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Tratamiento del deslizamiento epifisiario capital femoral con fijación in situ versus luxación quirúrgica

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dc.contributor.advisorHuertas Tafur, Rodrigo
dc.creatorHernández Olaya, Carlos Alberto
dc.creator.degreeEspecialista en Ortopedia y Traumatología HOK
dc.date.accessioned2013-02-25T12:17:43Z
dc.date.available2013-02-25T12:17:43Z
dc.date.created2013-01-25
dc.date.issued2013
dc.descriptionIntroducción: El Deslizamiento Epifisiario Capital Femoral es la enfermedad de la cadera más común en adolescentes entre los 9 y 16 años. Es de causa idiopática, más frecuente en hombres, se clasifica en 4 estadios según criterios clínicos y radiológicos. Se buscó evaluar la evolución de los deslizamientos moderados y severos tratados con una de las dos técnicas propuestas. Metodología Se realizó un estudio descriptivo con pacientes que fueron llevados a fijación in situ o luxación controlada entre 2008 y 2011. Resultados: Se incluyeron 26 pacientes, los cuales el 65.4% se les realizó luxación quirúrgica controlada y el 34.6% fijación in situ. El 70,6% de pacientes tenían DECF inestable y 70,5% tenían desplazamiento severo. La evaluación de la escala WOMAC para dolor, rigidez y capacidad funcional encontró mejores beneficios para el grupo de fijación in situ, estadísticamente significativos (p<0,05), no solo en términos de dolor, rigidez y capacidad funcional sino menor frecuencia de complicaciones. Las complicaciones más frecuentes en el grupo de luxación quirúrgica controlada fueron un caso de infección, 7 casos (41,2%) de necrosis avascular de cabeza femoral, 5 casos (29,4%) de condrolisis y 2 casos (11,8%) de pseudoartrosis; En el grupo de fijación in situ, solo 1 (11,1%) presentó Infección del Sitio Operatorio y 1 (11,1%) Condrolisis. Resultados significativos solo para necrosis avascular. Discusión: Los pacientes con deslizamientos moderados y severos manejados con fijación in situ tuvieron una mejor resultado con menor proporción de complicaciones.spa
dc.description.abstractIntroduction: Capital Femoral epiphyseal slippage is the most common disease in adolescents from 9 to 16 years. It´s idiopathic, more common in males, and is classified in four stages according to clinical and radiological criteria. We assess the development of moderate and severe landslides treated with one of the two techniques. Methods We performed a retrospective study with patients treated with fixation in situ or controlled surgical dislocation from 2008 to 2011. Results: We included 26 patients, of whom 65.4% received controlled surgical dislocation and 34.6% in situ fixation. The patients 70.6% had unstable DECF and 70.5% had severe displacement. The evaluation of WOMAC scale for pain, stiffness and functional ability, showed better results with de fixation in situ, statistically significative (p<0,05) not only for the pai, stiffness and functional ability but fewer complications. The most frecuent complications in patients who underwent surgical dislocation controlled were one case of surgical site infection, 7 cases (41.2%) of avascular necrosis of the femoral head, 5 cases (29.4%) of chondrolysis of the hip and 2 cases (11.8%) of nonunion; with the fixation in situ, only 1 (11.1%) had surgical site infection and 1 (11.1%) hip chondrolysis. Discussion: Patients with moderate and severe landslides handled with in situ fixation had better functional scale with lower rate of complications.eng
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dc.identifier.doihttps://doi.org/10.48713/10336_4273
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4273
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.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectDeslizamiento epifisiario capital femoralspa
dc.subjectfijacion in situspa
dc.subjectluxacion quirurgica controladaspa
dc.subject.decsLUXACIÓN DE LA CADERA – INVESTIGACIONESspa
dc.subject.decsLUXACIÓN DE LA CADERA - TRATAMIENTOspa
dc.subject.keywordSlipped capital femoral epiphysiseng
dc.subject.keywordin situ fixationeng
dc.subject.keywordsurgical dislocation controlledeng
dc.subject.lembDeslizamiento epifisiario capital femoralspa
dc.subject.lembDeslizamiento epifisiario capital femoralspa
dc.subject.lembOrtopediaspa
dc.subject.lembTraumatologíaspa
dc.titleTratamiento del deslizamiento epifisiario capital femoral con fijación in situ versus luxación quirúrgicaspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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