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Tratamiento de las fracturas complejas del fémur.Nuestra experiencia con el clavo de Brooker-Wills
Complex femoral fractures treated by the brooker-wills interlocks nail
J. M. DEL PINO ORTIZ. J. A. TECLES TOMAS. J. BELTRAN GARCÍA y J. C. ARRÍETE PERIS Servicio de Cirugía Ortopédica y Traumatología. Hospital de Xátiva Lluys Alcanyis. Xátiva (Valencia).
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
Métricas
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Resumen (ES)
We studied 26 femoral fractures treated with Brooker-Wills nail. There were 22
closed and 4 open fractures. Eight were simple fractures and 18 conminuted. We performed distal
(dynamic) locking in 13 cases (50%) and static locking in 12 (46%). One case had no locking.
In 5 cases (19%) we had some complications, all of them related with the technique. Following the
Thoresen's criteria, the results obtained were excelent in 17 cases (65%), good in 6 (23%), fair in
2 (8%) and poor in one (4%). We found a broken nail in a case who developed a pseudarthrosis.
In our experience Brooker-Wills nail was found to be an effective device for the treatment of complex
femoral shaft fractures, being able to avoid shortening, angulation and rotation of the fragments.
Correspondencia:
Dr.
closed and 4 open fractures. Eight were simple fractures and 18 conminuted. We performed distal
(dynamic) locking in 13 cases (50%) and static locking in 12 (46%). One case had no locking.
In 5 cases (19%) we had some complications, all of them related with the technique. Following the
Thoresen's criteria, the results obtained were excelent in 17 cases (65%), good in 6 (23%), fair in
2 (8%) and poor in one (4%). We found a broken nail in a case who developed a pseudarthrosis.
In our experience Brooker-Wills nail was found to be an effective device for the treatment of complex
femoral shaft fractures, being able to avoid shortening, angulation and rotation of the fragments.
Correspondencia:
Dr.
Palabras clave (ES):
Compleja
Fémur
Clavo
Brooker-Wills
Acerrojado
Encerrojado
Intramedular
EndomedularTratamiento
Fractura
Enclavado
Cerrojado
Resumen (EN)
We studied 26 femoral fractures treated with Brooker-Wills nail. There were 22
closed and 4 open fractures. Eight were simple fractures and 18 conminuted. We performed distal
(dynamic) locking in 13 cases (50%) and static locking in 12 (46%). One case had no locking.
In 5 cases (19%) we had some complications, all of them related with the technique. Following the
Thoresen's criteria, the results obtained were excelent in 17 cases (65%), good in 6 (23%), fair in
2 (8%) and poor in one (4%). We found a broken nail in a case who developed a pseudarthrosis.
In our experience Brooker-Wills nail was found to be an effective device for the treatment of complex
femoral shaft fractures, being able to avoid shortening, angulation and rotation of the fragments.
Correspondencia:
Dr.
closed and 4 open fractures. Eight were simple fractures and 18 conminuted. We performed distal
(dynamic) locking in 13 cases (50%) and static locking in 12 (46%). One case had no locking.
In 5 cases (19%) we had some complications, all of them related with the technique. Following the
Thoresen's criteria, the results obtained were excelent in 17 cases (65%), good in 6 (23%), fair in
2 (8%) and poor in one (4%). We found a broken nail in a case who developed a pseudarthrosis.
In our experience Brooker-Wills nail was found to be an effective device for the treatment of complex
femoral shaft fractures, being able to avoid shortening, angulation and rotation of the fragments.
Correspondencia:
Dr.
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