30-177
Fracturas de cadera y diáfisis femoral ipsilaterales
Ipsilateral hip and femoral shaft fractures
D. GARCÍA DE QUEVEDO PUERTA, P. J. SESMA SOLIS, L. FERNÁNDEZ GARCÍA y G. FERNÁNDEZ DE CORDOVA Servicio de Cirugía Ortopédica y Traumatología. Hospital Regional «Carlos Haya». Málaga.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
We review 10 cases of ipsilateral hip and femoral shaft fractures. Operative treatment
was performed in all cases, with an average delay of 12 days (range: 3 to 22 days). Nine
femoral shaft fractures were stabilizated with an AO plate, and one, where the associated hip
fracture was initially missed, with a Küntscher rod. Hip fractures were fixed with cancellous
screws (8 cases) or Richards compression screw (2 cases). An early rehabilitation program was
carried out in all patients. The average follow-up was 31 months (range: 12 to 84 months). All
fractures healed. Complications were a case of femoral shortening an a case of post-traumatic
hip osteoarthritis. In our study, the combination of AO plate for the shaft fracture with cancellous
screws or Richards compression screw for the hip fracture provides good results.
was performed in all cases, with an average delay of 12 days (range: 3 to 22 days). Nine
femoral shaft fractures were stabilizated with an AO plate, and one, where the associated hip
fracture was initially missed, with a Küntscher rod. Hip fractures were fixed with cancellous
screws (8 cases) or Richards compression screw (2 cases). An early rehabilitation program was
carried out in all patients. The average follow-up was 31 months (range: 12 to 84 months). All
fractures healed. Complications were a case of femoral shortening an a case of post-traumatic
hip osteoarthritis. In our study, the combination of AO plate for the shaft fracture with cancellous
screws or Richards compression screw for the hip fracture provides good results.
Palabras clave (ES):
Diafisaria
Fémur
Ipsilateral
Diáfisis
Femoral
Cadera
Fractura
Resumen (EN)
We review 10 cases of ipsilateral hip and femoral shaft fractures. Operative treatment
was performed in all cases, with an average delay of 12 days (range: 3 to 22 days). Nine
femoral shaft fractures were stabilizated with an AO plate, and one, where the associated hip
fracture was initially missed, with a Küntscher rod. Hip fractures were fixed with cancellous
screws (8 cases) or Richards compression screw (2 cases). An early rehabilitation program was
carried out in all patients. The average follow-up was 31 months (range: 12 to 84 months). All
fractures healed. Complications were a case of femoral shortening an a case of post-traumatic
hip osteoarthritis. In our study, the combination of AO plate for the shaft fracture with cancellous
screws or Richards compression screw for the hip fracture provides good results.
was performed in all cases, with an average delay of 12 days (range: 3 to 22 days). Nine
femoral shaft fractures were stabilizated with an AO plate, and one, where the associated hip
fracture was initially missed, with a Küntscher rod. Hip fractures were fixed with cancellous
screws (8 cases) or Richards compression screw (2 cases). An early rehabilitation program was
carried out in all patients. The average follow-up was 31 months (range: 12 to 84 months). All
fractures healed. Complications were a case of femoral shortening an a case of post-traumatic
hip osteoarthritis. In our study, the combination of AO plate for the shaft fracture with cancellous
screws or Richards compression screw for the hip fracture provides good results.
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