied of lower
rate of distal osteosynthesis migration.
Ender nails during a 9 years period at the Insalud Hospital of Barbastro. Stability of these fractures
was classified following Ramadier's criteria. Filling of the medular cavity by Ender nails
and its relation with osteosyntehsis migration was analysed. Distal locking of Ender nails by
Kirschner pins was evaluated to prevent its distal mobilization. A significative relationship was
observed between a high filling rate of the medular cavity and lower distal migration rate in
unestable trochanteric fractures. Distal locking of Ender nails was not accompanied of lower
rate of distal osteosynthesis migration.
Palabras clave (ES):
Ender
Clavo
Cadera
Tratamiento
Trocantérea
Intertrocantérea
Intertrocantérea
Pertrocantérea
Enclavijamiento
Intramedular
Endomedular
Condilocefálico
Enclavijado
Fractura
Macizo
Trocantéreo
Resumen (EN)
A retrospective study was done on 226 trochanteric fractures managed with
Ender nails during a 9 years period at the Insalud Hospital of Barbastro. Stability of these fractures
was classified following Ramadier's criteria. Filling of the medular cavity by Ender nails
and its relation with osteosyntehsis migration was analysed. Distal locking of Ender nails by
Kirschner pins was evaluated to prevent its distal mobilization. A significative relationship was
observed between a high filling rate of the medular cavity and lower distal migration rate in
unestable trochanteric fractures. Distal locking of Ender nails was not accompanied of lower
rate of distal osteosynthesis migration.
Ender nails during a 9 years period at the Insalud Hospital of Barbastro. Stability of these fractures
was classified following Ramadier's criteria. Filling of the medular cavity by Ender nails
and its relation with osteosyntehsis migration was analysed. Distal locking of Ender nails by
Kirschner pins was evaluated to prevent its distal mobilization. A significative relationship was
observed between a high filling rate of the medular cavity and lower distal migration rate in
unestable trochanteric fractures. Distal locking of Ender nails was not accompanied of lower
rate of distal osteosynthesis migration.
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