42-229
Fracturas intraoperatorias en las artroplastias totales de rodilla
Intraoperative fractures in total knee arthroplasty
A. GUTIÉRREZ GOYENECHE, M. T. CAMPOS POLO, M. QUILES GALINDO SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO INFANTA CRISTINA. BADAJOZ.
Recepción:
12/09/2008
Aceptación:
12/09/2008
Publicación:
12/09/2008
Métricas
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Resumen (ES)
The purpose of this study was to review types, production
mechanisms, treatment and results of ours intraoperative
fractures during primary total knee arthroplasty. We
had 18 fractures in 2520 primary knee arthroplasties, 16 with
varus deformities and valgus in another 2. One patient had
corticoids, 15 had overweight and 2 morbid obesity. All
implants were posterior stabilised. Type of fracture: 4 were of
the medial femoral condyle and 2 lateral; the medial tibial
condyle in 8 and on the anterior cortex medial to tibial tuberosity
in 4. Mechanism of injury in the femur was while impacting
the components or when the trial reduction was performed;
in the tibia during the making of the keel house or
meanwhile impacting the implants. Treatment: Cement,
Kirschner wire or screws. Partial weight bearing was advised
for 6-8 weeks. All fractures united. At the last follow-up of two
or more years no complaints were found.
mechanisms, treatment and results of ours intraoperative
fractures during primary total knee arthroplasty. We
had 18 fractures in 2520 primary knee arthroplasties, 16 with
varus deformities and valgus in another 2. One patient had
corticoids, 15 had overweight and 2 morbid obesity. All
implants were posterior stabilised. Type of fracture: 4 were of
the medial femoral condyle and 2 lateral; the medial tibial
condyle in 8 and on the anterior cortex medial to tibial tuberosity
in 4. Mechanism of injury in the femur was while impacting
the components or when the trial reduction was performed;
in the tibia during the making of the keel house or
meanwhile impacting the implants. Treatment: Cement,
Kirschner wire or screws. Partial weight bearing was advised
for 6-8 weeks. All fractures united. At the last follow-up of two
or more years no complaints were found.
Palabras clave (ES):
Tibia
Fractura
Operatoria
Rodilla
Artroplastia
Prótesis
Complicaciones
Supracondílea
Intraoperatoria
Fémur
Resumen (EN)
The purpose of this study was to review types, production
mechanisms, treatment and results of ours intraoperative
fractures during primary total knee arthroplasty. We
had 18 fractures in 2520 primary knee arthroplasties, 16 with
varus deformities and valgus in another 2. One patient had
corticoids, 15 had overweight and 2 morbid obesity. All
implants were posterior stabilised. Type of fracture: 4 were of
the medial femoral condyle and 2 lateral; the medial tibial
condyle in 8 and on the anterior cortex medial to tibial tuberosity
in 4. Mechanism of injury in the femur was while impacting
the components or when the trial reduction was performed;
in the tibia during the making of the keel house or
meanwhile impacting the implants. Treatment: Cement,
Kirschner wire or screws. Partial weight bearing was advised
for 6-8 weeks. All fractures united. At the last follow-up of two
or more years no complaints were found.
mechanisms, treatment and results of ours intraoperative
fractures during primary total knee arthroplasty. We
had 18 fractures in 2520 primary knee arthroplasties, 16 with
varus deformities and valgus in another 2. One patient had
corticoids, 15 had overweight and 2 morbid obesity. All
implants were posterior stabilised. Type of fracture: 4 were of
the medial femoral condyle and 2 lateral; the medial tibial
condyle in 8 and on the anterior cortex medial to tibial tuberosity
in 4. Mechanism of injury in the femur was while impacting
the components or when the trial reduction was performed;
in the tibia during the making of the keel house or
meanwhile impacting the implants. Treatment: Cement,
Kirschner wire or screws. Partial weight bearing was advised
for 6-8 weeks. All fractures united. At the last follow-up of two
or more years no complaints were found.
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