Evolución de la osteosíntesis de los huesos largos: fijación por enclavado intramedular con clavos rígidos

Alfredo Ceballos Mesa, Horacio Tabares Neyra, Octavio Álvarez Benito, Julio Rivero Hernández, Tamara Loredo Quesada

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Resumen

Se presenta la evolución histórica y científica de la osteosíntesis de huesos largos realizada con clavos rígidos. Mediante una revisión bibliográfica retrospectiva en revistas de Traumatología nacionales y extranjeras, así como libros relevantes de esta especialidad, se pudieron establecer tres momentos claves en la osteosíntesis intramedular con clavos rígidos y caracterizar las diferentes generaciones que aportaron a este procedimiento en la historia de la Ortopedia y la Traumatología. Destacan las innovaciones tecnológicas incorporadas a la práctica quirúrgica y el desarrollo de biomateriales para mejorar la reparación de lesiones e incorporar al paciente a su vida cotidiana. El trabajo demuestra cómo ha avanzado la técnica quirúrgica de fijación intramedular y la consolidación ósea; y gracias a ello los problemas de las fracturas han quedado prácticamente solucionados.

Palabras clave

clavos rígidos; Gerhard Küntscher; osteosíntesis intramedular; callo óseo; cerrojo.

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