Post-surgical wound complications in ankle malleolar osteosynthesis
Abstract: Ankle malleolar fractures represent one of the bone injuries of the lower limb, which most frequently require surgical treatment. Innumerable techniques between approaches and fixation means are described. Beyond the osteosynthesis technique used for the definitive treatment...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/34925 |
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I10-R327-article-34925 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
complications wound ankle tibia and fibula complicaciones herida tobillo tibia y perone . |
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complications wound ankle tibia and fibula complicaciones herida tobillo tibia y perone . Stauffer, Juan Alvarez , Emanuel Hergenreder, Valeria Quinteros , Mauricio Simondi , Nestor Sanchez Carpio , Diego Post-surgical wound complications in ankle malleolar osteosynthesis |
| topic_facet |
complications wound ankle tibia and fibula complicaciones herida tobillo tibia y perone . |
| author |
Stauffer, Juan Alvarez , Emanuel Hergenreder, Valeria Quinteros , Mauricio Simondi , Nestor Sanchez Carpio , Diego |
| author_facet |
Stauffer, Juan Alvarez , Emanuel Hergenreder, Valeria Quinteros , Mauricio Simondi , Nestor Sanchez Carpio , Diego |
| author_sort |
Stauffer, Juan |
| title |
Post-surgical wound complications in ankle malleolar osteosynthesis |
| title_short |
Post-surgical wound complications in ankle malleolar osteosynthesis |
| title_full |
Post-surgical wound complications in ankle malleolar osteosynthesis |
| title_fullStr |
Post-surgical wound complications in ankle malleolar osteosynthesis |
| title_full_unstemmed |
Post-surgical wound complications in ankle malleolar osteosynthesis |
| title_sort |
post-surgical wound complications in ankle malleolar osteosynthesis |
| description |
Abstract:
Ankle malleolar fractures represent one of the bone injuries of the lower limb, which most frequently require surgical treatment. Innumerable techniques between approaches and fixation means are described. Beyond the osteosynthesis technique used for the definitive treatment of these injuries, the convenient premises to follow is a meticulous care of soft tissues, from the moment the injury occurs, in the periodic controls and in the operative act.
To describe the postoperative complications of the wound in ankle malleolar fractures treated surgically with osteosynthesis.
A descriptive cross-sectional observational study was carried out that included elderly patients with closed malleolar ankle fracture, surgically treated with osteosynthesis between January 1, 2018 and December 31, 2019. Patients in a context of multiple trauma were excluded, with alterations vascular or venous in the consigned limb, as well as those exposed fracture or bone injuries of the tibia (tibial pilon fracture and / or ipsilateral tibial diaphyseal or metaphyseal fracture). Wound complications were assessed in the immediate postoperative period (first 6 weeks) and later (after 6 weeks).
The sample consisted of 49 patients, 28 were female and 21 were male. The mean age was 61 years (range 31 - 89 years). 27% (13 patients) had wound complications, 11 (22.4%) were in the immediate postoperative period (6 surgical site infections, 3 wound dehiscence, 2 delayed healing. In 2 cases (4%) complications are observed in the distant postoperative period (1 fistula due to chronic osteomyelitis and 1 keloid scar).
