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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
BIOMATERIALS IN ORTOPEDICS: EXPECTATION AND CLINICAL PRACTICE 96° CONGRESS OF THE PIEDMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (SPLLOT) (Brescia, September 24-25, 1999)
Minerva Ortopedica e Traumatologica 2000 June;51(3):153-8
Intramedullary fixation by longitudinal pins as aid for external fixation in diaphyseal fractures
Faldini A., Manca M., Marchetti S., Foddai C., Restuccia G.
Background. The Authors suggest to use flexible intromedullary pins before external fixation in order to minimize and avoid lateral displacement of unstable diaphyseal fractures.
Methods. Twenty-eight patients have been treated by using longitudinal pins and then external fixation. Fourteen were tibial fractures, ten involved the femur, the last four were humeral fractures. The bulk was male (68% versus 22% of females).
Results. All fractures healed without delayed unions. The authors evaluated the axial deviation of the healed bone using roentgenograms. All patients underwent a meticolous clinical evaluation: three cases had limitation of knee flexion up to ninty degrees.
Conclusions. The particular technique seems to prevent lateral displacement of diaphyseal fractures fairly well. The learning period of the new technique is short and allows orthopedic surgeon, who are not perfectly trained in external fixator, to obtain good results.