RESUMO
The techniques of vascularized transfer of a bone segment, or of revascularization of a conventional bone autograft by a pedicle or a microsurgical muscular flap represent one of the most significant advances made during the last years for the treatment of large bone defects of the tibia with associated skin injury. The authors present their experience with 16 cases, including 5 microsurgical transfers.
Assuntos
Transplante Ósseo/métodos , Fraturas Expostas/cirurgia , Fraturas não Consolidadas/cirurgia , Músculos/transplante , Fraturas da Tíbia/cirurgia , Adulto , Consolidação da Fratura , Humanos , Ílio/irrigação sanguínea , Ílio/transplante , Masculino , Pessoa de Meia-Idade , Radiografia , Retalhos Cirúrgicos , Fraturas da Tíbia/diagnóstico por imagemRESUMO
Twenty-four fractures or nonunions of the clavicle were treated by a Hoffmann external fixator, for selected indications. No vascular or pleural complications were observed. All clavicles healed, after a mean duration of 52 days.
Assuntos
Clavícula/lesões , Fixação de Fratura/instrumentação , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A technique of osteosynthesis of the clavicle with Hoffmann external fixation was used to treat twenty patients for selected indications, including an open fracture, inability of a patient to tolerate prolonged conservative treatment, or a painful non-union. No vascular or pleural complication was observed. The average time that the external fixator was retained was fifty-one days. All of the clavicles united well. Mobility of the shoulder returned to normal in all patients.
