000			02457na a2200253 4500
003			H12O
005			20180417112754.0
008			130622s2011 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_9878 _aPretell Mazzini, Juan _eCirugía Ortopédica y Traumatología
100			_91825 _aResines Erasun, Carlos _eCirugía Ortopédica y Traumatología
100			_aZafra Jiménez, José Alberto _91889 _eCirugía Ortopédica y Traumatología
245	0	0	_aDistal Tibial Fracture Below a Total Knee Arthroplasty: Retrograde Intramedullary Nailing as an Alternative Method of Treatment: A Case Report _h[artículo]
260			_bJournal of Orthopaedic Trauma, _c2011
300			_a25(7):e74-e76.
500			_aFormato Vancouver: Zafra-Jiménez JA, Pretell-Mazzini J, Resines-Erasun C. Distal tibial fracture below a total knee arthroplasty: retrograde intramedullary nailing as an alternative method of treatment: a case report. J Orthop Trauma. 2011;25(7):e74-6.
501			_aPMID: 21577155
504			_aContiene 15 referencias
520			_aAn 85-year-old woman with a history of insulin-dependent diabetes mellitus, hypertension, and chronic venous insufficiency with underlying venous stasis who sustained a fall in her house presented to the emergency room with a displaced distal diaphyseal tibial fracture and a stable total knee arthroplasty. At her third day of admission, an intramedullary nail was inserted in a retrograde fashion through the calcaneus and talus into her tibial shaft to stabilize the fracture; there were no postoperative complications. Three years after surgery, the patient remains pain-free, the fracture had united, and her functional status is the same as it was before the fracture. There are different options for solving these types of fractures. Nonoperative, external fixation, conventional or locking plates and antegrade and retrograde intramedullary nailing could be used; however, they should be weighed against the particular issues of the patient involved. We think that a retrograde nailing technique through the calcaneotalotibial axis could be an alternative method for these types of fractures in a fragile patient with important comorbidities with few complications and good functional outcome.
710			_9371 _aServicio de Cirugía Ortopédica y Traumatología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/8/pc8934.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c8934 _d8934