Tutor intramedular
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TUTOR INTRAMEDULAR
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METODO DE FIJACION INTERNAMODERNO Y ELEGANTE, QUE CONSISTE EN LA INTRODUCCION DEUN DISPOSITIVO RIGIDOEN LA CAVIDAD OSEA.
ENCLAVADO INTRAMEDULARBLOQUEADO
RESPETA LA BIOLOGIA
ESTABLE
AMPLIA GAMA DE FRACTURAS
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TRAZOS MAS COMPLEJOS
FRACTURAS A VARIOS NIVELES
POLITRAUMATIZADOS
EVOLUCION DE LAS LESIONES
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G. KÜNTSCHER 1940
ENCLAVADO INTRAMEDULAR
COMPRESION ELASTICA
TRANSVERSAL
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FERULA INTERNA SIMPLE
FRACTURAS A NIVEL DEL ISTMO
TRAZO TRANSVERAL
TRAZO OBLICUO CORTO.
A.O. 32 A 2 A3
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EVOLUCIONCLAVOS
BLOQUEADOS
KLEMM-SCHELLMANN 1968
GROSS-KEMPF 1974
COLCHERO 1976
RUSSELL-TAYLOR 1984
UNIVERSAL 1986
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CLAVOS NO FRESADOS
• RUSH• ENDER• GROSS-KEMPF
(SMOLL)• RUSSELL TAYLOR
(DELTA)• AO/ASIF (UN)• TARGON• ORTHOFIX
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EVOLUCION CLAVOS NO FRESADOS
U.T.N.
U.F.N.
U.H.N.
P.F.N.
D.F.N.
C.F.N.
C.T.N.
T.E.N.
DECADA DE LOS 90’s
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FRESADO MEDULAR
• BIOMECANICAS
• MAYOR ESTABILIDAD
• INJERTO OSEO
• TRATAMIENTO INMEDIATO DISMINUYE SIRPA EN POLITRAUMA
• INCREMENTA PRESIÓN INTRAMEDULAR
• NECROSIS ÓSEA
• EMBOLISMO GRASO
• COFACTOR TROMBOXANO
• COMPLICACIONES PULMONARES
VENTAJAS DESVENTAJAS
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FRESADO MEDULARVENTAJAS DESVENTAJAS
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NO FRESADO
• MENOR TIEMPO QX
• MENOR SANGRADO
• PACIENTE POLIFX CON COMPROMISO PULMONAR
• OSTEOSÍNTESIS BIOLÓGICA
• FALLAS DEL IMPLANTE
• MENOR ESTABILIDAD MECÁNICA
• RETARDO EN LA CONSOLIDACIÓN
VENTAJAS DESVENTAJAS
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NO FRESADOVENTAJAS DESVENTAJAS
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SOLICITACIONES DE LOS CLAVOS I.M.
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P.B.M. DEL CLAVO I.M.PROTECCION.
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P.B.M. DEL CLAVO I.M.SOSTEN
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TUTOR I.M.
• DINAMIZACION (?)
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IMPLICACIONES DEL FRESADO
CHOQUE.
EMBOLIA GRASA.
S.D.R.A.
KUNER 1976
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TEORIA DE LOS EFECTOS TOXICOS, DE LA OCLUSION Y TROMBOXANO
ALTERACIONES PULMONARES
BRONCOCONSTRICCION
HIPERTENSION PULMONAR
AGREACIONPLAQUETARIA
S. I. R. P. A.
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ENCLAVADO INTRAMEDULAREN FRACTURAS DIAFISARIAS
ACTUALMENTE ES EL METODO DE ELECCION EN EL TRATAMIENTO DE LAS FRACTURAS DE:
FEMURTIBIA
CADA VEZ MAS ACEPTADO EN:
HUMERO.
CONTROVERSIAL EN:
ANTEBRAZO.
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FRACTURAS DIAFISARIAS DEFEMUR
TRATAMIENTO DE PRIMERA ELECCION
ENCLAVADO ENDOMEDULAR
33 C1 POS.OP 3 MESES 6 MESES
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FRACTURAS DIAFISARIAS DEFEMUR
TRATAMIENTO DE PRIMERA ELECCION
ENCLAVADO ENDOMEDULAR
33 C1 POS.OP 3 MESES 6 MESES
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GRACIAS
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FRACTURAS DIAFISARIAS DEFEMUR
UNIVERSAL
CRM MASC. 35 Años PO
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FRACTURAS DIAFISARIAS DE FÉMUR
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RUSSELL-TAYLOR
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DFN
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UNIVERSAL
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TRATAMIENTO CON ENCLAVADO INTRAMEDULAR
FRACTURAS DIAFISARIAS DETIBIA
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CLAVO UTN
.
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FRACTURAS DIAFISARIAS DE TIBIA
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FRACTURAS DIAFISARIASDE TIBIA
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FRACTURAS DIAIFISARIASDE TIBIA
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FRACTURAS DIAFISARIAS DETIBIA
RT DELTA
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RUSSELL-TAYLOR
FRACTURAS DIAFISARIAS DE DE LA TIBIA
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FRACTURAS DIAFISARIAS DE DE LA TIBIA
ORTHOFIX
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TARGON
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FRACTURAS DIAFISARIAS DEHUMERO
TRATAMIENTO CON ENCLAVADO INTRAMEDULAR RETROGRADO
12- B2 POS. OP. CONSOLIDACION
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FRACTURAS DIAFISARIAS DEHUMERO
TRATAMIENTO CON ENCLAVADO INTRAMEDULAR RETROGRADO
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FRACTURAS DIAFISARIAS DEANTEBRAZO
TRATAMIENTO CON ENCLAVADO INTRAMEDULAR
CONTROVERSIALCLAVOS FLEXIBLES
TRUEFLEX
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COMPLICACIONES
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