ABSTRACT
Good fixation, ability for full weight-bearing in most of the cases, closed surgical technique-these are the advantages of lately developed intramedular osteosynthesis for instabil pertrochanteric and subtrochanteric fractures, called gamma nailing. These advantages do make the general and local complications less and do help the fast rehabilitation. Authors give report on 28 patients, were operated on with gamma nailing within the last 1.5 year. Local complication, infection, loosening, breakage, pseudoarthrosis was not observed. The healing was complete in all evaluated cases. 2/3 of the patients had full weight-bearing following surgery. According to the authors the results are very good in the cases of instabil subtrochanteric and pertrochanteric fractures, therefore the method is highly recommended in similar cases.
Subject(s)
Bone Nails , Femoral Fractures/surgery , Femoral Neck Fractures/surgery , Fracture Fixation, Intramedullary/methods , Adult , Aged , Aged, 80 and over , Female , Femoral Fractures/diagnostic imaging , Femoral Fractures/rehabilitation , Femoral Neck Fractures/diagnostic imaging , Femoral Neck Fractures/rehabilitation , Follow-Up Studies , Fracture Fixation, Intramedullary/instrumentation , Humans , Male , Middle Aged , Radiography , Wound HealingABSTRACT
Authors have performed in 1984-1986 46 Ender nailings based on definite indications as treatment of lower leg fractures in the Department of Traumatology, Arpád Hospital, Ujpest. In their clinical study they stress the criteria of the choice of this method, underline the advantages and disadvantages of the stabilization with elastic nails. This treatment used especially for fractures of the distal third lightens the care, the mobilization, shortens the stay in the hospital, diminishes the number of the septic complications. In many cases authors recommend it as a good alternative method, based on own experiences and results, to surgeons forced to accept a compromise.
Subject(s)
Bone Nails , Fracture Fixation, Internal/methods , Tibial Fractures/surgery , Adolescent , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
In 37 of the 258 patients with pelvic fractures rather severe urological complications were diagnosed. It seems that the majority of polytraumatized patients can be considered as potential urologic cases. The characteristic urological complications associated with the various types of fractures are described. The importance of urgent urological examination is stressed in order to detect urological injuries requiring acute care and to determine the need for operation or for conservative treatment. Co-operation between the traumatologist, the urologist and the radiologist will ensure the definitive care of the polytraumatized patient and the best chances for recovery.