Valoración funcional de las fracturas de radio distal con osteosíntesis con placa palmar en el Hospital Regional No. 2 Dr. Teodoro Maldonado Carbo 2011-2012 y una guía de manejo
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Las fracturas del radio distal son las mas comunes en el ámbito laboral, de tal forma que las lesiones de esa zona, y más si son crónicas, se traducen en una costosa y grave situación, tanto para entidades públicas como para quien las padecen. En pacientes jóvenes se presentan por mecanismos de alta energía, son de mayor complejidad y con frecuencia asociadas a otras lesiones, el riesgo de sufrir una fractura del radio distal a lo largo de vida es de 2% en los hombres y de 15% en las mujeres mayores de 50 años con relación a la osteoporosis y la causa más frecuente es la caída del plano de sustentación. Hay varios tratamientos, que incluyen técnicas de fijación interna y externa, que han demostrado restaurar y mantener la posición radiográfica hasta que se produce la consolidación de la fractura.. Se determinará la incidencia de fractura de radio distal, factores de riesgo, complicaciones y se valorará la evolución postoperatoria con los resultados funcionales del tratamiento quirúrgico con placa volar. El presente trabajo es observacional, longitudinal y descriptivo, que incluye a 80 pacientes con fracturas de radio distal, en el Hospital IESS Teodoro Maldonado Carbo captados desde el mes de marzo del 2011 a el 28 de febrero del 2012. La evaluación funcional se realizó con las escalas MEPS y la de Gartland-Werley
Fractures of the distal radius are the most common in the workplace, so that lesions of this area, especially if they are chronic, result in a costly and burden some situation for both public centities and for those who suffer from them. In young patients are presented mechanisms of high energy, are more complex and often associated with other injuries, the risk of a fracture of the distal radius along life is 2% in men and 15% in women over 50 years in relation to osteoporosis and the most frequent cause is the fall of the wing. There are several treatments, including techniques of internal and external fixation, which have provent ore store and maintain the exposure position until union of the fracture. The incidence of distal radius fracture, risk factors, complications and postoperative outcome determined was assessed with the functional results of surgical treatment with volar plate. This study is observational, longitudinal, descriptive, including 80 patients with distal radial fractures in Teodoro Maldonado Carbo Hospital IESS captured from march 2011 on february 28, 2012. Functional assessment was performed with the MEPS and Gartland-Werley scales.
Fractures of the distal radius are the most common in the workplace, so that lesions of this area, especially if they are chronic, result in a costly and burden some situation for both public centities and for those who suffer from them. In young patients are presented mechanisms of high energy, are more complex and often associated with other injuries, the risk of a fracture of the distal radius along life is 2% in men and 15% in women over 50 years in relation to osteoporosis and the most frequent cause is the fall of the wing. There are several treatments, including techniques of internal and external fixation, which have provent ore store and maintain the exposure position until union of the fracture. The incidence of distal radius fracture, risk factors, complications and postoperative outcome determined was assessed with the functional results of surgical treatment with volar plate. This study is observational, longitudinal, descriptive, including 80 patients with distal radial fractures in Teodoro Maldonado Carbo Hospital IESS captured from march 2011 on february 28, 2012. Functional assessment was performed with the MEPS and Gartland-Werley scales.
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Fracturas del radio, Fijación interna de fracturas, Placa palmar, Epidemiología descriptiva, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Manuales de salud