2013, Number 1
Ortho-tips 2013; 9 (1)
Tratamiento de las fracturas conminutas y mecánicamente inestables del fémur distal ocasionadas por traumatismos de alta energía
Gerardo AL, Manrique ÁCJ, Abramovici PI
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ABSTRACTIn Mexico accidents are one of the four leading causes of death, with an impact on the young and economically active population. The trauma patient, once stabilized his vital functions, must be defined, classified and ranked by the orthopedist, conducting primary and secondary assessment, identify and consider the factors involved in the prognosis in order to make a suitable treatment. The orthopedic damage control allows the physician to establish a brief process of treatment to prevent death due to physiological changes associated to trauma. This conduct provides a quick control and support of critical patient, as immediate definitive treatment of musculoskeletal injuries can be harmful. Implants and surgical techniques have had to adapt to the increasing number of patients with injuries from high-energy mechanisms and osteoporosis. Implant selection for distal femur fractures secondary to high-energy trauma, depends on fracture type, bone quality, need of angular stable implants, implant acquisition feasibility, surgical technique difficulty, but it mainly depends on the surgeon’s preference.