Ostéosynthèse des fractures du radius distal par embrochage souple centro-médullaire ( l'expérience genevoise)

Article Article scientifique Article Ostéosynthèse des fractures du radius distal par embrochage souple centro-médullaire ( l'expérience genevoise) fre 1998 author Flisch Christian William 42721 author Della Santa Dominique 112213 245-254 10.1016/s0753-9053(98)80045-8 10855292 1297-3203 In 1949 Leslie Rush described a new method of management of Colles' fractures by means of a rigid medullary nail. Claude Py in 1969 followed this concept but used two flexible intramedullary pins. After briefly recalling the biomechanical principle and operating technique, the authors outline their series of 39 extra- and intra-articular fractures (10 males and 29 females) operated between March 1995 and April 1996 with an average follow-up of 6.5 months (1.5-14.5 months). The radiological and functional results are discussed: 55% of the cases showed good anatomical reduction whereas 59% achieved a satisfactory functional result. The advantage of this operating technique lies in its simplicity. Nevertheless, considerable experience is necessary owing to the relatively high complication rate (secondary displacement, tendon or nerve lesions, reflex sympathetic dystrophy). However, this method requires only a limited amount of time and remains a good indication for extra-articular and simple articular fractures. In the case of severe posterior comminution, the use of cancellous bone graft can help to prevent secondary dorsal impaction and its repercussion on distal radio-ulnar function. Adult Aged Aged, 80 and over Biomechanical Phenomena Female Follow-Up Studies Fracture Fixation, Intramedullary Fracture Healing/physiology Humans Male Middle Aged Postoperative Complications/radiography Radius Fractures/radiography/surgery Switzerland Wrist Injuries/radiography/surgery Dewey 617 57 Département de chirurgie 222 false 74 Chirurgie orthopédique et traumatologique 98 Chirurgie de la main 17 3 c11b9aa7-6e2e-40dc-9d84-a9838a1686ff Article (Published version) Restricted 1998_flisch_ann_chir_main.pdf 1702213 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Ostéosynthèse des fractures du radius distal par embrochage souple centro-médullaire ( l'expérience genevoise)	Chirurgie de la main			1998	554	0

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Flisch, Christian William