Análisis comparativo de los distintos métodos de tratamiento quirúrgico de las fracturas intraarticulares de radio distal, Hospital Dr. Teodoro Maldonado Carbo 2011-2013
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: las fracturas de radio distal son frecuentes, pero el tratamiento es conflictivo. En el hospital “Dr. Teodoro Maldonado Carbo” para el manejo quirúrgico de este tipo de lesiones se utilizan clavijas o placas, sin embargo no se han evaluado que resultados son obtenidos con cada método y cuál ha sido la mejor. Metodología: Se ha realizado un estudio observacional analítico de tipo caso control en el que se incluyeron 50 pacientes con fractura de radio distal tratados con clavijas y 50 pacientes tratados con placas que fueron manejados quirúrgicamente en esta institución. Para el análisis estadístico se emplearon la prueba de X2 y la prueba exacta de Fisher, considerando significativos valores de P < 0.05) en los casos de diferencias estadísticamente significativas se calculo el OR. Resultados: Entre los pacientes en los que se utilizó clavija no existió la necesidad de uso de injerto óseo (0% vs 14%). La altura radial fue menor a 9 en la mayoría de los pacientes con clavijas, se logro mejor altura radial con el uso de placas (78% vs 50%) (X2 8,5069 = P 0.006; OR 0.2821 IC95% 0.1183 – 0,6725). El ángulo del escalón radial fue menor o igual a 1 en la mayoría de los pacientes con clavija, en tanto con la placa el escalón se presento en menor porcentaje (90% vs 64%) (X2 correted 8,1310 = P 0.004; OR 0.1975 IC95% 0.0664 – 0,5873) Conclusiones: Se concluye que el uso de placas es el método más adecuado para el manejo de las fracturas intraarticulares de radio distal.
Background: Fractures of the distal radius are common, but treatment is controversial. In the Teodoro Maldonado Hospital, for the surgical management of these injuries pins or plates are used, however they have not been evaluated results are obtained with each method and to which was the best. Methodology: This was an observational analytic study of case type control that included 50 patients with distal radius fracture treated with 50 pins and plates treated patients who were managed surgically at this institution. For statistical analysis the X2 test and Fisher's exact test were used, considering significant at P <0.05) in cases of statistically significant differences was calculated the OR. Results: Among the patients who used pin there was no need for the use of bone graft (0% vs 14%). The radial height was less than 9 in the majority of patients with pins (78% vs 50%) (X2 = 8.5069 P 0.006, OR 0.2821 95% 0.1183 to 0.6725). The radial angle of the stair was less than or equal to 1 in most clavijo patients (90% vs 64%) (P = 8.1310 X2 correted 0.004, OR 0.1975 95% CI 0.0664 to 0.5873) Conclusions: We conclude the use of plates is the most suitable for the management of distal radius fractures intraarticular method.
Background: Fractures of the distal radius are common, but treatment is controversial. In the Teodoro Maldonado Hospital, for the surgical management of these injuries pins or plates are used, however they have not been evaluated results are obtained with each method and to which was the best. Methodology: This was an observational analytic study of case type control that included 50 patients with distal radius fracture treated with 50 pins and plates treated patients who were managed surgically at this institution. For statistical analysis the X2 test and Fisher's exact test were used, considering significant at P <0.05) in cases of statistically significant differences was calculated the OR. Results: Among the patients who used pin there was no need for the use of bone graft (0% vs 14%). The radial height was less than 9 in the majority of patients with pins (78% vs 50%) (X2 = 8.5069 P 0.006, OR 0.2821 95% 0.1183 to 0.6725). The radial angle of the stair was less than or equal to 1 in most clavijo patients (90% vs 64%) (P = 8.1310 X2 correted 0.004, OR 0.1975 95% CI 0.0664 to 0.5873) Conclusions: We conclude the use of plates is the most suitable for the management of distal radius fractures intraarticular method.
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FRACTURA DISTAL DEL RADIO, CLAVOS ORTOPEDICOS, EPIDERMIOLOGIA ANALITICA, ESTUDIO COMPARATIVO, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR, FRACTURAS ANTIARTICULARES