Fracturas perimplante de fémur tratadas con clavo retrógrado: reporte de un caso y descripción de la técnica quirúrgica.

• Autores: Pablo Slullitel, Nicolas Santiago Piuzzi, Jorge Barla, Guido Carabelli, Danilo Taype, Carlos Federico Sancineto
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 81, Nº. 1, 2016, págs. 53-56
• Idioma: español
• DOI: 10.15417/385
• Títulos paralelos:
  • Peri-implant fractures below a sliding hip screw treated with retrograde nailing: a case report and description of surgical technique
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Existe un riesgo tácito de fractura peri-implante de fémur en pacientes con antecedente de fractura pertrocantérica de fémur tratados con tornillos deslizantes de cadera (TDC) debido al aumento de la expectativa de vida y a las múltiples comorbilidades. Diversas opciones terapéuticas son posibles dependiendo de si se mantiene la osteosíntesis previa o no. Dada la baja prevalencia de estas fracturas, no existe consenso en la bibliografía actual sobre el tratamiento ideal. El objetivo de este trabajo es reportar un caso y describir la técnica quirúrgica de enclavado endomedular retrógrado para el tratamiento de fracturas peri-implante debajo de un TDC.

  • English

    An implicit risk of peri-implant femoral fracture exists in patients with a previous intertrochanteric fracture treated with a sliding hip screw due to an increased life expectancy and multiple comorbidities. Treatment options are conditioned to the preservation or not of the previous implant. Being infrequent injuries, there is no consensus about their ideal management. The aim of this study is to report a case and describe the surgical technique of retrograde nailing for the treatment of peri-implant fractures below a sliding hip screw.

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