Determinación del rango de recuperación articular en pacientes pediátricos con fracturas diafisarias. Hospital José María Velasco Ibarra 2019–2021

ABSTRACT: Diaphyseal fractures are the third most frequent fracture in the pediatric population, representing 13-40% of all fractures. Both conservative and surgical therapeutic alternatives can develop complications that lead to inadequate bone healing and influence joint recovery. To determine the range of joint recovery in pediatric patients who presented diaphyseal fractures in the General Hospital José María Velasco Ibarra in 2019-2021. This is an analytical, descriptive, non-experimental observational, quantitative, and cross-sectional study conducted at the General Hospital José María Velasco Ibarra with data included in the years 2019, 2020, and 2021. The population was 74 pediatric patients diagnosed with a diaphyseal fracture, using the entire population as a sample. The incidence of diaphyseal fractures in pediatric patients is 3.17%, 68.90% male, and 63.5% school-age. A fall from their own height was reported as the cause in 40.5% of the patients. The upper limbs were affected by 73% and 55.40% on the left side. Regarding complications, 85.10% did not develop any, and 5.40% presented surgical wound infection. Bone consolidation was good in 77% of patients. Patients with immobilization for more than 45 days and/or poor and inadequate bone consolidation did not present complete recovery in any case. Management was conservative in 64.90%, and in those who required surgical intervention, the placement of Kirschner pins accounted for 73.07%. The range of joint recovery in patients with conservative management was 93.30% complete in 93.30% of cases and 73.70% in cases requiring Kirschner pinning. The incidence of diaphyseal fractures corresponds to 3.17%, predominantly affecting male and school-age patients, the leading cause being a fall from their own height. The most frequent complication was surgical wound infection; however, 85.10% did not develop any. The elements that limited joint recovery was immobilization time and bone consolidation. Management was conservative in 64.90% of cases, and in those that required surgical intervention, the most used fixation method was the placement of Kirschner pins. The range of joint recovery was adequate in most cases. In those who had surgical criteria and Kirschner pins were placed, recovery was complete in 73.70%. Likewise, in patients who only required conservative management was 93.30%.

• প্রধান লেখক: Valdivieso Menéndez, Félix Javier (author)
• বিন্যাস: bachelorThesis
• ভাষা: spa
• প্রকাশিত: 2022
• বিষয়গুলি: clavos Kirschner; consolidación ósea; fractura diafisaria; rango articular
• অনলাইন ব্যবহার করুন: http://dspace.unach.edu.ec/handle/51000/10042