RESUMO
Numerous variations of intramedullary nails have been devised to achieve a stable fixation and early mobilisation of pertrochanteric fracture, among which is the proximal femoral nail (PFN). We report here the results of a prospective study carried out at our institute on 100 consecutive patients who had suffered a pertrochanteric, intertrochanteric or high subtrochanteric fracture, or a combination of fractures, between December 2002 and December 2005 and were subsequently treated with a PFN. Close to anatomical reduction of the fracture fragments was achieved in 12 patients, while limited open reduction was required in 14 patients. During the follow-up period of 1 year complications occurred in 12 patients. Our results indicate the necessity of a careful surgical technique and modifications that are specific to the individual fracture pattern in order to reduce complications. Osteosynthesis with the PFN offers the advantages of high rotational stability of the head-neck fragment, an unreamed implantation technique and the possibility of static or dynamic distal locking.
Assuntos
Pinos Ortopédicos/efeitos adversos , Fraturas do Fêmur/cirurgia , Fixação Intramedular de Fraturas/efeitos adversos , Fixação de Fratura/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Fraturas do Fêmur/diagnóstico por imagem , Fraturas do Fêmur/reabilitação , Seguimentos , Fixação de Fratura/reabilitação , Fixação Intramedular de Fraturas/reabilitação , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , RadiografiaRESUMO
We have treated all varieties of fractures of the tibial plateau, including lateral, medial and bicondylar fractures by skeletal traction and early mobilisation. A study of 50 such fractures is presented and the functional results are evaluated. The average follow up is 2 years. The results of skeletal traction and early mobilisation are shown to be good in 94% of the cases. We wish to demonstrate the extent of remoulding and ultimate reformation of the condyles which occurs, and the recovery of movement of the joint which is achieved by this method.
Assuntos
Movimento , Fraturas da Tíbia/terapia , Tração , Adulto , Idoso , Feminino , Seguimentos , Fraturas Fechadas/terapia , Humanos , Joelho/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Radiografia , Fraturas da Tíbia/diagnóstico por imagem , Fatores de TempoRESUMO
Five patients with macrodactyly are described. The foot was affected in 3 of them and the hand in 2. Two patients were operated on and the histological features are described. The literature is fully reviewed and the aetiology is discussed.
Assuntos
Dedos/patologia , Dedos do Pé/patologia , Adolescente , Criança , Pré-Escolar , Dedos/anormalidades , Dedos/cirurgia , Gigantismo/patologia , Gigantismo/cirurgia , Humanos , Hipertrofia/patologia , Hipertrofia/cirurgia , Masculino , Nervo Mediano/patologia , Radiografia , Dedos do Pé/anormalidades , Dedos do Pé/diagnóstico por imagem , Dedos do Pé/cirurgiaRESUMO
A case of a fifteen year old male with unusual congenital anomalies of hands and feet (Poly-syndactyly) is presented. There was associated talipes equino-varus deformity of the left foot with bilateral duplication of great toes. Both hands appeared like a cup but the patient was able to carry out his routine activities. The purpose of this report is to document a unique 'isolated' congenital anomaly.
