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Revista Archivo Médico de Camagüey
versión On-line ISSN 1025-0255
Resumen
ALVAREZ LOPEZ, Alejandro y GARCIA LORENZO, Yenima. External fixation in distal femur fractures: a case report. AMC [online]. 2017, vol.21, n.4, pp. 528-534. ISSN 1025-0255.
Background: fractures of the distal femur are frequent lesions and are generally treated by surgery as: AO plates, nails and occasionally external fixation. Objective: show a patient with fractures of the distal femur treated by means of external fixation. Case report: a 59 year old white, woman. The patient was taken to the Orthopedic Emergency Department because of left thing pain after falling at home. On inspection swelling, shortening and external rotation were found. Palpation revealed crepitus and abnormal mobility of the fracture site. Anteroposterior and lateral X rays showed a comminuted fractures of the distal femur. The patient was placed in a skeletal traction by a Braun frame with 12 kilograms of weight. Surgical treatment was carried out six days after admission by a Hoffmann R ® external fixator. Conclusions: external fixation is a useful method as a transitory and definitive treatment in patients with fractures of the distal femur, the advantages of the method include: short surgical time (less than one hour), few blood lost, control of reduction and a faster indication for rehab.
Palabras clave : EXTERNAL FIXATORS; FEMORAL FRACTURES; ORTHOPEDIC PROCEDURES; ADULT; CASE REPORTS.