Abstract

CHAKAL, F et al. Experiencia preliminar con clavo expansible en Fracturas de Húmero. RFM [online]. 2002, vol.25, n.1, pp.130-132. ISSN 0798-0469.

The purpose of our study was to evaluate in prospective form the clinical experience with the first ones seven you Fracture Shaft of Hummers tried with the nail intramedullary expandable FIXION^®. All the fractures were traumatic humerus Shaft, the predominant sex the masculine one (6:1), with an age 34.7 year-old average (range between 19 and 48 years). Of them, two with third fragment in butterfly wing but of 50%, three of short oblique line and two of transverse line. You don’t present any complication during the surgery and hospitalization, the insert of the nail was easy, quick and with good immediate fixation. In six of the seven cases, the following day in the post-operative one immediate you begin the rehabilitation in room with isotonic isometric exercises, to the second day pendulous movements, contraindicating those of rotation with external or internal resistance. In one of the cases, the nail in the one post operative lost the expansion for what I need handling with universal inmovilizador for shoulder contraindicating the movements and evidencing an ossification for apposition. You concludes that it is minimally a system invasivo, it requires the use of intensifier of images, it eliminates the system of blockade proximal and distal, and it doesn’t require the one rhymed of the medullary channel, reducing the surgical time and of hospitalization, with the patient’s quick and satisfactory evolution.

Keywords : You fracture humerus shaft; Nail expandable; Intramedullary nailing; minimumly invasive.