
CLAVOS INTRAMEDULARES
Authored by ALEXANDRA LEON BLANCO
Science
University
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10 questions
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1.
MULTIPLE CHOICE QUESTION
45 sec • 1 pt
IM nails are used for the following type of fracture:
A fracture involving the joint
An intracapsular hip fracture
A diaphyseal long bone fracture
2.
MULTIPLE CHOICE QUESTION
45 sec • 1 pt
IM nails require the following type of fracture reduction:
Restoration of length, alignment and rotation
Restauration through anatomical reduction
Restoration through absolute stability
3.
MULTIPLE CHOICE QUESTION
45 sec • 1 pt
What is the purpose of the olive tip on the guide wire?
To allow easy passage of the guide wire into the canal
To prevent over reaming of the canal
To prevent the reamer advancing to far
4.
OPEN ENDED QUESTION
2 mins • 1 pt
Mencione algunas ventajas del rimado intramedular:
Evaluate responses using AI:
OFF
Answer explanation
Increased perfusion and oxygenation in the adjacent
soft tissues
• Reaming debris has osteogenic and osteoinductive
properties
• Local “autografting” of bone debris into the fracture
site stimulates osteogenesis
• Systemic liberation of growth factors
• Allowing the insertion of larger (mechanically more
stable) diameter nail
5.
OPEN ENDED QUESTION
2 mins • 1 pt
Mencione indicaciones del bloqueo estático de un clavo:
Evaluate responses using AI:
OFF
Answer explanation
Static interlocking is used in severe fractures with rotational and/or longitudinal instability. It reduces compression or collapse in the fracture zone. Normally two or more bolts, depending on the type of fracture are inserted proximally and distally.
6.
OPEN ENDED QUESTION
2 mins • 1 pt
Mencione indicaciones y función del uso de bloqueo dinámico en un clavo:
Evaluate responses using AI:
OFF
Answer explanation
In simple shaft fractures dynamic interlocking is used. It increases compression in the fracture zone, controls rotational instability and encourages callus formation. One bolt only is used proximally and one distally in longitudinal elliptical slots.Weight bearing will allow the proximal bolt to move in the oval nail slot and encourages interfragmentary compression.Callus is formed.
7.
OPEN ENDED QUESTION
3 mins • 1 pt
Rimar ó no rimar?
Describa las características de rimar y no rimar un clavo:
Evaluate responses using AI:
OFF
Answer explanation
Reaming • Allows insertion of larger diameter nail • High union rates • Shorter healing process • Shorter procedure • Less damage to blood supply - • Endosteal blood supply is damaged • High pressure within IM cana
Nonreaming
Shorter procedure • Less damage to blood supply
Lower union rates • Longer healing process • More implant failures
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