Mejía RC, Elizondo VJF, Benítez RA, Martínez LVJ, Hernández MF

Language: Spanish
References: 11
Page: 13-17
PDF size: 101.96 Kb.

ABSTRACT

In the period between March 1995-March 1998, 30 internal biological fixations of distal multifragmentary supra and intercondylar femoral fractures in adult patients were performed. The purpose of this research was to analyze the efficiency of surgical treatment in distal femoral fractures by internal biological fixation and to enhance the biological procedures of healing. All were received at the emergency room of the hospital. Nineteen plates 95°, 5 dynamic condylar screw (DCS), 2 interlocking intramedullary nails, 3 external fixators, and 1 condylar plate were employed. Fracture hematoma and its vasculature were preserved avoiding damage to soft tissues. A mechanical or manual reduction of the fragments was performed, while it’s not necessary an anatomical reduction, we have a relative stability, the fracture will heal in indirect way (with callus), avoiding infection, delayed consolidation and pseudoarthrosis, the main complications. The results of this research in a 6-month follow-up and a functional evaluation chart, were 13 patients with excellent results, 15 good results and 2 with poor results. One of this poor results had pseudoarthrosis and one other was not willing to cooperate with the rehabilitation program, resulting in a non functional extremity. We conclude that the internal biological fixation is a good option of multifragmentary distal femoral fractures in adults.

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