Comparación de la efectividad del clavo intramedular fresado con el no fresado en pacientes con fractura diafisaria de tibia
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Date
2024-07-02
Authors
Requena Castro, Carlos Eduardo
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Publisher
Universidad Nacional de Trujillo
Abstract
Las fracturas de la diáfisis tibial se encuentran entre las lesiones óseas graves más comunes y han atraído durante mucho tiempo el interés de los Médicos Ortopedistas en todo el mundo, la ubicación subcutánea de la tibia en la superficie anterior y medial significa que las lesiones graves de huesos y tejidos blandos son comunes. Al respecto la colocación de clavo intramedular es la técnica de elección en estos pacientes, si bien originalmente el diseñador de la técnica insertó un clavo en forma de trébol en la cavidad medular para obtener una fijación adecuada en el istmo mediante la expansión elástica del clavo; el principal requisito para el enclavado es la adecuada coincidencia del canal medular y el clavo y así conseguir un atasco adecuado del clavo o una fractura iatrogénica; para evitar esta complicación técnica, se propuso aplicar la técnica de fresamiento intramedular la cual en teoría mejoraría el acople del clavo en el tejido óseo, por este motivo consideramos pertinente evaluar esta intervención en nuestro contexto.
Abstract Tibial shaft fractures are among the most common serious bone injuries and have long attracted the interest of Orthopedic Physicians worldwide, the subcutaneous location of the tibia on the anterior and medial surface means that serious injuries of the bones and soft tissues are common. In this regard, the placement of an intramedullary nail is the technique of choice in these patients, although originally the designer of the technique inserted a clover-shaped nail into the medullary cavity to obtain adequate fixation in the isthmus through the elastic expansion of the nail; The main requirement for nailing is the adequate coincidence of the spinal canal and the nail and thus achieve an adequate jamming of the nail or an iatrogenic fracture; To avoid this technical complication, it was proposed to apply the intramedullary reaming technique, which in theory would improve the attachment of the nail to the bone tissue. For this reason, we consider it pertinent to evaluate this intervention in our context.
Abstract Tibial shaft fractures are among the most common serious bone injuries and have long attracted the interest of Orthopedic Physicians worldwide, the subcutaneous location of the tibia on the anterior and medial surface means that serious injuries of the bones and soft tissues are common. In this regard, the placement of an intramedullary nail is the technique of choice in these patients, although originally the designer of the technique inserted a clover-shaped nail into the medullary cavity to obtain adequate fixation in the isthmus through the elastic expansion of the nail; The main requirement for nailing is the adequate coincidence of the spinal canal and the nail and thus achieve an adequate jamming of the nail or an iatrogenic fracture; To avoid this technical complication, it was proposed to apply the intramedullary reaming technique, which in theory would improve the attachment of the nail to the bone tissue. For this reason, we consider it pertinent to evaluate this intervention in our context.
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Keywords
Tibia, Intramedular, Fijación