Use of RALCA® external fixator in open fractures. 14 year experience
<p><strong>Foundation:</strong> In an open fracture there is penetration of bone through the skin with an accompanying lesion, of varying severity, in the underlying soft tissue. External fixators are ideal systems for their treatment. <br /><strong>Objective:</stron...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Spanish |
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2017-10-01
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| Series: | Medisur |
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| Online Access: | http://www.medisur.sld.cu/index.php/medisur/article/view/3587 |
| _version_ | 1818445097458466816 |
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| author | Yovanny Ferrer Lozano Yanett Morejón Trofimova Pablo Oquendo Vázquez |
| author_facet | Yovanny Ferrer Lozano Yanett Morejón Trofimova Pablo Oquendo Vázquez |
| author_sort | Yovanny Ferrer Lozano |
| collection | DOAJ |
| description | <p><strong>Foundation:</strong> In an open fracture there is penetration of bone through the skin with an accompanying lesion, of varying severity, in the underlying soft tissue. External fixators are ideal systems for their treatment. <br /><strong>Objective:</strong> to evaluate the evolution of patients with open fractures in whom the RALCA ® external fixator was used as part of the treatment.<br /><strong>Methods:</strong> A prospective, longitudinal study of 253 patients attended between January 2000 and December 2014 at the Julio Aristegui Villamil Hospital with the diagnosis of open fracture, who were placed an external RALCA® fixator. It was analyzed: trauma etiology, location and type of fracture, presence of infection, non-union, need for other surgical interventions, follow-up time, consolidation time and incorporation into active social life.<br /> <strong>Results:</strong> Male patients (62.4%), between 30 and 50 years (49.7%), with open fractures, type I (33.5%) and II (25.2%) Gustilo, caused by traffic accidents (44.6%), more frequent in the tibia (41.8%) were the most frequent. The use of the RALCA® external fixator made it possible to apply multiplane (58.1%) and compression of the fracture focus (85.3%) to stimulate consolidation. In 4.7% of the patients there was a need for another surgical intervention. The time of consolidation varied depending on the magnitude of soft tissue damage. <br /><strong>Conclusions</strong>: the versatility of RALCA® external fixator assemblies allows it to be used as a method of osteosynthesis in open fractures of different locations; it stabilizes the lesion and protects the vascular supply of the soft tissue to the bone tissue.</p> |
| first_indexed | 2024-12-14T19:26:25Z |
| format | Article |
| id | doaj.art-43a375e8d95d464b9591efe950cb1786 |
| institution | Directory Open Access Journal |
| issn | 1727-897X |
| language | Spanish |
| last_indexed | 2024-12-14T19:26:25Z |
| publishDate | 2017-10-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj.art-43a375e8d95d464b9591efe950cb17862022-12-21T22:50:12ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2017-10-011556476551488Use of RALCA® external fixator in open fractures. 14 year experienceYovanny Ferrer Lozano0Yanett Morejón Trofimova1Pablo Oquendo Vázquez2Hospital Territorial Docente Julio Aristegui Villamil. Cárdenas. Matanzas.Hospital Territorial Docente Julio Aristegui Villamil. Cárdenas. Matanzas.Hospital Territorial Docente Julio Aristegui Villamil. Cárdenas. Matanzas.<p><strong>Foundation:</strong> In an open fracture there is penetration of bone through the skin with an accompanying lesion, of varying severity, in the underlying soft tissue. External fixators are ideal systems for their treatment. <br /><strong>Objective:</strong> to evaluate the evolution of patients with open fractures in whom the RALCA ® external fixator was used as part of the treatment.<br /><strong>Methods:</strong> A prospective, longitudinal study of 253 patients attended between January 2000 and December 2014 at the Julio Aristegui Villamil Hospital with the diagnosis of open fracture, who were placed an external RALCA® fixator. It was analyzed: trauma etiology, location and type of fracture, presence of infection, non-union, need for other surgical interventions, follow-up time, consolidation time and incorporation into active social life.<br /> <strong>Results:</strong> Male patients (62.4%), between 30 and 50 years (49.7%), with open fractures, type I (33.5%) and II (25.2%) Gustilo, caused by traffic accidents (44.6%), more frequent in the tibia (41.8%) were the most frequent. The use of the RALCA® external fixator made it possible to apply multiplane (58.1%) and compression of the fracture focus (85.3%) to stimulate consolidation. In 4.7% of the patients there was a need for another surgical intervention. The time of consolidation varied depending on the magnitude of soft tissue damage. <br /><strong>Conclusions</strong>: the versatility of RALCA® external fixator assemblies allows it to be used as a method of osteosynthesis in open fractures of different locations; it stabilizes the lesion and protects the vascular supply of the soft tissue to the bone tissue.</p>http://www.medisur.sld.cu/index.php/medisur/article/view/3587fijadores externosfracturas abiertasevolución clínica |
| spellingShingle | Yovanny Ferrer Lozano Yanett Morejón Trofimova Pablo Oquendo Vázquez Use of RALCA® external fixator in open fractures. 14 year experience Medisur fijadores externos fracturas abiertas evolución clínica |
| title | Use of RALCA® external fixator in open fractures. 14 year experience |
| title_full | Use of RALCA® external fixator in open fractures. 14 year experience |
| title_fullStr | Use of RALCA® external fixator in open fractures. 14 year experience |
| title_full_unstemmed | Use of RALCA® external fixator in open fractures. 14 year experience |
| title_short | Use of RALCA® external fixator in open fractures. 14 year experience |
| title_sort | use of ralca r external fixator in open fractures 14 year experience |
| topic | fijadores externos fracturas abiertas evolución clínica |
| url | http://www.medisur.sld.cu/index.php/medisur/article/view/3587 |
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