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A Firica

Publications and source records attributed to A Firica.

12 recordsLinked to original sources
PubMed1990

[Elastic osteosynthesis in intracapsular fracture of the femoral neck].

The authors present a method of treatment for transcervical fractures of the femoral neck using implants with mechanical characteristics--curved shape, smooth surfaces and elastic resistance to deformity--which respect the biomechanical properties of the normal bone. These implants maintain a close contact between the bony fragments during convalescence and preserve the blood supply of the bone. In this way, bone healing is encouraged and the development of ischaemic necrosis of the femoral head is prevented. Between 1983 and 1985, 126 fractures, of the femoral neck, 120 recent and 6 old, were treated by internal fixation with two short elastic nails. One hundred and seven patients were followed up; fracture healing occurred in 94 cases (87.8 per cent) and 13 developed non-union. There were no necroses of the femoral head.

Adult↗
PubMed1984

[Osteosynthesis of femoral neck fractures with 3 curved elastic nails].

The authors have treated 56 cases of fracture of the femoral neck using an original method. Three curved elastic nails were introduced into the head and neck through the greater trochanter. The results appear to be encouraging. The main advantage of the technique is minimal disturbance of the intra osseous vascular system of the head resulting in a low rate of avascular necrosis. The stability of the fixation has been studied from the biomechanical point of view. In many cases, the reduction obtained is improved immediately preceding the nailing.

Adult↗
PubMed1978

Osteosynthesis of fractures of the femur with flexible metallic intramedullary nails.

The authors discuss their use of Ender's method in the treatment of fractures of the femur. The diameter and length of the nails depends on the type of fracture. 1) Three nails of 4 mm diameter are introduced in parallel from the medial condyle in fractures of the femoral neck; 2) 5 mm nails are used, in similar fashion, for the fixation of intertrochanteric and subtrochanteric fractures; 3) 5 mm nails are used for diaphyseal, supracondylar and intercondylar fractures, introduced in crossed fashion ("Eiffel Tower" technique) from both medial and lateral condyles. This method of fixation has proved to be extremely stable. The operation itself is quick, with no blood loss or shock. The patient can resume partial weight bearing after a week in stabilised intertrochanteric and shaft fractures, after a month in less stable types, and after three to four months in fractures of the neck of the femur. This report is based on the first 250 cases treated by this method.

Adult↗