Exposed, complex and severe traumatic injury of the tibia treated with Alvarez Cambra external fixation
Keywords:
complex exposed fracture, osteosynthesis, external fixation, complicationsAbstract
With the gradual increase of automobile and work accidents as well as urban violence, exposed and complex fractures are traumas of increasing incidence and difficult solution, with long periods of convalescence that endanger the life or the conservation of the injured member. A large number of them leave invalidating sequels. There are several treatments, including external fixation using the system created by Professor Rodrigo Alvarez Cambra, with several advantages that provide a better evolution. The current work was carried out with the objective of showing the evolution and results of a patient who entered the Teaching Provincial Clinical-surgical Hospital Jose Ramon Lopez Tabrane, of Matanzas, and underwent a surgery with the diagnosis of exposed, complex and serious lesion in the lower limb, specifically of tibia. The patient had several complications and so he was put an Alvarez Cambra external fixation osteosynthesis devise.Downloads
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References
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2. Sherif I, Woods A, Danial I, et al. Antibiotic Prophylaxis in Adults with Open Tibial Fractures: What Is the Evidence for Duration of Administration? A Systematic Review. J Foot Ankle Surg. Jan-Feb 2016; 55(1): 146-50. Citado en PubMed; PMID: 26364701.
3. Samai K, Vilella A. Update in Therapeutics: Prophylactic Antibiotics in Open Fractures. J Trauma Nurs. 2018 Mar-Apr; 25(2): 83-6. Citado en PubMed; PMID: 29521772.
4. Puetzler J, Zalavras CH, Moriarty TF et al. Clinical practice in prevention of fracture-related infection: An international survey among 1197 orthopaedic trauma surgeons. Injury. 2019 Jun; 50(6): 1208-15. Citado en PubMed; PMID: 31029369.
5. Gumbel D, Matthes G, Napp M, et al. Current management of open fractures: results from an online survey. Arch Orthop Trauma Surg. 2016 Dec; 136(12): 1663-72. Citado en PubMed; PMID: 27628620.
6. Ferrer Lozano Y, Morejón Trofimova Y, Oquendo Vázquez P. Uso de fijador externo RALCA® en fracturas abiertas. Experiencia en 14 años. Medisur [Internet]. 2018 [citado 26/09/2019]; 15(5): 647-55. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2017000500010
7. Pancorbo Sandoval E, Martín Tirado JC, Quesada Pérez J, et al. Tratamiento de las fracturas complejas diafisarias de tibia con hidroxiapatita coralina porosa HAP-200. Rev Méd Electrón [Internet]. 2016 [citado 26/09/2019]; 38(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242016000300015
8. Andrew T. Chen, Heather A. Vallier. Noncontiguous and open fractures of the lower extremity: Epidemiology, complications, and unplanned procedures. Injury. 2016 Mar; 47(3): 742-7. Citado en PubMed; PMID: 26776462.
9. Oliveira Valadares R, Passos Cruz L, Almeida Matos M. Comparative accuracy assessment of the Gustilo and Tscherne classification systems as predictors of infection in open fractures. Rev Bras Ortop. 2018 Apr; 53(3): 314-8. Citado en PubMed; PMID: 29892582.
10. Hao J, Cuellar DO, Herbert B, et al. ¿Does the OTA Open Fracture Classification Predict the Need for Limb Amputation? A Retrospective Observational Cohort Study on 512 Patients. J Orthop Trauma. 2016 Apr; 30(4): 194-8. Citado en PubMed; PMID: 26569184.
11. Espíndola LA. Informe sobre atención hospitalaria de politraumatismos por accidentes de tránsito. Intermedicina [Internet]. 2002 [citado 15/01/2016]. Disponible en: https://docplayer.es/2070707-Informe-sobre-atencion-hospitalaria-de-politraumatismos-por-accidentes-de-transito.html
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14. Cano Polo EM. Score de trauma revisado como pronóstico de mortalidad en la emergencia del Hospital Militar Central, enero-diciembre 2002 [Internet]. Lima: Universidad Nacional Mayor de San Marcos; 2003 [citado 15/01/2019].
15. Ferrer Y, Vergara-Pagés JJ. Injertos en cirugía ortopédica. Rev portalesmédicos.com [Internet]. 2008 [citado 15/01/2019]; 3(6): 1026. Disponible en: https://www.portalesmedicos.com/publicaciones/articles/1026/1/Injertos-en-Cirugia-Ortopedica.html
16. Galvagno SM, Nahmias JT, Young DA. Advanced Trauma Life Support. Update 2019 Management and Applications for Adults and Special Populations. Anesthesiol Clin. 2019 Mar; 37(1): 13-32. Citado en PubMed; PMID: 30711226.
17. Lingaraj R, Santoshi JA, Devi S, et al. Predebridement wound culture in open fractures does not predict postoperative wound infection: A pilot study. J Nat Sci Biol Med. 2015 Aug; 6(Suppl 1): 63-8. Citado en PubMed; PMID: 26604622.
18. Garner MR, Sethuraman SA, Schade MA. Antibiotic Prophylaxis in Open Fractures: Evidence, Evolving Issues, and Recommendations. J Am Acad Orthop Surg. 2020 Apr 15; 28(8): 309-15. Citado en PubMed; PMID: 31851021.
19. Mauffrey C, Hak DJ, Rojas D, et al. Prevention of the Infected Fracture: Evidence-Based Strategies for Success! J Orthop Trauma. 2019 Jun; 33(Suppl 6): 1-5. Citado en PubMed; PMID: 31083141.
20. Duyos OA, Beaton-Comulada D, Davila-Parrilla A, et al. Management of Open Tibial Shaft Fractures. J Am Acad Orthop Surg. 2017 Mar; 25(3): 230-8. Citado en PubMed; PMID: 28199292.
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Published
2021-08-15
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1.
Amigo Castañeda P, Rodríguez Díaz M, Oliver Martín AE, Domínguez Llama JL, Amigo Rodríguez PA. Exposed, complex and severe traumatic injury of the tibia treated with Alvarez Cambra external fixation. Rev Méd Electrón [Internet]. 2021 Aug. 15 [cited 2025 Jan. 9];43(4):1-13. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/4190
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