RESUMEN
INTRODUCTION: Scaphoid is the most fractured carpal bone, with a 5-10% nonunion rate. Treatment challenges include choosing the implant and graft that best corrects humpback deformity and carpal malalignment with higher chances of bony healing. OBJECTIVE: Compare cortico-cancellous and cancellous grafts between two groups of patients treating scaphoid nonunion with locking plates using autologous bone graft and evaluate bone healing rates and radiographic, tomographic, and functional parameters before and after surgery. METHODS: Non-randomized prospective study including 20 cases of scaphoid nonunion. Groups were divided into Group A (ten patients treated with cortico-cancellous iliac graft) and Group B (ten patients treated with cancellous iliac graft). Patients underwent pre- and postoperative radiographs, computed tomography, and functional evaluation. RESULTS: In postoperative analysis, Group A showed a statistically significant difference in intrascaphoid angle (p = 0.002) and scapholunate angle (p = 0.011) correction when comparing the pre- and postoperative periods. Group B showed a statistically significant difference in intrascaphoid angle (p = 0.002) and scapholunate angle correction (p = 0.0018), grip strength (p = 0.002), and tip pinch strength (p = 0.001) when comparing the pre- and postoperative periods. By comparing both groups, Group B showed a statistically significant difference in intrascaphoid angle correction (p = 0.002), grip strength (p = 0.002), tip pinch strength (p = 0.002), and radial deviation (p = 0.0003). There was no statistical difference when comparing bony healing between groups. CONCLUSION: Scaphoid nonunion treatment with a locking plate was effective, showing a high bony healing rate and improved carpal alignment in imaging tests for both graft types. However, results for intrascaphoid angle correction, grip strength, tip pinch strength, and radial deviation were better in Group B. LEVEL OF EVIDENCE: IV, case series.
Asunto(s)
Fracturas no Consolidadas , Seudoartrosis , Hueso Escafoides , Humanos , Seudoartrosis/etiología , Fracturas no Consolidadas/diagnóstico por imagen , Fracturas no Consolidadas/cirugía , Fracturas no Consolidadas/etiología , Estudios Prospectivos , Estudios Retrospectivos , Hueso Escafoides/cirugía , Fijación Interna de Fracturas/métodos , Trasplante Óseo/métodosRESUMEN
OBJECTIVES: To analyze the clinical and radiological outcomes of a series of patients treated with a pedicled vascularized bone graft (VBG) of the distal radius for the treatment of recalcitrant atrophic nonunions of the distal humerus. DESIGN: Retrospective clinical study. SETTING: University-affiliated teaching hospital. PATIENTS: Fifteen patients with supracondylar humeral atrophic nonunions with at least 3 previous failed surgical interventions were included. INTERVENTION: Debridement of the distal humerus nonunion through a posterior elbow approach with provisional fixation was performed. Then, a pedicled VBG was harvested from the distal radius and tunneled back into the humeral bone defect. Iliac crest was used as needed, both for the nonunion and to stabilize the radius. Finally, definitive fixation with 2 locked plates was performed. MAIN OUTCOME MEASUREMENTS: Radiological results, complications, elbow range of motion, Mayo elbow performance score, and subjective pain were evaluated. RESULTS: There were 4 male and 11 female patients, with a mean age of 51 (range, 28-73) years. The mean follow-up period was 46 (range, 37-72) months with a minimum of 3 years. Radiological consolidation was achieved in all patients. Elbow range of motion was >100 degrees in 11 patients and between 50 and 100 degrees in 4 patients. Preoperative Mayo scores were poor in all patients. At final follow-up, Mayo scores were excellent in 3, good in 9, and fair in 3 patients. The mean postoperative visual analog scale score was 1.2 (range 0-3). CONCLUSIONS: Pedicled VBG of the distal radius was shown to be a reliable and effective alternative for the treatment of recalcitrant atrophic nonunions of the distal humerus, when other methods have failed. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Asunto(s)
Trasplante Óseo/métodos , Fijación Interna de Fracturas/efectos adversos , Fracturas no Consolidadas/cirugía , Fracturas del Húmero/cirugía , Radio (Anatomía)/trasplante , Adulto , Anciano , Placas Óseas , Estudios de Cohortes , Femenino , Fijación Interna de Fracturas/métodos , Curación de Fractura/fisiología , Fracturas no Consolidadas/diagnóstico por imagen , Fracturas no Consolidadas/etiología , Hospitales de Enseñanza , Humanos , Fracturas del Húmero/diagnóstico por imagen , Puntaje de Gravedad del Traumatismo , Masculino , Persona de Mediana Edad , Pronóstico , Radio (Anatomía)/irrigación sanguínea , Recuperación de la Función , Estudios Retrospectivos , Medición de Riesgo , Estadísticas no Paramétricas , Resultado del Tratamiento , Lesiones de CodoRESUMEN
Treatment of proximal tibial shaft fractures is always challenging. Despite the development of modern techniques, the literature still shows high complication rates, especially regarding proximal fragment malalignment. It is well known that knee position in flexion during tibial nailing is responsible for extension and valgus deformities of the proximal fragment. Unlike in tibial shaft fractures, nails do not reduce proximal tibial fractures due to the medullary canal width. This study aims to describe a simple, useful, and inexpensive technique to prevent valgus and extension deformities when treating proximal tibial fractures using conventional nails: the so-called clothesline technique.