The particular distal anatomy of the tibia and fibula predisposes to frequent complications of surgical wounds in ankle malleolar fractures, for which we must optimize the perioperative management of these injuries and provide an immediate response to their presence.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/34925 |
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I10-R327-article-349252024-04-15T16:19:09Z Post-surgical wound complications in ankle malleolar osteosynthesis Complicaciones postquirúrgicas de herida en la osteosíntesis maleolar de tobillo A Stauffer, Juan Alvarez , Emanuel Hergenreder, Valeria Quinteros , Mauricio Simondi , Nestor Sanchez Carpio , Diego complications wound ankle tibia and fibula complicaciones herida tobillo tibia y perone . Abstract: Ankle malleolar fractures represent one of the bone injuries of the lower limb, which most frequently require surgical treatment. Innumerable techniques between approaches and fixation means are described. Beyond the osteosynthesis technique used for the definitive treatment of these injuries, the convenient premises to follow is a meticulous care of soft tissues, from the moment the injury occurs, in the periodic controls and in the operative act. To describe the postoperative complications of the wound in ankle malleolar fractures treated surgically with osteosynthesis. A descriptive cross-sectional observational study was carried out that included elderly patients with closed malleolar ankle fracture, surgically treated with osteosynthesis between January 1, 2018 and December 31, 2019. Patients in a context of multiple trauma were excluded, with alterations vascular or venous in the consigned limb, as well as those exposed fracture or bone injuries of the tibia (tibial pilon fracture and / or ipsilateral tibial diaphyseal or metaphyseal fracture). Wound complications were assessed in the immediate postoperative period (first 6 weeks) and later (after 6 weeks). The sample consisted of 49 patients, 28 were female and 21 were male. The mean age was 61 years (range 31 - 89 years). 27% (13 patients) had wound complications, 11 (22.4%) were in the immediate postoperative period (6 surgical site infections, 3 wound dehiscence, 2 delayed healing. In 2 cases (4%) complications are observed in the distant postoperative period (1 fistula due to chronic osteomyelitis and 1 keloid scar). The particular distal anatomy of the tibia and fibula predisposes to frequent complications of surgical wounds in ankle malleolar fractures, for which we must optimize the perioperative management of these injuries and provide an immediate response to their presence. Resumen: Complicaciones postquirúrgicas de herida en la osteosíntesis maleolar de tobillo Stauffer Juan, Alvarez Emanuel, Hergenreder Valeria, Quinteros Mauricio, Simondi Nestor, Sanchez Carpio Diego Las fracturas maleolares de tobillo representan una de las lesiones óseas del miembro inferior, que requieren con mayor frecuencia tratamiento quirúrgico. Se describen innumerables técnicas entre abordajes y medios de fijación. Mas allá de la técnica de osteosíntesis utilizada para el tratamiento definitivo de estas lesiones, las premisas convenientes a seguir es un meticuloso cuidado de partes blandas, desde el momento en que se produce la lesión, en los controles periódicos y en el acto operatorio. Describir las complicaciones postquirúrgicas de la herida en las fracturas maleolares de tobillo tratadas quirúrgicamente con osteosíntesis. Se realizó un estudio observacional transversal descriptivo que incluyo pacientes mayores de edad con fractura cerrada maleolar de tobillo, tratados quirúrgicamente con osteosíntesis entre el 1 de enero de 2018 y el 31 de diciembre de 2019. Los mismos brindaron consentimiento para realizar investigacion. Fueron excluidos pacientes en un contexto de politraumatismos, con alteraciones vasculares o venosas en el miembro consignado, así como aquellas fractura expuesta o lesiones óseas de tibia (fractura de pilón tibial y/o metafisarias o diafisarias tibiales ipsilaterales). Se valoró las complicaciones de la herida en el postoperatorio inmediato (primeras 6 semanas) y alejado (posterior a las 6 semanas). La muestra fue de 49 pacientes, 28 correspondieron al sexo femenino y 21 masculino. La edad promedio fue de 61 años (rango 31 - 89 años). Un 27 % (13 pacientes) presentaron complicaciones de la herida, 11 (22,4 %) fue en el postoperatorio inmediato (6 infecciones de sitio quirúrgico, 3 dehiscencia de herida, 2 retardos de la cicatrización. En 2 casos (4 %) se observo complicaciones en el postoperatorio alejado (1 fistula por osteomielitis crónica y 1 cicatriz queloide). La particular anatomía distal de la tibia y peroné predispone a frecuentes complicaciones de herida quirúrgica en fracturas maleolares de tobillo, por lo cual debemos optimizar el manejo perioperatorio de estas lesiones y brindar inmediata respuesta ante su presencia. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/34925 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |