Articular femur fractures. Chirurgia meniscurilor

articular femur fractures

Tomoaia, H. Benea, C. Barda, M. Grin, M. Macovei, I. Fracturile femurului distal reprezint leziuni grave, dificil de tratat i care se soldeaz cu diminuarea n grade diferite a mobilitii articulare a genunchiului.

Sunt fracturi instabile i adesea cominutive, cu afectarea suprafeei articulare. Conform clasificrii AO fracturile femurului distal se mpart astfel: - fracturi extraarticulare - 33A A1 - simple, A2 - cu fragment intermediar, A3 - cu cominuie metafizar - fracturi parial articulare - 33B Articular femur fractures - de condil femural extern n plan sagital, B2 - de condil femural intern articular femur fractures plan sagital, B3 - de condili femurali n plan frontal - fracturi articulare complete - 33C C1 articulare complete simple i metafizare simple, C2 articulare complete simple i metafizare multifragmentare, C3 articulare complete multifragmentare.

Fractura de Femur

Tratamentul fracturilor femurului distal reprezint si la ora actual o problem dificil. Tehnicile moderne de reducere deschis i fixare intern stabil, dac sunt corect efectuate, pot asigura rezultate foarte bune.

articular femur fractures

Dezideratele tratamentului cuprind urmtoarele: - reducerea anatomic a suprafeei articulare - reducerea anatomic a componentei metafizare cu restabilirea axului de aliniere i a lungimii - fixarea intern stabil a metafizei i suprafeei articulare - mobilizare precoce. Se folosete o lam-plac condilian, plac n T i uruburi sau DCS.

Fracturile cu cominuie metafizar necesit adesea grefe spongioase din creasta iliac i refacerea lungimii diafizei femurale cu ajutorul unui distractor. Dac fractura este cominutiv cu extindere articular femur fractures diafiza femural, atunci osteosinteza se poate realiza cu tije intramedulare blocate pentru restabilirea lungimii normale, a rotaiei i aliniamentului femural.

Yes, the size of the femoral head indicates a male.

Cu o tehnic corect de aplicare rezultatele sunt n general bune. Rezultate slabe pot fi acceptate doar la pacienii cu fracturi tip C3 la care poriunea articular a fracturii nu este reconstructibil sau la pacieni cu leziuni severe ale esuturilor moi n articular femur fractures deschise n care funcia articular este mult diminuat. Distal femoral articular femur fractures are serious injuries, difficult to treat and they lead to decrease of knee joint mobility in varying degrees.

Leziunile meniscale Ca urmare a progresului tehnic, leziunile meniscale se tratează în prezent prin artroscopie.

These are unstable fractures and often comminutive, with articular articular femur fractures damage. In their evaluation we should carefully consider: the type of fracture, patient age, activity level, knee function impairment, severity of accident and possible associated injuries. In treatment planning we used AO comprehensive classification of fractures that defines the fracture, indicates the prognosis and offers the best recommendation in choosing the means of internal fixation.

According to AO classification, distal femoral fractures are divided as follows: - extraarticular fractures - 33A A1 simple, A2 with intermediary fragment, A3 - with metaphyseal comminution - partial articular fractures 33B B1 - external femoral condyle in sagittal plane, B2 - internal femoral condyle in sagittal plane, B3 femoral condyles in the frontal plane - complete articular fractures - 33C C1 - simple complete articular and simple metaphyseal, C2 - simple complete articular and multifragmentary metaphyseal, C3 - multifragmentary complete articular.

Particularităţile tratamentului fracturilor femurului distal

The treatment of distal femoral fractures still represents a difficult problem. Modern techniques of open reduction and stable internal fixation, if properly conducted, can provide very good results.

The goals of treatment include the following: - anatomical reduction of articular surface - anatomical reduction with restoration of metaphyseal component alignment and length - stable internal fixation of metaphyseal and articular surface - early mobilization.

Accidentele de circulatie, reprezinta cauza principala a fracturilor de femur. Partea lunga si dreapta a femurului se numeste diafiza femurala.

The choice of means of internal fixation includes: in type A fractures condylar blade- plate at 95, dynamic condylar screw DCS"T"-shaped plates, LISS plates Less invasive Stabilizing System inserted by MIPPO technique Minimally Invasive Percutaneous Plate Osteosynthesis and more rarely, Ender elastic rods; in type B fractures - osteosynthesis with cancellous screws or "T"-shaped plates; in type C fractures an attentive reconstruction of the joint is necessary.

We can use condylar blade-plates, "T"-shaped plates with screws or DCS. In addition it is necessary to restore the femoral length by using an AO distracter.

  1. Unguent pentru tratarea articulațiilor de stres
  2. Recenzii asupra capsulelor complexului de condroitină glucozaminică
  3. Diagnostic Clinic Înainte de adresarea fracturii, examenul clinic se concentrează pe statusul general al pacientului.
  4. Там было темно, но он разглядел дорогие восточные ковры и полированное красное дерево.

For the C3 fracture it is used a "T"-shaped plate, but a second plate is required as support, inserted medially to prevent deformation in varus. The fractures with metaphyseal comminuion often require iliac articular femur fractures cancellous grafts and reestablish of femoral shaft length using a femoral distracter.

G04 GH - Tomoaia PDF

If the fracture is comminuted with femoral shaft extension, then the osteosynthesis can be performed with intramedullary locking nails in order to reestablish normal femoral length, rotation and alignment.

Distal locking screws will also secure the femoral condyles fragments.

articular femur fractures

With a proper surgical technique the results are generally good. Poor results can be accepted only in patients with type C3 fractures, in which the articular fragment is not possible to be reconstructed, or in patients with severe soft tissue damage in open fractures, in which the joint function is much diminished. Interese conexe.

articular femur fractures

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