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https://repositorio.ufba.br/handle/ri/6566
metadata.dc.type: | Artigo de Periódico |
Título : | Prospective and randomized study of patients with open fractures of the femoral shaft, treated with plate or open intramedullary locked nail |
Otros títulos : | Acta Ortopédica Brasileira |
Autor : | Ferracini, Antonio Marcos Faloppa, Flavio Daltro, Gildásio de Cerqueira Crisóstomo Júnior, Dalton de Castro Reis, Fernando Baldy dos Belotti, João Carlos |
metadata.dc.creator: | Ferracini, Antonio Marcos Faloppa, Flavio Daltro, Gildásio de Cerqueira Crisóstomo Júnior, Dalton de Castro Reis, Fernando Baldy dos Belotti, João Carlos |
Resumen : | We assessed the complications and treatment outcomes in a prospective and randomized study of two osteosynthesis techniques in open femoral shaft fractures. Between January 2002 and April 2004, 40 patients with open fractures of the femoral shaft were assessed, with 20 being treated with open reamed intramedullary locked nail and 20 with plate. Twenty-six (65%) fractures were classified as Gustilo type -I open fractures; ten (25%) as type II and four (10%), as type IIIA. There were 21 blunt injuries and 19 gunshot injuries. Three patients were excluded from the final assessment. Complications were observed in 12 (32.4%) patients, 4 in the plate group and 8 in the nail group. Reamed intramedullary locked nail resulted in two deep infections (10%), two superficial infections (10%), and one nonunion (5%). With plate techniques, we had one deep infection associated to nonunion (5,8%) and one superficial infection (5.8%). Good and excellent outcomes were found in 28 fractures (75.7%), fair (7.5%) in three cases, and poor (15%) in six, according to Thorensen's criteria. In this study, the stabilization with plate results in lower complications rate when compared to the open intramedullary nail, although with no statistical significance. |
Palabras clave : | Fracture fixation intramedullary Femoral fractures Bone plates Diaphyses Fractures open |
Editorial : | Sociedade Brasileira de Ortopedia e Traumatologia |
URI : | http://www.repositorio.ufba.br/ri/handle/ri/6566 |
Fecha de publicación : | 2008 |
Aparece en las colecciones: | Artigo Publicado em Periódico (Faculdade de Medicina) |
Ficheros en este ítem:
Fichero | Descripción | Tamaño | Formato | |
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Ferracini, Antonio Marcos.pdf | 421,62 kB | Adobe PDF | Visualizar/Abrir |
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