Asunto(s)
Clavos Ortopédicos , Fijación Intramedular de Fracturas/instrumentación , Tibia/cirugía , Desviación Ósea/prevención & control , Placas Óseas , Fijación Intramedular de Fracturas/métodos , Curación de Fractura/fisiología , Fracturas no Consolidadas/etiología , Humanos , Fracturas de la Tibia/cirugíaRESUMEN
OBJECTIVE: The clinical value of low-intensity pulsed ultrasound (LIPUS) for fresh fracture is known. Yet, in the absence of a definition of what "fresh" is, payers have adopted study inclusion criteria drawn from randomized clinical trials as de facto definitions of which patients should be treated, with "fresh" defined as <1 week old. Patients with fracture may thus be ineligible for LIPUS treatment after week 1, which potentially denies access to patients who could benefit from LIPUS. We seek to characterize the inflection point at which heal rate declines. DESIGN: Prospective cohort. SETTING: Food and Drug Administration-mandated nationwide postmarketing surveillance registry. PATIENTS: Observational cohort of 5983 registry enrollees. INTERVENTION: LIPUS, 20 min/d. MAIN OUTCOME MEASURE: Fracture heal rate. Logistic regression was used to model the odds ratio of nonunion from week 1 to week 12. Covariates in the model included age, gender, body mass index, open fracture, and smoking. RESULTS: We estimated the time point at which a fracture responds to LIPUS as well as during the first week after fracture. There was significant bone-to-bone variation; metatarsal was "fresh" until week 7, ankle until week 9, humerus until week 10, and femur and radius until week 12. Healing was significantly impacted by patient age, body mass index, and open fracture (all, P ≤ 0.02). CONCLUSIONS: Our results suggest that fractures of the metatarsal, femur, humerus, ankle, and radius respond to LIPUS treatment, as if they were still fresh at least 6 weeks longer than the eligibility allowed under current coverage policies. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Asunto(s)
Curación de Fractura/efectos de la radiación , Fracturas Óseas/terapia , Terapia por Ultrasonido/métodos , Ondas Ultrasónicas , Adulto , Femenino , Fracturas Óseas/complicaciones , Fracturas Óseas/fisiopatología , Fracturas no Consolidadas/etiología , Fracturas no Consolidadas/prevención & control , Humanos , Masculino , Persona de Mediana Edad , Sistema de Registros , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
BACKGROUND: Recent prospective randomized trials support primary plate fixation of displaced midshaft clavicle fractures. However, the safety and efficacy of this practice have not been well documented in athletes, nor has the time to return-to-sport. PURPOSE: To analyze the time to return-to-sport, functional outcomes, and complications in a group of athletes with displaced midshaft clavicle fractures treated using precontoured locking plates. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 54 athletes with displaced midshaft clavicle fractures were treated with plate fixation between November 1, 2008, and December 31, 2012. The mean follow-up time was 22.4 months. Patients completed a questionnaire focused on the time to return-to-sport and treatment course. Functional outcomes were assessed with the Constant score and short version of the Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. Pain was evaluated with the visual analog scale (VAS). Radiographs were reviewed to identify radiographic union time, malunion, and nonunion. RESULTS: Of the 54 patients, 53 returned to sports after open reduction and internal fixation of their fracture; 94% returned to the same level. The mean time to return-to-sport was 68 days (range, 5-180 days). Nine (16.6%) of the cases returned to sports before 6 weeks after surgery, 40 (74%) returned between 6 and 12 weeks, and 5 patients (9.2%) returned 12 weeks after surgery. The mean Constant score was 94.1 ± 5.2 (range, 78-100), and the mean QuickDASH score was 0.4 ± 4.7 (range, 0-7.1). The mean VAS pain score during follow-up was 0.29 ± 1.0 (range, 0-5). Three major complications occurred: 1 extrinsic compression of the subclavian vein, 1 nonunion, and 1 hardware loosening. Hardware removal was necessary in 5 patients (9.3%). CONCLUSION: Plate fixation of displaced clavicle fractures in athletes is a safe procedure resulting in excellent functional outcomes, with an early return to the same level of sports in the majority of patients.
