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Revista Cubana de Medicina Militar

versión On-line ISSN 1561-3046

Resumen

CALZADILLA MOREIRA, Vladimir et al. Fijación interna secundaria al empleo del fijador externo. Rev Cub Med Mil [online]. 2001, vol.30, n.3, pp. 156-160. ISSN 1561-3046.

A mixed study of 22 patients with femur or tibia fractures that underwent internal secondary osteosynthesis on failiing external fixation at the Service of Orthopedics and Traumatology of “Dr. Luis Díaz Soto” Higher Institute of Military Medicine from April, 1995, to April, 2000, was conducted. Different variables were analyzed, or a pattern of final evaluation was established. 15 intramedullary nails and 7 laminas of the AO system associated or not with a bone graft, according to the case, were used. It was observed a predominance of male patients in their decades of life corresponding to a higher physical activity. The objective of secondary osteosynthesis was fulfilled in all cases. The results obtained were good (50 %), fair (36.4 %) and poor (13.6 %). The complications occurred in 59.1 % of the series, as well as the recommendations for the success of the procedure, were described and analyzed.

Palabras clave : FEMORAL FRACTURES [surgery]; TIBIAL FRACTURES [surgery]; FRACTURE FIXATION, INTERNAL; FRACTURE FIXATION, INTRAMEDULLARY; EXTERNAL FIXATORS.

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