Fracturas diafisarias de tibia
Resumen
El presente es un estudio retrospectivo en el cual se analizaron los resultados del manejo quirúrgico con diferentes métodos de osteosintesis versus el tratamiento conservador, de las fracturas diafisarias de la tibia. Se revisaron 222 pacientes que fueron tratados en un período de 4 años en el Servicio de Ortopedia y Traumatología del Hospital Carlos Andrade Marín de Quito, Ecuador; de los cuales 167 pacientes fueron intervenidos quirúrgicamente y 35 pacientes recibieron tratamiento incruento con bota alta de yeso. Los resultados fueron evaluados de acuerdo al tipo de fracturas, trazo fracturarlo, grado de desplazamiento inicial, grado de conminución, magnitud del daño de partes blandas, sin tomar en cuenta aquellas fracturas expuestas G II y o III. En el grupo que recibió tratamiento quirúrgico, 167 pacientes, en 26 (13%), se utilizó como método de osteosintesis clavo endomedular tipo Lottes, 54 clavos AO (24%), 23 clavos Groose Kenpf (12%), 59 placas la más utilizada DCP, 18 tornillos interfragmentarios (9%), 7 tutores externos (3%) que se colocaron en aquellas fracturasDescargas
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1. Chapman H, MacDonald E, Smythe P: Functíonal bracing of tibial shaft fractures, Nurse Times 1996; 92 (23): 34-35.
2. Weise K, Winter E: Role of intramedullary nailing in pseudoarthrosis and malalignment Onhopade 1995; 25 (3): 247-258.
3. Ruchholtz S, Nast-Kotf D, Schweiberer L: Intramedullary nailing of lower leg fractures with minimal soft tissue injuries Orthopade 1996; 25 (3): 197-206.
4. Ritter MA, Carr K, Keating EM, Farris PM, Meding JB: Tibial shaft fracture following tibial tubercle osteotomy. J Arthoplsdty 1996; 11 (1): 117-119.
5. Chiu FY, Lo MH, Chan CM, Chen TH, Huang CK: Unstable closed tibial fractures: a prospective evaluation of surgical treatment. J Trauma 1996; 40 (6): 987-991.
6. Hass N, Schutz M, Sudkamp N, Hoñmann R: The new unreamed AO nails for the tibia and the fémur Acta Orthop Belg 1996; 61 suppl 1: 204-206.
7. Kelley SS, Morrison JA, Templeman DC: Techniques for the removal of broken small-diameter tibial nails: a report of two cases. J Trauma 1996; 9 (6): 523-525.
8. Williams J, Gibbons M, Trundle H, Murray D, Worlock P: Complications of nailing in closed tibial fractures. J Ortop Trauma. 1995; 9(5): 476-481.
9. Shaw DL, Lawton JO: Extemal fixation for tibial fractures: clinical results and cost effectivess. J.R. Coll Surg-Edinb 1995; 40 (5): 344- 346.
10. Moehring HD, Voigtlander JP: Compartment pressure monitoring during intramedullary fixation of tibial fractures Orthopedics 1995; 18 (7): 631-635; discusión 635-636.
ll.Schandelm ainer P, Krettek C, Rudolf J, Tscheme H: Outcome of tibial shaft fractures with severe soil tissue injury treated by unreamed nailing versus extemal fixation J Trauma 1995; 39 (4): 707-711.
12. Schnarkowski P, Redi J, Peterfy CG, Weidenmaier W, Mutschler W, Arand M, Reiser MF: Tibial shaft fractures: assessment of fracture healing with computed tomography J Comput-Assist- Tomogr 1995; 19 (5): 777-781.
13. Ruchholtz S, Nast-Kolb D, Betz A, Schweiber L: Fractures healdingg afrier intramedullary nailing of simple tibial shaft fractures. A clinical comparison of readmed and unreamed procedures. Unfallchirurg 1995; 98 (7): 369-375.
14. Mjober B, Karlstrom G, Larsson S: Treatment of classed tibial shaft fractures with unilateral extemal fixation Injury 1995; 26 (5): 299-303.
