Acta Ortopédica Mexicana

Martínez LVJ, Villalobos CC, Plascencia EB, López AMA et al
Forearm diaphysial fractures treated throug and endomedullary nail. Preliminary report
Acta Ortop Mex 2003; 17 (3)

Language: Español
References: 12
Page: 114-117
PDF: 48.81 Kb.

[Fulltext - PDF]

ABSTRACT

Nowadays, forearm diaphysial fractures are more frequent than before, due to the increase of car accidents and sports practice. Their management has been traditionally based on osteosynthesis with plaques or endomedular nail implantation (Rush, Stainmann, etc.). In this report, we inform about the results of managing forearm diaphysial fractures (cubitus and radius) in 9 patients, two from the female sex and six from the male one who were implanted a blocked titanium non-drilled nail of the Foresight type place through a proximal approach, and the blocking was performed with two 2.7 mm titanium nails, one of them was proximal and the other one was distal. The following period lasted one year and six months. The patients’ average age was of 45.5 years (ranging from 17 to 74 years). In every case, consolidation was achieved, with an average of 8 weeks in radius and 10 weeks in cubitus. The advantages of using this type of nail consist of the possibility of applying it in a close way, the stability specially obtained in the rotational direction, what allows patients to get an early rehabilitation of pronosupination, besides keeping osseous length.


Key words: forearm injuries, radius, ulna, fractures intramedullary nailing.


REFERENCES

  1. Anderson LD, Sisk TD, Tooms RE, Park WI: Compression plate in acute diaphyseal fractures of the radius and ulna. J Bone Joint Surg 1975; 57A: 287.

  2. Bohler L: Medullary Nailing of Kuntscher (Trans. Tretter. H.) Baltimore, Williams & Wilkins 1948: 334-374.

  3. Connolly JF, Guse RJ: Two-bone fractures of the forearm and the dilemma of closed treatment. Nebr Med J 1988: 310.

  4. De Pedro JA, Leon C, Zarzoso R, Lopez-Duran L: Internal fixation of ulna fractures by locking nail. Sicot Meeting, Montreal. 1990: 8-15.

  5. Dickson JA: Intramedullary fixation of the certain fractures of both bones forearm: report of two cases. Cleve Clin Q 1944: 11-62.

  6. Durán H: Fracturas del cúbito y radio. En: Durán H. (ed): Tratado de patología y clínicas quirúrgicas. Interamericana. Madrid. 1986: 3512.

  7. Gómez-Castresana F, De Pedro JA, Noriega M, Moscardo E, León D: Fracturas diafisiarias de cúbito y radio. En: Guillén P (ed). 15th Symposium International of Traumatology. MAPFRE, Madrid, 1984: 201-213.

  8. Rush LV, Rush HL: Reconstruction operation for comminuted fracture of the upper third of the ulna. Am J Surg 1937; 39: 332.

  9. Sage FP: Medullary fixation of fractures of the forearm. A study of the medullary canal of the radius treated with a present triangular nail. J Bone Joint Surg 1959; 41A: 1489.

  10. Smith H, Sage FP: Medullary fixation of forearm fractures. J Bone Joint Surg 1957; 39A: 91.

  11. Street D, Plut J, Wood W: Intramedullary forearm nailing. American Academy of Orthopaedic Surgeons Exhibit, 1979.

  12. Von Saal F: Review of complications in intramedullary nailing. J Bone Joint Surg 1950; 32B: 717.