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Evolución del tratamiento de las fracturas de radio distal en España. ¿Es el camino correcto? [artículo]

Por: Auñón Martín, Ismael [Cirugía Ortopédica y Traumatología ] | Cecilia López, David [Cirugía Ortopédica y Traumatología ] | Resines Erasun, Carlos [Cirugía Ortopédica y Traumatología ] | Rodríguez Vega, Víctor [Cirugía Ortopédica y Traumatología ].
Colaborador(es): Servicio de Cirugía Ortopédica y Traumatología.
Editor: Acta Ortopédica Mexicana, 2011Descripción: 25(5):289-293.Recursos en línea: Solicitar documento Resumen: To assess the changes in the treatment of distal radius fractures that have occurred in recent years at our center. To analyze the changes that have occurred and their possible causes. MATERIAL AND METHODS: We analyzed the hospital admission data from our center, both total admissions and those due to distal radius fractures. Surgical activity records show the evolution of the surgical treatment of distal radius fractures throughout time. Using the data from 2 research works done at our center we assessed the radiological and functional results obtained with an external fixator and nails and with buttress plates. We reviewed the updated bibliography trying to identify new evidence leading to treatment changes. RESULTS: Objective evidence shows a marked evolution towards the use of open reduction and internal fixation to treat distal radius fractures. We did not identify data in our studies that show poor results with the use of external fixators and nails or a clear superiority of the open reduction methods. These data are not available in the current bibliography. CONCLUSION: The treatment of distal radius fractures is being modified. This change is not based on contrasted clinical or bibliographic data. We need to ask whether this is due to commercial pressure or to a perception of surgeons that is yet to be proven in quality studies.
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Artículo Artículo PC2000 (Navegar estantería) Disponible

Formato Vancouver:
Auñón Martín I, Cecilia López D, Rodríguez Vega V, Resines Erasun C. Evolución del tratamiento de las fracturas de radio distal en España. ¿Es el camino correcto?. Acta Ortop Mex. 2011;25(5):289-93.

PMID: 22509634

Contiene 22 referencias

To assess the changes in the treatment of distal radius fractures that have occurred in recent years at our center. To analyze the changes that have occurred and their possible causes. MATERIAL AND METHODS: We analyzed the hospital admission data from our center, both total admissions and those due to distal radius fractures. Surgical activity records show the evolution of the surgical treatment of distal radius fractures throughout time. Using the data from 2 research works done at our center we assessed the radiological and functional results obtained with an external fixator and nails and with buttress plates. We reviewed the updated bibliography trying to identify new evidence leading to treatment changes. RESULTS: Objective evidence shows a marked evolution towards the use of open reduction and internal fixation to treat distal radius fractures. We did not identify data in our studies that show poor results with the use of external fixators and nails or a clear superiority of the open reduction methods. These data are not available in the current bibliography. CONCLUSION: The treatment of distal radius fractures is being modified. This change is not based on contrasted clinical or bibliographic data. We need to ask whether this is due to commercial pressure or to a perception of surgeons that is yet to be proven in quality studies.

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