15.Kyro A, Lamppu M, Bostman O: Intramedullary nailing of tibial shaft fractures Ann Chir Gynaecol 1996; 84(1): 51-61.
16. Lang GJ, Cohén PE, Bosse MJ, Kellman JF: Proximal third tibial shaft fractures, should they be nailed? Clin Orthop 1996; 315: 64-74.
17. Wiss DA, Stets WB: Unstable fractures of the tibia treated with a reamed intramedullary interlocking noil. Lin. Orthop 1996; 315: 56.
2. Weise K, Winter E: Role of intramedullary nailing in pseudoarthrosis and malalignment Onhopade 1995; 25 (3): 247-258.
3. Ruchholtz S, Nast-Kotf D, Schweiberer L: Intramedullary nailing of lower leg fractures with minimal soft tissue injuries Orthopade 1996; 25 (3): 197-206.
4. Ritter MA, Carr K, Keating EM, Farris PM, Meding JB: Tibial shaft fracture following tibial tubercle osteotomy. J Arthoplsdty 1996; 11 (1): 117-119.
5. Chiu FY, Lo MH, Chan CM, Chen TH, Huang CK: Unstable closed tibial fractures: a prospective evaluation of surgical treatment. J Trauma 1996; 40 (6): 987-991.
6. Hass N, Schutz M, Sudkamp N, Hoñmann R: The new unreamed AO nails for the tibia and the fémur Acta Orthop Belg 1996; 61 suppl 1: 204-206.
7. Kelley SS, Morrison JA, Templeman DC: Techniques for the removal of broken small-diameter tibial nails: a report of two cases. J Trauma 1996; 9 (6): 523-525.
8. Williams J, Gibbons M, Trundle H, Murray D, Worlock P: Complications of nailing in closed tibial fractures. J Ortop Trauma. 1995; 9(5): 476-481.
9. Shaw DL, Lawton JO: Extemal fixation for tibial fractures: clinical results and cost effectivess. J.R. Coll Surg-Edinb 1995; 40 (5): 344- 346.
10. Moehring HD, Voigtlander JP: Compartment pressure monitoring during intramedullary fixation of tibial fractures Orthopedics 1995; 18 (7): 631-635; discusión 635-636.
ll.Schandelm ainer P, Krettek C, Rudolf J, Tscheme H: Outcome of tibial shaft fractures with severe soil tissue injury treated by unreamed nailing versus extemal fixation J Trauma 1995; 39 (4): 707-711.
12. Schnarkowski P, Redi J, Peterfy CG, Weidenmaier W, Mutschler W, Arand M, Reiser MF: Tibial shaft fractures: assessment of fracture healing with computed tomography J Comput-Assist- Tomogr 1995; 19 (5): 777-781.
13. Ruchholtz S, Nast-Kolb D, Betz A, Schweiber L: Fractures healdingg afrier intramedullary nailing of simple tibial shaft fractures. A clinical comparison of readmed and unreamed procedures. Unfallchirurg 1995; 98 (7): 369-375.
14. Mjober B, Karlstrom G, Larsson S: Treatment of classed tibial shaft fractures with unilateral extemal fixation Injury 1995; 26 (5): 299-303.
15.Kyro A, Lamppu M, Bostman O: Intramedullary nailing of tibial shaft fractures Ann Chir Gynaecol 1996; 84(1): 51-61.
16. Lang GJ, Cohén PE, Bosse MJ, Kellman JF: Proximal third tibial shaft fractures, should they be nailed? Clin Orthop 1996; 315: 64-74.
17. Wiss DA, Stets WB: Unstable fractures of the tibia treated with a reamed intramedullary interlocking noil. Lin. Orthop 1996; 315: 56.
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Publicado
2017-06-09
Cómo citar
1.
Paucar W, López P, Soria J. Fracturas diafisarias de tibia. Rev Fac Cien Med (Quito) [Internet]. 9 de junio de 2017 [citado 19 de diciembre de 2024];24(1):14-6. Disponible en: https://revistadigital.uce.edu.ec/index.php/CIENCIAS_MEDICAS/article/view/868
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