Aplicación de la fila simple de anclas en la reparación artroscópica del manguito rotador en el Hospital Luis Vernaza y una guía de manejo
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Los pacientes con ruptura del manguito rotador son atendidos en el servicio de
Traumatología y Ortopedia del Hospital Luis Vernaza, la mayor parte de ellos son
quirúrgicos. Es una patología laboral incapacitante, que su difícil cirugía y su larga
recuperación que a veces deja secuelas como la limitación funcional, ponen a esta
patología en la cabeza de las lesiones del hombro. En la actualidad, la artroscopía de
hombro incluyendo la reparación del manguito rotador con ancles en fila simple, la
bursectomía, la sinovectomía y la acromioplastía; es menos agresiva que la cirugía abierta
y con excelentes resultados. Nuestro estudio es descriptivo longitudinal que se realizó en el
servicio de Traumatología y Ortopedia del hospital Luis Vernaza desde junio del 2012 a
junio del 2015. Se consideró la edad del paciente, el tipo de la lesión y el tiempo de
evolución de la misma, con criterios de inclusión y exclusión. Son 53 casos con datos
recopilados de la base de datos del servicio mencionado, procedentes de la consulta externa
en mayor parte y de la emergencia del mismo hospital. Los pacientes han sido observados
individualmente 4 meses cada uno. Para evaluar y cuantificar los resultados del tratamiento
se utilizó la escala de UCLA, en el prequirúrgico y en el postquirúrgico al momento del
alta médica
Patients with rotator cuff tear are seen in the Traumatology and Orthopedics service of the Luis Vernaza Hospital, that most of them are surgical. It´s a disabling occupational disease that it´s difficult surgery and it´s long recovery that sometimes leaves sequela such as functional limitation, put this disease on the head of shoulder injuries. Actually, the shoulder arthroscopy including rotator cuff repair with a single row anchors, bursectomy, synovectomy and acromioplasty; is less invasive than open surgery with excellent results. Our study is longitudinal descriptive, it was conducted in the Traumatology and Orthopedics service of Luis Vernaza Hospital since June 2012 til June 2015. There are 53 cases with data collected from the database of the service, most of them are from the external consultation and some little are from the emergency. We have considered the age, type of lesion and it´s time of evolution with inclusion and exclusion criteria. These patients have been observed individually for 4 months each one. To evaluate and cuantify treatment outcom UCLA scale was used in the preoperative and the postoperative at the medical discharge moment.
Patients with rotator cuff tear are seen in the Traumatology and Orthopedics service of the Luis Vernaza Hospital, that most of them are surgical. It´s a disabling occupational disease that it´s difficult surgery and it´s long recovery that sometimes leaves sequela such as functional limitation, put this disease on the head of shoulder injuries. Actually, the shoulder arthroscopy including rotator cuff repair with a single row anchors, bursectomy, synovectomy and acromioplasty; is less invasive than open surgery with excellent results. Our study is longitudinal descriptive, it was conducted in the Traumatology and Orthopedics service of Luis Vernaza Hospital since June 2012 til June 2015. There are 53 cases with data collected from the database of the service, most of them are from the external consultation and some little are from the emergency. We have considered the age, type of lesion and it´s time of evolution with inclusion and exclusion criteria. These patients have been observed individually for 4 months each one. To evaluate and cuantify treatment outcom UCLA scale was used in the preoperative and the postoperative at the medical discharge moment.
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Manguito rotador, Artroscopía de hombro, Anclas en fila simple, Epidemiología simple, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador