Tratamiento de fracturas de húmero Gartland II en pacientes pediátricos Hospital Dr. Gustavo Domínguez período 2015-2020
Fecha
2021
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Introducción: Las fracturas supracondíleas en pediatría suelen ser muy frecuentes y, de acuerdo a la clasificación de Gartland se puede establecer la gravedad de la lesión y sugerir el tratamiento a administrar. El buen manejo puede evitar complicaciones y proporcionar mejor funcionalidad.
Objetivo: Establecer la eficacia del manejo quirúrgico de las fracturas supracondíleas Gartland tipo II en pacientes menores de 15 años en el Hospital Dr. Gustavo Domínguez Zambrano de Santo Domingo en el período enero 2015 a diciembre 2020.
Metodología: Estudio de diseño no experimental, descriptivo, retrospectivo, y analítico, realizado en el Hospital Dr. Gustavo Domínguez de Santo Domingo, con 58 pacientes atendidos en el período 2015-2020. Las variables cualitativas se analizaron con frecuencias absolutas y relativas, las cuantitativas con medidas de dispersión, la correlación con Chi2 y la asociación significativa si el valorde p era < 0,05 con IC95%, se usó el programa SPSS V24.
Resultados: La media de edad de los pacientes fue 6.78, predominio de sexo masculino, causa más frecuente caída desde su propia altura,mecanismo de lesión la extensión del codo. El tratamiento más usado fue quirúrgico, las complicaciones fueron escasas. La clasificación Flynn fue de predominio excelente, evidenciado relación estadísticamente significativa entre tratamiento quirúrgico y resultados excelentes y satisfactorios, estos resultados excelentes se relacionaron estadísticamente con la ausencia de complicaciones.
Conclusiones: Con el tratamiento quirúrgico se obtienen resultados funcionales, estéticos y satisfactorios, contribuyendo a reducir las complicaciones a diferencia del tratamiento incruento.
Introduction: Supracondylar fractures in pediatrics are usually very common and, according to the Gartland classification, the severity of the injury can be established and the treatment to be administered can be suggested. Good handling can avoid complications and provide better functionality. Objective: To establish the effectiveness of the surgical management of Gartland type II supracondylar fractures in patients under 15 years of age at the Dr. Gustavo Domínguez Zambrano Hospital of Santo Domingo in the period January 2015 to December 2020. Methodology: Non-experimental, descriptive, retrospective, and analytical design study, carried out at the Dr. Gustavo Domínguez Hospital in Santo Domingo, with 58 patients treated in the period 2015-2020. The qualitative variables were analyzed with absolute and relative frequencies, the quantitative variables with dispersion measures, the correlation with Chi2 and the significant association if the p value was < 0.05 with 95% CI, the SPSS V24 program was used. Results: The mean age of the patients was 6.78, male predominance, most frequent cause of falling from their own height, injury mechanism was elbow extension. The most used treatment was surgical, complications were few. The Flynn classification was predominantly excellent, showing a statistically significant relationship between surgical treatment and excellent and satisfactory results. These excellent results were statistically related to the absence of complications. Conclusions: With surgical treatment, functional, aesthetic and satisfactory results are obtained, contributing to reducing complications unlike bloodless treatment.
Introduction: Supracondylar fractures in pediatrics are usually very common and, according to the Gartland classification, the severity of the injury can be established and the treatment to be administered can be suggested. Good handling can avoid complications and provide better functionality. Objective: To establish the effectiveness of the surgical management of Gartland type II supracondylar fractures in patients under 15 years of age at the Dr. Gustavo Domínguez Zambrano Hospital of Santo Domingo in the period January 2015 to December 2020. Methodology: Non-experimental, descriptive, retrospective, and analytical design study, carried out at the Dr. Gustavo Domínguez Hospital in Santo Domingo, with 58 patients treated in the period 2015-2020. The qualitative variables were analyzed with absolute and relative frequencies, the quantitative variables with dispersion measures, the correlation with Chi2 and the significant association if the p value was < 0.05 with 95% CI, the SPSS V24 program was used. Results: The mean age of the patients was 6.78, male predominance, most frequent cause of falling from their own height, injury mechanism was elbow extension. The most used treatment was surgical, complications were few. The Flynn classification was predominantly excellent, showing a statistically significant relationship between surgical treatment and excellent and satisfactory results. These excellent results were statistically related to the absence of complications. Conclusions: With surgical treatment, functional, aesthetic and satisfactory results are obtained, contributing to reducing complications unlike bloodless treatment.
Descripción
PDF
Palabras clave
FRACTURAS HUMERALES DISTALES, PEDIATRIA, RESULTADO DEL TRATAMIENTO, CLASIFICACION GARTLAND TIPO II, EPIDEMIOLOGIA DESCRIPTIVA, EPIDEMIOLOGIA ANALITICA, ESTUDIOS RETROSPECTIVOS, HOSPITAL GENERAL DR. GUSTAVO DOMÍNGUEZ ZAMBRANO, CANTON SANTO DOMINGO DE LOS TSACHILAS, ECUADOR