{"id":7401,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/osteosintesis-con-clavo-gamma-en-las-fracturas-proximales-de-femur\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"osteosintesis-con-clavo-gamma-en-las-fracturas-proximales-de-femur","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/osteosintesis-con-clavo-gamma-en-las-fracturas-proximales-de-femur\/","title":{"rendered":"Osteosintesis con clavo gamma en las fracturas proximales de femur"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Antonio Pi\u00f1ero Galvez <\/strong><\/h2>\n<p>Las fracturas proximales de femur constituyen el 32% del total de las fracturas del esqueleto y de ellas un 68% afectan al macizo trocantereo. Inciden sobre una masa de poblacion de elevada edad y con una patolog\u00eda previa asociada, por lo cual a la problematica medico-social de estos pacientes es preciso a\u00f1adir el problema tecnico que su tratamiento plantea. Material.- El presente trabajo recoge una serie de 222 casos de fracturas trocantereas tratadas en el h.R.T. De sevilla por el autor y que cumplen unos criterios de inclusion previamente establecidos. Tratadas con clavo gamma de 20 cm. Con angulos de 125 a 135 grados, diametros de 12,14,16 mm, tornillo cervical de 90 a 110 mm y doble atornillado distal, con o sin tornillo bloqueante proximal. Metodo.- en todos los casos se siguieron los mismos pasos previos de colocacion del paciente en la masa operatoria reduccion de la fractura con control t.V. Y la tecnica operatoria fue siempre la misma. En todo los casos se practico profilaxis antibiotica con ceftazidima 1gr. Cada 12h. Y antitrombotica, h.B.P.M. Hasta la deambulacion.  tras el control radiologico postoperatorio fue permitida la movilidad progresiva y la carga inmediata.  resultados.- Se obtuvieron resultados clasificados como excelentes en 159 casos, buenos 43 casos, regulares 11 casos y malos 9. Resultados equiparables a los obtenidos por otros autores que aplicaron las misma tecnica y superiores a los obtenidos con otras tecnicas.  conclusiones.- Se trata de un sistema de osteosintesis de tecnica facil y exacta y que permite por su solidez la movilidad inmediata y la carga precoz. Los resultados de nuestra serie lo confirman como un metodo de eleccion para este tipo de fracturas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Osteosintesis con clavo gamma en las fracturas proximales de femur<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Osteosintesis con clavo gamma en las fracturas proximales de femur <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Antonio Pi\u00f1ero Galvez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Andr\u00e9s Carranza Bencano<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Alvaro Garcia Perla <\/li>\n<li>Jos\u00e9 Sueiro Fernandez (vocal)<\/li>\n<li>Francisco Aguilar Cortes (vocal)<\/li>\n<li>Pedro Carpintero Benitez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Antonio Pi\u00f1ero Galvez Las fracturas proximales de femur constituyen el 32% del total de las fracturas del [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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