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Impacto funcional con el uso de clavo telescopico tipo Fassier Duval en pacientes con osteogénesis imperfecta

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dc.contributor.advisorHuertas Tafur, Rodrigo
dc.creatorBallesteros González, Wilson
dc.creator.degreeEspecialista en Ortopedia y Traumatología HOK
dc.date.accessioned2015-03-20T14:36:49Z
dc.date.available2015-03-20T14:36:49Z
dc.date.created2015-02-24
dc.date.issued2015
dc.descriptionIntroducción: la osteogénesis es una patología de origen genético caracterizada por fragilidad ósea, en su curso natural los pacientes que la padecen se enfrentan a múltiples fracturas y múltiples intervenciones quirúrgicas, este tipo de pacientes por ser de alto riesgo necesitan técnicas quirúrgicas que aumenten el tiempo entre cada intervención y que demuestren un mayor impacto en el estado funcional. Objetivo: Determinar el impacto en el estado funcional de los pacientes con osteogénesis imperfecta llevados a tratamiento quirúrgico con clavos telescopados tipo Fassier Duval. Diseño: Estudio descriptivo prospectivo en el que se incluyeron 8 pacientes con diagnóstico de osteogénesis imperfecta, llevados a tratamiento quirúrgico con clavos telescopados tipo Fassier Duval desde el 2009 al 2013 a los cuales se les realizó seguimiento menor de 1 año del post operatorio. Resultados: La respuesta encontrada fue satisfactoria en la mayoría de los pacientes analizados 6 de 8, con cercanía a un estado funcional normal; un riesgo de caída bajo, incorporación y deambulación adecuada y una valoración funcional motora gruesa con valores cercanos al 100% identificando un buen nivel de independencia funcional. Se pudo demostrar que existieron cambios en los valores de la escala y que estos fueron estadísticamente significativos con p=0,028 indicando que el aumento dichos valores en el posoperatorio están relacionados con el procedimiento quirúrgico al utilizado en este grupo de pacientes. Conclusión: El tratamiento quirúrgico con el clavo telescopado de Fassier Duval en nuestra experiencia demostró tener una mejoría en el estado funcional de los pacientes del presente estudio, por lo tanto se sugiere la posibilidad de implementar su uso según este indicado con el fin de obtener un mejor resultado quirúrgico y funcional. Palabras clave: Osteogénesis Imperfecta, Clavo de Fassier Duval, Valoración Funcional Motoraspa
dc.description.abstractIntroduction: OI is a genetic disease characterized by bone fragility, in its natural course, patients face to a multiple fractures and multiple surgeries, such patients as being at high risk and need surgical techniques that increase time between intervention and demonstrate greater impact on functional status. Objective: To determine the impact on functional status of patients with OI carried to surgical treatment with telescoped type nails Fassier Duval. Design: Prospective descriptive study in which 8 patients diagnosed with OI, and carried to surgical treatment with telescoped type nails Fassier Duval from 2009 to 2013 which included a minor follow-up was performed 1 year post-op. Results: The response found was satisfactory in most patients analyzed 6 of 8, with proximity to a normal functional status ; a low risk of falling , incorporation and proper gait and motor functional assessment thick with near 100% when identifying a good level of functional independence. It could be demonstrated that there were changes in the scale values and these were statistically significant with p = 0. 028, indicating that such an increase in the postoperative values are related to the surgical procedure used in this group of patients. Conclusion: Surgical treatment with telescoping nail Fassier Duval on our experience demonstrated improved functional status of patients in the present study, therefore the possibility of implementing their use is suggested as this indicated order to get a better result surgical and functional. Keywords: Osteogenesis Imperfecta, Fassier Duval Nail, Motor Functional Assessment eng
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dc.identifier.doihttps://doi.org/10.48713/10336_10273
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/10273
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Ortopedia y Traumatología HOKspa
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectOsteogénesis imperfectaspa
dc.subjectclavo de Fassier Duvalspa
dc.subjectvaloración funcional motoraspa
dc.subject.ddcVarias ramas de la medicina, Cirugía
dc.subject.decsOrtopediaspa
dc.subject.decsClavo teléscopico tipo Fassier Duvalspa
dc.subject.decsOsteogénesis imperfectaspa
dc.subject.decsHuesos - Fracturasspa
dc.subject.keywordOsteogenesis Imperfectaeng
dc.subject.keywordFassier Duval Naileng
dc.subject.keywordMotor Functional Assessmenteng
dc.subject.lembTraumatismospa
dc.titleImpacto funcional con el uso de clavo telescopico tipo Fassier Duval en pacientes con osteogénesis imperfectaspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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