Asunto(s)
Placas Óseas , Clavícula/lesiones , Fijación Interna de Fracturas , Fracturas Óseas/cirugía , Deportes , Adulto , Atletas , Placas Óseas/efectos adversos , Clavícula/cirugía , Diáfisis/lesiones , Femenino , Fijación Interna de Fracturas/efectos adversos , Fijación Interna de Fracturas/métodos , Curación de Fractura , Fracturas Óseas/complicaciones , Fracturas no Consolidadas/etiología , Humanos , Masculino , Dimensión del Dolor , Recuperación de la Función , Encuestas y Cuestionarios , Factores de Tiempo , Adulto JovenRESUMEN
INTRODUCTION: Few studies have evaluated treatment of displaced femoral neck fractures in patients younger than 65 years, and risk factors for AVN or nonunion have not been clearly delineated within this age range. METHOD: To determine factors associated with avascular necrosis of the femoral head (AVN) and nonunion in patients younger than 65 years with displaced femoral neck fractures treated with reduction and internal fixation, we conducted a retrospective study of 29 displaced femoral neck fractures in 29 consecutive patients treated at a single institution. The influence of age, trauma energy, open reduction, and time from fracture to treatment on development of AVN and nonunion was evaluated. RESULTS: Patients who developed AVN were significantly older and suffered lower energy trauma than cases without AVN. No recorded variables were associated with nonunion. Logistic regression determined that only age was independently associated with AVN. Age was a good predictor for developing AVN, with a C statistics of 0.861, and a best cutoff determined at 53.5 years. CONCLUSION: Patients between 53.5 and 65 years presented a higher risk of AVN. A primary arthroplasty should be considered in this subgroup.
Asunto(s)
Fracturas del Cuello Femoral/complicaciones , Fracturas del Cuello Femoral/cirugía , Necrosis de la Cabeza Femoral/etiología , Fijación Interna de Fracturas/efectos adversos , Fracturas no Consolidadas/etiología , Adulto , Factores de Edad , Anciano , Artroplastia de Reemplazo de Cadera/estadística & datos numéricos , Contraindicaciones , Femenino , Fijación Interna de Fracturas/estadística & datos numéricos , Fracturas no Consolidadas/prevención & control , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Factores de Riesgo , Resultado del TratamientoRESUMEN
INTRODUCTION: Mandibular fractures are frequent, and treatment for these fractures involves rigid fixation. Complications can occur after treatment and may require a new surgical procedure; however, there are limited studies evaluating surgical retreatment. AIM: The purpose of this retrospective study was to evaluate the characteristics and the types of treatment carried out in patients requiring surgical retreatment of mandibular fractures. MATERIALS AND METHODS: From all patients with mandibular fractures treated by rigid internal fixation at a trauma hospital during a 7-year-period, 20 patients (4.7% of the cases) required a second surgery. RESULTS: The most common complaints were pain, infection with the presence of fistula, and abnormal mobility. There was a predominance of Staphylococcus aureus in the bacterial culture. The most frequent radiographic images were diffuse bone resorption, loosening of screws, and a visible fracture line. The diagnoses were nonunion in 10 (50%) cases, soft tissue infection associated with screw loosening or plate exposure in 7 (35%) cases, osteomyelitis in 2 (10%) cases, and malunion in 1 (5%) case. Seven cases of nonunion presented with fistula, and four of these patients had bone sequestration. The required procedures included new fixation in 6 (30%) patients, removal of bone sequestration and new fixation in 4 (20%) patients, surgical exploration and removal of fixation material in 7 (35%) patients, removal of bone sequestration in 2 (10%) patients, and refracture in 1 (5%) patient. CONCLUSION: It was concluded that most cases requiring surgical retreatment of mandibular fractures comprised nonunion or soft tissue infection associated with screw loosening or plate exposure. Consequently, the main procedures needed were new fixation or surgical exploration with the removal of fixation material.
