32-187
Tratamiento de fracturas diafisarias inestables de fémur con clavo intramedular encerrojado tipo FMRP
Instable diaphyseal fractures of the femur treated by fmrp interlocking nail
H. J. ALVACHIAN FERNANDES, E BALDY DOS REIS. R. W. CHRISTIAN, G. KÖBERLE y J. LAREDO FILHO Departamento de Ortopedia y Traumatología, Escuela Paulista de Medicina y Departamento de Ortopedia y Traumatología.Facultad de Ciencias. Campinas (Brasil).
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
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Resumen (ES)
Twenty six comminuted and rotationally unstable fractures of the femur were treated
with the FMBP intramedullary locked nail. Twenty two of the fractures had comminution involving
more than 50% of the cortex. Of the nailings, 22 were static and 4 dynamic. Clinical and
radiographic union occurred in 92% of cases. There were 2 nonunions. There was one case of deep
wound infection. Only one patient had a shortening greater than 1 cm. Angulation in any plane
greater than 10° was noted in 5 patients. There were no instances of rotatory deformities. The interlocking
nail has expanded the indications for the use of closed intramedullary nailing in the treatment
of unstable femoral fractures. The incidence of infection and nonunion is low. Stability of
the fractures allows immediate mobilization of the patients, early rehabilitation of the limb and
shorter hospital stay. The FMRP nail eliminated fluoroscopy, flexible reamers and is cheaper as
compared to other systems.
with the FMBP intramedullary locked nail. Twenty two of the fractures had comminution involving
more than 50% of the cortex. Of the nailings, 22 were static and 4 dynamic. Clinical and
radiographic union occurred in 92% of cases. There were 2 nonunions. There was one case of deep
wound infection. Only one patient had a shortening greater than 1 cm. Angulation in any plane
greater than 10° was noted in 5 patients. There were no instances of rotatory deformities. The interlocking
nail has expanded the indications for the use of closed intramedullary nailing in the treatment
of unstable femoral fractures. The incidence of infection and nonunion is low. Stability of
the fractures allows immediate mobilization of the patients, early rehabilitation of the limb and
shorter hospital stay. The FMRP nail eliminated fluoroscopy, flexible reamers and is cheaper as
compared to other systems.
Palabras clave (ES):
Encerrojado
Intramedular
Clavo
FMRP
Endomedular
Acerrojado
Cerrojado
Tratamiento
Fractura
Diafisaria
InestableFémur
Resumen (EN)
Twenty six comminuted and rotationally unstable fractures of the femur were treated
with the FMBP intramedullary locked nail. Twenty two of the fractures had comminution involving
more than 50% of the cortex. Of the nailings, 22 were static and 4 dynamic. Clinical and
radiographic union occurred in 92% of cases. There were 2 nonunions. There was one case of deep
wound infection. Only one patient had a shortening greater than 1 cm. Angulation in any plane
greater than 10° was noted in 5 patients. There were no instances of rotatory deformities. The interlocking
nail has expanded the indications for the use of closed intramedullary nailing in the treatment
of unstable femoral fractures. The incidence of infection and nonunion is low. Stability of
the fractures allows immediate mobilization of the patients, early rehabilitation of the limb and
shorter hospital stay. The FMRP nail eliminated fluoroscopy, flexible reamers and is cheaper as
compared to other systems.
with the FMBP intramedullary locked nail. Twenty two of the fractures had comminution involving
more than 50% of the cortex. Of the nailings, 22 were static and 4 dynamic. Clinical and
radiographic union occurred in 92% of cases. There were 2 nonunions. There was one case of deep
wound infection. Only one patient had a shortening greater than 1 cm. Angulation in any plane
greater than 10° was noted in 5 patients. There were no instances of rotatory deformities. The interlocking
nail has expanded the indications for the use of closed intramedullary nailing in the treatment
of unstable femoral fractures. The incidence of infection and nonunion is low. Stability of
the fractures allows immediate mobilization of the patients, early rehabilitation of the limb and
shorter hospital stay. The FMRP nail eliminated fluoroscopy, flexible reamers and is cheaper as
compared to other systems.
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