Reporte de uso de clavo TFN en fracturas proximales de fémur en pacientes del Hospital Vicente Corral Moscoso y Hospital del IESS, reporte de 4 casos

Abstract

OBJECTIVE: To report the results of proximal femur fractures treated with the trochanteric system titanium nail. Patients: at the Vicente Corral Moscoso Hospital, three cases of patients aged 16, 21 and 30 years old were treated; and another patient in the José Carrasco Arteaga Hospital who is 20 years old, the last one also presented a half-diaphyseal of femur and ipsilateral of tibia fracture. Three patients with subtrochanteric fracture (one with pseudoarthrosis of 8 months evolution), and a fourth patient with neck fracture and ipsilateral femoral of femur. The fracture was designed according to Russell-Taylor classification, and it was treated by open reduction and the T.F.N. system placement. The patients were maintained on radiograph control at 2, 6, 12, 24 weeks after surgery. RESULTS: The clinical and radiographic consolidation of the four cases was observed at 12 weeks after surgery, no significant postoperative complications arose in any case, there was no infection, and also the mobility was recovered successfully, although in one patient was observed a displacement. CONCLUSION: The surgical treatment with the TFN system is well indicated in subtrochanteric femur fractures, it is associated with good functional results, low morbidity and few complications, thus constituting an excellent therapeutic technique.