Asunto(s)
Fijación Interna de Fracturas/métodos , Fracturas Mandibulares/cirugía , Adolescente , Adulto , Resorción Ósea/etiología , Niño , Fístula Cutánea/etiología , Fístula Cutánea/cirugía , Falla de Equipo , Femenino , Fijación Interna de Fracturas/instrumentación , Fracturas Mal Unidas/etiología , Fracturas Mal Unidas/cirugía , Fracturas no Consolidadas/etiología , Fracturas no Consolidadas/cirugía , Humanos , Masculino , Enfermedades Mandibulares/etiología , Enfermedades Mandibulares/cirugía , Persona de Mediana Edad , Osteomielitis/etiología , Osteomielitis/cirugía , Dolor Postoperatorio/etiología , Complicaciones Posoperatorias/cirugía , Reoperación , Estudios Retrospectivos , Infecciones de los Tejidos Blandos/etiología , Infecciones de los Tejidos Blandos/cirugía , Infecciones Estafilocócicas/cirugía , Dehiscencia de la Herida Operatoria/etiología , Dehiscencia de la Herida Operatoria/cirugía , Infección de la Herida Quirúrgica/etiología , Infección de la Herida Quirúrgica/cirugía , Adulto JovenRESUMEN
PURPOSE: The aim of the present study was to report the experience of 40 patients who had undergone intraoral verticosagittal ramus osteotomy (IVSRO) to treat dentofacial deformities. PATIENTS AND METHODS: The charts of 40 consecutive patients who had undergone IVSRO were analyzed regarding the diagnosis, amount of mandibular movement, and complications. RESULTS: Eighty IVSROs were performed in 40 patients. The mean follow-up was 18 months. Mandibular protrusion in both genders was the main preoperative diagnosis (25 patients), and the treatment was 2-jaw surgery in 36 patients. The mean amount of movement was 2 mm for the mandible setback and advancement, 3 mm for mandible counterclockwise rotations, and 2 mm for mandible clockwise rotations. The mean period of maxillomandibular fixation was 15 days, followed by a period of heavy elastics. The rate of complications was 2%, including 2 bad splits, and 2 cases of intraoperative bleeding. No nerve injury was observed in the 40 patients studied. CONCLUSIONS: The IVSRO is efficient and versatile, with low morbidity, and is an option for the oral and maxillofacial surgeon to treat patients with mandibular dentoskeletal discrepancies.
Asunto(s)
Mandíbula/cirugía , Procedimientos Quirúrgicos Orales/métodos , Prognatismo/cirugía , Retrognatismo/cirugía , Adulto , Pérdida de Sangre Quirúrgica , Asimetría Facial/cirugía , Femenino , Fracturas no Consolidadas/etiología , Humanos , Técnicas de Fijación de Maxilares , Masculino , Maxilar/cirugía , Procedimientos Quirúrgicos Orales/efectos adversos , Osteotomía/métodos , Rango del Movimiento Articular , Estudios RetrospectivosAsunto(s)
Hilos Ortopédicos/efectos adversos , Lesiones de Codo , Fijación Interna de Fracturas/instrumentación , Fracturas no Consolidadas/cirugía , Osteotomía/métodos , Sinostosis/etiología , Accidentes por Caídas , Adulto , Estudios de Seguimiento , Fijación Interna de Fracturas/métodos , Fracturas Óseas/diagnóstico por imagen , Fracturas Óseas/cirugía , Fracturas Cerradas/diagnóstico por imagen , Fracturas Cerradas/cirugía , Fracturas no Consolidadas/diagnóstico por imagen , Fracturas no Consolidadas/etiología , Humanos , Luxaciones Articulares/diagnóstico por imagen , Luxaciones Articulares/cirugía , Masculino , Rango del Movimiento Articular/fisiología , Recuperación de la Función , Reoperación , Medición de Riesgo , Sinostosis/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
The objective of this paper is to evaluate the long-term functional results achieved after open reduction and internal fixation of 24 distal humerus non-unions. Non-unions were extra-articular-extracapsular (11 cases), extra-articular-intracapsular (8 cases) and intra-articular (5 cases). Preoperative elbow range of motion averaged 45 degrees. Time between original trauma and revision surgery averaged 14 months. Stabilisation methods varied according to type and location of the non-union. Follow-up averaged 46 months (range: 18-108). Elbow range of motion at last examination averaged 98 degrees . Flexion averaged 110 degrees and extension loss averaged 17 degrees . The disabilities of the arm, shoulder and hand (DASH) score averaged 16 points. Secondary transposition of the ulnar nerve was necessary in three cases. Sixteen patients reported no pain at last examination, seven had mild pain and one had moderate pain. Distal humerus non-unions present different characteristics; consequently, surgical treatment must be individualised for each patient. Even though they are demanding procedures, bony union and good long-term functional results were achieved.
