Traumatología y Ortopedia HGA IGSS: Fracturas de Patela y Tratamientos
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This document discusses various types of fractures including patella fractures, ankle fractures, and olecranon fractures. For patella fractures, it describes treatment options such as tension band wiring, screws, and partial or full patellectomy. For ankle fractures, it covers K-wire fixation and aftercare involving compression dressing, splinting, and progressive weight bearing. For olecranon fractures, it provides indications and contraindications for K-wire fixation as well as advantages and disadvantages of the technique.
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Traumatología y Ortopedia HGA IGSS: Fracturas de Patela y Tratamientos
- 1. Traumatología y Ortopedia HGA IGSS
- 2. Hueso sesamoideo más grande Cartílago más grueso (5mm) 1 % de todas las fracturas Fx Patela
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- 4. Rx
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- 9. Conservador Separación menor de 3 mm Incongruencia articular menor de 2 mm Cilindro de yeso por 4-6 semanas Tratamiento
- 10. Banda de Tensión Tornillos Interfragmentarios Implantes biodegradables Hemipatelectomía Patelectomía Tx Qx
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- 26. Ejercicios isométricos para Cuadriceps Apoyo desde el primer día Extracción del Implante Mínimo 1 año Post Op
- 27. Tornillos
- 28. Cerclaje
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- 33. Indications Small distal fragment Advantages (compared to plate fixation) Less dissection necessary Less expensive Disadvantages Soft tissue irritation Risk of backing out of the K-wires Wire breakage with poor twisting technique
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- 51. Aftercare A bulky compression dressing and a lower leg backslab, or a splint, are applied, and the limb is kept elevated in order to avoid swelling and to decrease pain. In anatomically reconstructed, stable malleolar fractures, early active exercises and light partial weight bearing are encouraged after day one. In osteoporotic bone weight bearing should be postponed. X-ray evaluation is made after 1 week and then monthly until full healing has occurred. Progressive weight bearing is recommended as tolerated.
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- 53. Indication Intraarticular, simple transverse fracture of the olecranon Contraindication Oblique or multifragmentary fracture of the olecranon Advantages Dynamic fracture compression Easy technique Inexpensive implant Disadvantages Risk of joint penetration with K-wires Risk of backing-up of K-wires Skin irritation Risk of fragmentation in osteoporotic bone
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- 70. AO 2007 Campbell 11ª ed