Evaluación Radiográfica de Osteosíntesis de Fracturas de Radio Distal con Placa de Distracción
DOI:
https://doi.org/10.21270/archi.v11i4.5815Palabras clave:
Fraturas do Rádio, Equipamentos Ortopédicos, Articulação do Punho, Próteses e ImplantesResumen
Introducción: Las fracturas de radio distal son las más frecuentes en la práctica ortopédica, representan el 17,5% de todas las fracturas del adulto, y el 4,5% de estas se clasifican como fracturas articulares complejas. Entre los diversos métodos disponibles para su tratamiento, la placa de distracción dorsal es una opción de tratamiento para las fracturas conminutas inestables del radio distal, pero rara vez se utiliza. Objetivo: evaluar radiográficamente los resultados postoperatorios de pacientes con fracturas de radio distal AO 2R3C3 tratados con la técnica de placa de distracción. Métodos: Estudio retrospectivo que evaluó a 26 pacientes, de 20 a 69 años, sometidos a osteosíntesis, de 2015 a 2017, con un seguimiento mínimo de 6 meses. Para la medición radiográfica se definieron los siguientes parámetros: varianza cubital, inclinación volar, inclinación cubital y paso articular. Resultados: El valor medio de la varianza cubital fue de 0,88 mm, la pendiente volar de 3,58 grados, la pendiente cubital de 16,34 grados y el escalón articular de 0,31 mm. Conclusión: Se concluye que el método de placa de distracción es una herramienta adicional útil y efectiva en el tratamiento de fracturas articulares complejas del radio distal.
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