Asunto(s)
Fijación Interna de Fracturas/métodos , Fracturas no Consolidadas/cirugía , Fracturas del Húmero/cirugía , Húmero/lesiones , Heridas y Lesiones/cirugía , Adulto , Anciano , Evaluación de la Discapacidad , Articulación del Codo/fisiopatología , Articulación del Codo/cirugía , Femenino , Curación de Fractura , Fracturas no Consolidadas/etiología , Fracturas no Consolidadas/fisiopatología , Humanos , Fracturas del Húmero/etiología , Fracturas del Húmero/fisiopatología , Fracturas Intraarticulares/etiología , Fracturas Intraarticulares/fisiopatología , Fracturas Intraarticulares/cirugía , Masculino , Persona de Mediana Edad , Dolor/fisiopatología , Complicaciones Posoperatorias , Rango del Movimiento Articular , Recuperación de la Función , Reoperación , Estudios Retrospectivos , Heridas y Lesiones/complicaciones , Adulto JovenRESUMEN
Se realizó un estudio retrospectivo para determinar la prevalencia de la pseudoartrosis séptica diafisaria en el Servicio de Ortopedia y Traumatología del Hospital Comandante Pinares en un período quinquenal, con el objetivo de determinar la causa más frecuente de contaminación séptica de las fracturas iniciales y la efectividad del tratamiento implantado. La prevalencia de pseudoartrosis séptica diafisaria en el servicio fue de 5,1 por ciento, el tratamiento inicial más empleado resultó la fijación externa ósea con el fijador RALCA, seguido de la osteosíntesis AO. La causa más frecuente de contaminación de fracturas diafisarias fue la exposición ósea focal aguda y la contaminación posquirúrgica en fracturas cerradas. Los resultados alcanzados fueron buenos en 46,7 por ciento de los casos, mientras que en 20 por ciento resultaron malos, lo que demostró la gravedad de las lesiones combinadas(AU)
A retrospective study was conducted to determine the prevalence of septic diaphyseal pseudoarthrosis in the Orthopedics and Traumatology Service of Comandante Pinares Hospital in a 5-year term to know the most common cause of septic contamination of the initial fractures and the effectiveness of the treatment. The prevalence of septic diaphyseal pseudoarthrosis was 5.1 percent. The most used initial treatment proved to be the external osteal fixation with RALCA fixator, followed by AO osteosynthesis. The most frequent cause of contamination of diaphyseal fractures was the focal acute osteal exposure and the postsurgical contamination in closed fractures. The results attained were good in 46.7 percent of the cases, whereas 20 percent were poor, which showed the severity of the combined injuries(AU)
Asunto(s)
Humanos , Fracturas no Consolidadas/complicaciones , Fracturas no Consolidadas/tratamiento farmacológico , Fracturas no Consolidadas/etiologíaRESUMEN
Se realizó un estudio retrospectivo para determinar la prevalencia de la pseudoartrosis séptica diafisaria en el Servicio de Ortopedia y Traumatología del Hospital Comandante Pinares en un período quinquenal, con el objetivo de determinar la causa más frecuente de contaminación séptica de las fracturas iniciales y la efectividad del tratamiento implantado. La prevalencia de pseudoartrosis séptica diafisaria en el servicio fue de 5,1 por ciento, el tratamiento inicial más empleado resultó la fijación externa ósea con el fijador RALCA, seguido de la osteosíntesis AO. La causa más frecuente de contaminación de fracturas diafisarias fue la exposición ósea focal aguda y la contaminación posquirúrgica en fracturas cerradas. Los resultados alcanzados fueron buenos en 46,7 por ciento de los casos, mientras que en 20 por ciento resultaron malos, lo que demostró la gravedad de las lesiones combinadas.
