Intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients
Introduction: Femoral fractures in previously amputated patients (PAP) have been poorly reported in international literature, however it is worth mentioning that advances in the manufacture of orthotics for lower limbs have allowed these patients to remain functionally active. Surgery is then an opt...
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| Autores principales: | , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/28020 |
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I10-R327-article-28020 |
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| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
amputation stumps lower extremity femoral fractures muñones de amputación extremidad inferior fracturas del fémur cotos de amputação extremidade inferior fraturas do fêmur |
| spellingShingle |
amputation stumps lower extremity femoral fractures muñones de amputación extremidad inferior fracturas del fémur cotos de amputação extremidade inferior fraturas do fêmur De Cicco, Franco Luis Llano, Lionel Díaz Dilernia, Fernando Carabelli, Guido Sebastián Taype Zamboni, Danilo Barla, Jorge Daniel Sancineto, Carlos Federico Intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients |
| topic_facet |
amputation stumps lower extremity femoral fractures muñones de amputación extremidad inferior fracturas del fémur cotos de amputação extremidade inferior fraturas do fêmur |
| author |
De Cicco, Franco Luis Llano, Lionel Díaz Dilernia, Fernando Carabelli, Guido Sebastián Taype Zamboni, Danilo Barla, Jorge Daniel Sancineto, Carlos Federico |
| author_facet |
De Cicco, Franco Luis Llano, Lionel Díaz Dilernia, Fernando Carabelli, Guido Sebastián Taype Zamboni, Danilo Barla, Jorge Daniel Sancineto, Carlos Federico |
| author_sort |
De Cicco, Franco Luis |
| title |
Intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients |
| title_short |
Intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients |
| title_full |
Intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients |
| title_fullStr |
Intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients |
| title_full_unstemmed |
Intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients |
| title_sort |
intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients |
| description |
Introduction: Femoral fractures in previously amputated patients (PAP) have been poorly reported in international literature, however it is worth mentioning that advances in the manufacture of orthotics for lower limbs have allowed these patients to remain functionally active. Surgery is then an option but difficulties may appear in positioning the patient for surgery due to the absence of the foot or ankle from where to pull and optimize the fracture reduction.
Objective: We report 3 cases of PAP with ipsilateral unstable femur fractures, treated surgically with cervicodiaphyseal endomedular nail. The surgical technique used in each case is described.
Results: Good long-term results were obtained demonstrating the effectiveness of surgical treatment and the reduction technique used.
Conclusion: Surgical treatment of unstable fractures of the proximal femur with an endomedullary nail should be considered a valid therapeutic option. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/28020 |
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I10-R327-article-280202024-08-27T18:27:56Z Intramedullary nail for the surgical treatment of unstable fractures of the femur in previously amputated patients Clavo endomedular para el tratamiento quirúrgico de fracturas inestables de fémur en pacientes previamente amputados Haste endomedular para tratamento cirúrgico de fraturas instáveis do fêmur em pacientes previamente amputados De Cicco, Franco Luis Llano, Lionel Díaz Dilernia, Fernando Carabelli, Guido Sebastián Taype Zamboni, Danilo Barla, Jorge Daniel Sancineto, Carlos Federico amputation stumps lower extremity femoral fractures muñones de amputación extremidad inferior fracturas del fémur cotos de amputação extremidade inferior fraturas do fêmur Introduction: Femoral fractures in previously amputated patients (PAP) have been poorly reported in international literature, however it is worth mentioning that advances in the manufacture of orthotics for lower limbs have allowed these patients to remain functionally active. Surgery is then an option but difficulties may appear in positioning the patient for surgery due to the absence of the foot or ankle from where to pull and optimize the fracture reduction. Objective: We report 3 cases of PAP with ipsilateral unstable femur fractures, treated surgically with cervicodiaphyseal endomedular nail. The surgical technique used in each case is described. Results: Good long-term results were obtained demonstrating the effectiveness of surgical treatment and the reduction technique used. Conclusion: Surgical treatment of unstable fractures of the proximal femur with an endomedullary nail should be considered a valid therapeutic option. Introducción: Las fracturas de fémur en pacientes previamente amputados (PPA) han sido escasamente reportadas en la literatura internacional, sin embargo, cabe mencionar que los avances en la fabricación de ortesis para miembros inferiores han permitido que estos pacientes, se mantengan funcionalmente activos. La cirugía entonces es una opción, pero representa una dificultad en el posicionamiento del paciente a la hora de planificar su cirugía debido a la ausencia del pie o tobillo del cual traccionar y optimizar la reducción de la fractura. Objetivo: Reportamos a continuación 3 casos de PPA con fracturas inestables ipsilaterales de fémur, tratadas mediante reducción y osteosíntesis con clavo endomedular cervicodiafisario. Se describe la técnica quirúrgica utilizada en cada caso. Resultados: Se obtuvieron buenos resultados a largo plazo demostrando la efectividad del tratamiento quirúrgico y la técnica de reducción utilizada. Conclusión: El tratamiento quirúrgico de fracturas inestables de fémur proximal con clavo endomedular, ha de ser considerado una opción terapéutica válida. Introdução: As fraturas de fêmur em pacientes previamente amputados (PPA) têm sido pouco relatadas na literatura internacional, no entanto, deve-se mencionar que os avanços na fabricação de órteses para membros inferiores permitiram que esses pacientes permanecem funcionalmente ativos. A cirurgia, então, é uma opção, mas representa uma dificuldade em posicionar o paciente no planejamento da cirurgia devido à ausência do pé ou tornozelo para puxar e otimizar a redução de fraturas. Objetivo: Relatamos 3 casos de PPA com fraturas instáveis do fêmur ipsilateral, tratadas por redução e osteossíntese com haste endomedular cervicodiafisária. A técnica cirúrgica utilizada em cada caso é descrita. Resultados: Bons resultados a longo prazo foram obtidos demonstrando a eficácia do tratamento cirúrgico e a técnica de redução utilizada. Conclusão: O tratamento cirúrgico das fraturas instáveis do fêmur proximal com uma haste endomedular deve ser considerado uma opção terapêutica válida. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/28020 10.31053/1853.0605.v78.n1.28020 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 1 (2021); 57-63 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 1 (2021); 57-63 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 1 (2021); 57-63 1853-0605 0014-6722 10.31053/1853.0605.v78.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/28020/33308 https://revistas.unc.edu.ar/index.php/med/article/view/28020/32981 Derechos de autor 2021 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |