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. Tratamiento quirurgico versus tratamiento ortopedico d. Dear colleagues, in an attempt to expand the outreach of knowledge, we are now starting a special subscription offer for trauma international journal. Perone o fibula atlante anatomico immagine numero 315. Get the best in trauma literature at 2000 inr per year. Unicondylar fractures of the distal femur sciencedirect. Las fracturas del femur distal son poco frecuentes y graves, con una mortalidad importante en ancianos. Firstgeneration locked plates had fixedangle threaded holes allowing a stable periarticular fixation but with all holes in the plate holding the.
Summary a new classification for fractures of the distal third of the femur is suggested. They are caused by a direct impact on the flexed knee during weight bearing. Nonunions of the distal femur are relatively rare but can occur with or without previous surgery. 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. Many surgical methods have been described for the treatment of these nonunions including external fixation, intramedullary nailing, arthroplasty, and fixed angle plating. 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. In the distal fossa, it is overlapped by the junction of the two heads of the gastrocnemius muscles. Rotura completa del tendon distal del biceps braquial. Nonunion of the distal femur can be very challenging to treat and often has a devastating impact on patient function and quality of life. Results in treatment of distal femur fractures using. Easy and secure online payment and book delivered at your doorsteps. The fracture line starts in the lateral or medial intercondylartrochlear groove. They can arise after operative and nonoperative treatment with similar frequency. It reaches the medial malleolus, ending under the flexor retinaculum.
Ominimal theories and the padics for example are distal. Historical series using closed reduction and casting or cast bracing yielded nonunion rates from 26% 1 3. Articulacion tibioperonea distal tobillo articulaciones. Surgical treatment versus orthopaedic treatment summary.
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