RESUMO
Dynamic osteosynthesis with curved flexible nails was introduced by Burghele for the treatment of recent fractures of the diaphysis of the tibia. Our experience in sixty patients has shown that this method of treatment produces better results than rigid AO osteosynthesis and also than osteosynthesis with rigid Kuntscher nails. It can be used in both uni- and multifocal fractures. The technique is simple and atraumatic and can be used in fractures of the diaphysis of the tibia to within 8 cm of the ankle joint.
Assuntos
Fixação Intramedular de Fraturas/métodos , Fraturas da Tíbia/cirurgia , Pinos Ortopédicos , HumanosRESUMO
The Burghele fixation device for the treatment of fractures of the olecranon can be applied with or without exposing the fracture. It ensures good stability and compression of the fracture. It can be used in open, closed and infected fractures and in those where there is a skin defect. It can also be used in fractures of the olecran associated with dislocation of the elbow.
Assuntos
Fixação de Fratura , Fraturas da Ulna/cirurgia , HumanosRESUMO
The authors present 8 cases of pseudarthroses of the tibia secondary to surgical and orthopaedic treatments of fractures of the leg, in whom para-focal osteotomia was performed. The Paltrinieri method is a simple and efficient intervention based on the biochemical principle of re-establishing a normal tibial axis, and on exclusion of the pseudarthrosis focus from under the influence of negative mechanical factors, an intervention which leads to a revival of the capacities of consolidation of the pseudarthrosis. The very good results obtained justify the recommendation ofthis therapeutical method in the treatment of pseudarthroses, especially of the suppurated pseudarthroses of the leg.
Assuntos
Fíbula/lesões , Fraturas Ósseas/complicações , Pseudoartrose/cirurgia , Fraturas da Tíbia/complicações , Adulto , Feminino , Fixação de Fratura , Humanos , Masculino , Métodos , Pessoa de Meia-Idade , Osteotomia , Complicações Pós-OperatóriasRESUMO
From our findings it appears that no one method of treatment is infallible and that functional and anatomical restitutio ad integrum of the fractured heel cannot be obtained. Each method has its advantages and disadvantages and these are not only inherent in the method itself, but also depend on how it is applied. The treatment must be chosen according to the lesion and cannot be standardised because of the variable and complex nature of these fractures. Other factors to be considered are whether it is bilateral, whether there are multiple injuries, and the general condition of the patient etc. In fractures with depressions of the mixed horizontal type the Stulz method of treatment seems to be the best.
