RESUMEN
BACKGROUND: This study evaluated the outcomes of surgical management of ipsilateral femoral and tibial fractures in adults. METHODS: Fifteen patients (13 men, 2 women; mean age, 34.8 years; range, 18 to 65 years) were enrolled in this study. The fractures types were classified according to the classification by Fraser et al. as follows: type I (5), type IIa (3), IIb (4), IIc (3). Femur fractures were treated using locked intramedullary nails, plate-screws, or dynamic condylar screws, and tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The mean follow-up duration was 2.2 years (range, 1.3 to 4 years). RESULTS: The extent of bony union according to the Karlstrom criteria was as follows: excellent, 8; good, 4; acceptable, 2; poor, 1. CONCLUSIONS: The associated injuries and type of fracture (open, intra-articular, comminution) are prognostic factors in a floating knee. The best management of the associated injuries for good final outcome involves intramedullary nailing of both the fractures and postoperative rehabilitation.
Asunto(s)
Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Fracturas del Fémur/diagnóstico por imagen , Estudios de Seguimiento , Fijación Intramedular de Fracturas/instrumentación , Traumatismo Múltiple/diagnóstico por imagen , Dispositivos de Fijación Ortopédica , Pronóstico , Fracturas de la Tibia/diagnóstico por imagen , Resultado del TratamientoRESUMEN
24 total wrist fusions were performed in a 2 years period [1998-2000], using DCP compression plates. The mean age of the patients at the time of surgery was 42 years [range. 28-64 years]. The indication for fusion was post-traumatic arthritis in all patients. The mean follow-up was 14 months [range 9-25 months]. All the patients had united, a successful union at an average of 10.3 weeks postoperatively [range 9-14 weeks]. All the patients were evaluated using a questionnaire to assess pain, function, ability to perform an occupation and satisfaction with The Buck-Gramcko and Lohmann score [1] for functional evaluation, and it showed that 22 patients [91.7%] achieved excellent or good results with regard to their current condition and clinical improvement. Two patients [8.3%] required secondary surgery, because they were not improved and the pain was not relieved