Evaluación funcional con la Escala Frykman-Lindstrom modificada de las fracturas de radio distal tratadas quirúrgicamente en el Hospital Regional del IESS Dr. Teodoro Maldonado Carbo 2006-2009
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2011
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La articulación radio cubital distal, permite orientar la mano en la posición óptima de prensión para sujetar un objeto, y de ahí su gran importancia de cómo puedan quedar limitado los movimientos de la articulación de la muñeca por un inadecuado tratamiento. Esta patología ha sido analizada en la bibliografía quirúrgica durante más de 200 años, recomendándose parámetros que aún se mantienen y muchos de los cuales también han variado. En la presente revisión se evaluara en el periodo de diciembre del 2006 hasta enero del 2009, 105 pacientes del servicio de Ortopedia y Traumatología del Hospital Regional del IESS Dr. Teodoro Maldonado Carbo, diagnosticados con fractura de radio distal y tratados mediante cirugía con: osteodesis: clavijas de Kirschner; osteosíntesis: con placa especia de tercio distal de radio; y osteotaxis con: fijadores externos, analizando su evolución del paciente con la escala funcional Frykman modificada. Este trabajo se apoya en una investigación tipo descriptivo correlacional diseño no experimental longitudinal, retrospectivo y cuyos resultados mas relevantes se resumen: Encontrándose una relación de 2 a 1 hombre: mujer, la edad en la que se presenta con mayor frecuencia es entre los 15 a 40 años, siendo los afiliados activos los más afectados con un 77,2%, el tipo de fractura extra articular fue la de mayor presentación con un 44,8%, el tratamiento más utilizado fue la osteosíntesis con placa con el cual se obtuvo una reducción anatómica efectiva y recuperación del paciente en menor tiempo, los cuales evaluados bajo escala Frykman tuvieron una funcionabilidad de la articulación de la muñeca en un 91,4%.
Distal radio ulnar joint, allowing direct hand in the best position to secure grip an object, and hence the great importance of how they may be restricted the movements of the wrist joint by inadequate treatment. This condition has been analyzed in the surgical literature for more than 200 years, recommending parameters that still remain and many of them have also changed. In this review we assess in the period December 2006 to January 2009, 105 patients in the service of Orthopedics and Traumatology IESS Regional Hospital Dr. Teodoro Maldonado Carbo, diagnosed with distal radial fracture and treated by surgery: osteodesis : Kirschner pins, fixation: special plate for distal radio, and osteotaxis with: external fixators, analyzing the evolution of patients with Frykman modified functional scale. This work was supported by a descriptive correlational research design nonexperimental longitudinal, retrospective and most relevant results are summarized: Finding a ratio of 2 to 1 male to female, the age at which most frequently occurs is between 15 40 years, being active members most affected with 77.2%, the extra-articular fracture type was more affected with 44.8%, the most common treatment was the fixation with plate which was obtained effective anatomical reduction and recovery of the patient in less time, which were evaluated under a scale Frykman functionality of the wrist joint in 91.4%.
Distal radio ulnar joint, allowing direct hand in the best position to secure grip an object, and hence the great importance of how they may be restricted the movements of the wrist joint by inadequate treatment. This condition has been analyzed in the surgical literature for more than 200 years, recommending parameters that still remain and many of them have also changed. In this review we assess in the period December 2006 to January 2009, 105 patients in the service of Orthopedics and Traumatology IESS Regional Hospital Dr. Teodoro Maldonado Carbo, diagnosed with distal radial fracture and treated by surgery: osteodesis : Kirschner pins, fixation: special plate for distal radio, and osteotaxis with: external fixators, analyzing the evolution of patients with Frykman modified functional scale. This work was supported by a descriptive correlational research design nonexperimental longitudinal, retrospective and most relevant results are summarized: Finding a ratio of 2 to 1 male to female, the age at which most frequently occurs is between 15 40 years, being active members most affected with 77.2%, the extra-articular fracture type was more affected with 44.8%, the most common treatment was the fixation with plate which was obtained effective anatomical reduction and recovery of the patient in less time, which were evaluated under a scale Frykman functionality of the wrist joint in 91.4%.
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Fractura distal del radio, Escala de Frykman-Lindstrom, Evaluación funcional, Epidemiología descriptiva, Estudios retrospectivos, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador