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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2007 June;166(3):105-8

language: Italian

Transcutaneous osteosyntesis: screws, wires, fixers

Mariotti U. 1, Motta P. 1, Vassoney P. 1, Grillo P. 1, Caranzano F. 2

1 U.O.S. Chirurgia della Spalla, Ospedale C.T.O. Torino;
2 I Clinica Ortopedica, Università di Torino, Torino


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In this work indications and limits of the techniques of transcutaneous osteosyntesis of proximal extreme of the humerus are still analysed in use: k wire, k wire solidarized to the diafisi, retrograde elastic osteosintesi Sec. Kapandij, k wire solidarized between them, cannulate screws and outside fixers. The evolution of the techniques and of the outstretched means of osteosintesi and the disponibility of trauma and inverse shoulder prosthesis, have deeply modified the therapeutic indications of the fractures of the proximale extreme of the humerus. according to our experience today a synthesis that does not guarantee a sufficient stability to allow a precocious mobilization of the shoulder is not acceptable, also in bad quality bony. However the cannulate screws in the kind 2, 3, 4, and the outside fixer in those of kind 1 according to Hertel remain valid indications to the transcutaneous osteosyntesis.

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