[Unusual indications for fasciculated nailing in closed foci. (Ender's technic)].
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Biomedical subjects
Publications and source records attributed to S Babin.
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Thirteen metastatic fractures and metastasis of upper extremity of the femur have been treated by Enders' blind nailing in the Orthopaedic Surgery Department of Strasbourg University Hospital. Either very bad general status or major bone destructions made any other surgical care impossible. The author's purpose of relieving of pain and easy nursing was always obtained and some patients were able to walk after radiotherapy.
The authors report 26 cases of open bimalleolar fractures and discuss the various possibilities of treatment. Immediate internal fixation is indicated for types I or II of openings, being the best prevention of sepsis. These osteosynthesis should be the same as for closed fractures: screwing with or without associated AO plate and repair of peroneotibial ligaments.
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