A retrospective study was conducted to determine the prevalence of septic diaphyseal pseudoarthrosis in the Orthopedics and Traumatology Service of Comandante Pinares Hospital in a 5-year term to know the most common cause of septic contamination of the initial fractures and the effectiveness of the treatment. The prevalence of septic diaphyseal pseudoarthrosis was 5.1 percent. The most used initial treatment proved to be the external osteal fixation with RALCA fixator, followed by AO osteosynthesis. The most frequent cause of contamination of diaphyseal fractures was the focal acute osteal exposure and the postsurgical contamination in closed fractures. The results attained were good in 46.7 percent of the cases, whereas 20 percent were poor, which showed the severity of the combined injuries.
Asunto(s)
Humanos , Fracturas no Consolidadas/complicaciones , Fracturas no Consolidadas/etiología , Fracturas no Consolidadas/tratamiento farmacológicoRESUMEN
Se revisa una serie no comparativa de 12 pacientes con diagnóstico de pseudoartrosis de la clavícula, con edades que variaron de 18 a 50 años, tratados de 1994 a 1997. El tratamiento incial había sido conservador en 11 casos y sólo uno con enclavamiento. De los 12 casos, en 2 se encontró solamente un callo óseo protuberante que se trató con remodelación quirúrgica. Los 10 restantes se trataron con plastía de la pseudoartrosis y clavo intramedular bloqueado e injerto óseo. En todos los pacientes operados apareció callo primario en promedio a las 6 semanas después de la plastía de la pseudoartrosis. A pesar del número de pseudoartrosis aquí reportado, se sigue enfatizando la importancia de la indicación de tratamiento quirúrgico de las fracturas primarias de la clavícula únicamente en las tipo III de la clasificación AO, modificada en México por Inárritu
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Fracturas no Consolidadas/clasificación , Fracturas no Consolidadas/diagnóstico , Fracturas no Consolidadas/etiología , Artropatías/etiología , Clavícula/fisiopatología , Clavícula/lesiones , Fijación Interna de Fracturas/efectos adversos , Fijación Intramedular de Fracturas/efectos adversos , Complicaciones Posoperatorias/diagnósticoRESUMEN
Se presenta una serie de 20 casos, que se trataron entre 1992 y 1995 por presentar secuelas de una fractura distal del radio con consolidación visciosa y pérdida de longitud de dicho hueso. Fueron 13 mujeres y 7 varones, con edades de 17 a 69 años y promedio de 46. El tratamiento original en 19 de los 20 casos fue mediante reducción cerrada y ya fuese enclavamiento percutáneo o ligamentotaxis. El tratamiento actual consistió en una osteotomía transversal del radio distal, a 2.5 cm de su superficie articular para efectuar cuñade apertura que se rellenó con injerto córtico-esponjoso y se fijó dorsalmente con una placa en T y tornillos para pequeños fragmentos. Se obtuvo consolidación satisfactoria en todos los casos en un promedio de 7 semanas (5 a 10). Los arcos de movimiento fueron recuperados en general en alrededor de un 80 por ciento. El alineamiento mejoró en la forma esperada de acuerdo con la planeación preoperatoria efectuada. No hubo complicaciones en la presente serie
Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Osteotomía , Osteotomía/instrumentación , Fracturas del Radio/cirugía , Fracturas del Radio/complicaciones , Fracturas no Consolidadas/cirugía , Fracturas no Consolidadas/etiología , Deformidades Adquiridas de la Articulación/cirugía , Deformidades Adquiridas de la Articulación/rehabilitación , Fijación Interna de Fracturas/instrumentación , Fijación Interna de Fracturas/métodos , Fenómenos Biomecánicos , Curación de FracturaRESUMEN
Se presentaron 40 casos de seudoartrosis correspondientes al Hogar Clínica San Juan de Dios y Hospital Hipólito Unánue, sobre los cuales se ha realizado un estudio con referencia a la etiología, tiempo de fractura, tratamiento previo a la seudoartrosis, localización, tratamientos empleados y sus resultados