Asunto(s)
Adenocarcinoma/patología , Fondo de Saco Recto-Uterino/cirugía , Histerectomía , Neoplasias Quísticas, Mucinosas y Serosas/patología , Epiplón/cirugía , Prueba de Papanicolaou , Neoplasias Peritoneales/patología , Neoplasias del Cuello Uterino/diagnóstico , Adenocarcinoma/diagnóstico por imagen , Adenocarcinoma/cirugía , Legrado , Detección Precoz del Cáncer , Endometriosis/cirugía , Endometrio/patología , Femenino , Humanos , Persona de Mediana Edad , Neoplasias Quísticas, Mucinosas y Serosas/diagnóstico por imagen , Neoplasias Quísticas, Mucinosas y Serosas/cirugía , Neoplasias Peritoneales/diagnóstico por imagen , Neoplasias Peritoneales/cirugía , Salpingooforectomía , Ultrasonografía , Frotis VaginalAsunto(s)
Antiinflamatorios no Esteroideos/efectos adversos , Azatioprina/efectos adversos , Mesalamina/efectos adversos , Pancreatitis/inducido químicamente , Enfermedad Aguda , Adulto , Colitis Ulcerosa/tratamiento farmacológico , Humanos , Hiperamilasemia/inducido químicamente , Masculino , Factores de TiempoRESUMEN
The medical records and radiographs of 63 patients, who were admitted between 1989-1997, with a combined femur fracture, were reviewed. Associated injuries were present in 38 (60%) patients. The combined fractures were classified into four major types depending on their anatomical position: type I, femoral shaft fracture combined with hip neck fracture; type II, femoral shaft fracture combined with a trochanteric fracture; type III, femoral shaft fracture combined with a distal femur fracture; and type IV, femoral shaft fracture combined with a proximal or distal femur fracture. The fractures were treated with locked intramedullary nailing and additional free cancellous 6.5-mm screws as needed. Fifty-six fractures healed without further operations. Of the remaining 6 fractures, 2 were material failures, 1 malunion with 3-cm shortening and external rotation of the femoral diaphysis, 2 early infections of the surgical wound, and 1 pseudarthrosis of the femoral shaft. All fractures were healed between 16 and 32 weeks (average: 20 weeks).