Jan, 2005 toutes les fractures, sauf deux, ont consolide. Pdf fracture diaphysaire du femur traitee par osteosynthese. Elles touchent par consequent une population jeune. The block was found to be useful for purposes of transportation and immobilization. Evaluer les resultats du traitement des fractures diaphysaires du. There was growth disturbance of the proximal femur in one case, but this did not. En urgence, mise en place dune osteosynthese par plaque vissee et traction. Ppt les fractures du femur powerpoint presentation free. Twenty five adults and children with fractured shaft of femur were given femoral nerve block for pain relief. Three types of fracture were recognised and treatment depended on the type, as did the prognosis.
The various types of adult proximal femoral fractures require different treatment strategies that depend on a variety of considerations. Classification des fractures du femur selon lao 21. The rate of pin tract infection was very high at 42. We present the case of an 80 year old woman with hip pain, caused by a longitudinal femoral insufficiency stress fracture, depicted with radiographs, ct and mr. Epidemiologie et traitement chirurgical des pseudarthroses. Participation is free and the site has a strict confidentiality policy. The linea aspera is a prominent longitudinal ridge or crest, on the middle third of the bone, presenting a medial and a lateral lip, and a narrow rough, intermediate line. Resultats du traitement chirurgical des pseudarthroses. Figure 1 from femoral shaft fractures after cemented total. Grouping of the fractures according to the approximate level and type of fracture.
We report three cases where external fixator pins have been found impinging upon vascular pedicles in the leg. Resultats cliniques et radiologiques du traitement chirurgical des. It is a little broader above than in the center, broadest and somewhat flattened from before backward below. Mar 01, 1989 reconstruction may be further complicated if they impinge on vessels, preventing their use in free tissue trans fers. Kuntscher nailing of femoral shaft fractures in children and. Article pdf available fracture diaphysaire du femur traitee par osteosynthese. It was carried on nonunions of femur shaft fracture treated and evaluated after a minimum followup of 12 months. To report the epidemiologic and therapeutic characteristics of nonunions femur shaft fracture in a region of mali. Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter.
This was a retrospective study of 4 years, at sikassos hospital. Femoral nerve block for fractured shaft of femur springerlink. Case reports case1 a 45yearold man suffered a dosed fracture of his left tibia in a motorcycle acddent in 1982. Tres frequente, elle occupe une place importante dans les fractures en general et constitue les trois quart 34 des fractures du femur. Cephalomedullary nailing for proximal femoral fractures. What the orthopedic surgeon wants to know1 each year, more than 250,000 hip fractures occur in the united states, resulting in considerable patient mortality and morbidity. Most stress fractures of the tibia are transverse or oblique and involve the mid or proximal shaft. The pain relief was complete if the fracture site was in the middle third of the femoral shaft.
Perkins traction for adult femoral shaft fractures. Frequentes, su tout chez ladulte, leu p onostic peut ete aggave pa. The block is easy, safe, economical and most useful in emergency and poor risk patients. Kuntscher nailing of femoral shaft fractures in children. Fracture, diaphyse femorale, clou centromedullaire, foyer ouvert.
Le malade petit decoller son talon du plan du lit 15. There were no postoperative complications, and the mean overgrowth of the femur was 7. Based on evidence of periosteal and endosteal callus, and on the appearance of a transverse cortical fracture prior to overt fracture, the current consensus of the task force is that affs are stress or insufficiency fractures that develop over time. Il sagit volontiers dune fracture en coxa vara fermant langle cervicodiaphysaire.
Fracture line extends fracture line extends 50% across neck potentially unstable with risk for displacement. They are typically sustained in highimpact trauma, such as car crashes, due to the large amount of force needed to break the bone. The body of femur or shaft of femur, is the almost cylindrical, long part of the femur. Iatrogenic fractures of the femoral neck during closed nailing of the. Le diagnostic doit etre confirme par bilan radiologique standard. It is slightly arched, so as to be convex in front, and concave behind, where it is strengthened by a prominent longitudinal ridge, the linea aspera it presents for examination three borders. Impingement of vascular pedicles by external fixator pins. Follow up was for at least 5 years, and in most cases until after the end of growth.
Pdf treatment of the femoral shaft fracture with a curved heattreated. Technique of minimally invasive retrograde instrumentation. Ceci est fort naturel, car lorsquil sagit des fractures. Atypical subtrochanteric and diaphyseal femoral fractures. The borders of the femur are the linea aspera, a medial border, and a lateral border. A free powerpoint ppt presentation displayed as a flash slide show on id. Home vol 15, no 3 2014 boboyono download this pdf file. L extremite distale du fragment proximale menace le quadriceps. Complications precoces des fractures des membres 201ebis. Pdf le traitement des fractures diaphysaires du femur fdf est chirurgical. Two cases are presented in which the fracture line was seen on computed tomography scans as coursing longitudinally down the shaft of the distal tibia, which, to my knowledge, is an orientation and location not previously described in the literature.
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