Trueba DC, Pozzo BA, Gil OF

Language: Spanish
References: 7
Page: 306-309
PDF size: 889.75 Kb.

ABSTRACT

We report the case of an unusual complication of the external fixators (Orthofix) in a diaphyseal humeral fracture, a man 38 years old with good bone quality present an open comminuted fracture II in the distal part. Ten weeks after operation without any trauma he presented breakage of the three proximal screws, the site was the external surface of the bone. The probable cause of fatigue was the incorrect selection of this type of fixator because it doesn’t permit the right placed of the screws near to the fracture to provided more stability and protection avoiding the failure of the implant.

REFERENCES

1. Fundación AO Capítulo México. Curso XXX AO México. Principios de tratamiento quirúrgico de las fracturas. 2002.

2. Heppert V, Malze K, Wentzensen A: Conservative versus operative treatment of diaphyseal humerus fractures. External fixator. Trauma und Berufskrankheit 2000; 2(8): 479-484.

3. Muller ME, Allgower M, Schneider R, Willeneger H: Manual de osteosíntesis. Técnicas recomendadas por el grupo AO. Ed. Springer-Verlag Ibérica, Barcelona 1993.

4. Ruedi TP: AO Principles of fracture management, CD-ROM Version. Thieme Stuttgart-New York 2000.

5. Sarmiento A, Waddell JP, Latta LL: Diaphyseal humeral fractures: Treatment options. Inst Course Lect 2002:51:257-269.

6. Schatzker J, Tile M: Tratamiento quirúrgico de las fracturas. Editorial Médica Panamericana. 2a Edición Cap. 1. 1998.

7. Schmickal T, Heppert V, Wentzensen A. External stabilization following injuries to the humeral shaft and elbow joint. Trauma and Berufskrankheit 2002; 4(4): 377-382.