Características de las fracturas cerradas de tobillo atendidas en el Hospital Eugenio Espejo durante el período 2000-2010
Characteristics of closed ankle fractures treated at the Eugenio Espejo hospital during the period 2000-2010
VozAndes; 23 (1), 2012
Publication year: 2012
Determinar las características de las fracturas cerradas de tobillo atendidas en el hospital de especialidades Eugenio Espejo durante el período enero-2000 a diciembre-2010.
Métodos
Estudio retrospectivo. Se incluyeron todos los pacientes mayores de 18
años atendidos. Se registraron los datos demográfcos, mecanismo de
la lesión, tipo de fractura, lesiones asociadas, hallazgos intraoperatorios
y presencia de acontecimientos postquirúrgicos inmediatos.
Resultados
Se investigaron 333 pacientes (59.2% de género masculino; edad media 38.3 años). Las fracturas bimaleolares transindesmales (tipo Weber
B2) fueron las más frecuentes (46.2%). Los principales mecanismos de
producción fueron la carga axial (48.6%) y el trauma directo (26.4%).
Ocasionalmente las fracturas se asociaron a lesión del ligamento deltoideo (16.8%). La resolución quirúrgica usualmente se realizó dentro de
los primeros días luego del ingreso hospitalario (56.8%). Las osteosíntesis
se efectuaron conforme a las directrices de práctica clínica. Hubo una
baja frecuencia (4%) de complicaciones postquirúrgicas inmediatas.
Conclusión
Las fracturas cerradas de tobillo en su mayoría suelen ser transindesmales. La resolución quirúrgica es rápida y asociada con pocos acontecimientos tempranos.
To determine the characteristics of closed ankle fractures treated at the Eugenio Espejo hospital from Quito-Ecuador during the period January 2000 to
December 2010.
Methods
A retrospective study was performed. All patients over 18 years old were included. Demographic data, mechanism of injury, fracture type, associated injuries,
intraoperative fndings and postoperative adverse events were recorded.
Results
333 patients (59.2% males, mean age 38.3 years old) were studied. Weber type B2
fractures (46.2%) were the most common injuries. The main mechanisms of production were axial loading (48.6%) and directed trauma (26.4%). Fractures were
occasionally associated with deltoid ligament injury (16.8%). Surgical intervention
usually was performed within the frst days after admission (56.8%). Osteosynthesis
was performed based on clinical practice recommendations. There was a low
frequency (4%) of postoperative adverse events.
Conclusion
Closed ankle fractures are mainly transyndesmotic associated in a low frequency with other injuries. Surgical treatment tends to be fast and related
with few adverse events.