In the distal fossa, it is overlapped by the junction of the two heads of the gastrocnemius muscles. They can arise after operative and nonoperative treatment with similar frequency. Osteosintesis minimamente invasiva en fracturas del perone distal. Nonunions of distal femur fractures are a relatively rare and difficult problem to treat. Surgical treatment versus orthopaedic treatment summary. Dear colleagues, in an attempt to expand the outreach of knowledge, we are now starting a special subscription offer for trauma international journal. A poor bone stock, short distal fragment, pull of the gastrocnemius muscle, and the proximity to the knee joint are factors leading to nonunions in distal femoral fractures 7. Nonunions of the distal femur are relatively rare but can occur with or without previous surgery. For each of them we propose different solutions plating, external.
Unicondylar fractures of the distal femur are rare lesions, that often occur in combination with other posttraumatic injuries and may therefore fail to be recognised initially. Tratamiento quirurgico versus tratamiento ortopedico d. Rotura completa del tendon distal del biceps braquial. Easy and secure online payment and book delivered at your doorsteps. Results in treatment of distal femur fractures using. Articulacion tibioperonea distal tobillo articulaciones. Ominimal theories and the padics for example are distal. They are caused by a direct impact on the flexed knee during weight bearing. It reaches the medial malleolus, ending under the flexor retinaculum. Nonunion of the distal femur can be very challenging to treat and often has a devastating impact on patient function and quality of life.
Anglestable locked plates have been used successfully for distal femoral fractures where the new design imparts a higher degree of stability and provides better protection against primary and secondary losses of reduction 19. Historical series using closed reduction and casting or cast bracing yielded nonunion rates from 26% 1 3. Las fracturas del femur distal son poco frecuentes y graves, con una mortalidad importante en ancianos. In the leg, the tibial nerve descends deep to the soleus and gastrocnemius, but in the distal onethird of the leg it is covered only by skin and fascia.
Perone anatomia, partes, inserciones fracturas, funcion. Many surgical methods have been described for the treatment of these nonunions including external fixation, intramedullary nailing, arthroplasty, and fixed angle plating. Fue tratado como esguinze grado 2 e inmovilizada por 3 semanas. The fracture line starts in the lateral or medial intercondylartrochlear groove. Unicondylar fractures of the distal femur sciencedirect. Distal and nondistal nip theories pierre simon january 24, 2011 abstract we study one way in which stable phenomena can exist in an nip theory. Firstgeneration locked plates had fixedangle threaded holes allowing a stable periarticular fixation but with all holes in the plate holding the.
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